Executive Director of Home Health & Hospice

Company: Goodwin House
Location: Alexandria
Posted on: February 21, 2026

Job Description:

Job Description Job Description Celebrated as the 3 Top Workplace in the D.C. region for 2025 by The Washington Post since 2019 , Goodwin Living is more than a team – it's a global family of individuals who represent more than 70 countries. Goodwin Living is proud to be recognized as a Top Workplace in the greater Washington, D.C. region by The Washington Post every year since 2019 — and now nationally by USA Today . Since 2022, we’ve also been annually recognized as one of the top 100 employers for interns by the Top Virginia Employers for Intern Awards. These honors are based entirely on feedback from our team members, gathered through an annual third-party survey. Here’s what they say makes us stand out: Embracing Diversity: Our strength is in our diverse team from over 65 countries, fostering an inclusive and vibrant culture that values every voice. Growth and Opportunities: We bolster personal and professional development, offering myriad opportunities, from on-the-job training to mentorship programs and financial support, to help you reach your full potential. Valuing Our Team Members: By prioritizing team member satisfaction, we create a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued. About the Position The Executive Director of Home Health & Hospice provides executive leadership and full operational accountability for a multi-service home health and hospice organization operating in a for-profit environment. This role is responsible for driving sustainable growth, maximizing profitability, ensuring regulatory compliance, and scaling operations efficiently while maintaining high standards of clinical quality and patient experience. The Executive Director serves as the senior leader responsible for aligning clinical excellence with business performance—overseeing strategy, operations, financial outcomes, referral development, and talent management across both service lines. Job Duties Strategic Growth & Market Expansion Develop and execute strategic growth plans that increase admissions, census, and market share across home health and hospice service lines. Identify and pursue new growth opportunities including geographic expansion, service diversification, payer strategies, and referral channel optimization. Analyze market trends, competitor activity, and referral patterns to guide expansion and investment decisions. Partner with corporate leadership to align local growth initiatives with enterprise-wide strategic objectives. Profitability & Financial Performance Own full P&L responsibility, ensuring achievement of revenue and margin Lead budgeting, forecasting, and financial performance monitoring, with a strong focus on labor management, visit productivity, cost controls, and revenue optimization. Drive disciplined financial management across staffing models, overtime, contract labor, and supply utilization. Partner closely with revenue cycle teams to ensure accurate documentation, billing, collections, and denial management. Translate financial data into actionable operational strategies to improve efficiency and profitability. Efficient Referral Development & Relationship Management Lead the development and execution of a high-performance referral strategy focused on consistent, scalable admission growth. Build and maintain strong relationships with hospitals, physicians, SNFs, assisted living communities, payers, and community partners. Ensure referral intake, admission processes, and handoffs are efficient, responsive, and customer-focused. Monitor referral conversion rates, admission cycle times, and payer mix to drive optimal performance. Operational Scalability & Performance Optimization Design and implement scalable operational models that support growth without sacrificing quality, compliance, or staff engagement. Standardize workflows, policies, and performance expectations across teams to enable consistency and efficiency. Leverage data, dashboards, and key performance indicators (KPIs) to monitor operational performance and proactively address risks. Optimize staffing models to support fluctuating census levels while maintaining productivity and employee satisfaction. Lead continuous performance improvement initiatives to reduce variation, improve throughput, and enhance patient outcomes. Clinical Quality & Regulatory Compliance Ensure full compliance with all federal, state, and local regulations, including CMS Conditions of Participation for Home Health and Hospice. Oversee clinical leadership to ensure delivery of high-quality, patient-centered care and strong survey readiness. Ensure quality assurance and performance improvement (QAPI) initiatives are appropriate to improve outcomes, star ratings, and patient satisfaction. Foster a culture of accountability, safety, and ethical practice across all levels of the organization. Leadership, Culture & Talent Development Partner with Talent Acquisition to recruit, develop, and retain high-performing clinical and operational leaders. Establish clear expectations, performance goals, and accountability frameworks for leadership and frontline teams. Promote a culture that balances compassionate care delivery with operational excellence and financial stewardship. Lead change management initiatives associated with growth, restructuring, or operational transformation. External Representation & Stakeholder Engagement Serve as the senior representative of the organization in the community and with key external stakeholders. Partner with payers, vendors, and strategic partners to support growth and operational effectiveness. Represent the organization in professional, regulatory, and industry forums as appropriate. Job Requirements Bachelor’s degree required; Master’s degree in Healthcare Administration, Business Administration, Nursing, or related field preferred. Active RN license strongly preferred (often required in for-profit home health and hospice settings). Minimum of 5–10 years of progressive leadership experience in home health, hospice, or post-acute healthcare operations. Demonstrated success leading growth initiatives, managing full P&L responsibility, and scaling healthcare operations. Strong working knowledge of Medicare, Medicaid, managed care, and hospice reimbursement models. A sampling of our many benefits! We’ve got you covered with incredible benefits, whether you work full-time, part-time, or PRN (as needed). Here’s a glimpse of what we offer to Full-Time team members: Paid Time Off Health/Dental/Vision Insurance DailyPay: Work and get paid the same day! Tuition Assistance for Career Development Student Loan Repayment Program Financial assistance with U.S. Citizenship application or DACA Renewal Tutoring for ESL, Citizenship Test & GED Staff Emergency Grants Retirement Plan- 401(k) Free Meals, Access to a Fitness Center, Pool, and More About Goodwin Living At Goodwin Living, we can all find work with purpose! As a nonprofit senior living and healthcare organization based in Alexandria, Virginia, we are driven by our mission: to support, honor and uplift the lives of older adults and those who care for them. Our commitment to our team members is written directly into that statement. We create an enriching and supportive work environment that has earned us Top Workplace recognition by The Washington Post since 2019 and, more recently, national recognition by USA Today . These honors reflect the culture our team members foster every day — one rooted in purpose, belonging, and growth. Goodwin Living is an Equal Opportunity Employer and an AARP Employer Pledge Signer. We take pride in our inclusive work culture that values diversity and fosters talent. With us, you are more than just a team member; you are part of a community committed to excellence and continuous learning. Job Duties o Team management: Responsible for overseeing and managing the clinical team, which may include nurses, social workers, counselors, and other healthcare professionals. This involves hiring, training, scheduling, and evaluating staff members, as well as providing ongoing support and guidance. o Patient and Family Communication: Serve as the primary point of contact for patients and their families, ensuring clear, empathetic, and timely communication regarding care plans, changes in condition, and services provided. Address concerns, questions, and feedback from patients and families promptly, ensuring that all issues are resolved in a manner that enhances patient satisfaction and trust. o Care coordination: Ensures the coordination and continuity of care for patients receiving hospice services. This includes collaborating with interdisciplinary teams to develop and implement care plans, conducting regular case conferences, and addressing any issues or concerns that arise during patient care. Rotates and serves as Administrator on Call. o Compliance and Quality Assurance: Responsible for ensuring that the assigned team adheres to all applicable regulations, standards, and policies. This involves monitoring and evaluating the quality of care provided, conducting audits and assessments, and implementing corrective actions as needed to maintain compliance and improve service delivery. o Education and Training: Identifies areas of education and training to the clinical staff, keeping them updated on best practices, new policies, and emerging trends in hospice care. This includes organizing in-service training sessions, workshops, or professional development opportunities to enhance the knowledge and skills of the team in collaboration with the educator. o Performance Management: Oversees the performance of the clinical team, monitoring productivity, efficiency, and outcomes. This involves setting performance expectations, conducting regular performance evaluations, and providing feedback and support to enhance individual and team performance. o Documentation and Record Keeping: Ensures accurate and timely documentation of patient care, including assessments, care plans, progress notes, and other required records. o Continuous Improvement and Program Development: Participates in quality improvement initiatives and contributes to the development and implementation of new programs or services that enhance the overall hospice care delivery and meet the evolving needs of patients and their families. Job Requirements A RN who is currently licensed by the Commonwealth of Virginia Department of Health Professional. Minimum 5 years’ experience as a professional nurse or clinical social worker, preferably in a hospice and palliative care setting. Certified Hospice and Palliative Care, preferred. Demonstrated leadership and organizational ability with a motivation to assist in the implementation of program development. Demonstrated ability to note and respond to the needs of terminally ill residents and families in varied settings. Ability to cope with family emotional stress and tolerance of individual lifestyles. Demonstrated computer skills for documents, spreadsheets and database management and ability to learn new electronic medical record software and become a trainer in health record documentations. A sampling of our many benefits! We’ve got you covered with incredible benefits, whether you work full-time, part-time, or PRN (as needed). Here’s a glimpse of what we offer to Full-Time team members: Paid Time Off Health/Dental/Vision Insurance DailyPay: Work and get paid the same day! Tuition Assistance for Career Development Student Loan Repayment Program Financial assistance with U.S. Citizenship application or DACA Renewal Tutoring for ESL, Citizenship Test & GED Staff Emergency Grants Retirement Plan- 401(k) Free Meals, Access to a Fitness Center, Pool, and More About Goodwin Living At Goodwin Living, we can all find work with purpose! As a nonprofit senior living and healthcare organization based in Alexandria, Virginia, we are driven by our mission: to support, honor and uplift the lives of older adults and those who care for them. Our commitment to our team members is written directly into that statement. We create an enriching and supportive work environment that has earned us Top Workplace recognition by The Washington Post since 2019 and, more recently, national recognition by USA Today . These honors reflect the culture our team members foster every day — one rooted in purpose, belonging, and growth. Goodwin Living is an Equal Opportunity Employer and an AARP Employer Pledge Signer. We take pride in our inclusive work culture that values diversity and fosters talent. With us, you are more than just a team member; you are part of a community committed to excellence and continuous learning.

Keywords: Goodwin House, Richmond , Executive Director of Home Health & Hospice, Healthcare , Alexandria, Virginia