RN Administrator & Clinical Director

Cascadia Healthcare

$90K — $120K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) with current, unrestricted state licensure
  • 2-5 years of hospice or home health leadership experience preferred
  • Knowledge of Medicare hospice regulations and interdisciplinary care models
  • Experience supervising clinical and administrative personnel
  • Strong business acumen in budgeting and operations
  • Ability to lead in fast-paced, evolving environments
  • Excellent communication skills
  • Ability to build community relationships

Responsibilities

  • Lead the launch and operational build-out of hospice services in a new market
  • Establish workflows, staffing models, and operational systems for census growth
  • Serve as both Administrator and Clinical Director
  • Direct clinical services for safe, effective care delivery
  • Guide interdisciplinary team processes and outcomes monitoring
  • Hire, onboard, coach, and develop staff during start-up
  • Ensure compliance with Medicare and state regulations
  • Lead Quality Assessment and Performance Improvement (QAPI) efforts
  • Monitor financial and operational performance indicators
  • Build referral relationships and represent services in healthcare community
  • Foster a culture of accountability and continuous improvement

Benefits

  • Opportunity to build a new hospice program from the ground up
  • Leadership role combining administration and clinical oversight
  • Impactful position that directly affects patient care and organizational growth
  • Supportive environment for professional development
  • Engagement with community during service expansion
Full Job Description
Position Snapshot

The RN Administrator & Clinical Director is a highly visible, hands-on leader responsible for launching and growing hospice services in a new market. This hybrid executive role combines Administrator accountability with Clinical Director oversight, ensuring both operational excellence and exceptional patient care during start-up and early growth.

You will lead day-to-day hospice operations, build clinical and administrative infrastructure, ensure regulatory compliance, and establish the systems, teams, and community relationships needed to scale a successful hospice program. As the organization grows, you will serve as the connective tissue between strategy and execution; balancing leadership, clinical expertise, and operational discipline.

How You Will Make a Difference

Each day, you will make a direct impact by building a hospice program that delivers high-quality, compliant, and compassionate care while positioning the organization for long-term success.

In this role, you will:
  • Lead the launch and operational build-out of hospice services in a new market
  • Establish workflows, staffing models, and operational systems that support sustainable census growth
  • Serve as the Administrator and Clinical Director, providing unified operational and clinical leadership
  • Direct and oversee all clinical services, ensuring safe, effective, and patient-centered care delivery
  • Guide interdisciplinary team processes, including care planning, coordination, and outcomes monitoring
  • Hire, onboard, coach, and develop clinical and administrative staff during the start-up phase
  • Ensure full compliance with Medicare Conditions of Participation and applicable state hospice regulations
  • Lead Quality Assessment and Performance Improvement (QAPI) efforts and maintain survey readiness
  • Monitor financial, productivity, and operational performance indicators to inform decision-making
  • Build and strengthen referral relationships and represent hospice services in the healthcare community
  • Foster a culture of accountability, teamwork, ethical practice, and continuous improvement


Requirements

To be successful in this role, you will bring a strong foundation of hospice leadership, clinical expertise, and operational judgment.

Required & Preferred Qualifications:
  • Registered Nurse (RN) with current, unrestricted state licensure
  • Minimum of 2-5 years of hospice or home health leadership experience preferred
  • Demonstrated knowledge of Medicare hospice regulations and interdisciplinary care models
  • Experience supervising both clinical and administrative personnel
  • Strong business acumen, including budgeting, operations, and performance management
  • Proven ability to lead in fast-paced, evolving environments
  • Excellent verbal, written, and interpersonal communication skills
  • Ability to build community relationships and support service growth
  • Valid driver's license and insured automobile in good working condition
  • Ability to travel within the service area and balance office and field responsibilities

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