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Director of Hospice Nursing - West Region

Four Seasons, The Care You Trust
Franklin, NC Full Time
POSTED ON 9/30/2025
AVAILABLE BEFORE 11/29/2025
 

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Our Accolades.

Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.


Our Benefits.

Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:

  • Competitive Salaries, Reviewed Annually
  • Annual Operational Performance Bonus Opportunities
  • $0 Employee Premiums on Medical Insurance
  • Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care 
  • Medical & Dental Insurance Benefits First of the Month after Hire
  • 403B Retirement Plan with Employer Match
  • Generous Paid Time Off Package- 20 Days of PTO Per Year
  • Up to 6 Paid Holidays
  • Employer Paid STD, LTD, & Life Insurance
  • Employer Paid Teletherapy & Telemedicine Coverage
  • Health & Dependent Care Flexible Spending Accounts
  • A Robust Employee Wellness Program
  • Up to $3k in Tuition Reimbursement Each Year

  

                   

 

Reports To:   Chief Clinical Operations Officer

            

Status: Exempt (Salary)

            

FT, PT, PRN: Full-Time 

 

Shift: Monday - Friday  (8a – 4:30p) 

 

On Call Rotation: As needed, including weekends and holidays.

                        

Location: Serves the Counties of Cherokee, Macon, Graham, Jackson, Clay and Swain

 

Management Functions: 

  • Team Leaders for West Region Community

 

 

                                                

 

 

Position Summary: (Role Description)

 The Regional Nursing Director is an example of Four Seasons Values,  therefore positively impacting all the lives that interact with the organization.  Recruit, select, & develop the right people in the right roles within the  team.  Develops the team into the best providers of healthcare as evidenced by – CAHP scores, surveys, quality audits, financials etc.  Leads in the creation of a culture in which everyone strives for excellence.  Strives to continuously re-design the systems and processes of the operating infrastructure of Four Seasons, always optimizing the pursuit of our mission.  Ensuring the financial/economic health, welfare, growth, and security of the organization.  

 

Essential Duties & Responsibilities: (Position Description)

      

  • Oversee delivery of resident and family care services to patients and families residing in the region.
  • Recruit, retain and ensure the professional development of a strong interdisciplinary clinical team.
  • Participate annually in strategic planning, collaborating with the Four Seasons Senior Leadership Team, Board of Directors and staff to provide appropriate input and planning assistance
  • Collaborate with the Volunteer Service Coordinator to ensure appropriate utilization of volunteers 
  • Collaborate with Growth team and other leaders to develop a plan for building and effectively maintaining community and referral source relationships, receipt of donations, and communication with media. 
  • Demonstrate good stewardship of the financial resources of Four Seasons:
  • Ensure compliance with state, federal and local laws and accreditation standards (Medicare, Division of Facility Service, DEA, DHHS, Board of Pharmacy, The Joint Commission)
  • Provide oversight to Team Leader to ensure effective individual patient/family safety plans and agency policy and procedure to promote workplace and environmental safety. 
  • Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation
  • Work collaboratively with other leaders and staff to achieve the organizational performance goals
  • Conduct monthly one to ones, departmental meetings, and supervision of team leaders
  • Develop and manage operational functions of assigned region. 
  • Collaborate with professional development to ensure documentation and scope of services meet compliance standards

 

 

Knowledge, Skills & Abilities: 

 

  • Knowledge of Federal, State and Local regulations and Medicare Conditions of Participation
  • Knowledge of proper body mechanics
  • Excellent organization skills
  • Excellent written and oral communication skills
  • Excellent interpersonal skills
  • Ability to work under pressure to meet deadlines
  • Ability to take initiative and utilize innovative techniques and ingenuity
  • Ability to interact with various departments throughout the organization
  • Ability to work flexible hours, if needed
  • Ability to participate as a team player to coordinate projects
  • Ability to read, interpret and apply laws, rules and regulations
  • Ability to plan, prioritize and coordinate multiple projects

 

Minimum Qualifications: 

 

Education:       

  • Bachelor’s degree from an accredited institution in nursing or equivalent experience; Master’s in healthcare related or leadership preferred.

Experience: 

  • Minimum of four years hospice clinical experience; hospice management, preferred
  • Demonstrated leadership ability
  • Demonstrated skill/expertise in pain and symptom management
  • Demonstrated ability to effectively collaborate and facilitate the work of an interdisciplinary group
  • Demonstrated understanding of reimbursement, regulatory requirements, and Medicare Conditions of Participation

Licensures & Certifications: (if applicable)

  • Current, Valid RN License to practice in North Carolina
  • Valid Driver’s License and proof of valid automobile insurance
  • HPNA, CHPN or CHPCA certification, preferred

 

Summary of Physical Requirements:

 

  • Walking, standing, sitting, driving, bending, reaching
  • Flexion/extension of arms/wrists
  • Hand dexterity to include grasping/gripping, pushing
  • Fine finger movements to include writing

 

Intent & Function:

 

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

 

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals. 

 

JOB DESCRIPTIONS ARE NOT INTENDED AS AND DO NOT CREATE EMPLOYMENT CONTRACTS. THE ORGANIZATION MAINTAINS ITS STATUS AS AN AT-WILL EMPLOYER.  

 

 


 

Other Duties: 

 

  • Pursue progress toward individual learning plan
  • Model and hold others accountable to delivering care and service consistent with the Mission, Vision and Values 
  • Ensure the development of a departmental education plan in collaboration with the Four Seasons Director of Professional Development
  • Participate in appropriate community education and outreach activities of Four Seasons
  • Participate in regional and national work groups and events that benefit the service of Four Seasons and/or Internal Education
  • Adhere to safety and infection control best practices
  • Participate in the coordination of the patient’s hospice care in accordance with professional standards of practice
  • Provide oversight to Team Leaders for interdisciplinary comprehensive assessments and plan of care processes
  • Contribute to patient and family counseling and education initiatives
  • Participate in Administrative On Call coverage
  • Perform specific assignments as directed by the Chief Clinical Operations Officer.

 


 

 

                         Job Analysis Questionnaire for Physical Demands

N=Not Required, R=Rarely (<2%), O=Occasional (3-33%), F=Frequent (34-66%), C=Constant (67-100%).

Physical Demand 

Frequency

N

R

O

F

C

Mobility

Walking

 

 

 

X

 

Standing

 

 

 

X

 

Sitting

 

 

 

 

X

Crawl

X

 

 

 

 

Driving 

 

 

 

X

 

Posture – Back

Bending Forward

 

 

 

X

 

Bending Backwards

 

X

 

 

 

Twisting

 

X

 

 

 

Posture – Reaching

Above Shoulder Level

 

 

 

X

 

Chest to Shoulder Level

 

 

 

X

 

Below Chest Level

 

 

 

X

 

Behind Body

 

X

 

 

 

Posture – Elbow/Forearm/Wrist

Elbow Flexion/Extension

 

 

 

X

 

Wrist Flexion/Extension

 

 

 

X

 

Wrist Rotation

 

X

 

 

 

Posture – Neck

Forward Bending/Flexion

 

 

 

X

 

Backward Bending/Extension

X

 

 

 

 

Twisting/Turning/Tilting

 

X

 

 

 

Posture – Hip/Knee/Ankle/Foot

Crouching/Squatting

 

X

 

 

 

Kneeling

 

X

 

 

 

Climbing (Stairs/Other)

 

 

X

 

 

Jumping

X

 

 

 

 

Foot Pedal/Action

 

 

 

 

X

 

 

N=Not Required, R=Rarely (<2%), O=Occasional (3-33%), F=Frequent (34-66%), C=Constant (67-100%).

Physical Demand

Force/Weight

 

Frequency

Avg.

Max.

N

R

O

F

C

Lifting

10

50

 

 

X

 

 

Carrying

5

20

 

X

 

 

 

 

Pushing/Pulling

5

50

 

X

 

 

 

Hand Activity

 

Approximate Force

Frequency

N

R

O

F

C

Gripping/

Grasping

 

 

 

 

X

 

Pushing

 (palm press/finger)

 

 

 

 

X

 

Pinching

 

 

 

 

X

 

Fine Finger Movement

 

 

 

 

X

 

Writing

 

 

 

 

X

 

Vision

Near Acuity-Clarity at 20 inches or less.

 

 

 

 

X

Far Acuity-clarity at 20 feet or more.

 

 

 

X

 

Depth Perception-3 dimensional vision

 

 

 

X

 

Accommodation- adjustment of eyes to bring things into clear focus.

 

 

 

 

X

Color Vision-ability to identify and distinguish colors

 

 

 

 

c

          Please review each category below and place an X in any area which applies to the job 

 


Salary : $600

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