Agape Hospice Hiring Director of Nursing

Location: Oregon (Portland Metro)

Reports To: Executive Director

Position Summary

The Director of Nursing (DON) provides leadership and oversight for all hospice clinical operations. This role is responsible for ensuring high-quality patient care, regulatory compliance, and strong team performance while balancing operational and financial outcomes. This is a hands-on leadership role requiring both clinical expertise and the ability to lead, develop, and hold teams accountable in a fast-paced hospice environment.

Key Responsibilities

Clinical & Operational Leadership

•  Lead day-to-day clinical operations, including patient assignments, productivity, and census management
  
• Provide guidance and support in complex patient care situations
  
• Monitor key metrics such as census, acuity, visit utilization, and staffing needs
  
• Ensure alignment between clinical operations and organizational goals
  
• Maintain visibility with field staff and support teams as needed
  

Staff Leadership & Accountability

•  Lead hiring, onboarding, coaching, and performance management of clinical staff
  
• Hold leaders and staff accountable for performance, attendance, and productivity
  
• Address performance concerns proactively, including corrective action when necessary
  
• Develop and mentor clinical supervisors and emerging leaders
  
• Foster a culture of accountability, teamwork, and continuous improvement
  

Quality, Compliance & Clinical Excellence

• Ensure all clinical documentation is accurate, timely, and audit-ready
  
• Maintain compliance with Medicare Conditions of Participation and regulatory standards
  
• Lead QAPI initiatives including quality metrics, incidents, and infection control
  
• Prepare for surveys, audits, and accreditation reviews
  
• Oversee incident investigations and corrective actions
  

Operational & Financial Management

• Monitor staffing utilization, overtime, and productivity expectations
  
• Partner with leadership on clinical budget planning
  
• Ensure appropriate use of supplies, equipment, and medications
  

Communication & Community Engagement

• Promote clear, professional communication across teams
  
• Build relationships with referral sources including hospitals and SNFs
  
• Collaborate cross-functionally to ensure continuity of care
  

Emergency Management

• Ensure staff safety and coordination during emergencies
  
• Lead communication with internal teams and external agencies
  
• Maintain infection control and safety standards during emergencies
  

Role Expectations (Non-Negotiables)

• This is not a desk-only role—active involvement in clinical operations is expected
  
• Must be comfortable making independent decisions related to staffing and patient care
  
• Accountable for team performance, documentation quality, and regulatory outcomes
  
• Must be able to lead in a dynamic environment with changing census and patient needs
  

Qualifications

• Active Oregon RN license in good standing
  
• 7 years of clinical experience
  
• 3 years in a leadership role (hospice preferred)
  
• Experience in hospice, home health, SNF, or hospital settings
  
• Strong leadership and communication skills
  
• Knowledge of regulatory standards and compliance requirements
  
• Valid driver’s license and reliable transportation
  

Compensation

Competitive salary based on experience

Performance-based bonus opportunity

Full benefits package including medical, dental, vision, PTO, and 401(k)