APRN/PA - Palliative Care

About the Role

Concord Hospital is seeking a compassionate and skilled Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA-C) to join our Palliative Care team. This role provides consultative palliative care services primarily in our inpatient settings, partnering with patients, families, and interdisciplinary team members to enhance quality of life, support complex decision-making, and manage serious illness symptoms. This is an excellent opportunity for an experienced provider who is passionate about whole-person care, values meaningful patient relationships, and thrives in a collaborative environment.

Responsibilities

• Provide expert palliative care consultations and symptom management for patients with serious, chronic, and life-limiting illnesses.
• Conduct comprehensive patient assessments, including health histories and physical examinations.
• Develop, implement, and monitor individualized care plans focused on patient goals, comfort, and quality of life.
• Facilitate goals-of-care conversations, advance care planning, and discussions regarding treatment preferences.
• Support patients and families through complex medical decision-making and care transitions.
• Prescribe and manage medications related to palliative and hospice care needs.
• Collaborate closely with physicians, nurses, social workers, chaplains, care managers, hospice teams, and community partners.
• Coordinate seamless transitions across care settings, including long-term care, hospice, home care, and hospital environments.
• Provide education and support to patients, families, caregivers, and healthcare professionals.
• Maintain accurate, timely clinical documentation and ensure compliance with regulatory and billing requirements.
• Participate in quality improvement initiatives, program development, and interdisciplinary team activities.

Communication and Relationship-Based Care

Successful candidates will be comfortable navigating sensitive conversations and providing support during some of life's most challenging moments, including:

• Discussing goals of care and advance directives.
• Facilitating family meetings.
• Supporting transitions from curative to comfort-focused care.
• Discussing hospice eligibility and enrollment.
• Addressing end-of-life decision-making and care preferences.
• Providing emotional support to patients, families, and healthcare team members.

Requirements

Required Qualifications

• Master's Degree in Advanced Practice Nursing or Physician Assistant
• Current New Hampshire APRN or PA license
• Current New Hampshire Registered Nurse license, for APRN role
• DEA registration
• Minimum of one year of experience in palliative care, hospice, geriatrics, oncology, critical care, family practice, or a related specialty

Preferred Qualifications

• Prior experience working in hospice or palliative medicine
• Strong communication and relationship-building skills
• Experience working with interdisciplinary healthcare teams
• Certification in Hospice and Palliative Care (or willingness to obtain)

Why Join Concord Hospital?

At Concord Hospital, you'll join a team dedicated to delivering compassionate, patient-centered care that honors individual values, preferences, and cultural beliefs. Our Palliative Care providers work collaboratively across the continuum of care while helping patients and families navigate serious illness with dignity, respect, and support.

• Compassion and empathy
• Clinical excellence
• Teamwork and collaboration
• Respect for diversity and inclusion
• Professional growth and lifelong learning
• Patient and family-centered care

Professional Expectations

The ideal candidate demonstrates:

• Excellence in clinical assessment and decision-making
• Commitment to ethical and compassionate patient care
• Respect for patient autonomy, privacy, and cultural diversity
• Accountability to patients, families, colleagues, and the profession
• Dedication to ongoing professional development and evidence-based practice

Physical and Work Requirements

The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Regularly required to hear
• Frequently required to bend, do repetitive motion, perform activities that require fine motor skills, reach, sit, speak, stand, and walk
• Occasionally required to climb, kneel, smell, and squat
• Specific vision abilities required include color vision, depth perception, far vision, near vision, and peripheral vision
• Rarely exposed to radiation
• Occasionally exposed to airborne contaminants, airborne pathogens, bloodborne pathogens, and bodily fluids
• Noise level in the work environment is usually moderate