Hospice Nurse Practitioner

About the role

The Nurse Practitioner will serve in a dual Hospice and Palliative Care role. In this position, they will provide comprehensive, patient-centered care across the continuum of serious illness, supporting patients in both palliative and hospice settings. The role includes a blend of hospice and palliative responsibilities with flexibility based on patient census and program needs.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes.
• History & Physical/Initial Comprehensive visits.
• Problem-focused Symptom Management visits.
• Admission visits.
• Goals of Care discussions.
• Routine follow up visits.
• Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care.
• Collaborate with Primary Care Provider (PCP)/Attending Provider and specialists (if applicable) to coordinate patient Plan of Care.
• Support individualized care plans in partnership with the patients, families, caregivers, and IDG/IDT.
• Prescribe medications and treatments, including controlled substances, as permitted by state law and federal regulation and within defined parameters of Independent Practice or a Collaborative Practice Agreement.
• Order and interpret laboratory and other diagnostic tests within the state defined scope of practice and Collaborative Practice Agreement.
• Facilitate goals-of-care discussions, advance care planning, and level of care transitions when appropriate.
• Coordinate care across settings, including home, skilled nursing facilities, and assisted living.
• Initiate referrals to supportive services and community resources as needed.
• Utilize Local Coverage Determination (LCD) criteria to support hospice eligibility and recertification.
• Document clinical findings accurately and attest F2F encounters in the medical record in compliance with regulatory standards.
• Communicate findings, treatment plans, diagnostics, and medication reviews with IDG/IDT.
• Provide clinical recommendations to the interdisciplinary group (IDG) based on assessment findings.
• Ensure alignment with Medicare, Medicaid, and accrediting body requirements (e.g., ACHC).
• Notify appropriate team members promptly of any barriers to completing scheduled visits.
• Maintain comprehensive knowledge in the field of hospice and palliative care.

Requirements

• Master of Science in Nursing (MSN) or higher from an accredited program.
• Completion of an accredited Nurse Practitioner program.
• Minimum of two years of Nurse Practitioner experience preferred.
• Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred.
• Experience with Part B billing preferred.

Qualifications

• Current RN license and Nurse Practitioner license/certification in state of practice.
• National NP certification (ANCC or AANP).
• Collaborative Practice Agreement with supervising internal physician or Proof of Independent Practice Authority in accordance with state regulations.
• Controlled Substance Agreement, if applicable.
• DEA registration and prescriptive authority in accordance with state regulations.
• Current CPR certification.
• ACHPN certification preferred.
• Valid driver’s license and current automobile insurance.

Skills

• Strong clinical assessment and critical thinking skills across palliative and hospice populations.
• In-depth understanding of palliative care principles, hospice philosophy, home health eligibility, and end-of-life care.
• Working knowledge of LCD criteria, Medicare/Medicaid regulations, coding/billing, and documentation requirements.
• Excellent interpersonal, written, and verbal communication skills.
• Knowledgeable of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process.
• Ability to work both autonomously and collaboratively in a fast-paced, evolving environment.
• Compassionate, emotionally intelligent, and sensitive to the needs of patients and families.
• Proficient in point-of-care technology and electronic medical records.
• Willingness and ability to maintain productivity and documentation standards in alignment with organizational expectations.

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Education/Experience: Master of Science in Nursing (MSN) or higher from an accredited program. Completion of an accredited Nurse Practitioner program. Minimum of two years of Nurse Practitioner experience preferred.
• Experience: Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred. Experience with Part B billing preferred.