Hospice Nurse Practitioner

This role serves in a dual Hospice and Palliative Care capacity, providing comprehensive, patient-centered care across the continuum of serious illness. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits, and conduct hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. Responsibilities blend autonomy with collaboration, guiding patients and families through complex medical decision-making, symptom management, and end-of-life care.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow-up visits.
• Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care.
• Coordinate patient Plan of Care with Primary Care Provider (PCP)/Attending Provider and specialists.
• Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations.
• Support individualized care plans in partnership with patients, families, caregivers, and IDG/IDT.
• Manage all aspects of patient care, including diagnosis, symptom treatment, medication management, longitudinal serious illness support, and quality-of-life optimization.
• Prescribe medications and treatments, including controlled substances, within state and federal regulations.
• Order and interpret laboratory and diagnostic tests within scope of practice.
• Facilitate goals-of-care discussions, advance care planning, and level of care transitions.
• 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 compliance with regulatory standards.
• Communicate findings, treatment plans, diagnostics, and medication reviews with IDG/IDT.
• Provide clinical recommendations to the interdisciplinary group based on assessment findings.
• Ensure alignment with Medicare, Medicaid, and accrediting body requirements (e.g., ACHC).
• Notify team members promptly of any barriers to completing scheduled visits.
• Provide patient care and visit coverage across multiple provider numbers as needed.
• Partner effectively with physicians, nurses, social workers, chaplains, and other IDG/IDT members.
• Communicate clearly and compassionately with patients, caregivers, and families.
• Support patients and families through serious illness and end-of-life transitions.
• Participate in on-call rotation as needed.
• Maintain timely, accurate, and compliant clinical documentation.
• Adhere to all federal, state, and organizational regulations, including OSHA and hospice Conditions of Participation.
• Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices.

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, 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.
• Knowledge of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process.
• Ability to work both autonomously and collaboratively in a fast-paced 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.
• Sensitivity to life and death issues faced by individuals with terminal illness.
• Ability to support others during crises and communicate effectively with diverse socioeconomic and cultural backgrounds.
• Maturity, cooperation, flexibility, and tact when dealing with co-workers and the hospice team.

Pay

Wage Range: $48.78–$60.98/hour (per visit rate not included). Compensation may vary based on location, experience, education, skills, licensure, certifications, and department equity.

Benefits

• Competitive pay with 401(k) and company match.
• Career advancement opportunities and national/local recognition programs.
• Teammate Assistance Fund.
• Medical, dental, and vision insurance (full-time).
• Mileage reimbursement or fleet vehicle program.
• Generous paid time off + 7 paid holidays.
• Wellness programs (telemedicine, diabetes management, joint & spine concierge care).
• Education support & tuition assistance (ASN to BSN, BSN to MSN).
• Free continuing education units (CEUs).
• Company-paid life and long-term disability insurance.
• Voluntary benefits (pet, critical illness, accident, long-term care insurance).