Hospice Nurse Practitioner

This role blends hospice and palliative care, providing comprehensive, patient-centered support across serious illness settings. 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, partnering closely with physicians and interdisciplinary teams.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS regulatory timeframes, 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, quality-of-life optimization, and consultations to reduce avoidable acute care utilization.
• Prescribe medications and treatments, including controlled substances, within state and federal regulations and defined practice parameters.
• Order and interpret laboratory and diagnostic tests within state-defined 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 with empathy and clinical expertise.
• 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 (as applicable).

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.
• 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.
• Sensitivity to life and death issues faced by individuals with terminal illness; tact in dealing with patients and families.
• Ability to support others during crises.
• Flexibility to perform various tasks efficiently.
• Effective communication with people of all socioeconomic and cultural backgrounds.
• Maturity, cooperation, flexibility, and tact when dealing with co-workers and the hospice team.
• Compliance with OSHA, State Board of Nursing, and Federal Regulations related to Hospice Conditions of Participation.

Benefits

• Competitive pay.
• 401(k) with company match.
• Career advancement opportunities.
• National & local recognition programs.
• Teammate Assistance Fund.
• Medical, dental, and vision insurance (full-time).
• Mileage reimbursement or fleet vehicle program (full-time).
• Generous paid time off + 7 paid holidays (full-time).
• 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 & long-term disability insurance.
• Voluntary benefits (pet, critical illness, accident, long-term care).