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, hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.

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 with Primary Care Provider (PCP)/Attending Provider and specialists to develop and support the patient Plan of Care.
• Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations.
• Support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group (IDG/IDT).
• Manage all aspects of patient care, including diagnosis, symptom management, medication management, longitudinal serious illness support, quality-of-life optimization, and consultations while reducing avoidable acute care utilization.
• Prescribe medications and treatments, including controlled substances, as permitted by state law and federal regulation.
• Order and interpret laboratory and 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.
• 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 the 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 appropriate team members promptly of any barriers to completing scheduled visits.
• Provide patient care and visit coverage across multiple provider numbers, as needed and approved.
• Maintain comprehensive knowledge in the field of hospice and palliative care.
• 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.

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.
• Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families.
• Ability to support others at a time of crisis.
• Flexibility to perform various tasks, often changing from one to another of a different nature without loss of efficiency or composure.
• Effective communication with people of all socioeconomic and cultural backgrounds.
• Demonstrated maturity, cooperation, flexibility, and tact when dealing with co-workers and all members of the hospice team.
• Compliance with OSHA, State Board of Nursing, and Federal Regulations related to Hospice Conditions of Participation.

Pay

Wage Range – $43.90–$54.88/hour (per visit rate not included).

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) (full-time).
• Education support & tuition assistance (ASN to BSN, BSN to MSN) (full-time).
• Free Continuing Education Units (CEUs) (full-time).
• Company-paid life & long-term disability insurance (full-time).
• Voluntary benefits (Pet, Critical Illness, Accident, LTC) (full-time).