Nurse Practitioner, NP

About the role

This role will perform patient hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. Hospice experience as an RN or NP is preferred. The Nurse Practitioner will serve in a dual Hospice and Palliative Care role.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice F2F visits within CMS established regulatory timeframes.
• 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.
• 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.
• 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.

  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).
  • 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.
  • 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.
  • Compliance with OSHA, State Board of Nursing and Federal Regulations related to Hospice Conditions of Participation.

  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.
  • Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families.

  Benefits

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund
  • 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 & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)