Nurse Practitioner - Palliative Care (Facility-based)

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for sections present: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We must only include sections that have real specific content. The posting includes description of role, responsibilities, requirements, qualifications, skills, benefits, schedule (Monday-Friday 8am-5pm). Pay not mentioned (no salary). So we omit Pay. Schedule present: Monday - Friday 8:00am - 5:00pm. Benefits present. Also maybe "About the role" can be derived from brief description. We'll include sections: About the role (brief description), Responsibilities (list of duties), Requirements (education/experience etc), Qualifications (maybe overlapping with requirements but we can combine? The instruction: prefer few substantive sections over many thin ones. We could combine Requirements and Qualifications into one? But they ask to use headings for those specific headings if content exists. We have content for Requirements (education, experience, licensure, etc). Also Qualifications maybe similar; but we can treat Requirements as covering both. Skills section: list of skills/abilities. Benefits section. Schedule section. We must not repeat job title as heading. No Job ID. Remove boilerplate. We need to preserve all substantive info. Use

• for lists. Use

  for prose. We'll craft:

  About the role

  AuthoraCare Collective is seeking a Nurse Practitioner - Palliative Care (Facility-based). This is a full-time position serving Forsyth, Davie and Davidson Counties, Monday‑Friday 8:00 am‑5:00 pm. The Facility Based Palliative Care Nurse Practitioner provides consultative palliative care to adults with serious, progressive, or life‑limiting illness residing in skilled nursing facilities, assisted living communities, memory care settings, and other contracted residential care environments. The NP focuses on symptom management, goals‑of‑care discussions, advance care planning, caregiver support, prognostic communication, and coordination across care settings, working collaboratively with attending providers, facility clinical teams, patients, families, and interdisciplinary teams to develop recommendations and an individualized palliative plan of care.

  Then Responsibilities: list items from "Patient Care and Palliative Consultation", "Documentation Quality and Compliance", "Care Coordination and Team Collaboration", "Patient Family and Facility Education", "Goals of Care and Advance Care Planning". We'll combine into a single
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  • items. Requirements: Education and Experience bullet list. Qualifications: maybe we can include licensure, certification, DEA, etc. But to avoid duplication, we could put all under Requirements. However they ask to use headings if posting has real specific content for it. The posting has "Requirements Education and Experience:" and then list. It also includes "Other:" about driver's license etc. That could be under Requirements as well. Qualifications maybe not separate. But we could still include a Qualifications heading for things like "Current, unrestricted NP license and RN license in North Carolina, with prescriptive authority..." etc. However that is also part of requirements. To avoid thin sections, better to combine into one Requirements section covering education, experience, licensure, certifications, etc. Then Skills section for abilities. Benefits: list. Schedule: we already mentioned in About the role but we can also have a Schedule section with the schedule details. Since schedule is mentioned, we can include a Schedule section with that detail. However we already included schedule in About the role; but we can still have a separate Schedule section with just the schedule. The instruction: prefer a few substantive sections over many thin ones. Having both About the role and Schedule may be okay. But we could embed schedule in About the role and not create a separate Schedule section. However the rule: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text. The posting does have schedule info, so we could have a Schedule section. But we already used schedule in About the role; repeating might be duplication but allowed? It says preserve ALL substantive information; do NOT invent or summarize away detail. Duplication is not prohibited but we should avoid unnecessary repetition. Better to have Schedule section with the schedule and maybe not repeat in About the role. But About the role needs to describe role; we can still mention it's full-time but not specific hours. Let's keep About the role generic, and Schedule section with Monday‑Friday 8:00am‑5:00pm. Thus:

    About the role

    AuthoraCare Collective is seeking a Nurse Practitioner - Palliative Care (Facility-based). This is a full-time position serving Forsyth, Davie and Davidson Counties. The Facility Based Palliative Care Nurse Practitioner provides consultative palliative care to adults with serious, progressive, or life‑limiting illness residing in skilled nursing facilities, assisted living communities, memory care settings, and other contracted residential care environments. The NP focuses on symptom management, goals‑of‑care discussions, advance care planning, caregiver support, prognostic communication, and coordination across care settings, working collaboratively with attending providers, facility clinical teams, patients, families, and interdisciplinary teams to develop recommendations and an individualized palliative plan of care.

    Responsibilities

    • Conduct comprehensive palliative assessments, including medical history, physical examination, functional and cognitive status, symptom burden, psychosocial needs, caregiver concerns, and spiritual or cultural factors.
    • Evaluate and manage pain, dyspnea, nausea, constipation, fatigue, anxiety, depression, delirium, anorexia, insomnia, secretions, and other distressing symptoms.
    • Develop an individualized palliative plan of care reflecting patient condition, values, goals, prognosis, treatment preferences, and desired level of intervention.
    • Prescribe medications and therapies, or communicate evidence‑based recommendations to the attending or facility provider, consistent with scope of practice, organizational protocols, facility agreements, and the established care model.
    • Review medication regimens for symptom benefit, burden, adverse effects, drug interactions, and opportunities for deprescribing in collaboration with the appropriate prescriber and pharmacist.
    • Monitor response to interventions and revise the palliative plan based on clinical changes, patient priorities, and interdisciplinary input.
    • Identify urgent or emergent concerns and coordinate timely escalation while considering the patient's documented preferences and goals of care.
    • Assess hospice eligibility and readiness, provide education, and support timely referral when hospice is clinically appropriate and consistent with patient and family goals.
    • Provide follow‑up palliative visits at a frequency based on clinical need, program criteria, and contractual expectations.
    • Complete accurate, clinically meaningful, and timely documentation in the EMR in accordance with organizational policy, payer requirements, and regulatory standards.
    • Document symptom assessment, clinical reasoning, patient values, goals of care, risk and benefit discussions, decision‑making capacity when relevant, and prognosis‑informed discussions when clinically appropriate.
    • Clearly document the palliative care plan, recommendations, responsible follow‑up party, and communication with the attending provider and facility team.
    • Use appropriate diagnoses and billing codes and support medical necessity through complete documentation.
    • Maintain compliance with HIPAA, healthcare laws, professional standards, facility requirements, and organizational policies.
    • Meet established expectations for visit productivity, documentation timeliness, follow‑up, quality, and patient or facility communication.
    • Participate in chart review, peer review, QI, and corrective action activities when indicated.
    • Collaborate with attending physicians, PCPs, facility medical providers, nursing staff, social workers, pharmacists, hospice and home health teams, and other care partners to develop and update the palliative plan of care.
    • Communicate consultation findings, recommendations, medication changes, and follow‑up needs clearly and promptly to the patient, family, facility team, and responsible medical provider.
    • Coordinate diagnostic testing, referrals, community resources, and follow‑up services when indicated and within the palliative care service scope.
    • Support transitions between the facility, ED, hospital, rehabilitation, hospice, and other settings to reduce fragmentation and promote goal‑concordant care.
    • Clarify which clinician or service is responsible for implementing recommendations, placing orders, and monitoring results when responsibility is not defined by the care model.
    • Participate in facility care conferences, IDG meetings, departmental meetings, and case reviews as assigned.
    • Engage in interdisciplinary problem‑solving to address changes in condition, complex family dynamics, caregiver distress, ethical concerns, and barriers to the plan of care.
    • Build productive relationships with facility leaders and staff and provide education regarding palliative care scope, referral criteria, and available support.
    • Assume on‑call responsibilities as scheduled, if applicable, to support continuity of palliative care.
    • Participate in QI activities, special projects, and ongoing professional development.
    • Educate patients and families about illness progression, symptom management, medication use, expected changes, and when to seek additional help.
    • Provide anticipatory guidance to reduce crisis‑driven decision‑making and help patients and families prepare for likely changes.
    • Explain the differences among palliative care, primary care, hospice, home health, and emergency services.
    • Provide education and clinical guidance to facility staff within the scope of the consultation and organizational agreements.
    • Support shared decision‑making without directing patients or families toward a predetermined treatment choice.
    • Elicit and document the patient's understanding of illness, values, care priorities, acceptable quality of life, surrogate decision‑maker, and preferences for future treatment.
    • Facilitate goals‑of‑care and advance care planning discussions using prognosis‑informed, culturally responsive, and patient‑centered communication.
    • Explain the expected benefits, burdens, and alternatives of major treatment decisions, including hospitalization, artificial nutrition and hydration, resuscitation, and other life‑sustaining treatments when clinically relevant.
    • Assess decision‑making capacity when indicated and engage the legally authorized representative or surrogate consistent with applicable law and organizational policy.
    • Support completion and availability of advance directives, MOST forms, code‑status documentation, and other applicable documents within scope and policy.
    • Revisit goals of care after a significant change in condition, hospitalization, functional decline, or change in patient or family priorities.

    Requirements

    • Graduate of an accredited School of Nursing with completion of an accredited NP program.
    • Current, unrestricted NP license and RN license in North Carolina, with prescriptive authority as required for the role.
    • Current national board certification as an NP in an applicable population focus.
    • Current DEA registration and controlled‑substance prescribing authority, if required by assigned duties.
    • Minimum of 2 years of clinical experience in palliative care, hospice, geriatrics, LTC, SNF, acute care, or outpatient practice required.
    • Palliative care or hospice experience strongly preferred; specialty certification in hospice and palliative nursing encouraged.
    • Valid state‑issued driver's license required.
    • Must carry automobile liability insurance at limits required by agency.
    • Must have own transportation.

    Skills

    • Ability to assess and manage complex symptoms in facility settings with limited immediate diagnostic resources.
    • Strong clinical judgment in determining when escalation, hospitalization, hospice referral, or a comfort‑focused approach is appropriate and aligned with the patient's goals.
    • Comfort with independent clinical decision‑making while collaborating closely with physicians, facility clinicians, and the interdisciplinary team.
    • Ability to clearly distinguish the palliative care consultant role from primary care, facility medical management, hospice, and emergency services.
    • Knowledge of serious‑illness trajectories, prognost