Hospice Nurse Practitioner

Gentiva Hospice•Conyers, GA

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, the role may involve hospice care, palliative care, or both. The position delivers advanced clinical care, conducts patient-management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and collaborates with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care. It combines autonomous practice with collaboration to support patients and families with complex medical decisions, symptom management, and end-of-life care. The Nurse Practitioner completes required visit types, assesses patients’ physical, emotional, functional, and psychosocial needs, and supports individualized care plans. The role may include diagnosis and treatment, medication management, laboratory and diagnostic orders, care coordination across home and facility settings, referrals, goals-of-care discussions, and advance care planning, in accordance with applicable state and federal requirements and practice parameters. The Nurse Practitioner documents care and F2F encounters, supports hospice eligibility and recertification using LCD criteria, communicates findings and recommendations to the interdisciplinary team, and helps ensure compliance with regulatory and accreditation requirements. The position requires effective collaboration with physicians and interdisciplinary colleagues, compassionate communication with patients and families, and participation in an on-call rotation as needed. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations across 38 states. The role is safety-sensitive; applicable state requirements and minimum benefit eligibility requirements apply.

Requirements

Master of Science in Nursing (MSN) or higher from an accredited program.
Completion of an accredited Nurse Practitioner program.
Current RN license and Nurse Practitioner license or certification in the state of practice.
National Nurse Practitioner certification through ANCC or AANP.
A Collaborative Practice Agreement with a 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.
Valid driver’s license and current automobile insurance.
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 and Medicaid regulations, coding and 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 autonomously and collaboratively in a fast-paced, evolving environment.
Compassion, emotional intelligence, and sensitivity to patients’ and families’ needs, including the impact of terminal illness and end-of-life issues.
Ability to support others during a crisis and communicate effectively with people from varied socioeconomic and cultural backgrounds.
Flexibility to move between varied tasks without loss of efficiency or composure; maturity, cooperation, and tact when working with coworkers and hospice team members.
Proficiency with point-of-care technology and electronic medical records.
Willingness and ability to meet organizational productivity and documentation standards.
Compliance with OSHA, State Board of Nursing, and federal regulations related to hospice Conditions of Participation.

Nice To Haves

At least two years of Nurse Practitioner experience preferred.
Experience in hospice, palliative care, oncology, geriatrics, family or adult medicine, home health, or acute care preferred.
Experience with Part B billing preferred.
ACHPN certification preferred.

Responsibilities

Complete patient visits, including hospice Face-to-Face encounters, History & Physical/initial comprehensive visits, symptom-management visits, admissions, goals-of-care discussions, and routine follow-ups.
Collaborate with hospice and palliative medical directors, interdisciplinary teams, primary care or attending providers, and specialists to coordinate patient care and plans of care.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group or team.
Manage patient care, including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances when permitted, within state and federal regulations and applicable practice parameters.
Order and interpret laboratory and other diagnostic tests within the applicable scope of practice and collaborative practice agreement.
Facilitate goals-of-care discussions, advance care planning, and transitions in level of care when appropriate.
Coordinate care across home, skilled nursing facilities, and assisted living settings.
Initiate referrals to supportive services and community resources as needed.
Use Local Coverage Determination criteria to support hospice eligibility and recertification.
Accurately document clinical findings and attest to F2F encounters in the medical record in compliance with regulatory standards.
Communicate findings, treatment plans, diagnostic information, and medication reviews to the interdisciplinary group or team.
Provide clinical recommendations to the interdisciplinary group based on assessment findings.
Support compliance with Medicare, Medicaid, and accrediting-body requirements, including ACHC.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide care and visit coverage across multiple provider numbers when needed and approved.
Maintain comprehensive knowledge of hospice and palliative care.
Partner with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
Communicate clearly and compassionately with patients, caregivers, and families, supporting them through serious illness and end-of-life transitions.
Participate in an on-call rotation as needed.
Maintain timely, accurate, compliant clinical documentation and adhere to applicable federal, state, organizational, OSHA, and hospice Conditions of Participation requirements.
Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices as applicable.

Benefits

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