Hospice Nurse Practitioner

Gentiva Hospice•Dickson, TN

12d

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, manages patient visits, and completes hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. The Nurse Practitioner works with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care, and supports patients and families with medical decision-making, symptom management, and end-of-life care. This is a less-than-full-time position with a flexible schedule. The organization invites candidates to share their availability. Care includes visits across home, skilled nursing, and assisted living settings; assessments and individualized care planning; diagnosis, treatment, medication management, and serious-illness support; goals-of-care and advance-care-planning discussions; and coordination with patients, families, caregivers, physicians, and interdisciplinary teams. The position also requires timely, compliant documentation and adherence to applicable regulatory and organizational requirements. Participation in an on-call rotation may be needed. Gentiva is a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations and thousands of clinicians across 38 states. Its corporate headquarters are in Atlanta, Georgia.

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 from 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.
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 the needs of patients and families.
Proficiency with point-of-care technology and electronic medical records.
Ability to meet productivity and documentation standards in alignment with organizational expectations.
Sensitivity and tact when supporting people with terminal illness and their families, including during crises.
Flexibility to perform varied tasks while maintaining efficiency and composure.
Ability to communicate effectively with people of diverse socioeconomic and cultural backgrounds.
Maturity, cooperation, flexibility, and tact when working with coworkers and hospice team members.
Compliance with OSHA, State Board of Nursing, and federal regulations related to hospice Conditions of Participation.

Nice To Haves

Minimum of 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 Medicare-required hospice Face-to-Face encounters within CMS timeframes, History & Physical/initial comprehensive visits, symptom-management visits, admission visits, goals-of-care discussions, and routine follow-ups.
Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care.
Coordinate plans of care with primary care or attending providers and specialists, when applicable.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans with patients, families, caregivers, and the interdisciplinary group or team.
Manage patient care, including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious-illness support, quality-of-life optimization, and consultations, while reducing avoidable acute-care utilization.
Prescribe medications and treatments, including controlled substances, within applicable law and the parameters of independent practice or a Collaborative Practice Agreement.
Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and applicable 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.
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 to the interdisciplinary group or team.
Provide clinical recommendations to the interdisciplinary group based on assessment findings.
Ensure alignment with Medicare, Medicaid, and accrediting-body requirements, such as ACHC.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide care and visit coverage across multiple provider numbers as 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, and support them through serious illness and end-of-life transitions.
Participate in an on-call rotation as needed.
Maintain timely, accurate, and compliant clinical documentation.
Follow federal, state, and organizational regulations, including OSHA requirements and hospice Conditions of Participation.

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 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.