PRN Hospice Nurse Practitioner

Gentiva Hospice•New Bern, NC

About The Position

The PRN Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, the role may include hospice care, palliative care, or both. The Nurse Practitioner delivers advanced clinical care, conducts patient-management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and works closely with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care. The role combines autonomy and collaboration to support patients and families with complex medical decisions, symptom management, and end-of-life care. Care may include required hospice F2F visits, initial comprehensive assessments, symptom-management visits, admissions, goals-of-care discussions, and routine follow-ups. The Nurse Practitioner assesses patients’ physical, emotional, functional, and psychosocial needs; contributes to individualized care plans; manages diagnoses, symptoms, treatments, medications, and longitudinal serious-illness support; and coordinates care across home, skilled nursing, and assisted-living settings. The role includes prescribing and ordering or interpreting tests within applicable laws and scope of practice, facilitating advance care planning and transitions in level of care, coordinating referrals, and applying Local Coverage Determination criteria to support hospice eligibility and recertification. The Nurse Practitioner documents findings and F2F encounters in compliance with regulatory standards, communicates findings and recommendations to interdisciplinary teams, and helps ensure compliance with Medicare, Medicaid, accrediting-body, OSHA, and hospice requirements. The position may require participation in an on-call rotation and coverage across multiple provider numbers as needed and approved. 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 position is safety-sensitive. Eligibility for benefits is subject to minimum requirements and applicable state-specific requirements.

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.
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 and 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 and willingness to meet productivity and documentation standards.
Ability to support patients and families during crises and to handle life-and-death issues with sensitivity and tact.
Flexibility to change tasks while maintaining efficiency and composure.
Ability to communicate effectively with people from varied 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

At least two years of Nurse Practitioner experience.
Experience in hospice, palliative care, oncology, geriatrics, family or adult medicine, home health, or acute care.
Experience with Part B billing.
Advanced Certified Hospice and Palliative Nurse (ACHPN) certification.

Responsibilities

Complete patient visits, including Medicare-required hospice Face-to-Face encounters, 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.
Perform detailed physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans in partnership with patients, families, caregivers, and interdisciplinary teams.
Manage patient care, including diagnoses, acute and chronic symptoms, treatments, medication management, assessments, serious-illness support, and quality-of-life needs.
Prescribe medications and treatments, including controlled substances when permitted, within applicable laws and 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 between levels of care.
Coordinate care across home, skilled nursing facilities, and assisted-living settings.
Initiate referrals to supportive services and community resources as needed.
Apply Local Coverage Determination criteria to support hospice eligibility and recertification.
Document clinical findings accurately and attest to F2F encounters in the medical record in accordance with regulatory standards.
Communicate findings, treatment plans, diagnostics, medication reviews, and clinical recommendations to interdisciplinary teams.
Ensure care and documentation align with Medicare, Medicaid, accrediting-body, and hospice requirements.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide approved patient-care and visit coverage across multiple provider numbers as needed.
Maintain current knowledge of hospice and palliative care.
Communicate 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 and follow applicable federal, state, organizational, OSHA, and hospice Conditions of Participation requirements.

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.
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 pet, critical illness, accident, and long-term-care benefits for full-time associates.