PRN Hospice Nurse Practitioner

Gentiva Hospice • New Bern, NC

16h

About The Position

The PRN Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, the role may serve hospice patients, palliative care patients, or both. The position includes advanced clinical care, patient management visits, and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, in partnership with physicians and interdisciplinary teams. The Nurse Practitioner supports patients and families through complex medical decisions, symptom management, and end-of-life care while balancing independent practice with collaboration.

The Nurse Practitioner completes required visits and assessments, contributes to individualized plans of care, manages symptoms and medications within applicable legal and practice parameters, and coordinates care across settings. The role also involves goals-of-care and advance care planning discussions, hospice eligibility and recertification support, accurate clinical documentation, regulatory compliance, and participation in on-call coverage as needed.

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 hospice and palliative 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 the needs of patients and families.
• Proficiency with point-of-care technology and electronic medical records.
• Ability to support people in crisis and communicate effectively with people of varied socioeconomic and cultural backgrounds.
• Flexibility, maturity, cooperation, and tact when working with patients, families, 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.
• Advanced Certified Hospice and Palliative Nurse (ACHPN) certification preferred.

Responsibilities

• Complete patient visits, including Medicare-required hospice Face-to-Face visits 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, 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 with patients, families, caregivers, and interdisciplinary teams.
• Manage patient care, including diagnoses, acute and chronic symptoms, treatments, medications, assessments, longitudinal 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 independent-practice or collaborative-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 level-of-care transitions when appropriate.
• 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, attest to F2F encounters in the medical record, and meet regulatory documentation standards.
• Communicate findings, treatment plans, diagnostics, and medication reviews to the interdisciplinary team; provide clinical recommendations based on assessment findings.
• Support compliance with Medicare, Medicaid, accrediting-body requirements, OSHA, and hospice Conditions of Participation.
• Promptly notify appropriate team members of barriers to completing scheduled visits and provide coverage across multiple provider numbers when needed and approved.
• Maintain comprehensive 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 federal, state, and organizational regulations.
• Meet organizational productivity and documentation standards.

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 eligible full-time associates.
• Mileage reimbursement or fleet vehicle program for eligible full-time associates.
• Paid time off and seven paid holidays for eligible full-time associates.
• Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for eligible full-time associates.
• Education support and tuition assistance for eligible full-time associates.
• Free continuing education units (CEUs) for eligible full-time associates.
• Company-paid life and long-term disability insurance for eligible full-time associates.
• Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.

What This Job Offers