Hospice Nurse Practitioner

Emerald Coast Hospice•Marianna, FL

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to individuals with serious illnesses. Depending on market needs, the role may involve hospice care, palliative care, or both. The position delivers advanced clinical care, patient management visits, and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. It works closely with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care and supports patients and families with complex medical decisions, symptom management, and end-of-life care. The Nurse Practitioner performs a range of visits, including Medicare-required F2F encounters, initial comprehensive visits, symptom-management visits, admissions, goals-of-care discussions, and routine follow-ups. The role includes assessment and management of patient needs, medication and treatment management within applicable authority, care coordination across settings, hospice eligibility and recertification support, clinical documentation, and communication with the interdisciplinary group. The position may require participation in an on-call rotation and care coverage across multiple provider numbers as needed and approved. The role is based with Emerald Coast Hospice. The company describes its care as being delivered wherever patients call home and identifies its broader services as hospice, palliative care, home health care, and advanced illness management. This is a safety-sensitive position. Employees must meet minimum requirements to be eligible for benefits 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.
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, and 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 maintain productivity and documentation standards in alignment with organizational expectations.
Sensitivity to the impact of life-and-death issues faced by people with terminal illness and tact when working with patients and families.
Ability to support others during a crisis.
Flexibility to perform varied tasks and shift between different tasks without losing efficiency or composure.
Ability to communicate effectively with people of all socioeconomic and cultural backgrounds.
Maturity, cooperation, flexibility, and tact when dealing 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, initial comprehensive visits, symptom-management visits, admission visits, goals-of-care discussions, and routine follow-ups.
Collaborate with Hospice and Palliative Medical Directors, physicians, and interdisciplinary teams to deliver comprehensive, patient-centered care.
Coordinate the patient plan of care with primary care or attending providers and specialists, when applicable.
Perform 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 or assist with 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, regulations, and practice-authority parameters.
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 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.
Use Local Coverage Determination criteria to support hospice eligibility and recertification.
Document clinical findings accurately and attest to F2F encounters in the medical record in compliance with regulatory standards.
Communicate assessment 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, including ACHC.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide patient-care and visit coverage across multiple provider numbers as needed and approved.
Maintain comprehensive knowledge in 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.
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 pet, critical illness, accident, and long-term-care benefits for full-time associates