Hospice Nurse Practitioner

Gentiva Hospice•Orangeburg, SC

About The Position

The 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 position combines autonomous clinical practice with collaboration across physicians and interdisciplinary teams to support high-quality, compliant, compassionate care. The Nurse Practitioner guides patients and families through complex medical decisions, symptom management, and end-of-life care. The role includes a range of clinical visits, including Medicare-required hospice Face-to-Face encounters for eligibility certification and recertification, initial comprehensive assessments, symptom-management visits, admissions, goals-of-care discussions, and routine follow-ups. The Nurse Practitioner performs physical, emotional, functional, and psychosocial assessments; helps develop individualized care plans; manages diagnoses, symptoms, treatment, medications, and consultations; and coordinates care across home, skilled nursing, and assisted-living settings. The position also includes ordering and interpreting tests, prescribing within applicable legal and practice parameters, supporting advance care planning and care transitions, and initiating referrals to community and supportive services. The Nurse Practitioner documents clinical findings and Face-to-Face encounters in accordance with regulatory requirements, uses Local Coverage Determination criteria to support hospice eligibility and recertification, communicates clinical findings and recommendations to the interdisciplinary team, and supports compliance with Medicare, Medicaid, accrediting-body, OSHA, and hospice Conditions of Participation requirements. Collaboration with patients, families, caregivers, physicians, nurses, social workers, chaplains, and other team members is central to the role. Participation in an on-call rotation may be required. Gentiva is a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of clinicians across 38 states. The company describes its work as providing compassionate care in the comfort of patients’ homes and supporting patients and families through serious illness and terminal diagnoses.

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, reporting, and the QAPI process.
Ability to work autonomously and collaboratively in a fast-paced, evolving environment.
Ability to use point-of-care technology and electronic medical records proficiently.
Ability and willingness to maintain productivity and documentation standards in alignment with organizational expectations.
Sensitivity, tact, and emotional maturity in supporting people facing terminal illness, death, and crisis.
Flexibility to change tasks without loss of efficiency or composure.
Ability to communicate effectively with people of varied socioeconomic and cultural backgrounds.
Cooperation, flexibility, and tact when working with coworkers and members of the hospice team.
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.
ACHPN certification.

Responsibilities

Complete patient visits, including Medicare-required hospice Face-to-Face encounters within CMS regulatory timeframes, initial comprehensive visits, symptom-management visits, admission visits, goals-of-care discussions, and routine follow-ups.
Collaborate with Hospice and Palliative Medical Directors, primary or attending providers, specialists, and interdisciplinary teams to coordinate patient care and plans of care.
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 patient care, including diagnoses, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances where permitted, within state and federal requirements and applicable practice parameters.
Order and interpret laboratory and other diagnostic tests within the applicable scope of practice and practice agreement.
Facilitate goals-of-care discussions, advance care planning, and transitions between levels 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 to Face-to-Face 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, accrediting-body requirements, OSHA, and hospice Conditions of Participation.
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.
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 adhere to applicable federal, state, and organizational regulations.

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.
Generous paid time off and seven paid holidays.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN support.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.