Hospice Nurse Practitioner

Gentiva Hospice•Woodbridge, VA

11d

About The Position

The 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 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 independent clinical work with collaboration to guide patients and families through complex medical decisions, symptom management, and end-of-life care. The Nurse Practitioner coordinates care across home, skilled nursing, and assisted living settings; supports individualized care plans; and helps optimize quality of life while reducing avoidable acute-care utilization. The position requires accurate, timely documentation and adherence to applicable federal, state, organizational, and hospice regulatory requirements. Participation in an on-call rotation may be required 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/certification in the state of practice.
National NP 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/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 aligned with organizational expectations.
Sensitivity and tact when supporting people with terminal illness and their families, including the ability to support others during a crisis.
Flexibility to change tasks without loss of efficiency or 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 is preferred.
Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care is preferred.
Experience with Part B billing is preferred.
ACHPN certification is preferred.

Responsibilities

Complete patient visit types, including Medicare-required hospice Face-to-Face visits within regulatory 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 the patient’s Plan of Care with the Primary Care Provider or Attending Provider and specialists when applicable.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans in partnership with patients, families, caregivers, and the IDG/IDT.
Manage patient care, including diagnosis, 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, as permitted by applicable law and within independent-practice or collaborative-practice parameters.
Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and Collaborative 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.
Accurately document clinical findings and attest F2F encounters in the medical record in compliance with regulatory standards.
Communicate findings, treatment plans, diagnostics, and medication reviews to the IDG/IDT, and provide clinical recommendations based on assessment findings.
Ensure alignment with Medicare, Medicaid, and accrediting-body requirements, including ACHC requirements.
Promptly notify appropriate team members about 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.
Collaborate effectively with physicians, nurses, social workers, chaplains, and other IDG/IDT members.
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.
Apply knowledge of hospice eligibility, documentation standards, and Part B billing practices as applicable.

Benefits

Medical, dental, and vision insurance
Wellness programs and resources
401(k) with company match
Paid time off (PTO)
FMLA, ADA, and other federal and state-required leaves
Short-term and long-term disability
Health Savings Account (HSA) contribution
Mileage reimbursement or fleet car/vehicle program
Cell phone reimbursement for eligible roles
Short-term incentive for eligible roles
Tuition reimbursement and education support
Career advancement opportunities
National and local recognition programs
Teammate Assistance Fund
Seven paid holidays
Telemedicine, diabetes management, and joint and spine concierge care
Free continuing education units (CEUs)
Company-paid life insurance
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage