Hospice Nurse Practitioner

Gentiva Hospice•Petersburg, VA

12d•$45 - $50

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, while partnering with physicians and interdisciplinary teams to provide high-quality, compliant, and compassionate care. The role combines autonomous practice with collaboration and supports patients and families through complex medical decisions, symptom management, and end-of-life care. The Nurse Practitioner conducts required hospice and palliative visits, performs in-depth physical, emotional, functional, and psychosocial assessments, and develops individualized plans of care with patients, families, caregivers, and interdisciplinary teams. Responsibilities include diagnosis and treatment, medication management, ordering and interpreting tests within the applicable scope of practice, goals-of-care and advance-care-planning discussions, care coordination across home and facility settings, hospice eligibility and recertification support, compliant documentation, and clinical recommendations to the interdisciplinary group. The position also includes collaboration with physicians and other care professionals, participation in an on-call rotation as needed, and adherence to applicable regulatory, billing, and documentation requirements. This is a safety-sensitive position with Gentiva Hospice. The position requires a Master of Science in Nursing or higher, completion of an accredited Nurse Practitioner program, current state RN and NP credentials, national NP certification, and applicable practice, prescribing, and controlled-substance credentials. A valid driver’s license and current automobile insurance are also required. The stated salary range is $45.00–$50.00. The position is full-time and includes a comprehensive benefits package, subject to eligibility and applicable 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 from 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.
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 and tact when addressing life-and-death issues affecting individuals with terminal illness and their families.
Ability to support others during a crisis and to change tasks flexibly without loss of efficiency or composure.
Ability to communicate effectively with people of diverse 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

Minimum of 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 timeframes, History & Physical/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.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group or team.
Manage patient care needs, including diagnosis, acute and chronic symptoms, treatment, medication management, longitudinal serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances, as permitted by law and within applicable practice 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 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 F2F encounters in the medical record in compliance with regulatory standards.
Communicate assessment findings, treatment plans, diagnostic results, 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, accrediting-body, OSHA, and hospice Conditions of Participation requirements.
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 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 meet productivity and documentation standards.

Benefits

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