Hospice Nurse Practitioner

Gentiva Hospice•Petersburg, VA

10d

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, the position may involve hospice care, palliative care, or both. The role 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. It combines autonomous practice with collaboration to guide patients and families through medical decision-making, symptom management, and end-of-life care. The Nurse Practitioner performs required clinical visits and assessments; develops and supports individualized care plans; manages diagnoses, symptoms, treatments, and medications; coordinates care across settings; and supports goals-of-care discussions and transitions. The role also documents care and F2F encounters, supports hospice eligibility and recertification using Local Coverage Determination criteria, and helps ensure compliance with applicable Medicare, Medicaid, OSHA, hospice Conditions of Participation, and accrediting-body requirements. The position requires an accredited MSN or higher and completion of an accredited Nurse Practitioner program, current state RN and NP credentials, national NP certification, and the practice authority or collaborative agreement required by state law. A minimum of two years of Nurse Practitioner experience is preferred, along with relevant specialty experience. The job is safety-sensitive and requires a valid driver’s license and current automobile insurance. Compensation is listed at $45.00–$50.00; the description does not specify the pay period.

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, and reporting, and the QAPI process.
Ability to work autonomously and collaboratively in a fast-paced, evolving environment.
Compassion, emotional intelligence, and sensitivity to patients’ and families’ needs.
Proficiency with point-of-care technology and electronic medical records.
Ability to maintain productivity and documentation standards in line with organizational expectations.
Sensitivity to the impact of life-and-death issues and tact in dealing with terminally ill patients and their families.
Ability to support others during a crisis.
Flexibility to switch between different 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

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, admission visits, goals-of-care discussions, and routine follow-ups.
Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to provide comprehensive, patient-centered care.
Coordinate patient plans of care with primary care or attending providers and specialists, when applicable.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Support individualized care plans with patients, families, caregivers, and the interdisciplinary group or team.
Manage or assist with 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, 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 appropriate level-of-care transitions.
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 F2F encounters in the medical record in accordance with regulatory standards.
Communicate findings, treatment plans, diagnostic results, and medication reviews to the interdisciplinary group or team, and provide clinical recommendations based on assessment findings.
Help ensure compliance with Medicare, Medicaid, and accrediting-body requirements, including ACHC requirements.
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 current knowledge in hospice and palliative care.
Collaborate with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
Communicate clearly and compassionately with patients, caregivers, and families, supporting them through serious illness and end-of-life transitions.
Participate in an on-call rotation as needed.
Maintain timely, accurate, compliant clinical documentation and follow applicable federal, state, organizational, OSHA, and hospice Conditions of Participation requirements.
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 wellness programs.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance.
Voluntary pet, critical illness, accident, and long-term care benefits.