Hospice Nurse Practitioner

Heartland Hospice•Fremont, MI

16h

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people 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, in close collaboration with physicians and interdisciplinary teams. It combines autonomous clinical practice with coordinated care to support patients and families through medical decision-making, symptom management, and end-of-life care. The Nurse Practitioner conducts required patient visits and assessments; helps develop individualized plans of care; manages diagnoses, symptoms, treatments, and medications; and coordinates services across home, skilled nursing, and assisted-living settings. The role includes goals-of-care and advance-care-planning discussions, hospice eligibility and recertification support, referrals to community resources, and compliant documentation. The Nurse Practitioner also communicates clinical findings and recommendations to the interdisciplinary team, supports quality and regulatory requirements, and participates in on-call coverage 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 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/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 and willingness to maintain productivity and documentation standards in alignment with organizational expectations.
Sensitivity and tact when addressing life-and-death issues and supporting patients and families in crisis.
Flexibility to perform varied tasks efficiently and with 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.
Ability to meet state-specific requirements where applicable.

Nice To Haves

Minimum of two years of Nurse Practitioner experience preferred.
Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred.
Experience with Part B billing preferred.
ACHPN certification preferred.

Responsibilities

Complete patient visit types, 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, 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, including diagnoses, acute and chronic symptoms, treatment, medication management, longitudinal serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances, within applicable law, regulations, and practice authority or agreement 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 transitions between levels of care when appropriate.
Coordinate care across home, skilled nursing facilities, and assisted living; 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 to F2F encounters in the medical record in compliance with regulatory standards.
Communicate findings, treatment plans, diagnostics, and medication reviews to the interdisciplinary group or team, and provide clinical recommendations 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 care and visit coverage across multiple provider numbers when needed and approved.
Maintain comprehensive knowledge of hospice and palliative care.
Communicate clearly and compassionately with patients, caregivers, and families, and support them through serious illness and end-of-life transitions.
Participate in the 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 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, including ASN-to-BSN and BSN-to-MSN pathways, for full-time associates.
Free continuing education units (CEUs) for full-time associates.
Company-paid life and long-term disability insurance for full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.