Hospice Nurse Practitioner

Gentiva Hospice•Orangeburg, SC

11d

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, performs patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and collaborates with physicians and interdisciplinary teams to provide high-quality, compliant, and compassionate care. It combines independent clinical work with collaboration to guide patients and families through medical decision-making, symptom management, and end-of-life care. The Nurse Practitioner conducts required and routine patient visits, assesses physical, emotional, functional, and psychosocial needs, and supports individualized care plans with patients, families, caregivers, and interdisciplinary teams. The role includes managing diagnoses, symptoms, treatments, medications, and consultations; prescribing and ordering tests within applicable legal and practice parameters; supporting advance care planning and care transitions; and coordinating services across home, skilled nursing, and assisted living settings. The position also maintains compliant documentation, supports hospice eligibility and recertification, communicates clinical findings and recommendations to interdisciplinary teams, and participates in on-call coverage as needed. Care is delivered in patients’ homes and other settings, including skilled nursing facilities and assisted living. The role may provide coverage across multiple provider numbers as needed and approved. This is a safety-sensitive position.

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/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 the needs of patients and families.
Proficiency with point-of-care technology and electronic medical records.
Ability to meet productivity and documentation standards in alignment with organizational expectations.
Ability to support people during crises and demonstrate tact and sensitivity when working with patients with terminal illness and their families.
Flexibility to perform varied tasks efficiently and calmly.
Ability to communicate effectively with people from all 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 preferred.
Experience in hospice, palliative care, oncology, geriatrics, family or adult medicine, home health, or acute care preferred.
Experience with Part B billing preferred.
ACHPN certification preferred.

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, interdisciplinary teams, primary care or attending providers, and specialists to coordinate patient care plans.
Perform in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans in partnership with patients, families, caregivers, and IDG/IDT.
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, 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 applicable collaborative practice agreement.
Facilitate goals-of-care discussions, advance care planning, and level-of-care transitions when appropriate.
Coordinate care across home, skilled nursing facility, 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, attest to F2F encounters in the medical record, and meet regulatory documentation standards.
Communicate findings, treatment plans, diagnostics, and medication reviews to IDG/IDT, 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 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 interdisciplinary team 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 and follow applicable federal, state, and organizational regulations.
Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices as applicable.

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 for ASN-to-BSN and BSN-to-MSN education for full-time associates.
Free continuing education units 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.