Hospice Nurse Practitioner

Gentiva Hospice•Dickson, TN

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 patients in hospice, 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 collaborating with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care. The role combines independent clinical practice with teamwork and supports patients and families with complex medical decisions, symptom management, and end-of-life care. This is a less-than-full-time position with a flexible schedule. The Nurse Practitioner performs required visits and assessments; develops and supports individualized care plans; manages diagnoses, symptoms, treatments, and medications; coordinates care across home and facility settings; and supports goals-of-care discussions and transitions. The role also documents findings and F2F encounters, applies hospice eligibility criteria, communicates with interdisciplinary teams, and helps ensure compliance with applicable regulations and organizational standards. On-call participation may be 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 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 meet productivity and documentation standards aligned with organizational expectations.
Ability to support patients and families during crises and to communicate effectively with people from varied socioeconomic and cultural backgrounds.
Flexibility, maturity, cooperation, 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 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 visits 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 physical, emotional, functional, and psychosocial patient assessments.
Support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group or team.
Assist with or manage patient care, 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 when permitted by law and within practice authority or a Collaborative Practice Agreement.
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 level-of-care transitions 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 and attest F2F encounters in the medical record in accordance with regulatory standards.
Communicate findings, treatment plans, diagnostics, and medication reviews to the interdisciplinary group or team, and provide clinical recommendations based on assessments.
Help ensure alignment with Medicare, Medicaid, accrediting-body requirements, and hospice Conditions of Participation; promptly notify team members of barriers to scheduled visits.
Provide care and visit coverage across multiple provider numbers when needed and approved.
Maintain knowledge of hospice and palliative care.
Communicate compassionately with patients, caregivers, and families and collaborate with physicians, nurses, social workers, chaplains, and other team members.
Participate in an on-call rotation as needed.
Maintain timely, accurate, and compliant clinical documentation and follow applicable federal, state, OSHA, and organizational regulations.
Apply hospice eligibility, documentation, and applicable Part B billing requirements.

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 eligible full-time associates.
Mileage reimbursement or fleet vehicle program.
Generous paid time off and 7 paid holidays for eligible full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance for eligible full-time associates.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.