Hospice Nurse Practitioner

Gentiva Hospice • Palm Desert, CA

4d • $70 - $75

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to individuals with serious illnesses. Depending on market needs, the role may include 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, partnering with physicians and interdisciplinary teams to provide high-quality, compliant, and compassionate care. It combines autonomous practice with collaboration to support patients and families through complex medical decision-making, symptom management, and end-of-life care.

The Nurse Practitioner performs a range of patient visits and assessments, supports individualized care plans, manages diagnoses and symptoms, prescribes medications and treatments within applicable legal and practice parameters, and orders and interprets diagnostic tests within the scope of practice. The role includes goals-of-care and advance care planning discussions, coordination across care settings, referrals to supportive services, hospice eligibility and recertification support, compliant documentation, and communication of findings and recommendations to the interdisciplinary team. Participation in an on-call rotation may be needed.

The position requires an MSN or higher and completion of an accredited Nurse Practitioner program. A minimum of two years of Nurse Practitioner experience is preferred, as is experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, acute care, or Part B billing. Current state RN and NP licensure/certification, national NP certification, applicable practice authority documentation, current CPR certification, and a valid driver’s license with current automobile insurance are required. The role is safety-sensitive and must comply with applicable federal, state, OSHA, and hospice regulations.

Gentiva is a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and clinicians across 38 states. The hourly salary range is $70.00–$75.00, with compensation varying based on factors including location, experience, education, skills, licensure, and certifications.

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 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 patients’ and families’ needs.
• Proficiency with point-of-care technology and electronic medical records.
• Ability and willingness to meet organizational productivity and documentation standards.
• Ability to support patients and families during crisis and to handle life-and-death issues with sensitivity and tact.
• Flexibility to change tasks while maintaining efficiency and composure.
• Ability to communicate effectively with people of 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

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

Responsibilities

• Complete all required patient visit types, 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-up visits.
• Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care.
• Coordinate the patient’s Plan of Care with the Primary Care Provider or attending provider and specialists, when applicable.
• 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 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.
• Help reduce avoidable or unnecessary acute care utilization.
• Prescribe medications and treatments, including controlled substances, as permitted by law and within the applicable independent practice or Collaborative Practice Agreement parameters.
• Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and Collaborative Practice Agreement.
• Facilitate goals-of-care discussions, advance care planning, and transitions in level 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.
• Accurately document clinical findings and attest to Face-to-Face encounters in the medical record in compliance with regulatory standards.
• Communicate findings, treatment plans, diagnostics, 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, and accrediting-body requirements, including ACHC.
• Promptly notify appropriate team members of barriers to completing scheduled visits.
• Provide patient care and visit coverage across multiple provider numbers when needed and approved.
• Maintain comprehensive knowledge of hospice and palliative care.
• Partner with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
• Communicate clearly and 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.
• Follow federal, state, and organizational regulations, including OSHA requirements and hospice Conditions of Participation.

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 programs 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 pet, critical illness, accident, and long-term care benefits for full-time associates.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level