Hospice Nurse Practitioner

Gentiva Hospice•Selmer, TN

5d•Onsite

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, working closely with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care. It combines independent practice with collaboration to support patients and families through complex medical decisions, symptom management, and end-of-life care. This is a less-than-full-time position providing face-to-face visits as needed, with a very flexible schedule. The Nurse Practitioner may provide care in patients’ homes, skilled nursing facilities, and assisted living settings, participate in an on-call rotation as needed, and cover visits across multiple provider numbers when approved. Gentiva is a national provider of hospice, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of clinicians across 38 states. Its care is delivered wherever patients call home.

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 through ANCC or AANP.
A 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 the needs of patients and families.
Proficiency with point-of-care technology and electronic medical records.
Ability and willingness to meet productivity and documentation standards aligned with organizational expectations.
Sensitivity and tact in addressing life-and-death issues affecting people with terminal illness and their families, and ability to support others during a crisis.
Flexibility to switch between tasks of different natures without loss of efficiency or composure.
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.
Ability to meet state-specific requirements where applicable.

Nice To Haves

At least two years of Nurse Practitioner experience is preferred.
Experience in hospice, palliative care, oncology, geriatrics, family or adult medicine, home health, or acute care is preferred.
Experience with Part B billing is preferred.
ACHPN certification is 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-up visits.
Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to provide comprehensive, patient-centered care.
Coordinate the patient’s Plan of Care with the Primary Care Provider or Attending Provider and applicable specialists.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop individualized care plans with patients, families, caregivers, and the interdisciplinary group or team.
Manage patient care, including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious-illness support, quality-of-life optimization, and consultations, while reducing avoidable acute-care utilization.
Prescribe medications and treatments, including controlled substances, as permitted by law and within the applicable independent-practice or collaborative-practice parameters.
Order and interpret laboratory and other diagnostic tests within the scope of practice and applicable Collaborative Practice Agreement.
Facilitate goals-of-care discussions, advance care planning, and appropriate transitions in level of care.
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 and attest 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 requirements, OSHA, and hospice Conditions of Participation.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide 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 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 eligible full-time associates.
Mileage reimbursement or fleet vehicle program for eligible full-time associates.
Generous paid time off and seven paid holidays for eligible full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care, for eligible full-time associates.
Education support and tuition assistance for ASN-to-BSN and BSN-to-MSN programs for eligible full-time associates.
Free continuing education units (CEUs) for eligible full-time associates.
Company-paid life and long-term disability insurance for eligible full-time associates.
Voluntary pet, critical illness, accident, and long-term care benefits for eligible full-time associates.