Hospice Nurse Practitioner

Gentiva Hospice•Conyers, GA

17h

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, care may include hospice, palliative care, or both. The role combines autonomous clinical practice with collaboration with physicians and interdisciplinary teams to support patients and families through symptom management, complex medical decisions, and end-of-life care. The Nurse Practitioner completes patient management visits, including hospice Face-to-Face encounters for eligibility certification and recertification, and helps coordinate care across home, skilled nursing, and assisted living settings. Responsibilities include assessment, diagnosis and treatment, medication management, care planning, referrals, goals-of-care discussions, and documentation in accordance with applicable regulations and organizational standards. The role participates in on-call rotation as needed and may provide visit coverage across multiple provider numbers when approved.

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.
Collaborative Practice Agreement with a supervising internal physician or proof of Independent Practice Authority in accordance with state regulations.
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 maintain productivity and documentation standards in alignment with organizational expectations.
Ability to support patients and families during crises and to handle life-and-death issues with tact and sensitivity.
Flexibility to change tasks without loss of efficiency or composure.
Ability to communicate effectively with people of 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.

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, 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, primary care or attending providers, specialists, and interdisciplinary teams to coordinate patient care and plans of care.
Perform in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support 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, longitudinal serious-illness support, consultations, and quality-of-life optimization.
Prescribe medications and treatments, including controlled substances, as permitted by law and within applicable practice authority or collaborative agreements.
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 in level of care when appropriate.
Coordinate care across home, skilled nursing facilities, and assisted living settings, and initiate referrals to supportive services and community resources.
Use Local Coverage Determination criteria to support hospice eligibility and recertification.
Document clinical findings and attest to Face-to-Face encounters accurately and in compliance with regulatory standards.
Communicate assessment findings, treatment plans, diagnostic results, and medication reviews to the interdisciplinary group or team, and provide clinical recommendations.
Ensure alignment with Medicare, Medicaid, and accrediting-body requirements, including ACHC requirements.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide patient-care and visit coverage across multiple provider numbers as needed and approved.
Maintain knowledge of hospice and palliative care.
Communicate compassionately with patients, caregivers, and families, and support them through serious illness and end-of-life transitions.
Participate in on-call rotation as needed.
Maintain timely, accurate, and compliant clinical documentation and follow applicable federal, state, organizational, OSHA, and hospice Conditions of Participation 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 full-time associates.
Mileage reimbursement or fleet vehicle program.
Generous paid time off and seven paid holidays for full-time associates.
Wellness programs, including telemedicine, diabetes management, and joint and spine concierge care.
Education support and tuition assistance, including ASN-to-BSN and BSN-to-MSN pathways.
Free continuing education units (CEUs).
Company-paid life and long-term disability insurance.
Voluntary benefits, including pet, critical illness, accident, and long-term care coverage.