Hospice Nurse Practitioner

Heartland Hospice•Garfield Township, MI

10h

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to individuals with serious illnesses. Depending on market needs, the position may include hospice care, palliative care, or both. The role delivers advanced clinical care, patient management visits, and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. The Nurse Practitioner works closely with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care, guide patients and families through medical decision-making and symptom management, and support end-of-life care. The position combines autonomous practice with collaboration. The Nurse Practitioner assesses patients, supports individualized care plans, manages symptoms and medications, coordinates care across settings, and facilitates goals-of-care discussions and transitions. The role also requires accurate, timely documentation and compliance with applicable federal, state, Medicare, Medicaid, OSHA, and hospice regulatory requirements. Participation in an on-call rotation may be needed. Heartland Hospice is part of Gentiva, a national provider of hospice, palliative, home health, and advanced illness management services. Its nationwide network includes nearly 600 locations and thousands of clinicians across 38 states.

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 maintain productivity and documentation standards in accordance with organizational expectations.
Sensitivity and tact when supporting people facing terminal illness, life-and-death issues, and crises.
Flexibility, maturity, cooperation, and tact when working with patients, families, coworkers, and hospice team members.
Ability to communicate effectively with people of all socioeconomic and cultural backgrounds.
Compliance with OSHA, State Board of Nursing, and federal regulations related to hospice Conditions of Participation.

Nice To Haves

A minimum of 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 required 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.
Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans with patients, families, caregivers, and interdisciplinary groups or teams.
Manage patient care, including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances, within applicable laws, regulations, and practice-authority parameters.
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 appropriate level-of-care transitions.
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 accurately and attest to F2F encounters in the medical record in compliance with regulatory standards.
Communicate findings, treatment plans, diagnostic results, and medication reviews to the interdisciplinary group or team; provide clinical recommendations based on assessment findings.
Ensure alignment with Medicare, Medicaid, accrediting-body requirements, and other applicable regulations.
Promptly notify appropriate team members of barriers to completing scheduled visits and provide coverage across multiple provider numbers when needed and approved.
Maintain comprehensive 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 an on-call rotation as needed.
Maintain timely, accurate, compliant clinical documentation and adhere to federal, state, organizational, OSHA, and hospice Conditions of Participation requirements.
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 7 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 (CEUs) 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.