Hospice Nurse Practitioner

Gentiva Hospice•Selmer, TN

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people with serious illnesses. Depending on market needs, the position may serve hospice patients, palliative care patients, or both. The role includes advanced clinical care, patient-management visits, and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. The Nurse Practitioner partners with physicians and interdisciplinary teams to provide compassionate, high-quality care that meets regulatory requirements, while helping patients and families navigate complex medical decisions, symptom management, and end-of-life care. The position is less than full-time, provides face-to-face visits as needed, and offers a very flexible schedule. The Nurse Practitioner completes required visit types, conducts comprehensive assessments, supports individualized care plans, manages diagnoses and symptoms, prescribes medications and treatments within applicable authority, orders and interprets tests within scope, and coordinates care across home and facility settings. The role also includes goals-of-care discussions, advance care planning, referrals to supportive resources, hospice eligibility and recertification support, compliant documentation, communication of clinical findings and recommendations to the interdisciplinary team, and participation in on-call rotation as needed. The position requires adherence to federal, state, and organizational regulations, including OSHA requirements and hospice Conditions of Participation. Gentiva describes itself as a national provider of hospice, palliative, home health, and advanced illness management services, with nearly 600 locations 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 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 in line with organizational expectations.
Sensitivity to the impact of life-and-death issues faced by people with terminal illness, and tact in dealing with patients and their families.
Ability to support others during a crisis.
Flexibility to change between tasks of different natures without loss of efficiency or composure.
Ability to communicate effectively with people from diverse socioeconomic and cultural backgrounds.
Maturity, cooperation, flexibility, and tact when working with co-workers 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 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-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.
Perform in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group or team.
Assist with or manage diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious-illness support, quality-of-life optimization, and consultations.
Prescribe medications and treatments, including controlled substances when permitted by applicable law and within independent-practice or collaborative-practice parameters.
Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and applicable collaborative practice agreement.
Facilitate goals-of-care discussions, advance care planning, and level-of-care transitions when appropriate.
Coordinate care across settings, including homes, skilled nursing facilities, and assisted living facilities.
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, diagnostics, and medication reviews to the interdisciplinary group or team, and provide clinical recommendations based on assessment findings.
Help ensure compliance with Medicare, Medicaid, and accrediting-body requirements, including ACHC requirements.
Promptly notify appropriate team members of barriers to completing scheduled visits.
Provide care and visit coverage across multiple provider numbers when needed and approved.
Maintain comprehensive knowledge of hospice and palliative care.
Communicate and collaborate with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
Communicate compassionately with patients, caregivers, and families, and support them through serious illness and end-of-life transitions.
Participate in the on-call rotation as needed.
Maintain timely, accurate, and compliant clinical documentation.
Adhere to applicable federal, state, and organizational regulations, including OSHA requirements and hospice Conditions of Participation.
Apply knowledge 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 (ASN to BSN and BSN to MSN) 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 benefits, including pet, critical illness, accident, and long-term care coverage, for full-time associates.