Hospice Nurse Practitioner

Gentiva Hospice•Woodbridge, VA

12d

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to individuals with serious illnesses. Depending on market needs, the role may serve hospice patients, palliative care patients, or both. The position delivers advanced clinical care, conducts patient-management visits and Medicare-required hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partners with physicians and interdisciplinary teams to provide high-quality, compliant, compassionate care. It combines autonomous practice with collaboration to support patients and families through complex medical decisions, symptom management, and end-of-life care. The Nurse Practitioner assesses patients’ physical, emotional, functional, and psychosocial needs; supports individualized care plans; manages diagnoses, symptoms, treatments, medications, and consultations; and coordinates care across home, skilled nursing, and assisted-living settings. The role also facilitates goals-of-care discussions and transitions, uses Local Coverage Determination criteria to support hospice eligibility, and maintains compliant clinical documentation. Prescribing and diagnostic activities are conducted within applicable state and federal regulations and the relevant practice authority or Collaborative Practice Agreement. The position collaborates with physicians and interdisciplinary team members, communicates with patients and families, participates in on-call rotation as needed, and follows applicable regulatory, organizational, and hospice requirements. This is a safety-sensitive position. The role is with Gentiva Hospice; the posting describes the company as having 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 line with organizational expectations.
Sensitivity and tact when addressing life-and-death issues affecting people with terminal illness and their families; ability to support others during a crisis.
Flexibility to perform varied tasks without loss of efficiency or composure.
Ability to communicate effectively with people of diverse 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

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 patient visits, including 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-up visits.
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 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.
Prescribe medications and treatments, including controlled substances when permitted and within applicable practice parameters.
Order and interpret laboratory and other diagnostic tests within the applicable scope of practice and 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; 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, attest to F2F encounters in the medical record, and comply with regulatory documentation standards.
Communicate assessment 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, OSHA, and hospice Conditions of Participation requirements.
Notify appropriate team members promptly about barriers to completing scheduled visits.
Provide visit coverage across multiple provider numbers as needed and approved.
Maintain comprehensive knowledge of hospice and palliative care.
Partner effectively with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
Communicate clearly and compassionately with patients, caregivers, and families, supporting them through serious illness and end-of-life transitions.
Participate in on-call rotation as needed.
Maintain timely, accurate, and compliant clinical documentation and observe applicable Part B billing practices.

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.
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 (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.