Hospice Nurse Practitioner

Heartland Hospice•Simpsonville, SC

20h

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to individuals with serious illnesses. Depending on market needs, the role may involve hospice care, palliative care, or both. The position delivers advanced clinical care, conducts patient-management visits and 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 conducts assessments and visits, supports individualized care plans, manages symptoms and medications, coordinates care across settings, and facilitates goals-of-care discussions and transitions. The role includes prescribing and ordering or interpreting tests as permitted by applicable law and practice arrangements, documenting care and F2F encounters, supporting hospice eligibility and recertification, and ensuring compliance with regulatory and organizational standards. The position may include participation in an on-call rotation and coverage across multiple provider numbers as needed and 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/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.
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/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.
Sensitivity and tact when supporting individuals with terminal illness and their families, including during life-and-death situations and crises.
Flexibility to perform different tasks efficiently and calmly as circumstances change.
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

At least two years of Nurse Practitioner experience preferred.
Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred.
Experience with Part B billing preferred.
ACHPN certification preferred.

Responsibilities

Complete all visit types for patients on service, 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 and interdisciplinary teams to deliver patient-centered care.
Coordinate patient plans of care with primary care or attending providers and specialists, when applicable.
Perform in-depth physical, emotional, functional, and psychosocial patient assessments.
Develop and support individualized care plans with patients, families, caregivers, and IDG/IDT.
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, within state and federal regulations and the applicable practice authority or agreement.
Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and applicable practice agreement.
Facilitate goals-of-care discussions, advance care planning, and level-of-care transitions when appropriate.
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 F2F encounters in the medical record in compliance with regulatory standards.
Communicate findings, treatment plans, diagnostics, and medication reviews with IDG/IDT, and provide clinical recommendations based on assessment findings.
Ensure alignment with Medicare, Medicaid, and accrediting-body requirements, including ACHC.
Promptly notify appropriate team members of 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 with physicians, nurses, social workers, chaplains, and other IDG/IDT 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.
Follow 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 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 & 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 benefits, including pet, critical illness, accident, and long-term care coverage, for eligible full-time associates.