Hospice & Palliative Care Nurse Practitioner

Lower Cape Fear LifeCare • Conway, SC

16h

About The Position

The Nurse Practitioner (NP) – Hospice & Palliative Care is an advanced practice provider responsible for delivering hospice and palliative care services across home, facility, and inpatient settings. The role conducts hospice face-to-face encounters, collaborates with interdisciplinary team members to manage symptoms and support goals-of-care discussions, participates in interdisciplinary team meetings, and provides after-hours clinical support through a rotating on-call schedule. The position also provides cross-coverage for the Palliative Care Nurse Practitioner to support continuity of care across the hospice and palliative care continuum.

The NP evaluates hospice eligibility and disease progression, develops and implements treatment plans, prescribes medications and treatments within applicable regulations and organizational policies, and provides clinical consultation to hospice staff. The role also performs palliative care assessments and follow-up visits, coordinates care with referring providers and community partners, supports quality and regulatory compliance, and may assist with clinical education and staff development.

The position requires a flexible schedule to accommodate staffing needs, which may include weekends, holidays, rotating shifts, and on-call. Driving may be required, and reliable transportation is required. Work may involve home visits and exposure to blood and body fluids, infectious diseases, needle punctures, traffic, dangerous animals, safety threats, and weather extremes.

Requirements

• Graduate of an accredited nursing program through an associate degree, diploma, or BSN program, and graduate of a master's degree in nursing program with a nurse practitioner major or post-master's nurse practitioner qualification.
• Current license to practice professional nursing in North Carolina or South Carolina.
• Approval to practice as a nurse practitioner by the North Carolina Board of Nursing and the North Carolina Board of Medical Examiners.
• Minimum of five years of general medical experience in inpatient, outpatient, and nursing home settings.
• Good hand-eye coordination and manipulative skills for examinations, treatments, injections, and computer use.
• Clear spoken communication with patients, families, physicians, and staff; ability to communicate and read and write in English.
• Working knowledge of personal computer workstations and Microsoft Windows for patient care, including placing clinical service orders, reviewing test results, and documenting care.
• Ability to interact professionally with the public, coworkers, patients, guests, outside agencies, and physicians, and to work positively with patients, families, physicians, and staff.
• Ability to provide leadership and direction to supervisees and manage working relationships with departmental leadership.
• Ability to lift or maneuver objects weighing up to 45 pounds and to push, move, and lift patients.
• Ability to assess patient conditions, formulate and implement plans of care, and apply problem-solving, analytical, and critical-thinking skills.
• Ability to use sight to assess patients and implement and evaluate plans of care, and hearing to auscultate lung and bowel sounds and communicate effectively.
• Reliable transportation; driving may be required and is subject to the Safe Driver Policy.
• Ability to accommodate a flexible schedule that may include weekends, holidays, rotating shifts, and on-call.

Nice To Haves

• Certification in hospice/palliative care, such as CHPN or ACHPN.
• Two years of experience as a nurse practitioner.
• Experience in an acute care setting.
• Demonstrated competence in leadership and teaching.
• Demonstrated achievement and familiarity with administrative nursing techniques.

Responsibilities

• Conduct and document Medicare-required hospice face-to-face visits for patients entering or recertifying for the third benefit period and beyond.
• Assess disease progression, functional decline, symptom burden, and continued hospice eligibility.
• Collaborate with hospice physicians and medical directors regarding prognosis and certification recommendations.
• Complete timely, accurate, and compliant documentation in the electronic medical record.
• Partner with hospice nurse case managers to evaluate and manage symptoms including pain, dyspnea, nausea, agitation, delirium, and anxiety.
• Develop and implement evidence-based treatment plans within scope of practice; prescribe medications and treatments in accordance with state regulations and organizational policies.
• Provide clinical consultation to hospice staff regarding complex symptom-management issues.
• Participate in goals-of-care, advance care planning, and family meetings as requested.
• Complete necessary paperwork, including FL2 and FMLA forms.
• Attend and actively participate in assigned interdisciplinary team meetings.
• Collaborate with physicians, nurses, social workers, chaplains, bereavement counselors, pharmacists, and other team members to develop and review patient plans of care.
• Contribute clinical recommendations to support quality care and regulatory compliance.
• Provide clinical coverage for the Palliative Care Nurse Practitioner during absences, scheduled leave, or increased patient volume.
• Perform palliative care assessments and follow-up visits as needed, and assist with symptom management, advance care planning, and care coordination.
• Collaborate with referring providers and community partners to ensure continuity of palliative care services.
• Participate in a rotating after-hours and weekend call schedule; provide clinical guidance to hospice staff and respond to patient and family needs.
• Coordinate with hospice physicians and other providers as necessary to support patient care needs.
• Maintain knowledge of CMS Conditions of Participation, Medicare Hospice Benefit regulations, state licensing requirements, and organizational policies.
• Ensure clinical documentation supports regulatory compliance and quality outcomes.
• Participate in quality improvement and performance improvement activities.
• Assist with clinical education and staff development as appropriate.

Benefits

• Health, dental, and vision insurance beginning the first of the month after 30 days.
• Free employee-only health plan option; plans include access to virtual doctor visits and mental health support at no cost.
• Full-time providers earn 35 days of paid time off in their first year; PTO rolls over and increases with tenure.
• 403(b) retirement plan with employer match.
• Up to $5,000 per year in tuition reimbursement.
• Workplace culture emphasizing respect, trust, compassion, employee contributions, and mutual support.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level