Nurse Practitioner, NP

Gentiva Hospice • Branford, CT

12d • $50 - $55

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, patient-management visits, and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, in collaboration with physicians and interdisciplinary teams.

The Nurse Practitioner conducts a range of visits, assesses patients’ physical, emotional, functional, and psychosocial needs, and supports individualized care plans with patients, families, caregivers, and interdisciplinary teams. The role includes symptom and medication management, diagnostic testing, goals-of-care and advance-care-planning discussions, coordination across care settings, hospice eligibility support, and accurate regulatory-compliant documentation. The position works autonomously within applicable scope-of-practice and collaborative-practice requirements while partnering with clinical colleagues to provide compassionate, compliant care.

This is a PRN role with a flexible schedule for hospice eligibility visits. Compensation is $125 per F2F visit and $50.00–$55.00 per hour. The position is safety-sensitive and may require participation in an on-call rotation. Care may be delivered in patients’ homes, skilled nursing facilities, and assisted living facilities.

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, and reporting, and the QAPI process.
• Ability to work autonomously and collaboratively in a fast-paced, evolving environment.
• Compassion, emotional intelligence, and sensitivity to patients’ and families’ needs.
• 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 in 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 efficiently and calmly, including changing between tasks of different natures.
• 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 or adult medicine, home health, or acute care preferred.
• Experience with Part B billing preferred.
• ACHPN certification preferred.

Responsibilities

• Complete visits for patients on services, including Medicare-required hospice Face-to-Face visits within CMS timeframes; History & Physical/initial comprehensive visits; symptom-management, admission, goals-of-care, 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 plans.
• Conduct in-depth physical, emotional, functional, and psychosocial patient assessments.
• Develop and support individualized care plans with patients, families, caregivers, and interdisciplinary teams.
• 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 applicable independent-practice or collaborative-practice 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 transitions in level of care when appropriate.
• Coordinate care across home, skilled nursing facility, 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 to the interdisciplinary group or team, and provide clinical recommendations based on assessment findings.
• Ensure alignment with Medicare, Medicaid, accrediting-body, OSHA, and hospice Conditions of Participation requirements.
• Promptly notify appropriate team members of barriers to completing scheduled visits.
• Provide patient-care and visit coverage across multiple provider numbers as needed and approved.
• Maintain comprehensive knowledge of hospice and palliative care.
• Partner and communicate effectively with physicians, nurses, social workers, chaplains, other interdisciplinary team members, patients, caregivers, and families.
• Support patients and families through serious illness and end-of-life transitions with empathy and clinical expertise.
• Participate in the on-call rotation as needed.
• Maintain timely, accurate, and compliant clinical documentation and follow applicable federal, state, and organizational regulations.

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 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 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.

What This Job Offers