Palliative Nurse Practitioner

HealthDriveColumbia, MD
Hybrid

About The Position

We are seeking a compassionate and experienced Palliative Care Nurse Practitioner (NP) to provide comprehensive palliative care services to residents in skilled nursing facilities, long-term care facilities, and assisted living communities. The Nurse Practitioner will partner with residents, families, facility staff, and interdisciplinary healthcare teams to improve quality of life, manage symptoms, facilitate goals-of-care discussions, and support complex medical decision-making. This role focuses on delivering patient-centered care that aligns treatment plans with each resident's values, preferences, and healthcare goals while reducing unnecessary hospitalizations and enhancing resident and family satisfaction.

Requirements

  • Master’s Degree from an accredited college/university
  • State professional Nurse Practitioner license
  • Board Certification Required
  • DEA/Controlled Substance License
  • Valid driver’s license
  • Ability to travel to facilities in assigned territory
  • Ability to work both independently and collaboratively with on-site staff.
  • Excellent written, verbal, interpersonal and organizational skills.
  • Ability to use email, the internet, and to learn other healthcare related software.

Responsibilities

  • Conduct comprehensive palliative care assessments for residents with serious, chronic, or life-limiting illnesses.
  • Evaluate and manage symptoms including pain, dyspnea, anxiety, depression, nausea, fatigue, insomnia, and other distressing conditions.
  • Develop individualized care plans in collaboration with residents, families, and facility staff.
  • Provide ongoing follow-up visits and monitor disease progression and treatment effectiveness.
  • Order, interpret, and review diagnostic tests, laboratory results, and other clinical data as appropriate.
  • Coordinate care with primary care providers, specialists, hospice agencies, and facility teams.
  • Lead goals-of-care conversations with residents and families to ensure care aligns with patient preferences and values.
  • Facilitate discussions regarding prognosis, treatment options, quality of life, and end-of-life care planning.
  • Complete and review advance directives, healthcare proxies, MOLST/POLST forms, and code status documentation.
  • Provide education and emotional support to residents and families facing serious illness.
  • Review and optimize medication regimens with an emphasis on symptom management and deprescribing when appropriate.
  • Prescribe medications and treatments in accordance with state regulations and organizational policies.
  • Monitor for medication effectiveness, adverse effects, and potential drug interactions.
  • Collaborate with pharmacists and facility clinicians to improve medication outcomes.
  • Participate in interdisciplinary care conferences and family meetings.
  • Educate facility staff on palliative care principles, symptom management, and communication strategies.
  • Serve as a clinical resource for nursing staff regarding complex palliative care cases.
  • Collaborate closely with social workers, therapists, chaplains, physicians, and hospice partners.
  • Maintain timely, accurate, and complete clinical documentation within the electronic medical record.
  • Ensure compliance with federal, state, and facility regulations.
  • Document goals-of-care discussions, treatment recommendations, and care plan updates.
  • Support quality improvement initiatives related to palliative care outcomes.

Benefits

  • Monthly Performance-Based Bonuses
  • Medical, Dental, & Vision Benefits (Including Life, LTD/STD, & Dependent Care Spending)
  • 401k and generous PTO
  • Fully covered Malpractice Insurance
  • License Renewal Reimbursement (APRN, RN, DEA, & Controlled Substance License Renewals)
  • Robust, free CEU platform - accredited by the ANCC
  • Clinical Mentorship & Training Program
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