PRN Hospice Nurse Practitioner

Gentiva Hospice • Henderson, NC

1d • Hybrid

About The Position

The PRN Nurse Practitioner will serve in a dual Hospice and Palliative Care role, providing comprehensive, patient-centered care across the continuum of serious illness. This role supports patients in both palliative and hospice settings with a blend of responsibilities that are flexible based on patient census and program needs. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification. They will partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care, guiding patients and families through complex medical decision-making, symptom management, and end-of-life care.

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 state of practice.
• National NP certification (ANCC or AANP).
• Collaborative Practice Agreement with 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/billing, and documentation requirements.
• Excellent interpersonal, written, and verbal communication skills.
• Knowledgeable of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process.
• Ability to work both autonomously and collaboratively in a fast-paced, evolving environment.
• Compassionate, emotionally intelligent, and sensitive to the needs of patients and families.
• Proficient in point-of-care technology and electronic medical records.
• Willingness and ability to maintain productivity and documentation standards in alignment with organizational expectations.
• Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families.
• Ability to support others at a time of crisis.
• Must demonstrate flexibility by performing various tasks, often changing from one to another of a different nature without loss of efficiency or composure.
• Communicate effectively with people of all socioeconomic and cultural backgrounds.
• Demonstrate maturity, cooperation, flexibility, and tact when dealing with co-workers and all members of the hospice team.
• Is compliant with OSHA, State Board of Nursing and Federal Regulations related to Hospice Conditions of Participation.

Nice To Haves

• Minimum of 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.
• ACHCN certification preferred.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits.
• Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care.
• Collaborate with Primary Care Provider (PCP)/Attending Provider and specialists (if applicable) to coordinate patient Plan of Care.
• Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations.
• Support individualized care plans in partnership with the patients, families, caregivers, and IDG/IDT.
• Assist with and/or manage all aspects of patient care including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious illness support, quality-of-life optimization, and consultations, while reducing avoidable or unnecessary acute care utilization.
• Prescribe medications and treatments, including controlled substances, as permitted by state law and federal regulation and within defined parameters of Independent Practice or a Collaborative Practice Agreement.
• Order and interpret laboratory and other diagnostic tests within the state defined scope of practice and Collaborative Practice Agreement.
• Facilitate goals-of-care discussions, advance care planning, and level of care transitions when appropriate.
• Coordinate care across settings, including home, skilled nursing facilities, and assisted living.
• Initiate referrals to supportive services and community resources as needed.
• Utilize Local Coverage Determination (LCD) 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.
• Provide clinical recommendations to the interdisciplinary group (IDG) based on assessment findings.
• Ensure alignment with Medicare, Medicaid, and accrediting body requirements (e.g., ACHC).
• Notify appropriate team members promptly of any barriers to completing scheduled visits.
• Provide patient care and visit coverage across multiple provider numbers, as needed and approved.
• Maintain comprehensive knowledge in the field of hospice and palliative care.
• Partner effectively with physicians, nurses, social workers, chaplains, and other IDG/IDT members.
• Communicate clearly and compassionately with patients, caregivers, and families.
• Support patients and families through serious illness and end-of-life transitions with empathy and clinical expertise.
• Participate in on-call rotation as needed.
• Maintain timely, accurate, and compliant clinical documentation.
• Adhere to all federal, state, and organizational regulations, including OSHA and hospice Conditions of Participation.
• Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices (as applicable).

Benefits

• Competitive Pay
• 401(k) with Company Match
• Career Advancement Opportunities
• National & Local Recognition Programs
• Teammate Assistance Fund
• Medical, Dental, Vision Insurance
• Mileage Reimbursement or Fleet Vehicle Program
• Generous Paid Time Off + 7 Paid Holidays
• Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
• Education Support & Tuition Assistance (ASN to BSN, BSN to MSN)
• Free Continuing Education Units (CEUs)
• Company-paid Life & Long-Term Disability Insurance
• Voluntary Benefits (Pet, Critical Illness, Accident, LTC)

What This Job Offers

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