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Hospice Nurse Practitioner

Heartland Hospice•Portage, MI

About The Position

The Nurse Practitioner provides comprehensive, patient-centered care to people 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, working closely 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 performs assessments and a broad range of visits, supports individualized plans of care, manages diagnoses and symptoms, prescribes medications and treatments, and orders and interprets tests within applicable law and scope of practice. The role also facilitates goals-of-care discussions, advance care planning, care transitions, and coordination across home, skilled nursing, and assisted-living settings. It requires accurate, timely documentation and adherence to Medicare, Medicaid, OSHA, hospice Conditions of Participation, and accrediting requirements. Participation in an on-call rotation may be needed. Heartland Hospice, part of Gentiva, provides hospice care in the comfort of patients’ homes and is part of a national organization with nearly 600 locations and thousands of clinicians across 38 states. The organization describes its workplace as collaborative, with recognition for achievements and an emphasis on kindness.

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 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 and 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 and willingness to meet organizational productivity and documentation standards.
  • Sensitivity to the impact of life-and-death issues and ability to support people during crises.
  • Flexibility, composure, maturity, cooperation, and tact when working with patients, families, coworkers, and hospice team members.
  • Ability to communicate effectively with people from diverse socioeconomic and cultural backgrounds.
  • Compliance with OSHA, State Board of Nursing, and federal regulations related to hospice Conditions of Participation.

Nice To Haves

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

Responsibilities

  • Complete patient visits, 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-up visits.
  • Collaborate with hospice and palliative medical directors, interdisciplinary teams, primary care or attending providers, and specialists to coordinate patient plans of care.
  • Perform 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 diagnoses, 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 when permitted by law and within the applicable practice authority or agreement.
  • 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 appropriate level-of-care transitions.
  • Coordinate care across home, skilled nursing facilities, and assisted living.
  • 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, attest to F2F encounters in the medical record, communicate findings and plans to interdisciplinary teams, and provide clinical recommendations based on assessments.
  • Ensure care and documentation align with Medicare, Medicaid, accrediting-body requirements, and other applicable regulations.
  • Notify appropriate team members promptly about barriers to completing scheduled visits.
  • Provide visit coverage across multiple provider numbers when needed and approved.
  • Maintain comprehensive knowledge of hospice and palliative care.
  • Communicate compassionately with patients, caregivers, and families, supporting them through serious illness and end-of-life transitions.
  • Participate in an on-call rotation as needed.
  • Maintain timely, accurate, compliant documentation and adhere to federal, state, organizational, OSHA, and hospice Conditions of Participation requirements.

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 pathways for full-time associates.
  • Free continuing education units (CEUs) for full-time associates.
  • Company-paid life and long-term disability insurance for full-time associates.
  • Voluntary pet, critical illness, accident, and long-term care benefits for full-time associates.

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