Facility-Based Palliative Care NP — Full-Time Impact

AuthoraCare Collective; High Point (NC); On-site; USD 105,000 - 145,000; Full time

Benefits offered by this job

PTO

Seven paid holidays

Medical insurance

Dental insurance

Vision insurance

Disability insurance

Life insurance

403(b) match

Mileage reimbursement

Flexible work schedules

Professional growth opportunities

Employee engagement activities

Job summary

AuthoraCare Collective is seeking a Nurse Practitioner – Palliative Care (Facility-based) to provide consultative palliative care to adults in skilled nursing facilities, assisted living communities, memory care settings, and other contracted residential care environments. The NP collaborates with facility staff and families to develop individualized palliative plans.

This full-time role supports Forsyth, Davie and Davidson Counties, with CPR certification required.

Qualifications

• Graduate of an accredited School of Nursing with completion of an accredited NP program.
• Current, unrestricted NP license and RN license in North Carolina, with prescriptive authority as required for the role.
• Current national board certification as an NP in an applicable population focus.
• Current DEA registration and controlled-substance prescribing authority, if required by assigned duties.
• Minimum of 2 years of clinical experience in palliative care, hospice, geriatrics, LTC, SNF, acute care, or outpatient practice required.
• Palliative care or hospice experience strongly preferred; specialty certification in hospice and palliative nursing encouraged.
• Excellent clinical assessment, communication, relationship-building, and serious-illness communication skills.
• Other: Valid state-issued driver's license required. Must carry automobile liability insurance at limits required by agency. Must have own transportation.

Responsibilities

• Conduct comprehensive palliative assessments, including medical history, physical examination, functional and cognitive status, symptom burden, psychosocial needs, caregiver concerns, and spiritual or cultural factors that may affect care.
• Evaluate and manage pain, dyspnea, nausea, constipation, fatigue, anxiety, depression, delirium, anorexia, insomnia, secretions, and other distressing symptoms associated with serious illness.
• Develop an individualized palliative plan of care that reflects the patient's condition, values, goals, prognosis, treatment preferences, and desired level of intervention.
• Prescribe medications and therapies, or communicate evidence-based recommendations to the attending or facility provider, consistent with scope of practice, organizational protocols, facility agreements, and the established care model.
• Review medication regimens for symptom benefit, burden, adverse effects, drug interactions, and opportunities for deprescribing in collaboration with the appropriate prescriber and pharmacist.
• Monitor response to interventions and revise the palliative plan based on clinical changes, patient priorities, and interdisciplinary input.
• Identify urgent or emergent concerns and coordinate timely escalation while considering the patient's documented preferences and GOC.
• Assess hospice eligibility and readiness, provide education, and support timely referral when hospice is clinically appropriate and consistent with patient and family goals.
• Provide follow-up palliative visits at a frequency based on clinical need, program criteria, and contractual expectations.

Skills

Clinical assessment

Communication

Serious-illness communication

Relationship-building

Independent decision-making

Education

NP degree

NC NP license

National NP board certification

DEA registration

2+ years palliative care experience

Hospice/palliative specialty encouraged

Job description

AuthoraCare Collective is seeking a Nurse Practitioner – Palliative Care (Facility-based) to provide consultative palliative care to adults in skilled nursing facilities, assisted living communities, memory care settings, and other contracted residential care environments. The NP collaborates with facility staff and families to develop individualized palliative plans.

This full-time role supports Forsyth, Davie and Davidson Counties, with CPR certification required.