Hospice Nurse Practitioner

Gentiva Hospice; Batesville (AR); On-site; USD 90,000 - 130,000; Full time

Job summary

Gentiva Hospice seeks a Nurse Practitioner to provide comprehensive, patient-centered care for individuals with serious illnesses within hospice/palliative settings.

The role involves conducting comprehensive assessments, coordinating care across home and facility settings, and supporting goals of care discussions with patients and families. Experience in hospice or related fields is preferred, with mandatory NP licensure and MSN or higher.

Qualifications

• Master of Science in Nursing (MSN) or higher from an accredited program.
• Completion of an accredited Nurse Practitioner program.
• Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred.

Responsibilities

• Complete all visit types for patients on services, including Medicare-required hospice F2F visits within CMS timeframes.
• Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver patient-centered care.
• Coordinate patient Plan of Care with PCP/Attending Provider and specialists.

Skills

Empathy

Clinical collaboration

Team communication

End-of-life care

Education

MSN or higher

NP program completion

Job description

The Nurse Practitioner will provide comprehensive, patient-centered care to individuals with serious illnesses. Based on market needs, the role may include caring for patients in hospice, palliative care, or both.

Essential Functions

Clinical Management

• 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.

Collaboration & Communication

• 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.

Documentation & Compliance

• 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).

About You

Education/Experience

• Master of Science in Nursing (MSN) or higher from an accredited program.
• Completion of an accredited Nurse Practitioner program.
• 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.

Licenses, Certifications and/or Registration

• 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 Practical Authority in accordance with state regulations.
• Controlled Substance Agreement,