Nurse Practitioner, NP

Gentiva

Branford (CT)

On-site

USD 172,000 - 173,000

Full time

5 days ago

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Benefits offered by this job

Competitive pay

401(k) with company match

Career advancement opportunities

Wellness programs

Job summary

Gentiva is seeking a Nurse Practitioner to provide comprehensive hospice and palliative care, including Face-to-Face visits for Medicare eligibility and recertification. The role emphasizes autonomy within a collaborative team and requires strong clinical assessment and documentation skills, with a focus on compassionate end‑of‑life care.

Responsibilities include conducting diverse visit types, coordinating with the IDG/IDT, and ensuring compliance with Medicare and organizational guidelines.

Qualifications

MSN or higher from an accredited program.
Completion of an accredited Nurse Practitioner program.
Minimum of two years NP experience preferred.
Experience in hospice/palliative care preferred.
Experience with Part B billing preferred.

Responsibilities

Perform hospice Face-to-Face visits and other CMS visits.
Collaborate with IDG/IDT to plan patient care.
Assess patients and manage symptoms and medications.
Coordinate care across home, SNF, and assisted living.
Document findings per regulatory standards and communicate plans.

Skills

Clinical assessment

Hospice care

Interdisciplinary collaboration

Patient communication

Education

MSN degree

NP program completion

National NP certification

CPR certification

Tools

EMR systems

Medicare billing knowledge

Job description

Overview

Nurse Practitioner - NP - PRN - Flexible Schedule

For Face to Face Hospice Eligibility Visits

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.

The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care. This role blends autonomy with collaboration, allowing you to guide patients and families through complex medical decision-making, symptom management, and end-of-life care.

Essential Functions of Position

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 comprehensive0 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).

Compensation may vary within the salary range provided based on several factors, including but not limited to a candidate's geographic location, experience, education, skills, licensure, certifications, internal equity, and department equity. Gentiva provides associates with a comprehensive Total Rewards package, of which base pay is just one component.

Salary Range: $125/F2F Visit and $50.00 - $55.00 per hour

About You

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

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, and 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 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.
ACHPN certification preferred.
Valid driver’s license and current automobile insurance.

Specialized Knowledge and Skills:

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.

Personal Traits, Qualities and Aptitudes:

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.

We Offer

Benefits for All Associates (Full-Time, Part-Time & Per Diem):

Competitive Pay
401(k) with Company Match
Career Advancement Opportunities
National & Local Recognition Programs
Teammate Assistance Fund

Additional Full-Time Benefits:

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)

Join our hospice team

Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times

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