Nurse Practitioner - NP (Per Diem)

St. Croix Hospice; Council Bluffs (IA); On-site; USD 100,000 - 140,000; Part time

Job summary

St. Croix Hospice in Council Bluffs, IA seeks a Nurse Practitioner to provide comprehensive hospice care under physician supervision.

You will evaluate patients, develop and direct plans of care, prescribe medications, and coordinate with families and the care team during home visits. The role emphasizes symptom management, collaboration with the interdisciplinary team, and adherence to regulations, HIPAA, and quality initiatives.

Qualifications

• Must have current NP license in state(s) of practice.
• Degree from an accredited school of nursing and Nurse Practitioner program.
• Minimum two years RN experience.
• Ability to pass background, consumer report and drug test.
• Valid State Driver’s License and access to a reliable automobile.

Responsibilities

• Provides medical care and symptom management for hospice patients under physician supervision.
• Performs comprehensive history and physicals, orders/tests, documents findings.
• Develops plans of care, prescribes meds/treatments, coordinates referrals.
• Completes face-to-face assessments for hospice eligibility and reports to medical director.
• Ensures symptom control and collaborates with the interdisciplinary team.
• Educates patients and families on end-of-life care and supports continuity of care.

Skills

Empathy

Patient care

Communication

Problem solving

EHR proficiency

Education

Nurse Practitioner program

RN license

Job description

Job DetailsJob Location: Council Bluffs, IA 51503Position Type: PRNWork Where You Matter!

Nurse Practitioner

Position Overview

The Nurse Practitioner (NP) is a registered professional nurse with advanced graduate education and clinical training who provides comprehensive hospice services under the supervision of a collaborating hospice physician. This position evaluates and assesses the patient’s health history and diagnosis by collaborating with patient, their family and other healthcare practitioners. The Nurse Practitioner directs and develops each hospice patient’s Plan of Care including prescribing medication and/or treatment, managing the treatment plan and medical care of the patient. This is accomplished by directing and developing the plan of care, prescribing medications or treatments, coordinating and collaborating. The Nurse Practitioner visits hospice patients, completes physical and face-to-face assessments, and evaluates hospice eligibility as assigned in consultation with the hospice interdisciplinary team. The Nurse Practitioner directs the Plan of Care to meet the unique needs of each individual hospice patient and their family in collaboration with the other members of the patient’s hospice care team.

Essential Functions and Skills

Patient Care

• Provides medical care and symptom management for terminally ill patients in compliance with state regulations and physician supervision.
• Conducts comprehensive history and physical examinations, orders/interprets diagnostic tests, and documents findings.
• Develops individualized care plans, prescribes medications/treatments, coordinates referrals, and consults as needed.
• Completes required face-to-face assessments for hospice recertification and provides clinical eligibility information to the medical director.
• Ensures effective symptom control through collaboration with the interdisciplinary team.
• Develops and follows treatment protocols, consulting the physician when care deviates from standard practice.

Communication

• Collaborates with the interdisciplinary team to develop, review, and update care plans.
• Consults with attending physicians, hospice medical directors, and other healthcare professionals regarding patient eligibility and ongoing care.
• Attends and participates in interdisciplinary meetings and maintains accurate medical documentation.
• Educates and supports patients, families, and caregivers on medical, psychological, and spiritual issues related to end-of-life care.
• Facilitates continuity of care and serves as a nursing resource within the community.
• Builds and maintains relationships with staff and referral sources to support program growth.

Additional Responsibilities

• Ensures compliance with Medicare, Medicaid, and state/federal hospice regulations.
• Participate in quality improvement initiatives and ongoing professional development.
• Adheres to HIPAA regulations, maintaining patient confidentiality.
• Demonstrates knowledge in end-of-life care and counseling.
• Completes additional duties as assigned.
• Strong observation, verbal/written communication, and problem-solving skills.
• Ability to effectively manage priorities and use electronic health records.
• Proficiency in reading and following written instructions and documenting care accurately.
• Competency in hospice nursing skills with minimal supervision.
• Fluent in English (reading, speaking, writing) with clear and concise communication.
• Understanding of hospice philosophy, end-of-life care, and patient-centered treatment.
• Demonstrates empathy, professionalism, and a calm demeanor in patient interactions.
• This role requires a compassionate, self-directed professional dedicated to providing high-quality hospice care.

QualificationsRequirements/Qualifications

• Must have current Nurse Practitioner (NP) or Advanced Practice Registered Nurses (APRN) license in state(s) of practice.
• Degree from an accredited school of nursing and Nurse Practitioner program required.
• Minimum two years RN experience
• Ability to pass background, consumer report and drug test.
• Valid State Driver’s License, access to an automobile in good working order, automobile insurance in accordance with state and organizational requirements, and an acceptable driving record required.

Preferred

• Certification in a specialist area preferred; (e.g., Hospice and Palliative Nursing (CHPN), Pediatrics, or Geriatrics)
• Minimum of one year Nurse Practitioner experience and a minimum of one year hospice or palliative care experience.

Physical Requirements

The physical requirements described are representative of those that must be met to successfully perform the essential responsibilities of this position. Reasonable accommodation may be made.

• Pushing/Pulling and Lifting/carrying up to 30 pounds. Occasionally up to 50 pounds.
• Ability to adapt to a variety of work conditions to ensure the highest quality of patient care in a home setting.