Nurse Practitioner Palliative and Primary Care

Anpex Health; Richmond (VA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Monthly bonus

Work-life balance

Medical insurance

Dental insurance

Vision insurance

401(k)

CEU library

License reimbursement

Certification reimbursement

PTO 4 weeks

Job summary

Anpex Health is seeking a Nurse Practitioner – Palliative & Primary Care to deliver patient-centered care in a collaborative setting in Richmond, VA.

The role emphasizes symptom management, goals-of-care discussions, care transitions, and coordination with the IDT. Candidates should have MSN or DNP, and palliative training is provided. Competitive benefits and monthly bonus opportunities.

Qualifications

• MSN or DNP NP program completion is required.
• Experience in primary care, geriatrics, or post-acute care is preferred.
• Palliative care training provided.

Responsibilities

• Provide primary and palliative care focusing on symptom management, quality of life, and goal-concordant care.
• Lead and document goals-of-care discussions and advance care planning.
• Facilitate advance directives, POLST/DNR orders, and end-of-life care preferences.
• Manage pain and symptoms using pharmacologic and non-pharmacologic approaches.
• Review vitals and labs and escalate to the attending physician when needed.
• Collaborate with the interdisciplinary team weekly to review patient status and care plans.
• Identify patients suitable for palliative or hospice referral and coordinate transitions of care.
• Support care transitions with emphasis on continuity, comfort, and patient-centered goals.

Education

Master’s (MSN) or Doctorate (DNP) Nurse Practitioner program completion

Job description

Monthly Bonus Opportunity | Excellent Work-Life Balance

Position: Nurse Practitioner – Palliative & Primary Care

Join Anpex Health and be part of a mission-driven team delivering high-quality, patient-centered care in a collaborative environment.

Essential Functions

• Provide primary and palliative care services, focusing on symptom management, quality of life, and goal-concordant care
• Conduct comprehensive history and physical exams for patients with complex acute, chronic, and serious illnesses
• Lead and document goals-of-care discussions, including advance care planning and code status conversations
• Facilitate completion and updates of advance directives, POLST/DNR orders, and end-of-life care preferences
• Manage pain and non-pain symptoms (e.g., dyspnea, agitation, nausea, anxiety, depression) using pharmacologic and non-pharmacologic approaches
• Review abnormal vitals and laboratory findings and implement appropriate interventions or escalated to the attending physician as needed
• Evaluate and manage new admissions, ensuring alignment of treatment plans with patient goals and prognosis
• Participate in readmission reviews, identifying opportunities to improve symptom control and prevent avoidable hospitalizations
• Collaborate with the interdisciplinary team (IDT) weekly to review patient status, prognosis, and care plans
• Identify patients appropriate for palliative or hospice referral and facilitate timely transitions of care
• Support care transitions (admissions, transfers, discharges) with emphasis on continuity, comfort, and patient-centered goals
• Provide education and emotional support to patients and families regarding disease trajectory, prognosis, and end-of-life expectations
• Collaborate with multidisciplinary teams including nursing, social work, chaplaincy, and therapy services
• Monitor effectiveness of interventions and adjust care plans to maintain comfort, dignity, and physiologic stability
• Serve as a clinical resource to facility staff on palliative care principles, symptom management, and end-of-life care

Education & Experience

• Master’s (MSN) or Doctorate (DNP) Nurse Practitioner program completion
• Experience in primary care, geriatrics, or post-acute care preferred, but not required
• Palliative care training and certification provided

Physical Requirements

• Standing/walking: 1/3–2/3 of the time
• Hand use (fine motor): >2/3
• Reaching: >1/3
• Stooping/kneeling: 1/3–2/3
• Talking/hearing: 1/2–2/3
• Lifting:
• Up to 10 lbs: >2/3
• Up to 25 lbs: 1/3–2/3
• Up to 50 lbs:

Why Join Anpex Health?

• Monthly Bonus Opportunities – earn more with a structured incentive program
• Strong Work-Life Balance – flexible, manageable schedule with no facility burnout
• Competitive Full-Time Benefits Package:
• Medical, Dental, Vision
• 401(k)
• Unlimited CEU library
• License & certification reimbursement
• Up to 4 weeks PTO
• Supportive, Team-Oriented Culture, Clinician led organization
• Career Growth Opportunities – expand your skills in palliative and primary care

Equal Employment Opportunity Statement

Anpex Health is committed to providing equal employment opportunities to all employees and applicants. We do not discriminate on the basis of race, color, religion, national origin, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, or veteran status in any aspect of employment, including recruitment, hiring, compensation, promotion, or termination.