Palliative Care Nurse Practitioner – Hospital-Based

LiveWell Homecare Agency, LLC; Wilmington (NC); On-site; USD 110,000 - 150,000; Full time

Job summary

LiveWell Homecare Agency, LLC seeks a Nurse Practitioner (Adult or Family) to lead palliative care assessments and care planning in collaboration with an interdisciplinary team. The role includes clinical judgment for prognosis discussions, code status, and advance directives, with travel as needed.

Responsibilities feature coordinating transitions to hospice or outpatient services, maintaining EMR documentation, and participating in quality improvement activities to ensure high standards of

Qualifications

• :Must hold a NP license with adult or family certification.
• :Hospice or palliative care experience preferred.
• :Strong communication and assessment skills.
• :Proficiency with EMR, documentation, and care coordination.

Responsibilities

• :Respond promptly to inpatient palliative care referrals and perform comprehensive assessments.
• :Develop and implement individualized care plans with an interdisciplinary team.
• :Prescribe medications within scope and conduct ongoing reassessments.
• :Lead or support goals‑of‑care conversations with patients and families.
• :Coordinate transitions to outpatient or hospice services and advise hospital staff.
• :Document assessments and plans in EMR in compliance with policies.
• :Engage in QA, utilization review, and performance improvement activities.

Skills

Palliative care knowledge

Communication skills

Computer proficiency

Problem solving

Critical thinking

Care planning

CPR certification

Education

Master’s or Doctoral degree in nursing with NP certification (Adult or Family)

Job description

Responsibilities include:

• Respond promptly to inpatient palliative care referrals and perform comprehensive assessments addressing pain, symptoms, psychosocial, emotional, spiritual distress, and functional status.
• Develop and implement individualized care plans collaborating with an interdisciplinary team.
• Prescribe medications and treatments within scope, conduct ongoing reassessments, and facilitate discussions on prognosis, treatment options, code status, and advance directives.
• Support patients and families through complex decision-making and lead or support goals‑of‑care conversations.
• Coordinate care transitions to outpatient or hospice services, and serve as a clinical resource for hospital staff regarding palliative and hospice eligibility.
• Document assessments and care plans accurately in electronic medical records, ensuring compliance with policies and regulations.
• Participate in quality assurance, utilization review, and performance improvement activities.

Qualifications and Skills:

• Master’s or Doctoral degree in nursing with certification as a Nurse Practitioner (Adult or Family).
• Preferred hospice or palliative care nursing experience.
• Knowledge of palliative care frameworks and effective communication skills.
• Proficiency in computer use, problem-solving, critical thinking, and patient care planning.
• Maintains required continuing education, licensure, and certifications such as CPR.
• Valid driver’s license and willingness to travel, including evenings, weekends, and holidays.