PRN Hospice Nurse Practitioner

Gentiva Hospice is seeking a PRN Nurse Practitioner to provide comprehensive, patient-centered care to individuals with serious illnesses in hospice and palliative care settings. This role combines clinical autonomy with collaborative teamwork, allowing you to guide patients and families through complex medical decision-making, symptom management, and end-of-life care while working closely with physicians and interdisciplinary teams.

Responsibilities

Clinical Management

• Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow-up visits
• Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations
• Assist with and 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 the interdisciplinary group
• Provide clinical recommendations to the interdisciplinary group 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 and Communication

• Partner effectively with physicians, nurses, social workers, chaplains, and other interdisciplinary team 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 and 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

Required Qualifications

• Master of Science in Nursing (MSN) or higher from an accredited program
• Completion of an accredited Nurse Practitioner program
• 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
• Valid driver's license and current automobile insurance
• 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
• Proficient in point-of-care technology and electronic medical records
• Willingness and ability to maintain productivity and documentation standards in alignment with organizational expectations
• Ability to 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
• Compliance with OSHA, State Board of Nursing, and Federal Regulations related to Hospice Conditions of Participation

Preferred Qualifications

• Minimum of two years of Nurse Practitioner experience
• Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care
• Experience with Part B billing
• ACHPN certification

Benefits

All Associates (Full-Time, Part-Time, and Per Diem)

• Competitive pay
• 401(k) with company match
• Career advancement opportunities
• National and local recognition programs
• Teammate Assistance Fund

Additional Full-Time Benefits

• Medical, dental, and vision insurance
• Mileage reimbursement or fleet vehicle program
• Generous paid time off plus 7 paid holidays
• Wellness programs including telemedicine, diabetes management, and joint and spine concierge care
• Education support and tuition assistance (ASN to BSN, BSN to MSN)
• Free continuing education units (CEUs)
• Company-paid life and long-term disability insurance
• Voluntary benefits including pet, critical illness, accident, and long-term care coverage

Additional Information

This is a safety-sensitive position. Employee must meet minimum requirements to be eligible for benefits and meet state-specific requirements where applicable.