Nurse Practitioner
Gentiva Hospice
Overview The Nurse Practitioner will serve in a dual Hospice and Palliative Care role. In this position, they will provide comprehensive, patient-centered care across the continuum of serious illness, supporting patients in both palliative and hospice settings. The role includes a blend of hospice and palliative responsibilities with flexibility based on patient census and program needs. 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 Essential Functions of Position Clinical Management
Legalese
- 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.
- 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.
- 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).
- 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, or acute care preferred.
- Experience with Part B billing preferred.
- 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.
- 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.
- 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.
- Competitive Pay
- 401(k) with Company Match
- Career Advancement Opportunities
- National & Local Recognition Programs
- Teammate Assistance Fund
- 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)
Legalese
- This is a safety-sensitive position
- Employee must meet minimum requirements to be eligible for benefits
- Where applicable, employee must meet state specific requirements
- We are proud to be an EEO employer
- We maintain a drug-free workplace
- Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
- Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
- Home health care: Heartland Home Health
- Advanced illness management: Illumia Health
Vacancy posted 4 days ago
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