Care Home Matron

The Per Diem 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.
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
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.
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.
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.
Participate in on-call rotation as needed.
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.
Licenses, Certifications and/or Registration:
Current RN license and Nurse Practitioner license/certification in state of practice.
Collaborative Practice Agreement with supervising internal physician or Proof of Independent Practice Authority in accordance with state regulations.
DEA registration and prescriptive authority in accordance with state regulations.
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.
Knowledgeable of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process.
Proficient in point-of-care technology and electronic medical records.
Personal Traits, Qualities and Aptitudes:
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.
Benefits for All Associates (Full-Time, Part-Time & Per Diem):
~ National & Local Recognition Programs
~ Additional Full-Time Benefits:
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)
Free Continuing Education Units (CEUs)
Company-paid Life & Long-Term Disability Insurance
Join our hospice team
Play a vital role in delivering compassionate, compliant care that honors patients' dignity and supports families during challenging times

Gentiva Hospice
At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.
Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.
Our nationwide reach is powered by a family of trusted brands that include:
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
Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.