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Nurse Practitioner, Flex/Per Diem/PRN
Job Description
- Overview
- The
- Nurse Practitioner
- will provide advanced, patient-centered care across both
- Hospice and Palliative Care
- , supporting patients and families throughout serious illness. Responsibilities include patient management visits, hospice
- Face-to-Face (F2F) encounters
- for certification and recertification, symptom management, and complex medical decision-making. The Nurse Practitioner will work collaboratively with physicians and interdisciplinary teams while practicing with autonomy to deliver high-quality, compliant, and compassionate care based on patient and program needs.
- Essential Functions
- Essential Functions of Position
- Clinical Management
- + 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.
- Collaboration & Communication
- + 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.
- Documentation & 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).
- About You
- To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- Education/Experience:
- + 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.
+ 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.
- Specialized Knowledge and Skills:
- + 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.
- Personal Traits, Qualities and Aptitudes:
- + 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.
- We Offer
- Benefits for All Associates (Full-Time, Part-Time & Per Diem):
- + Competitive Pay + 401(k) with Company Match + Career Advancement Opportunities + National & Local Recognition Programs + Teammate Assistance Fund
- 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) + 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)
- Join our hospice team
- Play a vital role in delivering compassionate, compliant care that honors patients' dignity and supports families during challenging times.
- 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
ReqID:
2026-143017
Category:
Nurse Practitioners Position Type:
Flex/Per Diem Company:
Gentiva Hospice
Benefits
- Paid Time Off (PTO)
- Financial Aid/Assistance
- Professional Development
- 401(k) Plans