Full-Time
Hospice Nurse Practitioner
Posted on 8/21/2026
Bloom Healthcare
51-200 employees
Physician-led house-call primary care for seniors
Compensation Overview
$125 - $150/hr
San Antonio, TX, USA
In Person
The role requires driving to facilities and patients’ homes for visits.
Master's
 Medical, Clinical & Veterinary (1) |
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- An appropriate Master’s degree and licensure as a Nurse Practitioner are required.
- Licensure in the state of Colorado is required.
- An unrestricted Drug Enforcement Administration license is required.
- Conduct thorough assessments of patients’ medical histories, current treatment plans, and goals for care.
- Perform and document detailed Medicare Face to Face visits for initial and recertification requirements.
- Anticipate symptom needs, track the course of illness, and conduct acute visits for new or evolving symptoms or conditions in collaboration with the primary care provider.
- Apply knowledge of common disease trajectories and prognoses.
- Work with the Bloom primary care provider and Hospice Registered Nurse to develop symptom management plans, prescribe treatments, follow up on changes, and adjust plans as the patient’s condition changes.
- Collaborate with physicians, nurses, social workers, spiritual counselors, patients’ primary care providers, and assisted living or memory care staff to coordinate holistic care.
- Provide education and emotional support to patients and families regarding disease processes, treatment options, and end-of-life care, and make appropriate referrals.
- Assist patients with advance care planning, including advance directives and hospice enrollment.
- Facilitate prognosis and goals-of-care discussions with patients and families.
- Address psychological, social, and spiritual needs and recommend grief counseling and support for anticipatory mourning.
- Maintain accurate, detailed, and timely documentation of required Medicare Face to Face visits.
- Participate actively in weekly Interdisciplinary Team Meetings.
- Respond promptly to text messages, calls, and emails.
- Drive to facilities and patients’ homes for visits while maintaining a territory of facilities with Hospice Registered Nurse case managers.
Bloom Healthcare provides in-home primary care for seniors, operating an employee-owned network that delivers house calls and medical services directly to homebound patients. The core team includes physicians and a staff of over 75 medical providers, who have completed more than 700,000 patient visits. In addition to primary care, Bloom runs Bloom Hospice to offer end-of-life care in the community. The company collaborates with home health agencies in the Front Range to ensure comprehensive, accessible care with quick care-plan approvals and continuous medical support in a patient’s own home. The distinct model centers on physician-led, home-based care for seniors who struggle to access traditional facilities, enabling them to stay independent and reducing the likelihood of hospitalization. The goal is to improve seniors’ health and independence by bringing high-quality, in-home medical and end-of-life care to their communities.
Company Size
51-200
Company Stage
N/A
Total Funding
N/A
Headquarters
Wheat Ridge, Colorado
Founded
2019
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Simplify's Take
What believers are saying
- Bloom added Missouri in 2026, targeting 1 million+ seniors with in-home primary care.
- Workforce grew to 425 employees by March 2026, up 61% since 2023.
- More than one million house calls validate demand and referral credibility with partners.
What critics are saying
- Missouri expansion on April 6, 2026 stretches operations into a new market immediately.
- ACO REACH exposes Bloom to CMS rule changes and reimbursement compression by 2027.
- Home-based primary care depends on provider supply; staffing gaps directly cap visit volume.
What makes Bloom Healthcare unique
- Employee-owned, physician-led house-call practice serving homebound seniors since 2003.
- ACO REACH participation ties Bloom to value-based reimbursement and Medicare savings incentives.
- Bloom Hospice extends the same in-home care continuum into end-of-life services.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Paid Vacation
Paid Holidays
Professional Development Budget
Life Insurance
Company News
Bloom Healthcare, a Denver-based provider of in-home primary care for seniors, is expanding into Missouri beginning 6 April. The company will serve patients through its home-based care model, targeting the state's 1 million adults aged 65 and older. Founded in 2003, Bloom Healthcare operates under the ACO REACH model, focusing on quality and total cost of care. The company provides comprehensive services including personalised in-home primary care, dementia care planning, 24/7 provider access, and medication management. Patients receive support from multidisciplinary teams comprising nurse coordinators, social workers, pharmacists and behavioural health specialists. Bloom Healthcare has completed over 1 million house calls since its founding. The expansion aims to reduce avoidable hospital utilisation whilst helping seniors remain in their homes and communities.
Bloom Healthcare launches in-home primary care and accountable care model in Missouri. In-home, data-driven care model launches April 6 to support seniors and care partners across the state. DENVER, March 30, 2026 (GLOBE NEWSWIRE) - Bloom Healthcare, a passionate team of medical providers specializing in in-home primary care for seniors with complex health needs, today announced its expansion into Missouri. Beginning April 6, Bloom Healthcare will serve patients in Missouri as a primary care provider dedicated to improving outcomes and reducing avoidable hospital utilization. Missouri is home to more than 1 million adults age 65 and older, a population that continues to grow and increasingly requires coordinated, accessible healthcare services. Denver-based Bloom Healthcare's expansion brings its proven, home-based care model to the state to support seniors, senior living communities, and care providers with comprehensive primary care delivered where patients live. "We are excited to expand into Missouri and bring compassionate, coordinated care to more seniors and families," said Thomas Lally, MD, founder and CEO of Bloom Healthcare. "By working closely with senior living and community partners, we help seniors stay healthier, avoid unnecessary hospital visits, and remain in the homes and communities they know and love." Bloom Healthcare's industry-leading performance in the ACO REACH (Accountable Care Organization Realizing Equity, Access, and Community Health) model aligns incentives around quality and total cost of care. Providers use data-driven clinical decision making and proactive population health strategies to address chronic conditions, manage transitions of care, and prevent avoidable complications. Bloom Healthcare's comprehensive services include: * Personalized in-home primary care provided by Physicians, Nurse Practitioners, and Physician Assistants * Dementia care planning and support * 24/7 access to on-call providers, including weekend and telehealth coverage * Annual wellness visits and preventive care planning * Evidence-based specialty care for chronic conditions * Medication management and education for complex conditions * Coordination of diagnostics, home health, and specialty services Patients are supported by a multidisciplinary care team that includes nurse clinical coordinators, social workers, pharmacists, wound care specialists, and behavioral health services. Since 2003, Bloom Healthcare has helped tens of thousands of patients thrive and meet their healthcare goals by delivering high-touch, patient-centered care directly in the home. The organization has completed more than a million house calls and hundreds of thousands of additional annual days at home. To learn more about Bloom Healthcare and its services in Missouri, visit: https://bloomhealthcare.com About Bloom Healthcare Bloom Healthcare deploys a primary care model specifically designed to enhance the quality of life and well-being of homebound seniors and their caregivers by providing high-quality healthcare where they choose to live, in private homes and senior living communities. Patients are cared for by a primary care provider supported by a robust multidisciplinary care team consisting of nurse clinical coordinators, social workers, pharmacists, behavioral health specialists and wound care specialists. Together, they provide care in accordance with a comprehensive plan developed with patients and their families, with a focus on maximizing quality of life and meeting patients' goals. Learn more about Bloom Healthcare on LinkedIn, Facebook, or X.