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Gentiva

In-home hospice, palliative, and health services

Hospice Nurse Practitioner

Advanced Practice ProvidersConfirmed live in the last 24 hours
Full-timeBad Axe, MI, USANo salary listedIn-person

About the Job

Requirements

  • A Master of Science in Nursing or higher from an accredited program is required.
  • Completion of an accredited Nurse Practitioner program is required.
  • A current registered nurse license and Nurse Practitioner license or certification in the state of practice are required.
  • National Nurse Practitioner certification from the American Nurses Credentialing Center or American Association of Nurse Practitioners is required.
  • A Collaborative Practice Agreement with a supervising internal physician or proof of Independent Practice Authority in accordance with state regulations is required.
  • A Controlled Substance Agreement is required if applicable.
  • Drug Enforcement Administration registration and prescriptive authority in accordance with state regulations are required.
  • Current cardiopulmonary resuscitation certification is required.
  • A valid driver's license and current automobile insurance are required.
  • Strong clinical assessment and critical thinking skills across palliative and hospice populations are required.
  • In-depth understanding of palliative care principles, hospice philosophy, home health eligibility, and end-of-life care is required.
  • Working knowledge of Local Coverage Determination criteria, Medicare and Medicaid regulations, coding and billing, and documentation requirements is required.
  • Knowledge of Hospice and Palliative Quality Measures collection, documentation, reporting, and the Quality Assurance and Performance Improvement process is required.
  • Proficiency in point-of-care technology and electronic medical records is required.
  • The individual must be able to work autonomously and collaboratively in a fast-paced, evolving environment.
  • The individual must maintain productivity and documentation standards in alignment with organizational expectations.
  • The individual must comply with Occupational Safety and Health Administration requirements, State Board of Nursing regulations, and federal hospice Conditions of Participation.
  • The position is safety-sensitive.

Responsibilities

  • Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face visits within established regulatory timeframes, History and Physical or 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, physicians, nurses, social workers, chaplains, and other interdisciplinary team members to deliver comprehensive, patient-centered care.
  • Coordinate the patient's plan of care with the primary care or attending provider and applicable specialists.
  • Perform in-depth physical, emotional, functional, and psychosocial patient assessments.
  • Support individualized care plans in partnership with patients, families, caregivers, and the interdisciplinary group or team.
  • Manage patient care, including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious-illness support, quality-of-life optimization, and consultations.
  • Prescribe medications and treatments, including controlled substances, within applicable state and federal regulations and defined practice parameters.
  • Order and interpret laboratory and other diagnostic tests within the state-defined scope of practice and applicable Collaborative Practice Agreement.
  • Facilitate goals-of-care discussions, advance care planning, and level-of-care transitions when appropriate.
  • Coordinate care across home, skilled nursing facility, and assisted living settings.
  • Initiate referrals to supportive services and community resources as needed.
  • Use Local Coverage Determination criteria to support hospice eligibility and recertification.
  • Document clinical findings accurately and attest Face-to-Face encounters in the medical record in compliance with regulatory standards.
  • Communicate findings, treatment plans, diagnostic results, and medication reviews to the interdisciplinary group or team.
  • Provide clinical recommendations to the interdisciplinary group based on assessment findings.
  • Ensure alignment with Medicare, Medicaid, and accrediting-body requirements, including Accreditation Commission for Health Care requirements.
  • Notify appropriate team members promptly of barriers to completing scheduled visits.
  • Provide patient care and visit coverage across multiple provider numbers as needed and approved.
  • Maintain comprehensive knowledge of hospice and palliative care.
  • Communicate clearly and compassionately with patients, caregivers, and families.
  • Support patients and families through serious illness and end-of-life transitions.
  • Participate in an on-call rotation as needed.
  • Maintain timely, accurate, and compliant clinical documentation.
  • Adhere to federal, state, and organizational regulations, including Occupational Safety and Health Administration requirements and hospice Conditions of Participation.
  • Apply hospice eligibility, documentation standards, and Part B billing practices as applicable.

Desired Qualifications

  • At least two years of Nurse Practitioner experience is preferred.
  • Experience in hospice, palliative care, oncology, geriatrics, family or adult medicine, home health, or acute care is preferred.
  • Experience with Part B billing is preferred.
  • Advanced Certified Hospice and Palliative Nurse certification is preferred.

About the Company

Gentiva

In-home hospice, palliative, and health services

Gentiva provides in-home hospice, palliative, and home health care through a nationwide network of locations. It delivers care by coordinating in-home visits from clinicians and therapists, including skilled nursing, therapy services, and pain and symptom management, with an Advanced Illness Management model for patients not yet eligible for hospice. Gentiva differentiates itself with an integrated in-home care platform and strategic growth through acquisitions, such as ProMedica’s home health, palliative, and hospice operations. Its goal is to help patients stay at home while receiving comprehensive care and to reduce avoidable hospitalizations for families and caregivers.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Atlanta, GA
Founded
2004

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