Hospice Nurse Practitioner
No salary listed
Mid
Master's
Demopolis, AL, USA
RemoteField-based visits serve Marengo, Sumter, Greene, and Hale Counties.
Medical, Clinical & VeterinaryAdvanced Practice Providers
About the job
Requirements
- A Master of Science in Nursing (MSN) or higher from an accredited program is required.
- Completion of an accredited Nurse Practitioner program is required.
- Current registered nurse license and Nurse Practitioner license or certification in the state of practice are required.
- National Nurse Practitioner certification through ANCC or AANP 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.
- DEA registration and prescriptive authority in accordance with state regulations are required.
- Current CPR 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.
- 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 QAPI process is required.
- Proficiency in point-of-care technology and electronic medical records is required.
- Ability to meet productivity and documentation standards in alignment with organizational expectations is required.
- Ability to communicate effectively with people of all socioeconomic and cultural backgrounds is required.
- Compliance with OSHA, State Board of Nursing, federal regulations, and hospice Conditions of Participation is required.
- This is a safety-sensitive position.
Responsibilities
- Complete all patient visit types, including Medicare-required hospice Face-to-Face visits within CMS 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 and interdisciplinary teams to deliver comprehensive, patient-centered care.
- Coordinate the patient plan of care with the Primary Care Provider or Attending Provider and specialists, when applicable.
- 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.
- Assist with or manage 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 acute-care utilization.
- Prescribe medications and treatments, including controlled substances, as permitted by state and federal regulations and within the 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 transitions in level of care 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 to Face-to-Face encounters in the medical record in compliance with regulatory standards.
- Communicate findings, treatment plans, diagnostics, 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 ACHC.
- Promptly notify appropriate team members 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.
- Partner with physicians, nurses, social workers, chaplains, and other interdisciplinary team members.
- Communicate with patients, caregivers, and families, and support them through serious illness and end-of-life transitions.
- Participate in the on-call rotation as needed.
- Maintain timely, accurate, and compliant clinical documentation.
- Adhere to federal, state, and organizational regulations, including OSHA and hospice Conditions of Participation.
- Apply hospice eligibility, documentation standards, and Part B billing practices as applicable.
Desired Qualifications
- A minimum of 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.
- ACHPN certification is preferred.
About the company
Gentiva provides in-home hospice, palliative, and home health care across the United States through a national network. Care is delivered by clinicians and therapists in patients’ homes, including an Advanced Illness Management model for those not yet hospice-eligible. The company differentiates itself with an integrated at-home care platform and strategic acquisitions, such as ProMedica’s home health, palliative, and hospice operations. Its goal is to help patients stay at home, reduce avoidable hospitalizations, and support families and caregivers throughout the care continuum.
Company Size
5,001-10,000
Company Stage
N/A
Total Funding
N/A
Headquarters
Atlanta, Georgia
Founded
2004
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Simplify's Take
What believers are saying
- Humana agreed in June 2026 to sell its remaining Gentiva stake for $900 million.
- Gentiva signed the Addus Personal Care divestiture, sharpening focus on hospice and home health.
- CMS included Gentiva facilities in FY2026 hospice compliance lists, sustaining Medicare visibility.
What critics are saying
- The 2024 DOJ settlement imposed $19.4 million over ineligible hospice claims and kickbacks.
- Another False Claims Act case triggers payer exclusions and cripples growth.
- Hospice reimbursement scrutiny and survey risk threaten margins if CMS tightens enforcement in 2027.
What makes Gentiva unique
- Gentiva runs 317 hospice locations across 35 states, with Texas and North Carolina anchors.
- Its hospice, palliative, and home health mix spans end-of-life through recovery care.
- The 2023 ProMedica integration added 4,000 employees and expanded the Heartland footprint.
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Benefits
- Health Insurance
- Dental Insurance
- Vision Insurance
- 401(k) Retirement Plan
- 401(k) Company Match
- Paid Vacation
- Paid Holidays
- Wellness Program
- Professional Development Budget
- Life Insurance
- Disability Insurance
- Commuter Benefits