Palliative Nurse Practitioner

Company

Providence at Home with Compassus

The Hospice and Palliative Care Nurse Practitioner (NP) functions independently as an advanced practice provider, coordinating and assessing patient care needs, developing and modifying plans of care, and collaborating with the hospice and palliative care interdisciplinary team. The NP completes regulatory requirements such as provider face‑to‑face visits, end‑of‑life visits, and recertification assessments. Under physician orders or physician‑approved protocols, the NP may prescribe and adjust medications, including opioids, and order other therapies as patient condition requires.

Additional responsibilities include participation in the provider on‑call rotation, providing education to patients, families, and staff, and contributing to quality improvement initiatives.

• Comply with organizational policies, regulatory requirements, and safety standards.
• Conduct comprehensive medical, functional, and psychosocial assessments under physician supervision; perform and interpret diagnostic tests and procedures as defined by protocol.
• Independently prescribe, adjust, and discontinue medications (including opioids) per standardized procedures or physician orders.
• Perform provider face‑to‑face, end‑of‑life, and recertification visits.
• Develop and revise plans of care in collaboration with the interdisciplinary group (IDG); recommend treatment courses and monitor care.
• Provide education and counseling to patients and families regarding diagnoses, prognosis, goals of care, and treatment options.
• Assist families in decision‑making related to interventions, resuscitation status, and end‑of‑life planning.
• Order IV therapies, including antibiotics and opioids, and manage feeding tubes per standardized procedures or physician orders.
• Participate in interdisciplinary team meetings and provide patient information to physicians and other providers.
• Serve as liaison with physicians, discharge planners, and other departments regarding patient care.
• Provide education to staff, nursing facility teams, and families regarding hospice and palliative care needs.
• Participate in the development and implementation of evidence‑based education and protocols.
• Maintain schedules, productivity standards, and accurate documentation in the electronic health record (EHR).
• Participate in provider on‑call rotation.
• Perform other duties as assigned.

• Required – Master’s Degree in Nursing.
• Preferred – Doctor of Nursing Practice (DNP).
• Required – At least two years of experience in hospice, acute care, or transitional care settings.
• Preferred – Experience in advanced pain and symptom management, end‑of‑life care, and hospice recertification assessments.

• Required – Active state‑issued NP license and RN license.

• Licensure:
  California Nurse Practitioner License and California Nurse Practitioner Furnisher License, plus a California Registered Nurse License (all required upon hire).
• Certification:
  National Provider BLS – American Heart Association required upon hire.
• Preferred – Certified Hospice and Palliative Care Certification (CHPLN).

The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus.

In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.

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