Hospice & Palliative Care Nurse Practitioner - Per Diem

Detailed Information



The Hospice & Palliative Care NP will work autonomously but in collaboration with Physicians to provide
primary medical care to patients with chronic or life limiting illnesses that require palliative or hospice care
interventions. Reports to the Director of Home Health & Hospice Nursing Operations.
The Nurse Practitioner will be responsible for rounding in hospitals and skilled nursing facilities,
reviewing patients currently on services and updating care plans accordingly. Under the direction of the
medical director, the nurse practitioner will assess, review medication, create an appropriate care plan and
provide and evaluate care. In addition, the nurse practitioner will assist with advanced directives and
discuss goals of care and the disease process, progression, and grief process with patients and caregivers.
In addition, the Nurse Practitioner will work with the Director of Home Health & Hospice Nursing
Operations to provide education on palliative and hospice care within the community as well as the
agency staff regularly.
Provides medical care and manages advanced illness in compliance with Rhode Island and Massachusetts
Nurse Practice Act under the supervision of a collaborating physician in the home, hospital, or skilled
nursing facility setting.


 Complete Face to Face encounters and assess the following: disease related changes, decline in
function, adherence and effectiveness of pain and symptom regimen, the patient and family
coping mechanisms and quality of life.

 Make referrals to other disciplines as indicated by the patient’s needs.

 Actively participate in interdisciplinary team conferences and Palliative team conferences as needed
meeting the needs of patients for palliation and managing of terminal illness and related conditions.

 Performs Palliative care consultations to patients currently receiving home health care in partnering
facilities and in the hospital setting. The NP will ensure the development and continued cultivation
of positive referral relationships and access to hospice care.

 Assess and treat symptoms to promote maximum level of wellness and independence for patients
with terminal illness. Works in collaboration with nurses on complicated patients. Facilitates
family meetings.

 Reviews history & performs physical examinations, by evaluating the patient’s medical condition
and health history, ordering and interpreting results from laboratory and diagnostic tests or
procedures, diagnosing health conditions and documents the findings in the patient’s medical record.

 Manages chronic and complex conditions through collaboration with the patient and their care team
by developing an individualized plan of care, prescribing medications and / or treatments.

 Conducts complex conversations with patients and caregivers to determine goals of care in
development of care plan. Educates patients and caregivers in understanding advanced directives
based on patient’s goals.

 Educates patient and caregivers regarding medications, side effects, treatment, illness progression,
diet and nutrition, medical adherence and crisis anticipation and prevention.

 Implements interventions to support the patient with chronic conditions to decrease the recurring
hospitalizations. Monitors the effectiveness of interventions.

 Facilitates patient transitions between health care settings as well as transitions from home care to
palliative and palliative to hospice.

 Work with the Director of Home Health & Hospice Nursing Operations to be a resource and provide
education on palliative and hospice care within the community as well as the agency staff regularly.

 Establishes, builds and nurtures relationships hospital and skilled nursing facility referral sources to
facilitate program growth.

 Communicates with other community health practitioners to coordinate the plan of care.

 Communicates and collaborates with the interdisciplinary group to create, review and revise the
patient’s plan of care.

 Maintains knowledge of and compliance with current Medicare/Medicaid, state/federal rules and
regulations for professional (palliative care, advanced disease management, transitional and chronic
care) services.

 Ensures compliance with the Medicare conditions of participation and other state regulations govern
the provision of healthcare.

 Complies with all Health Insurance Portability and Accountability Act (HIPAA) requirements in
accordance with federal, state and organizational policies.

 Graduate of a nationally accredited school of nursing.

 Baccalaureate degree in nursing with a minimum of four years acute care experience, and one
year as a nurse practitioner.

 Completion of a certificate granting program, preferably master’s level as a Nurse Practitioner in
Adult or Family Health.

 Current licensure as a registered nurse practitioner in Rhode Island and Massachusetts. (If MA
Nursing License is not held at time of hire, employee will be given 1 year from hire date to

 Granted pharmacy privileges as administered through Rhode Island and Massachusetts State law
and the Rhode Island and Massachusetts Nurse Practice Act.

 Demonstrates an ability to independently make decisions regarding clients’ care, seeking
supervisory collegial, or physician advice as needed.

 Verbalizes knowledge of scope of practice in the clinic setting and legal and ethical implications

 Demonstrates the technical and clinical expertise to provide comprehensive women’s health care,
within the clinic setting.

 Per Diem, Hourly, Non- Exempt
 Portsmouth, RI (Home Office)
Visiting Nurse Home & Hospice is an Equal Opportunity Employer. It is the
policy of Visiting Nurse Home & Hospice to provide equal employment
opportunities without regard to race, color, religion, sex (including
pregnancy, gender identity, and sexual orientation), parental status, marital
status, national origin, age, disability, genetic information (including family
medical history), political affiliation, military service, veteran status, any
other non-merit based factors, or any other protected characteristic under
applicable law.
OR VIA FAX TO 401-682-7562

Contact Information