Hospice Nurse Practitioner - Exempt
Company: Compassus
Location: Richmond
Posted on: April 1, 2026
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Job Description:
Company: Bon Secours Home Care and Hospice by Compassus Position
Summary The Hospice Nurse Practitioner - Exempt is responsible for
modeling the Compassus values of Compassion, Integrity, Excellence,
Teamwork, and Innovation and for promoting the Compassus
philosophy, using the 6 Pillars of Success as the foundation. S/he
is responsible for upholding the Code of Ethical Conduct and for
promoting positive working relationships within the company, among
all departments, and all external stakeholders. The Nurse
Practitioner, if providing palliative care, cares for patients
facing chronic, complex, and/or life-threatening conditions at
various locations within the flow of patient care. S/he provides
assessments, disease and treatment education, and symptom
management to meet the needs of palliative care patients and their
families. The Hospice Nurse Practitioner helps the patient and
family maintain their maximum level of comfort and coping. S/he
provides care and support in collaboration with the PCP and
specialists; and ensures compliance with practice standards and
codes. S/he must collaborate appropriately with the assigned
Compassus Medical Director. The Hospice Nurse Practitioner, if
providing hospice care, functions as an extension of the medical
director for the assigned interdisciplinary team (IDT) and hospice
physician to provide routine recertification and emergency
assessments, educational, and evaluative services to meet the needs
of patients and their families. S/he helps the patient and family
maintain their maximum level of comfort and coping. S/he may be
required to provide both on call support and after-hours emergency
visits and/ or admissions. Position Specific Responsibilities
Performs routine and emergency assessments: Completes routine and
emergency recertification visits on each patient entering their 3rd
benefit period or beyond (including admissions and transfers).
Completes routine and emergency assessments on each patient as
indicated by departmental policy. Records observations, treatments,
and other pertinent information. Communicates with Medical
Director, Attending Physician, DCS and IDT as directed regarding
findings from the visits and any measures to alleviate symptoms.
Provides physical and emotional care to support the patient and
family in period of crisis. Acts as the attending practitioner for
patients who select them at admission, working with patient,
family, IDT and physician on symptom management and an optimal end
of life experience. Rotates into on call schedule when required
with physician backup for admission certification. Prevents
unwarranted hospitalizations by meeting patient and family needs in
the home. In our programs that serve palliative care, the
additional following outpatient responsibilities are needed:
Performs routine and emergency assessments related to outpatient
palliative care visits. Performs bedside palliative care
patient/family evaluation in the patient’s place of residence.
Assists with diagnosis, treatment, and management of acute and
chronic health conditions. Orders, performs, and interprets
laboratory and radiology tests within scope of professional
practice. Prescribes medications including controlled substances to
the extent delegated and licensed. Orders treatments and durable
medical equipment as indicated. Performs other therapeutic or
corrective measures as indicated, including urgent care. Consults
with palliative care physician or designees as needed, informs
primary physician of services provided and collaborates with other
physicians as needed. Assists in all facets of care coordination
for palliative care referrals. Prepares and maintains accurate
patient records, charts, and documents to support sound medical
practice and reimbursement for services provided. Complies with
applicable laws and regulations with respect to Collaborative
Agreements. Initiates reimbursement for services rendered. Assists
patients and families with goal setting related to treatment
options and advanced care planning. Provides training and
continuing education for staff. Assists in development of clinical
practice guidelines/standards in support of quality palliative
care. Adheres to the practice of confidentiality regarding
patients, families, staff and the organization.
Collaborates/Communicates with Medical Director, attending
physician, DCS, and IDT: Collaborates/ Communicates with
IDTregarding the needs of patient for clinical and psycho-social
interventions. Assists in identifying the need for intervention of
other IDT members. Effectively communicates patient and family
needs to IDT. Completes and submits all required paper work within
24 hours of visit completion. Educates patient and caregiver
regarding: Care of patient. Disease process. Dying Process. Symptom
control. Wound care. Performs other duties as assigned. If
providing Hospice Face to Face Visits: Performs routine and
emergency assessments: Completes routine and emergency
recertification visits on each patient entering their 3rd benefit
period or beyond (including admissions and transfers). Records
observations, treatments, and other pertinent information.
Communicates with Medical Director, Attending Physician, DCS and
IDT as directed regarding findings from the visits and any measures
to alleviate symptoms. Provides physical and emotional care to
support the patient and family in period of crisis. Performs other
duties as assigned. If providing Palliative Care: Performs routine
and urgent assessments: Consistent communication of availability to
manager. A minimum of 4 days of availability per month is required,
however a minimum number of visits per month is not guaranteed to
the PPV NP. Ability to triage consults by patient acuity. Performs
bedside palliative care with patient/family education. Orders,
performs, and interprets laboratory and radiology tests within
scope of professional practice. Prescribes medications including
controlled substances to the extent delegated and licensed. Orders
treatments and durable medical equipment as indicated. Performs
other therapeutic measures as indicated. Consults with palliative
care physician or designees as needed, informs primary physician of
services provided and collaborate with other physicians as needed.
Assists in all facets of care coordination for palliative care
referrals. Prepares and maintains accurate patient records, charts,
and documents to support sound medical practice and reimbursement
for services provided. Complies with applicable laws and
regulations with respect to Collaborative Agreements. Completes
accurate billing and coding activities for all patient encounters
according to CMS guidelines. Defines goals for professional growth
and participates actively in professional activities and
organizations. Engages in active and frequent self-care activities
for personal and professional growth and longevity. Adheres to the
practice of confidentiality regarding patients, families, staff and
the Organization. Assists patients and families in identification
of goals of treatment and ongoing plans of care at every visit.
Communicates these goals among Interdisciplinary Team (IDT).
Collaborates/Communicates with Medical Director, attending
Physician, hospital staff and IDT: Participates in monthly IDT
meeting with market team. Collaborates/ Communicates with IDT needs
of patient for clinical and psycho-social interventions. Assists in
identifying the need for intervention of other IDT members.
Effectively communicates patient and family needs to IDT. Completes
and submits required clinical documentation within 24 hours of
visit completion. Educates patient and caregiver regarding: Care of
patient. Disease process. Goal setting. Symptom control. Treatment
options. Prognosis. Advance Care Planning. Supervises nurse
trainees, including graduate and advance practice nurses in field
placements. Participates in supervision of other trainees,
including medical students, residents, fellows, and social work and
psychology trainees. Performs other duties as assigned. Education
and/or Experience Master's degree in Nursing required. If providing
Hospice Care: Minimum of three (3) years nursing practice or
equivalent experience required; hospice, oncology, or home health
and/or long-term care preferred. If providing Palliative Care:
Minimum of three (3) years nursing experience required; clinical
nursing care in oncology, hospice, geriatrics, intensive care
preferred. Skills Mathematical Skills: Ability to add, subtract,
multiply, and divide in all units of measure, using whole numbers,
common fractions, and decimals. Ability to compute rate, ratio, and
percentage. Language Skills: Ability to read, analyze, and
interpret general business periodicals, professional journals,
technical procedures, or governmental regulations. Ability to write
reports, business correspondence, and procedure manuals. Ability to
effectively present information and respond to questions from
leaders, team members, investors, and external parties. Strong
written and verbal communications. Other Skills and Abilities:
Ability to understand, read, write, and speak English. Articulates
and embraces integrated healthcare at home philosophy. Articulates
and embraces hospice philosophy. Strong organizational and time
management skills. Must be able to work a flexible schedule to
include nights and weekends. Must be able to travel. Ability to
maintain confidentiality of information, such as patient and
Company files. Certifications, Licenses, and Registrations Active
and unencumbered CNS or Nurse Practitioner license in state of
employment required. Certified as a Nurse Practitioner in Adult,
Family, Acute, or Geriatric required. Active NPI number. Maintain
active DEA certification if state allows prescription of controlled
substances by APPs. Board Certification in Hospice and Palliative
Care is preferred, but not required. State Specific Requirements
Other All states except Iowa: Current collaborative physician
agreement in place. Physical Demands and Work Environment: 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. At
Compassus, including all Compassus affiliates, diversity, equity,
and inclusion are fundamental to our Pillars of Success. We are
committed to creating a fair work environment where our team
members feel welcomed, highly valued, and respected. As an equal
opportunity employer, all qualified applicants will receive
consideration for employment without regard to race, color,
religion, gender, gender identity or expression, sexual
orientation, national origin, genetics, disability, age, or veteran
status. Build a Rewarding Career with Compassus At Compassus, we
care for our team members as much as we care for our patients and
their families. Through our Care for Who I Am culture, we show
compassion, respect, and appreciation for every individual. Embark
on a career that cares for you while you care for others. Your
Career Journey Matters We’re dedicated to helping you grow and
succeed. Whether you’re pursuing leadership roles, specialized
training, or exploring new career paths, we provide the tools and
support you need to thrive. The Compassus Advantage • Meaningful
Work: Make an impact every day by honoring the quality of life of
our patients, supporting them and their families with compassion,
and creating moments that truly matter. • Career Development:
Access leadership pathways, mentorship, and personalized
professional development. • Innovation Meets Compassion:
Collaborate with a supportive team using the latest tools and
technologies to deliver exceptional care. • Enhanced Benefits:
Enjoy competitive pay, flexible time off, tuition reimbursement,
and wellness programs designed for your well-being. • Recognition
and Support: Be celebrated for your contributions through
recognition programs that honor your dedication. • A Culture of
Belonging: Thrive in a culture where you can be your authentic
self, valued for your unique contributions and supported in a
community that embraces diversity and inclusion. Ready to Join? At
Compassus, your career is more than a job—it’s an opportunity to
make a lasting impact. Take the next step and join a team that
empowers you to grow, innovate, and thrive.
Keywords: Compassus, Dale City , Hospice Nurse Practitioner - Exempt, Healthcare , Richmond, Virginia
