Palliative Care Nurse Practitioner I

This is a fully remote position, open to applicants in Virginia.

📋 Description

• Facilitate the transition of external palliative care and hospice from the initial recommendation to the commencement of care.

• Verify clinical eligibility, evaluate patient and family objectives, and address any outstanding clinical inquiries.

• Complete orders and referrals within the designated scope or collaborate with authorized clinicians to obtain necessary orders and documentation.

• Collaborate with hospice agencies, nephrology practices, dialysis clinics, and payers to support concurrent hospice and dialysis care.

• Ensure comprehensive clinical records are maintained, monitor referral status, resolve transition obstacles, and execute smooth handoffs.

• Assess and manage complex symptoms utilizing pharmacologic and non-pharmacologic methods, including prescribing, deprescribing, renal drug dosing, and diagnostic assessments.

• Coordinate symptom management strategies across nephrology, hospice, external palliative care, and primary care teams.

• Conduct thorough palliative assessments and develop tailored care plans.

• Lead culturally sensitive, values-based discussions about serious illness and care objectives.

• Enable shared decision-making, advance directives, healthcare proxy documentation, and portable medical orders.

• Provide clinical oversight to a designated interdisciplinary team of RNs and LCSWs.

• Oversee case reviews, care planning, clinical prioritization, and ensure effective communication.

• Collaborate with Care Coordinators, clinical operations, quality improvement, and leadership stakeholders.

• Maintain precise documentation and contribute to clinical quality metrics.

• Perform additional responsibilities as assigned.

⛳️ Requirements

• Master’s or Doctoral degree from an accredited Nurse Practitioner program.

• Valid, unrestricted RN and APRN/NP license in the state(s) of practice.

• Current national board certification in an adult-focused population (e.g., AGPCNP, AGACNP, or FNP).

• Current BLS/CPR certification.

• Eligibility to obtain DEA registration and state controlled-substance authority as necessary.

• At least 5 years of experience as a Nurse Practitioner managing adults with serious or complex illnesses.

• Background in Palliative Care, Hospice, Nephrology, Geriatrics, or Complex Care Management.

• Proficiency in serious illness communication, advance care planning, pain and symptom management, including controlled substances and renal dosing, and conservative kidney management.

• Experience in guiding interdisciplinary clinical teams and managing multi-stakeholder care coordination.

• Capability to achieve credentialing with DaVita Kidney Care, Medicare, and commercial payers.

• Proficiency with Electronic Health Record systems (Cerner and EPIC) and ability to demonstrate functional proficiency within 90 days.

• Intermediate skill level in Microsoft Office Suite (Word, Excel, Outlook).

• Strong dedication to patient confidentiality, compliance, and ethical clinical practices.

• Remote telehealth care delivery for VA & PA is preferred.

🏝️ Benefits

• 401k match.

• Healthcare coverage.

• Competitive total rewards package.