Hartford Hospice General - Nurse Practitioner; APRN or Physician Assistant

Location Detail: 60 Hartland St

E. Hartford (10630)

Shift Detail: Mon-Fri

Position Summary

The Hospice Advanced Practice Registered Nurse (APRN) provides comprehensive, patient-centered care to individuals with serious, life-limiting illness enrolled in hospice services. The APRN collaborates with the interdisciplinary team (IDT) to ensure high-quality symptom management, goal-concordant care, and support for patients and families across care settings.

Key Responsibilities

Clinical Care

• Perform comprehensive assessments of hospice patients across home, SNF, and inpatient settings
• Manage pain and other distressing symptoms using evidence-based palliative approaches
• Develop and implement individualized care plans aligned with patient goals and prognosis
• Conduct face-to-face encounters required for hospice eligibility and recertification
• Order and interpret diagnostic tests as appropriate to hospice scope
• Prescribe, discontinue, and adjust medications, treatments, durable medical equipment (DME), oxygen, and supplies in accordance with state regulations and organizational policies.
• Manage controlled substances and comfort medications as clinically appropriate.
• Review medication regimens for appropriateness, effectiveness, safety, and alignment with patient goals of care.
• Provide medication education to patients, families, caregivers, and staff.
• Participate in medication reconciliation and deprescribing initiatives.

Interdisciplinary Team Collaboration

• Participate actively in weekly Interdisciplinary Team (IDT) meetings (core expectation in hospice operations)
• Collaborate with physicians, nurses, social workers, chaplains, and other team members
• Provide clinical guidance and consultation to field staff

Care Coordination

• Communicate effectively with patients, families, and caregivers regarding prognosis and plan of care
• Facilitate transitions across care settings (home, hospital, SNF)
• Coordinate with primary care and specialty providers to ensure continuity

Regulatory & Documentation

• Complete timely and accurate documentation in compliance with CMS hospice regulations
• Ensure adherence to hospice Conditions of Participation and organizational policies
• Support quality metrics and documentation related to goals of care and advance care planning

On-Call / Coverage (if applicable)

• Provide on-call support as assigned, including triage and symptom management guidance
• Participate in weekend/holiday coverage models as needed

Skills & Competencies

• Advanced symptom management and serious illness communication skills
• Ability to work autonomously in community-based settings
• Strong collaboration in interdisciplinary care models
• Comfort with end-of-life care, goals-of-care discussions, and family support

Qualifications

• Graduate of an accredited Nurse Practitioner program
• Board-certified APRN (FNP, AGNP, or Adult NP preferred)
• Active Connecticut APRN license and prescriptive authority

• Minimum 2–3 years of clinical experience (preferred)
• Prior experience in hospice, palliative care, geriatrics, or home-based care strongly preferred