Lead Outpatient Palliative Care Nurse Practitioner or Physician Assistant - Middlesex & Monmouth, NJ

Setting

• License:
  Outpatient – SNF & community, Middlesex & Monmouth NJ
• New Jersey NP or PA license required

NJ Palliative Care Solutions is on a mission to deliver palliative care without walls across New Jersey, partnering with skilled nursing facilities, home‑based providers, and leading health systems.

We are hiring a Lead Advanced Practice Provider (NP/PA) to guide Nurse Practitioners and Physician Assistants delivering outpatient and SNF palliative care across Middlesex & Monmouth. The role combines direct patient care, APP mentoring, quality oversight, documentation standards, and practical program building.

• A clinical leadership role with protected leadership time.
• May be mostly clinical at launch; as the team grows, direct patient load decreases to create capacity for APP onboarding, shadowing, 1:1 mentorship, case and chart review, clinical escalation, referral relationship management, and performance improvement.
• Visibly different from a staff APP role: the Lead helps set standards, strengthen execution, and improve the team’s quality, productivity, and consistency.

• Real ownership: shape clinical standards, mentor APPs, and help build the program.
• Protected leadership time, with the operational and clinical support to use it well.
• Data‑guided mentorship and a collaborative interdisciplinary team behind you.
• Academic pathways, CME, and a clear path to grow your leadership.
• Primarily a Monday–Friday schedule with flexibility to swap workdays.

• Provide day‑to‑day leadership, mentoring, and clinical support to NPs and PAs.
• Carry a focused clinical caseload calibrated to team size — performing at the top of your license with best‑practice, holistic, patient‑centered, evidence‑based interdisciplinary palliative medicine.
• Provide palliative care consultations and follow‑up visits across skilled nursing settings, including short‑stay subacute/rehab patients with recent hospitalizations, high symptom burden, or complex goals‑of‑care needs, as well as ongoing management of long‑term care residents.
• Lead goals‑of‑care and advance‑care planning conversations with patients and families, coordinating with partner home health and/or hospice agencies if and when appropriate.
• Promote evidence‑based standards, quality, and consistent documentation across the team, shaping the palliative medicine practice across the region’s facilities.
• Support transition planning across the SNF stay – from admission after hospitalization through discharge home, return to long‑term care, rehospitalization decisions, hospice transition, or other next‑site‑of‑care planning.
• Support onboarding, shadowing, case review, quality review, and escalation workflows.
• Build referral relationships and represent NJPCS with SNFs and community organizations.
• Support local and regional coverage planning across Middlesex & Monmouth, with mileage reimbursement and clinical/EMR support.

• Active New Jersey NP or PA license and national board certification.
• DEA + CDS registration, or ability to obtain by start date.
• 5+ years across palliative care, hospice, geriatrics, oncology, internal/family/hospital medicine, SNF/LTC, or complex chronic care; palliative experience preferred.
• 1–2+ years of leadership, mentoring, precepting, team lead, or supervisory experience.
• Palliative care certification (e.g., ACHPN / CHPN) preferred.
• Strong communication, clinical judgment, operational follow‑through, and interdisciplinary collaboration.

• Competitive base salary: $160,000–$190,000/year.
• Annual performance bonus up to $25,000, rewarding both productivity (RVUs) and quality of care.
• 28 days of paid time off your first year, growing to 33 days at 2 years, in one flexible bank.
• Malpractice & professional liability ($1M / $3M), license & DEA renewals, up to $1,000/year CME, up to $2,000 tuition reimbursement.
• Medical via Cigna PPO, including a $0/month employee‑only option, plus dental, vision, and an HSA.
• Short‑ and long‑term disability, voluntary life & AD&D, and accident / critical‑illness / hospital coverage.
• 401(k) retirement plan, plus pre‑tax FSA, dependent‑care FSA, HSA, and commuter benefits.
• 24/7 Employee Assistance Program, identity‑theft protection, legal plan, pet benefits, and member discounts.