Southington Hospice General - Nurse Practitioner (APRN) or Physician Assistant

Hospice Advanced Practice Registered Nurse (APRN)

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.

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

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