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PRN Nurse Practitioner

At Four Pillars Hospice, we believe that meaningful work starts with compassion. We're building a team of caregivers, nurses, chaplains, and professionals who are committed to walking alongside patients and families with dignity, comfort, and grace. If you're passionate about making a difference during life's most tender moments, we invite you to apply and become part of a mission-driven team rooted in purpose and heart.

Position Summary
The Nurse Practitioner's Primary functions are to assist in overseeing the clinical care and treatment of patients and families; to consult with the patients' attending physician, in consultation with the hospice physician; provide clinical direction to the Interdisciplinary Group/Team to ensure quality care

Key Responsibilities

  • Collaborate with the IDG/T in assuring appropriate evaluation and palliative treatment of terminal disease.
  • Consult with and assist in the IDG/T's development of patient/family plan of care to assure quality care is provided.
  • Consult with and educate the patient/family regarding disease process, self-care techniques, end-of-life care. Provides training to other staff as needed.
  • Perform and document visits to patient/family based on plan of care and patient/family need.
  • Interact with attending and consulting physicians as necessary regarding palliative care, in collaboration with hospice physician.
  • Consult with and provide education to other IDG/T members on a prn basis for clinical issues relating to palliation.
  • Actively participate in the IDG/T. Communicate effectively, timely, and appropriately at all times.
  • Inform physicians and other personnel of changes in the patient's needs and outcomes of intervention, while evaluating patient/family response to care.
  • Complete face-to-face encounters with patients, as assigned, prior to 3rd benefit period and each period afterwards.
  • Provides clinical assessment results to hospice physician after making face-to-face encounters with patients, as assigned.
  • Always uses standard precautions, and per hospice policy.
  • Adheres to hospice policies regarding protected health information.
  • Keep up with and maintains education/knowledge in pharmacology and palliative medicine.
  • Provide on-call services to patients/families as assigned.

Qualifications

  • Graduate from a Baccalaureate School of Nursing, a Nurse Practitioner (NP) focused Master's or Doctoral Nursing Program
  • Current state license as a Registered Nurse, and as an Advanced Practice Nurse. Current driver's license.
  • Two years' experience as an Advance Practice Nurse, clinical care setting preferred; hospice or home health preferred.
  • Nursing skills as defined as generally accepted standards of practice. Comprehensive knowledge of pharmacology, palliative care, and end-of-life. Good interpersonal skills..
  • Transportation: Reliable transportation and valid auto liability insurance.
  • ability to work a flexible schedule
  • ability to travel locally
  • Ability to remain calm in stressful conditions and make quick decisions to meet patient and family individualized psychosocial needs.
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PRN Nurse Practitioner

Four Pillars Hospice
Conroe, TX
Full Time

Published on 08/21/2026

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