Palliative Care Nurse Practitioner

Palliative Care Nurse Practitioner (NP)

THEMA Health Services – Journey Division
Position Type: Exempt
Reports To: Director of Palliative Care

THEMA Health Services is seeking a Nurse Practitioner to provide community-based palliative care for patients living with serious illness. This role provides care in private homes, assisted living and other community settings, as well as through telehealth.

The NP will complete comprehensive palliative assessments, manage symptoms and medications, develop patient-centered care plans, facilitate goals-of-care and advance care planning discussions, and coordinate care across THEMA Home Health, Hospice, community providers, facilities, and other members of the patient’s care team.

Key Responsibilities

• Complete initial and follow-up palliative care assessments
• Evaluate symptom burden, disease trajectory, functional and cognitive status, caregiver needs, safety concerns, and goals of care
• Diagnose and manage palliative symptoms within NP scope and competency
• Order appropriate medications, labs, diagnostics, DME, referrals, home health services, and hospice evaluations
• Perform medication reconciliation, deprescribing review, opioid-safety assessment, and high-risk medication monitoring
• Conduct goals-of-care discussions, advance care planning, family meetings, and care-plan updates
• Identify changes in condition requiring escalation
• Recognize hospice eligibility triggers and initiate appropriate hospice consultation
• Participate in care-management workflows and maintain documentation supporting compliant billing and reimbursement
• Collaborate closely with patients, caregivers, clinicians, facilities, and community partners

Required Qualifications

• Active Arizona RN license and Arizona RNP certification
• National certification appropriate to the population served, or ability to obtain within 15 months of hire
• Prescriptive authority and DEA registration when controlled-substance prescribing is part of the role
• Medicare NPI/PECOS enrollment and payer credentialing before independent billing
• Experience caring for patients with complex chronic or serious illness
• Strong skills in symptom management, medication reconciliation, family communication, and care coordination

Preferred Experience

• Palliative care or hospice
• Home-based care
• Home health, geriatrics, primary care, oncology, cardiopulmonary disease, or transitional care
• Advance care planning and Medicare documentation
• Care-management programs

Work Environment

This is a community-based position requiring travel by automobile. Care may be provided in patient homes, assisted living or extended-care settings, offices, hospitals, and through telehealth.

We are looking for an NP who is clinically strong, comfortable working independently in the community, collaborative with interdisciplinary teams, and committed to helping patients and families navigate serious illness with thoughtful, coordinated care.

Pay: From $130,000.00 per year

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person