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) [Re: Lisa D...Carlo APRN | Outlook]
-
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
