Palliative Care Nurse Practitioner

Family Practice Center, PC has a Full-Time Palliative Care Nurse Practitioner position now available at our office located in our Harrisburg Office.
The Palliative Care Nurse Practitioner provides comprehensive, patient-centered palliative care to adults with serious or life-limiting illness. The NP will travel to patients' homes, including private residences and assisted living or independent living communities, to manage symptoms, support complex decision-making, facilitate goals-of-care conversations, and coordinate care with primary care providers, specialists, hospice agencies, and families. The role is both clinical and developmental: the NP will help shape workflows, referral pathways, and community partnerships as the program grows.
Family Practice Center, PC is an independent, physician-owned primary care organization serving communities across the Harrisburg region. Because we are not part of a large health system, our clinicians have more autonomy, closer collaboration with physician leadership, and the time to build real relationships with patients and families. We are expanding our services to bring palliative care directly to patients in their homes, and we are seeking a compassionate, experienced Nurse Practitioner to help build and lead this program.
Key Responsibilities
Clinical Care
Conduct comprehensive in-home palliative assessments, including physical, functional, cognitive, psychosocial, and spiritual needs
Manage pain and non-pain symptoms (e.g., dyspnea, nausea, fatigue, anxiety, depression, delirium, constipation), including opioid and non-opioid pharmacologic management
Lead advance care planning and goals-of-care discussions, and complete documentation such as POLST, advance directives, and code status orders
Provide prognostic guidance and help patients and families understand disease trajectory and treatment options
Assess hospice eligibility and facilitate timely, compassionate hospice transitions
Provide education and emotional support to patients, caregivers, and families, including bereavement support
Perform telehealth follow-up visits when clinically appropriate
Care Coordination
Collaborate closely with PCPs, specialists, nurses, social workers, and care coordinators within the practice
Communicate with hospitals, skilled nursing facilities, home health agencies, hospice providers, and community resources
Participate in interdisciplinary team meetings and care conferences
Ensure smooth transitions of care following hospitalization or changes in condition
Program Development & Community Engagement
Take ownership in managing the program schedules, and assistant in future development in collaboration with leadership and Medical Director
Help develop clinical protocols, referral criteria, and documentation standards for the palliative program
Build relationships with referring providers, facilities, and community organizations
Participate in quality improvement initiatives and track program outcomes
Provide education to practice staff on palliative care principles
Documentation & Compliance
Complete timely, accurate documentation in the EHR, including mobile documentation during or after home visits
Comply with billing, coding, and regulatory requirements for palliative and home-based care (including E/M, advance care planning, and prolonged service codes as applicable)
Adhere to practice policies, HIPAA, and Pennsylvania regulations
Qualifications:
Required
Master's or Doctoral degree from an accredited Nurse Practitioner program
Active, unrestricted Pennsylvania RN license and CRNP licensure
National NP certification (AGPCNP, FNP, AGACNP, or equivalent)
Current DEA registration and PA controlled substance prescriptive authority (or ability to obtain prior to start)
Minimum [2-3] years of NP or advanced clinical experience with adults, preferably in primary care, geriatrics, oncology, hospice, or palliative care
Comfort with autonomous decision-making and independent, in-home practice
Valid driver's license, reliable vehicle, and current auto insurance
Ability to travel throughout the Harrisburg region and surrounding counties [e.g., Dauphin, Cumberland, Perry, Lebanon, York]
Excellent communication skills and the ability to navigate sensitive conversations with empathy
Preferred
Palliative care certification (ACHPN) or willingness to obtain within [12-24] months
Experience with home-based primary care, house calls, or hospice
Training in serious illness communication
Familiarity with Medicare and Medicare Advantage billing for palliative and home-based services
Experience building or launching new clinical programs
Working Conditions & Physical Requirements
Approximately [70-80%] of time spent traveling to and conducting visits in patient homes and community residential settings
Exposure to varied home environments, including pets, smoking, and limited space
Ability to lift, bend, kneel, and assist with light patient positioning as needed
Ability to carry a mobile medical bag and equipment
Occasional flexibility for urgent patient needs
Emotional resilience in a role that regularly involves serious illness and end-of-life care
Compensation & Benefits
Base salary of $120,000-$140,000, based on experience and qualifications
Quality/productivity incentive, e.g., up to 5-10% of base
Sign-on bonus or relocation assistance for discussion
Mileage reimbursement at the IRS rate, plus a provided [laptop, tablet, mobile phone, hotspot]
Health, dental, and vision insurance
401(k) with employer match
Paid time off and holidays: 3 weeks of vacation and 1 week of CME
CME allowance and paid time for conferences, with support for ACHPN exam and preparation costs
Malpractice insurance with tail coverage
Physician collaboration agreement and clinical support, with a culture of mentorship and shared decision-making
Reasonable visit volume that allows time for meaningful patient and family conversations
The chance to shape a new program within a stable, locally owned practice
Equal Opportunity Statement
Family Practice Center, PC is an equal opportunity employer. We are committed to a diverse and inclusive workplace and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic.

Employment type
Full-Time

Work arrangement
No