Nurse Practitioner


Job Summary


The nurse practitioner is a professional nurse with advanced knowledge and assessment skills in a specialty area of palliative care.  Duties will be performed to assist families with navigating the health care system, to foster seamless rather than fragmented care and to maximize quality of life for patients and their family.  The care settings in which duties will be performed include, but are not limited to, office practices, medical clinics, long-term care facilities, and patients’ homes.  The Nurse Practitioner provides community-based palliative care for patients focused on symptom management and works with patients/families to determine their understanding of their condition, its treatment and their treatment options.  This position also demonstrates the role functions of consultant, educator, researcher and leader/change agent.


Duties and Responsibilities


The primary duties and responsibilities of this position are:

  • Provide community-based palliative care for patients focused on symptom management and work with patients/families to determine their understanding of their condition, its treatment, and their treatment options.

  • Confer with the Palliative Care Medical Director or direct supervisor regarding assigned patients.

  • Keep physicians and other caregivers informed of needs and problems related to patient care.

  • Work with discharge planning entities to enhance coordination of palliative care post-discharge.

  • Participate in weekly inter-disciplinary team meetings and others as assigned.

  • Cooperate with other personnel to achieve the objectives of palliative care and maintain good employee/interdepartmental/and public relations.

  • Represent a cohesive voice of Choice Health in working with medical and hospital staff.

  • Participate in and/or provide educational programs on palliative for health professionals and other members of the community.

  • Maintain patient rights and confidentiality of patient information, and abides by the Choice Health care standards of excellence.

  • Demonstrate knowledge and skills to appropriately communicate and interact with the patients, families, and visitors of all age groups while being sensitive to their cultural and religious beliefs.


Core Competencies and Performance Exectations


The following are core competencies, attributes and performance expectation of this position.

Advanced Practitioner

  • Conduct comprehensive, focused assessments of the patient, selecting from a wide range of data collection methods.

  • Define and prioritize patient needs/problems using the patient data base and conceptual frameworks, including nursing theory.

  • Formulate care plan options by synthesizing input from palliative care team and other collaborating care providers.

  • Predict the patient outcomes of proposed care plan options including pain and other symptom control.

  • Work with patients and families to determine their understanding of their family member’s condition and its treatment and their treatment options.

  • Implement plan of care through self or others using flexible creative approaches based upon patient needs and responses.

  • Assist patient to develop self-care capabilities relative to identified problems.

  • Monitor the patient’s progress and provide for continuity in interventions over time and through systems.

  • Evaluate patient outcomes and modify plan of care as necessary.

  • Work with patient families to help them gain the knowledge they need in preparation for the possible worsening or death of their family member.



  • Provide leadership, direction and development of the xommunity-based palliative care program(s).

  • Engage in quality improvement in patient care services and department functions.

  • Examine the health care needs of specific client populations and society in general.

  • Participate in health care planning and decision making.

  • Act as a change agent through individuals and systems with the ultimate goal of upgrading health care.

  • Advocate the improvement of health care through participation in professional, private and governmental groups.

  • Evaluate the effectiveness of the health care delivery system in meeting the health care needs of specific client population and society in general.



  • Act as resource person for clinical information and education as requested by community agencies.

  • Assess the environment for potential need for consultation.

  • Use conceptual framework to guide the consultation process.

  • Plan interventions both clinical and educational which are consistent with the individual/organizational needs and goals.

  • Evaluate individual/organizational change in response to the intervention.



  • Determine the educational needs of nursing personnel, multidisciplinary team members and others.

  • Implement patient and family education in collaboration with the multidisciplinary team.

  • Develop and participate in educational programs for house staff, clinical partners and others in the community.

  • Provide clinical expertise and guidance for undergraduate and/or graduate nursing students in the specialty area.



  • Identify nursing practice problems, develop research questions and communicate research finding to the scientific community.

  • Promote inquiry and independence of thought among colleagues.

  • Facilitate research by nurses through support education and collaboration.

  • Collaborate with other disciplines in research related to clinical practice.


Professional Growth

  • Define goals for professional growth.

  • Participate in professional activities and organizations.

  • Select resources for enhancement of clinical practice.

  • Network with peers for the advancement of the nurse practitioner role.

  • Demonstrate accountability for evaluation of clinical practice.


Professionalism, Teamwork, Courtesy and Communication

  • Hold self to a standard of high quality work.

  • Dress in a way that inspires trust and confidence in patients and families.

  • Courteous, helpful and professional when using the telephone.

  • Responds to the requests of others as quickly as possible.

  • Protects the confidentiality of professional and personal information.

  • Cooperative and pleasant when working with others.

  • Offer help to others; does not wait to be asked.

  • Positive about the work and the work environment.

  • Treat others with kindness and respect.

  • Give others an opportunity to speak and listens to what they have to say.

  • Polite to others, regardless of personal feelings.

  • Demonstrate awareness of how his or her words and actions affect the feelings of others.

  • Patient and forgiving when things go wrong.

  • Support and value the multicultural environment of Choice Health, partners, patients and others in the community.

  • Greet others in a manner that helps them feel welcome.

  • Take the time to explain things clearly and completely

  • Offer others the opportunity to ask questions and respond using words they can understand.


Minimum Required Qualifications



  • Graduate of a recognized RN program required.

  • Master's degree in Nursing required.


Work Experience

  • 0-1 years related work experience required.



  • Current license as an APRN by the Texas State Board of Nursing required.

  • Valid prescriptive authority from both the TX TMB and Federal DEA

  • American Heart Association - Basic Life Support Certificate

  • Certification as a Nurse Practitioner by the American Association of Nurse Practitioners (AANP) or other approved National Credentialing Agency required.

  • Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.


Preferred Qualifications


Preferred experience, certification, licensure includes and/or working knowledge in the following:

  • Palliative care experience.

  • Adult gerontology, oncology, cardilogy, nephrology, pulmonology and related practices/specialties.

  • Certified Dementia Provider.

  • Home health and hospice

  • Long-term care

  • eClinicalWorks EMR

  • Specialty certification in palliative care by passing the Advanced Certified Hospice and Palliative Nurse (ACHPN®) examination within 24-36 months of employment.

Work Environment


The work of the nurse is mostly performed while the individual is sitting but free to move about at will, in a clinical setting and in the community.  To provide requested services in the community, the individual must be able to drive to those areas.  The individual must have the visual acuity to allow for close eye work and differentiation of fine details.  Must be able to communicate verbally with individuals and groups.  Hearing acuity is needed for good listening.  Performance of work requires hand coordination and manual dexterity, fine and gross manipulation of object, grasping.  A minimal amount of time is spent performing work which requires lifting, carrying, pushing or puling.  The majority of work requires mental concentration problem solving, and refining or modifying standard techniques and practices.  The environment is mostly clean and comfortable, but may include some annoying factors such as noise, odors, drafts, etc.  Possible exposure to blood and body fluids.


Additional work environment characteristics include, but are not limited to:

  • Office, involving frequent interaction with the public, co-workers, and volunteers; regular use of telephones, copy machines, and computers; organization and securing of work documents

  • Interaction with professionals such managers and executives, auditors, program monitors, trainers, and consultants

  • Meetings with community groups and organizations related to this position

  • Attendance and participation in organizational team meetings

  • Display a professional appearance, demeanor, and attitude



Physical Requirements

  • Carry 25 pounds over a short distance

  • Sit for 2 hours in meetings or a vehicle

  • Stand for 2 hours


*Choice Health, LLC is an Equal Opportunity Employer

How to apply.

If you would like to apply for this position, email your cover letter and resume to

Call us at 806.731.4000 if you have questions or need additional information.