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NPs & PAs

PRN - Nurse Practitioner

  • PRN / per diem
  • Driver's license

Open in 4 locations

Four Pillars Hospice posts this job separately for each location. Apply to the one where you can work: the unit, shifts, schedule and pay can differ between locations.

Texas

4 open

How this pay compares

This posting does not state an hourly rate. Open nurse practitioner jobs in Texas post a median of $65.50 an hour, the middle half $63.67–$69.32, across 8 jobs that state their pay. Nurse practitioners employed in Texas earn a median of $63.31 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).

Nurse practitioners in Texas: pay by town and employer

The Nurse Practitioners & Physician Assistants job market: pay, applicant demand and hiring, researched nightly

About the job

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.
  • Adhears 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.

From Four Pillars Hospice's job posting for Breckenridge, TX, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.

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About Four Pillars Hospice

Four Pillars Hospice is a Medicare-certified hospice in Houston, TX. Its job board posts jobs for nurses, advanced practice providers and allied health staff. Source: Medicare Care Compare: Four Pillars Hospice

Based in Houston, TXHires in TexasPay on its listings: 29.4% of its open jobs state an hourly rate

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