Nursing Jobs in Bell Buckle, TN

LPN-Murfreesboro

American House Senior Living Communities Murfreesboro, TN

: LPN Position Summary-12 hours-Night Shift-$3000 Sign on Bonus Under the general direction of the Wellness Director, primary responsibilities include, but are not limited to providing assistance to the residents in maintaining their highest level of functional independence and psychosocial wellness. This is a full-time role, covering days and some weekends. LPN Duties/Responsibilities: Assumes responsibility for administering quality care to meet the total needs of residents Provides medication administration, handling, & storage Provides medication assistance for residents in accordance with state regulations and company policy including pouring, preparing, assisting with administration, and documentation Assists in maintaining the medication cart and storage room in a neat and orderly manner Accepts responsibility for accurate medication counts and for security of the medication cart and medication storage room for assigned shifts Comply with company policies and procedures related to controlled substances, narcotic count and documentation Use sound nursing judgment to evaluate changes in resident situations and report to Wellness Director and/or physician when appropriate. Observes changes in Resident status, needs, or preferences and communicates them to the Wellness Director Offers comfort and support, emotionally and physically, to residents Reports resident and staff concerns and/or issues to the Wellness Director and/or Executive Director, as designated. Assists with vital signs and weight monitoring monthly or more frequently as required for all residents and completes all required documentation Assists with resident move-in and move-outs and with resident discharge planning as needed Ensure compliance to the American House philosophy as well as all written policies and procedures that govern the operation of the Resident Services Department LPN Required Skills/Abilities: 2+ years of nursing experience preferably with experience in long-term care or geriatrics Experience with dementia residents preferred Up to date first aid and CPR certification Current Unencumbered LPN license in the state Knowledge of the physiology and psychology of the older adults. Willingness to work evenings and weekends Exceptional staff training and customer service skills Compassionate and friendly demeanor LPN Education and Requirements: Graduate from an accredited School of Nursing Minimum 18 years of age Must pass a pre-employment background check, drug screen, TB test and physical Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.

Hospice Nurse Practitioner

Gentiva Murfreesboro, TN

Overview The Nurse Practitioner will serve in a dual Hospice and Palliative Care role. In this position, they will provide comprehensive, patient-centered care across the continuum of serious illness, supporting patients in both palliative and hospice settings. The role includes a blend of hospice and palliative responsibilities with flexibility based on patient census and program needs. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care. This role blends autonomy with collaboration, allowing you to guide patients and families through complex medical decision-making, symptom management, and end-of-life care. This is a less than full-time position providing face to face visits as needed. Flexible schedule. Essential Functions Essential Functions of Position Clinical Management Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. Collaborate with Hospice and Palliative Medical Directors and interdisciplinary teams to deliver comprehensive, patient-centered care. Collaborate with Primary Care Provider (PCP)/Attending Provider and specialists (if applicable) to coordinate patient Plan of Care Perform in-depth patient assessments, including physical, emotional, functional, and psychosocial evaluations. Support individualized care plans in partnership with the patients, families, caregivers, and IDG/IDT. Assist with and/or manage all aspects of patient care including diagnosis, acute and chronic symptoms, treatment, medication management, assessments, longitudinal serious illness support, quality-of-life optimization, and consultations, while reducing avoidable or unnecessary acute care utilization. Prescribe medications and treatments, including controlled substances, as permitted by state law and federal regulation and within defined parameters of Independent Practice or a Collaborative Practice Agreement. Order and interpret laboratory and other diagnostic tests within the state defined scope of practice and Collaborative Practice Agreement. Facilitate goals-of-care discussions, advance care planning, and level of care transitions when appropriate. Coordinate care across settings, including home, skilled nursing facilities, and assisted living. Initiate referrals to supportive services and community resources as needed. Utilize Local Coverage Determination (LCD) criteria to support hospice eligibility and recertification. Document clinical findings accurately and attest F2F encounters in the medical record in compliance with regulatory standards. Communicate findings, treatment plans, diagnostics, and medication reviews with IDG/IDT. Provide clinical recommendations to the interdisciplinary group (IDG) based on assessment findings. Ensure alignment with Medicare, Medicaid, and accrediting body requirements (e.g., ACHC). Notify appropriate team members promptly of any barriers to completing scheduled visits. Provide patient care and visit coverage across multiple provider numbers, as needed and approved. Maintain comprehensive0 knowledge in the field of hospice and palliative care. Collaboration & Communication Partner effectively with physicians, nurses, social workers, chaplains, and other IDG/IDT members. Communicate clearly and compassionately with patients, caregivers, and families. Support patients and families through serious illness and end-of-life transitions with empathy and clinical expertise. Participate in on-call rotation as needed. Documentation & Compliance Maintain timely, accurate, and compliant clinical documentation. Adhere to all federal, state, and organizational regulations, including OSHA and hospice Conditions of Participation. Demonstrate understanding of hospice eligibility, documentation standards, and Part B billing practices (as applicable). About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience: Master of Science in Nursing (MSN) or higher from an accredited program. Completion of an accredited Nurse Practitioner program. Minimum of two years of Nurse Practitioner experience preferred. Experience in hospice, palliative care, oncology, geriatrics, family/adult medicine, home health, or acute care preferred. Experience with Part B billing preferred. Licenses, Certifications and/or Registration: Current RN license and Nurse Practitioner license/certification in state of practice. National NP certification (ANCC or AANP). Collaborative Practice Agreement with supervising internal physician or Proof of Independent Practice Authority in accordance with state regulations. Controlled Substance Agreement, if applicable. DEA registration and prescriptive authority in accordance with state regulations. Current CPR certification. ACHPN certification preferred. Valid driver’s license and current automobile insurance. Specialized Knowledge and Skills: Strong clinical assessment and critical thinking skills across palliative and hospice populations. In-depth understanding of palliative care principles, hospice philosophy, home health eligibility, and end-of-life care. Working knowledge of LCD criteria, Medicare/Medicaid regulations, coding/billing, and documentation requirements. Excellent interpersonal, written, and verbal communication skills. Knowledgeable of Hospice & Palliative Quality Measures collection, documentation, reporting, and the QAPI process. Ability to work both autonomously and collaboratively in a fast-paced, evolving environment. Compassionate, emotionally intelligent, and sensitive to the needs of patients and families. Proficient in point-of-care technology and electronic medical records. Willingness and ability to maintain productivity and documentation standards in alignment with organizational expectations. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families. Ability to support others at a time of crisis. Must demonstrate flexibility by performing various tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic and cultural backgrounds. Demonstrate maturity, cooperation, flexibility, and tact when dealing with co-workers and all members of the hospice team. Is compliant with OSHA, State Board of Nursing and Federal Regulations related to Hospice Conditions of Participation. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-140046 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice