Job Description

Job Title/Position:

Community-Based Palliative Care Nurse Practitioner

Reports To:

Director of Clinical Services

Location:

Missoula, Montana Area PAY RANGE: $55-65 / HOUR

Benefits:

Heath Insurance

Dental and Vision Coverage

PTO

401k Retirement Plan with 4% Match

Stillwater University Professional Development Program

About Hestia Stillwater

Hestia began in Missoula in 2014 with a vision of bringing heart, presence, and community to end-of-life care. Since 2017, Stillwater Hospice has grown to become Montana's largest provider of hospice services. In 2025, Hestia and Stillwater joined together to create Hestia Stillwater -blending Hestia's locally rooted, holistic approach with Stillwater's statewide strength and resources.

Our shared mission is simple: to offer the best care possible, guided by kindness, dignity, and respect for each person's story. At Hestia Stillwater, we see serious illness and the end of life not only as medical experiences, but as deeply personal, spiritual, and communal events.

Role Overview

As our Community-Based Palliative Care Nurse Practitioner, you bring advanced clinical expertise and human connection to individuals and families living with serious illness. In collaboration with the medical director and interdisciplinary team, you'll provide patient-centered, holistic care that focuses on quality of life, symptom management, and aligning treatment with personal goals.

You'll serve people in their homes, assisted living, or wherever they live; offering comfort, clarity, and continuity in the middle spaces of serious illness.

Key Responsibilities

Provide direct medical management, prescribe treatments, and alleviate suffering through expert symptom control. Conduct full assessments (history, physicals, diagnostics) and develop individualized care plans anchored in patient and family goals. Lead advance care planning discussions that help patients define values and preferences. Perform regulatory face-to-face visits when required for hospice or palliative eligibility, ensuring compliance with CMS guidelines. Collaborate closely with the interdisciplinary team (nursing, social work, spiritual care, volunteers) and outside providers to ensure seamless care. Support patients and caregivers through teaching, counseling, and integrating resources that reduce caregiver strain. Maintain accurate, timely documentation in the medical record and contribute to team communication. Participate in quality improvement projects, drawing on CAPC tools and best practices to strengthen service delivery. Build and nurture community relationships, strengthening awareness of palliative care options.

Core Principles & Values

Presence & Dignity:

We show up fully, listen deeply, and honor each person's story.

Holistic Care:

Body, mind, spirit, family, and community are inseparable in care.

Person & Family Centeredness:

Patients and families guide the care plan.

Comfort & Quality of Life:

When cure is not possible, comfort becomes the goal.

Community Integration:

We partner with community resources and reflect Missoula's culture of connection and care.

Qualifications

Graduate of an accredited Nurse Practitioner program (Master's or higher). Current Montana NP license. At least

1 year

of NP practice experience, plus

1 year

of hospice or palliative care experience preferred. National certification (e.g., ACHPN, CHPN, geriatrics) strongly preferred or willingness to pursue. Strong assessment and communication skills, with confidence in goals-of-care conversations. Licensed driver with insured, reliable vehicle. Physical ability to perform home visits (walking, lifting, bending).

Additional Expectations

Full-time (25-40 hours/week)

with some flexibility. In-person, community-based role serving patients where they live. Occasional after-hours availability for urgent needs. Commitment to ongoing professional development and use of CAPC resources.



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