Mary Washington Healthcare logo
Mary Washington Healthcare
Fredericksburg, Virginia

NP or PA - Palliative Care - Mary Washington Hospital

Nurse PractitionerNo callFull-Time Physician-Supervised State

Listed compensation

$54.52-$68.15/hr

The week · per this posting

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Job Summary:

The Nurse Practitioner/Physician Assistant functions professionally under a practice agreement with the Medical Director. The Nurse Practitioner is an integral member of the Palliative team to include: performance of patient/family evaluations, complex symptom management, pain control, and psychosocial needs; provision of care within the scope of service for patients referred to Palliative service; and collaboration with attending physicians within the hospital to provide appropriate care.

This individual will conduct an assessment of physical, psychosocial, cognitive, and functional components; develop a treatment plan; order and interpret diagnostic components of the plan; and prescribe non-pharmacological and pharmacological agents. Duties and responsibilities are performed according to standards outlined in the competency-based evaluation tool.

The incumbent in this position will support the mission, vision, values and strategic initiatives of Mary Washington Healthcare and must demonstrate a commitment to quality service to patients, physicians, Associates and the public.

Essential Functions & Responsibilities

In collaboration with Medical Director, medical staff, and Palliative Team, demonstrate ability to consult patients and family members about diagnosis, goal setting, and end of life; completes necessary documentation to meet regulatory requirements.

Perform comprehensive health assessments for the purpose of evaluating, treating, and providing comfort care to individuals as appropriate.

Formulate appropriate differential evaluation, develops treatment plan to include appropriate diagnostics; identifies non-pharmacological interventions, prescribes appropriate pharmacological agents, and provides education. The plan is based on mutually established priorities to maximize the health potential and wishes of the patient and family.

Provide relevant patient and family education; makes appropriate referrals to other professional and community agencies.

Assist Hospitalist with Palliative Team patient rounding and discharge planning.

Perform face-to-face visits and completes documentation for recertification of Mary Washington patients in compliance with regulatory requirements; assists with recertification process.

Effectively communicate with attending physicians regarding changes in plan of care and patient and family goals.

Act as educational resource to community physicians regarding palliative care and end-of-life issues.

Positively impact goals of the organization, including transition, mortality rate, hospital length of stay, patient satisfaction, and participation in screening programs and educational activities.

Demonstrate the ability to use effective organizational/prioritization problem-solving and decision-making abilities in practice.

Meet all the requirements of the practice agreement with the supervising physician under the regulations and requirements of the Commonwealth of Virginia.

Perform other duties as assigned.

Qualifications

  • Registered Nurse licensed to practice in Virginia or eligible to attain licensure in Virginia.
  • MSN required.

Currently licensed as a Nurse Practitioner in Virginia; Adult or Family Board Certified Nurse Practitioner (ANCC, ACHPN, or AANP). Prefer candidate who is currently ACHPN certified, but will consider candidate who can complete this certification within 24 months of date of hire. Current approval for prescriptive authority in Virginia.

  • Master's degree in Physician Assistant studies required
  • Nurse Practitioner or Physician Assistant Virginia License or eligible, required
  • AHA BLS Provider CPR required
  • Currently holds a valid DEA certificate.

Recent adult medical-surgical experience (5 years experience preferably with at least 2 years experience in Palliative Care).

Diplomatic, with excellent interpersonal skills and able to relate compassionately to patients and families experiencing end-of-life issues.

  • Professional and approachable by patients, families, Associates and health care providers in the community.
  • Able to work independently within palliative care clinical guidelines.
  • Proficient leadership skills.
  • Ability to work cooperatively/collaboratively as part of a team, developing productive working relationships with diverse groups of people.
  • Valid Virginia driver’s license with acceptable driving record in accordance with MWHC Driver's Policy.
  • Successful completion of pre-placement employment evaluation.

MWHC will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status (EOE). We are also committed to equitable and transparent compensation practices and comply with all applicable pay transparency and pay equity laws.

Compensation Pay Range

$54.52 - $68.15

Key Responsibilities

The Nurse Practitioner or Physician Assistant will perform comprehensive patient evaluations, manage complex symptoms, and develop treatment plans within a palliative care team. They will also collaborate with attending physicians, provide patient and family education, and assist with hospital rounding and discharge planning.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA LicenseBoard Certification

Key Skills

Patient EvaluationHealth AssessmentTreatment PlanningPharmacological PrescribingPatient EducationClinical DocumentationRegulatory ComplianceMedical-Surgical Nursing

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates NP or PA - Palliative Care - Mary Washington Hospital at Mary Washington Healthcare a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Palliative Care (NP) — ranked against 231 active Palliative Care (NP) listings on WeekdayDoc. Contributing factors include no on-call duties.

Palliative Care — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 28% are remote, 54% have no call, 68% require no weekends.

The cost-of-living index for Virginia is 101.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$128k midpoint carries the purchasing power of roughly $126k in an average-cost state. 61.1% of Virginia clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

33 matches · ranked by pay

Salary Distribution33 jobs · 26 employers

14
<$140k
6
$140k-155k
6
$155k-170k
4
$170k-185k
3
$185k+

Annual compensation range

Benefits & Perks30 jobs · 26 employers

401k / retirement match
100%
CME allowance
60%
Sign-on bonus
37%
Loan repayment
17%
Relocation assistance
7%

Share of similar jobs offering each benefit

#1

Nurse PractitionerPer Diem

Center Well · Hampton, Virginia

$150k-$206k
#2

VSP Nurse Practitioner

Center Well · Arlington, Texas

$150k-$206k
#3

Telehealth Nurse Practitioner

$156k-$187k
#4

Nurse Practitioner-Physician Assistant Sign On Bonus

$129k-$177k
+ 31 more · ranked by pay

Work-life snapshot

median 5.1this job 6.1
Better work-life than 70% of Palliative Care (NP) listings

Listing-based score, 0–10, across 231 comparable listings. Shaded area = the share scoring below this one.

  • No call

Living in Fredericksburg

Typical 3-bedroom home value
$419k
Typical market rent
$2,042/mo
Residents’ average commute
32 min
Metro price indexU.S. average = 100
108.9
State income tax
Up to 5.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Washington-Arlington-Alexandria, DC-VA-MD-WV metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Mary Washington Healthcare logo

About Mary Washington Healthcare

Hospitals and Health Care
Fredericksburg, VA
1,001-5,000 employees

Benefits & Perks

Health Insurance
Collaborative Practice Agreement Required