Nurse Practitioner - Palliative Care
Listed compensation
$125-$150/hr
The week · per this posting
Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.
Job Description
Klarus Hospice & Palliative Care is seeking a PRN (per diem) dedicated and professional Nurse Practitioner to join our team serving our patients currently enrolled in our palliative care services in the San Antonio, TX and surrounding areas doing face to face visits.
Work life balance, flexible schedule, autonomy, and competitive compensation!
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 to ensure quality care.
Requirements
Job Qualifications:
Education
Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
Licensure
Current State license as a Registered Nurse and as an Advanced Practice Nurse. Current Driver’s License.
Experience
Two years' experience as an APN, clinical care setting preferred; hospice or home health preferred.
Skills
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.
- On-call requirement 1-2 weeks a month
Essential Functions
Collaborates with the IDG in assuring appropriate evaluation and palliative treatment of terminal disease.
Consults with and assists in the IDG’s development of patient/family plan of care to assure quality care is provided.
Consults with and educates the patient/family regarding disease process, self-care techniques, end-of-life care. Provides training to other staff as needed.
Performs and documents visits to patient/family based on plan of care and patient/family need.
Interacts with attending and consulting physicians as necessary regarding palliative care, in collaboration with hospice physician.
Consults with and provides education to other IDG members on a prn basis for clinical issues relating to palliation.
Actively participates in the IDG. Communicates effectively, timely, and appropriately at all times.
Informs physicians and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient/family response to care.
Environmental and Working Conditions
Works in patients’ homes in various conditions; possible exposure to blood and bodily fluids and infectious diseases; the ability to work a flexible schedule; the ability to travel locally; some exposure to unpleasant weather; PRN emergency call.
Benefits
Face to Face per Visit Rate
- Additional monthly stipend paid for on-call, attending IDG meetings, documentation etc.
- Mileage reimbursement
Key Responsibilities
The Nurse Practitioner will conduct face-to-face visits to provide clinical care and treatment for palliative patients. They will also collaborate with the Interdisciplinary Group to develop and implement patient care plans and educate families on disease processes.
Qualifications
- Education
- Bachelor degree
- Experience
- 2+ years of experience
Key Skills
Palliative Care — Nurse Practitioner Career Context
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$286k midpoint carries the purchasing power of roughly $295k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
Palliative Care pay on WeekdayDoc is down 3.8% vs. the prior quarter (through Sep 2026).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $260k–$312k | Palliative Care median $133k (middle half $125k–$192k)15 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$295k in purchasing power | Texas index 97.1 (US = 100)BEA Regional Price Parities (2024) |
| Palliative Care listings in Texas | 19 active | 266 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 43% remote · 50% no call · 63% no weekends40 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas Nurse Practitioner listings: 13% state a sign-on bonus (median $10k) · 4% offer loan repayment941 active listings, Oct 2026 |
| Palliative Care pay trend | −3.8% vs prior quarter | —through Sep 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$286k midpoint, that is roughly $11k–$20k a year versus a typical 4–7% state rate.
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