Four Pillars Hospice logo
Four Pillars Hospice
Breckenridge, Texas

PRN - Nurse Practitioner

Nurse PractitionerIncludes callPer Diem Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

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.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Patient educationInterdisciplinary collaborationDocumentationHospice careAdvanced practice nursingDecision makingCrisis management

Hospice and Palliative Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 20% are remote, 48% have no call, 68% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

41 matches · ranked by pay

Salary Distribution37 jobs · 34 employers

18
<$155k
13
$155k-190k
1
$206k
3
$225k-260k
2
$260k

Annual compensation range

Benefits & Perks32 jobs

401k / retirement match
91%
CME allowance
53%
Sign-on bonus
38%
Relocation assistance
16%
Loan repayment
6%

Share of similar jobs offering each benefit

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$230k-$260k
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#3

Nurse Practitioner - ADHD Diagnosis and Treatment (Iowa)

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Locum Urgent Care Nurse Practitioner or Physician Assistant (NP/PA)

$110-$120/hr
+ 39 more · ranked by pay

Work-life snapshot

median 2.8this job 2.8
Better work-life than 50% of Hospice And Palliative Medicine (NP) listings

Listing-based score, 0–10, across 156 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Breckenridge

Typical 3-bedroom home value
$205k
Median resident rent
$839/mo
Residents’ average commute
23 min
State income tax
None
Sources & methodology

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

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

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About Four Pillars Hospice

Health and Human Services

Benefits & Perks

Flexible schedule
PRN/Per Diem