PRN Nurse Practitioner

Nurse PractitionerPer Diem Physician-Supervised State

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago

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.
  • Adheres 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

Hospice nursingPatient educationInterdisciplinary collaborationCare planningDocumentationAdvanced practice nursingCrisis managementCommunication

Hospice and Palliative Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 16% are remote, 66% have no call, 64% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

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 contract/1099 Nurse Practitioner Jobs

40 matches · ranked by pay

Salary Distribution38 jobs · 35 employers

7
<$130k
15
$130k-155k
9
$155k-180k
5
$180k-205k
2
$206k

Annual compensation range

Benefits & Perks32 jobs

401k / retirement match
91%
CME allowance
50%
Sign-on bonus
47%
Relocation assistance
9%
Loan repayment
6%

Share of similar jobs offering each benefit

#1

PRN Nurse PractitionerPer Diem

Center Well · Fort Worth, Texas

$150k-$206k
#2

VSP Nurse Practitioner

Center Well · Arlington, Texas

$150k-$206k
#3

Nurse Practitioner

$180k-$200k
#4

Infusion Nurse Practitioner (NP)

$76-$91.5/hr
+ 38 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 151 comparable listings. Shaded area = the share scoring below this one.

Living in Conroe

Typical 3-bedroom home value
$267k
Typical market rent
$1,561/mo
Residents’ average commute
29 min
State income tax
None
Sources & methodology

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

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

Four Pillars Hospice logo

About Four Pillars Hospice

Health and Human Services

Benefits & Perks

Flexible schedule
Mission-driven team