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Compassus
San Antonio, Texas

Palliative Care Nurse Practitioner

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 10m ago · Verified live

Job Description

Company

Compassus

Position Summary

The Palliative Care Nurse Practitioner is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation.

S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders.

The Palliative Care Nurse Practitioner provides palliative care for patients facing chronic, complex, and /or life-threatening conditions at various locations within the flow of patient care.

S/he provides assessments, disease and treatment education, and symptom management to meet the needs of palliative care patients and their families. The Palliative Care Nurse Practitioner helps the patient and family maintain their maximum level of comfort and coping.

S/he provides care and support in collaboration with the PCP and specialists and ensures compliance with practice standards and codes. S/he must collaborate appropriately with the assigned Compassus Medical Director and flex their schedule to meet agency needs.

Position Specific Responsibilities

Performs Routine and Urgent Assessments

  • Availability Monday – Friday, 8a-5p local time.
  • 100 visits per month minimum; adjusted for PTO and part-time status.
  • Carries a minimum patient census load of 80 patients, may increase depending on market needs.
  • Ability to triage consults by patient acuity.
  • Performs bedside palliative care with patient/family education.
  • Subject to after hours and weekend on-call requirements per the needs of the organization.
  • Orders, performs, and interprets laboratory and radiology tests within scope of professional practice.
  • Prescribes medications including controlled substances to the extent delegated and licensed.
  • Orders treatments and durable medical equipment as indicated.
  • Performs other therapeutic measures as indicated.
  • Consults with palliative care physician or designees as needed, informs primary physician of services provided and collaborate with other physicians as needed.
  • Assists in all facets of care coordination for palliative care referrals.
  • Prepares and maintains accurate patient records, charts, and documents to support sound medical practice and reimbursement for services provided.
  • Complies with applicable laws and regulations with respect to Collaborative Agreements.
  • Completes accurate billing and coding activities for all patient encounters according to CMS guidelines.
  • Provides training and ongoing education and onboarding support for staff.
  • Defines goals for professional growth and participates actively in professional activities and organizations.
  • Engages in active and frequent self-care activities for personal and professional growth and longevity.
  • Adheres to the practice of confidentiality regarding patients, families, staff and the Organization.

Assists patients and families in identification of goals of treatment and ongoing plans of care at every visit. Communicates these goals among Interdisciplinary Team (IDT).

  • Collaborates/communicates with Medical Director, attending Physician, hospital staff, and IDT:
  • Participates in monthly IDT meeting with market team.
  • Collaborates/communicates with IDT needs of patient for clinical and psycho-social interventions.
  • Assists in identifying the need for intervention of other IDT members.
  • Effectively communicates patient and family needs to IDT.
  • Completes and submits required clinical documentation within 24 hours of visit completion.

Educates Patient and Caregiver Regarding

  • Care of patient.
  • Disease process.
  • Goal setting.
  • Symptom control.
  • Treatment options.
  • Prognosis.
  • Advance Care Planning.
  • Supervises nurse trainees, including graduate and advance practice nurses in field placements.
  • Participates in supervision of other trainees, including medical students, residents, fellows, and social work and psychology trainees.
  • Requires regular regional travel, involving driving within a 60-mile radius.
  • Performs other duties as assigned.

Education and/or Experience

Master’s degree in Nursing required.

Minimum of five (5) years nursing experience required; clinical nursing care in oncology, hospice, geriatrics, intensive care preferred.

Skills

Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.

Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.

Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces hospice philosophy. Strong organizational and time management skills. Must be able to work a flexible schedule to include nights and weekends. Must be able to travel. Ability to maintain confidentiality of information, such as patient and Company files.

  • Certifications, Licenses, and Registrations
  • Active and unencumbered CNS or Nurse Practitioner license in state of employment required.
  • Certified as a Nurse Practitioner in Adult, Family, Acute, or Geriatric required.
  • Active NPI number.
  • Maintain active DEA certification if state allows prescription of controlled substances by APPs.
  • Board Certification in Hospice and Palliative Care is preferred, but not required.

State Specific Requirements

Other

All states except Iowa: Current collaborative physician agreement in place.

Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities.

Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus.

In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential.

This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.

At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

Build a Rewarding Career with Compassus

At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others.

Your Career Journey Matters

We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive.

The Compassus Advantage

  • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter.
  • Career Development: Access leadership pathways, mentorship, and personalized professional development.
  • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care.
  • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being.
  • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication.
  • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion.

Ready to Join?

At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.

Key Responsibilities

The Palliative Care Nurse Practitioner provides comprehensive assessments, symptom management, and treatment education for patients facing chronic or life-threatening conditions. They collaborate with the interdisciplinary team and primary physicians to ensure high-quality care coordination and accurate clinical documentation.

Requirements

Candidates must hold a Master's degree in Nursing and possess at least five years of nursing experience, with preference for oncology, hospice, or geriatrics. An active, unencumbered Nurse Practitioner license and certification in Adult, Family, Acute, or Geriatric care are required.

Qualifications

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

Certifications

DEA LicenseBoard Certification (preferred)

Key Skills

Patient assessmentInterdisciplinary team collaborationMedication prescriptionPatient educationOrganizational skillsCommunicationElectronic health records

Palliative Care — Nurse Practitioner Career Context

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).

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 18% are remote, 66% have no call, 58% require no weekends.

What does the Nurse Practitioner market look like in Texas?
MeasureThis jobMarket
Listed paynot listedNurse Practitioner median $133k (middle half $125k–$192k)15 comparable listings, Oct 2026
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Nurse Practitioner listings in Texas928 active14,047 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 18% remote · 66% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas Nurse Practitioner listings: 13% state a sign-on bonus (median $10k) · 4% offer loan repayment928 active listings, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

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

Top Nurse Practitioner Jobs

33 matches · ranked by pay

Salary Distribution

33 jobs · 28 employers
5
<$105k
6
$105k-135k
13
$135k-165k
5
$165k-195k
4
$195k+

Annual compensation range

Benefits & Perks

26 jobs
401k / retirement match
85%
Sign-on bonus
65%
CME allowance
58%
Relocation assistance
8%
Loan repayment
4%

Share of similar jobs offering each benefit

#1

Nurse Practitioner (NP) or Physician Assistant (PA) - Longmeadow, MA

Constellation Health Services · Longmeadow, Massachusetts

$110k-$200k
#2

Nurse Practitioner / Physician Assistant - Part Time Shelton, CT

Constellation Health Services · Shelton, California

$110k-$200k
#3

FT Nurse Practitioner (San Jose)

$152k-$195k
#4

PT Nurse Practitioner (Sonoma County)

$152k-$195k
+ 31 more · ranked by pay

Work-life snapshot

median 5.1this job 5.1
Better work-life than 50% of Palliative Care (NP) listings

Listing-based score, 0–10, across 254 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends
Compassus logo

About Compassus

Hospitals and Health Care
Brentwood, TN
1,001-5,000 employees

Benefits & Perks

Flexible Time Off
Tuition Reimbursement
Wellness Programs
Leadership Pathways and Mentorship
Recognition Programs
Collaborative Practice Agreement Required

Living in San Antonio

Typical 3-bedroom home value
$224k
Typical market rent
$1,381/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

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

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

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