OPT Palliative Care Nurse Practitioner Jobs
Palliative Care Nurse Practitioner jobs on OPT require active APRN licensure in your state, which can take weeks to months to secure after graduation. Most roles are STEM-adjacent through healthcare system employers who routinely file H-1B visa petitions, giving OPT students a realistic path to long-term sponsorship.
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ESSENTIAL DUTIES & RESPONSIBILITIES
All duties and responsibilities must be performed in accordance with VITAS Palliative Care policies, procedures, guidelines, contractual commitments, and governmental regulations.
- Provides expert, individualized coordination of care to patients and families.
- Completes initial and ongoing comprehensive physical and psychosocial assessments of patients and families to identify needs and areas for intervention.
- Ensures appropriate referrals to specialists when indicated and supports adherence to the treatment plan, including physician visits for evaluation and ongoing management.
- Assists patients in accessing appropriate services and community resources to improve their overall health and well-being.
- Educates patients and families to enhance their understanding of disease processes and the plan of care, including discussions of treatment options to support informed decision-making.
- Provides emotional support and counseling to patients and families to improve transitions, adjustment to illness, and adherence to the treatment plan.
- Evaluates the patient’s physical and emotional recovery following treatment and utilizes appropriate resources as needed.
- Empowers patients to take control of their healthcare by encouraging appropriate goal-setting and discussions regarding advance care planning and the development of advance directives.
- Builds relationships with other clinicians involved in the patient’s care.
- Attends and participates in internal VITAS Palliative Care team meetings.
- Promotes a patient-centered approach to care.
- Partners with the healthcare team to manage transitions of care between hospital, primary care, and specialty care settings.
- Facilitates proactive discharge planning and follow-up to promote improved outcomes, decreased lengths of stay, and reduced readmission rates.
- Protects patients’ privacy rights and safeguards confidentiality when releasing patient information.
- Utilizes a customer-service approach in all interactions with VITAS customers.
- Adheres to confidentiality requirements regarding patients, families, staff, and the organization.
- Participates in the on-call rotation as needed.
This position description does not state or imply that the duties listed are the only duties to be performed by an employee in this position. Employees may be required to perform additional job-related duties as assigned by their supervisor or management.
QUALIFICATIONS
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. The requirements listed below represent the knowledge, skills, and abilities required.
Experience
- Minimum of two years of experience in an acute care setting preferred.
- One to two years of case management experience in a community-based setting, such as home health, rehabilitation, or hospice, preferred.
- Knowledge of the interdisciplinary team concept.
- Experience in patient education, care planning, and management desired.
- Exceptional communication and customer-service skills.
- Ability to communicate tactfully, both verbally and in writing, with department heads, managers, coworkers, and vendors to resolve problems and negotiate solutions.
- Working knowledge of computers and internet-based systems, including the ability to navigate automated systems and software applications such as Outlook, Excel, and Word.
Education
- Bachelor’s degree required; master’s degree or higher preferred.
- Certified Hospice and Palliative Nurse (CHPN) certification preferred.
- Current and valid professional license in the state where the position is based.
- Current CPR and BLS/ACLS certification.
- Reliable transportation, a current state driver’s license, and automobile insurance.
Certification & Licensure:
- Current and Valid License in the state position is based.
- CPR, BLS/ACLS Certification.
- Reliable transportation, current state driver’s license and automobile insurance.
Physical Requirements
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
EOE/AA M/F/DV
VITAS® Healthcare is the nation’s leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you’ll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.
All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard—find your purpose at VITAS today.
Benefits Include:
- Competitive compensation
- Health, dental, vision, life and disability insurance
- Pre-tax healthcare and dependent care flexible spending accounts
- Life insurance
- 401(k) plan with numerous investment options and generous company match
- Cancer and/or critical illness benefit
- Tuition Reimbursement
- Paid Time Off
- Employee Assistance Program
- Legal Insurance
- Roadside Assistance
- Affinity Program
Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.
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Get Access To All JobsTips for Finding OPT Sponsorship in Palliative Care Nurse Practitioner
Prioritize health systems over private practices
Large hospital networks and academic medical centers have dedicated HR and legal teams experienced with visa sponsorship. Smaller hospice or private palliative care practices rarely have the infrastructure to sponsor work visas, making them higher-risk placements for OPT students.
Secure your state APRN license before OPT begins
State nursing board licensing timelines range from four to twelve weeks. Applying before your OPT start date prevents gaps where you're authorized to work but legally unable to practice, which can jeopardize your employment offer and OPT validity.
Confirm DEA registration requirements with your employer
Many palliative care NP roles require a DEA registration to prescribe controlled substances for pain management. Confirm whether your employer sponsors or reimburses this registration, as the process and costs can affect your start timeline.
Document all clinical hours carefully for future visa petitions
Detailed records of your palliative care caseload, procedures, and specialty rotations strengthen future H-1B visa and O-1 visa petitions. Employers and immigration attorneys rely on this documentation to demonstrate specialty occupation status for advanced practice roles.
Ask explicitly about H-1B sponsorship during interviews
Raise sponsorship directly, not at the offer stage. Ask whether the organization has sponsored NPs on H-1B visas before and whether they work with an immigration attorney. Past sponsorship history is the strongest signal they'll do it again.
Pursue board certification in palliative care before OPT ends
The ACHPN credential from the Hospice and Palliative Credentialing Center distinguishes your application and reinforces specialty occupation arguments for H-1B eligibility. Employers also value it when assessing whether to invest in long-term sponsorship for an NP.
Palliative Care Nurse Practitioner OPT: Frequently Asked Questions
Can I work as a Palliative Care Nurse Practitioner on OPT?
Yes, if you hold an active APRN license in the state where you'll practice. OPT authorizes you to work in a role directly related to your degree field, and palliative care NP positions qualify under nursing or advanced practice nursing programs. You must have your license in hand before your start date, not pending.
Do Palliative Care NP employers commonly sponsor H-1B visas?
Health systems and academic medical centers that employ NPs do sponsor H-1B visas, though it's not universal. Palliative care qualifies as a specialty occupation because the role requires a graduate-level nursing degree and clinical specialty training. Browsing OPT-friendly roles on Migrate Mate helps you identify which employers have an active sponsorship track record.
Is a Palliative Care NP role considered STEM OPT eligible?
No. Nursing and advanced practice nursing programs are not on the DHS STEM OPT designated degree list, so palliative care NP roles do not qualify for the 24-month STEM OPT extension. Your standard OPT period is 12 months. Planning for H-1B sponsorship or another visa category before that window closes is essential.
What happens to my OPT if I switch from inpatient to outpatient palliative care?
Changing practice settings is generally fine as long as the new role remains directly related to your degree and you report the employer change to your DSO within ten days. Both inpatient and outpatient palliative care fall within advanced practice nursing, so the field connection holds. Always update your SEVIS record promptly to stay in status.
Can I work per diem or part-time as a Palliative Care NP on OPT?
Yes, OPT allows part-time employment of at least 20 hours per week. Per diem arrangements that consistently meet that threshold are permissible. However, some employers will not sponsor visa petitions for part-time NPs, so if H-1B sponsorship is your goal, confirm the employer's policy on sponsoring less-than-full-time advanced practice staff before accepting.