The Facility Based Palliative Care Nurse Practitioner (NP) provides consultative palliative care to adults with serious, progressive, or life-limiting illness who reside in skilled nursing facilities, assisted living communities, memory care settings, and other contracted residential care environments. Conduct comprehensive palliative assessments, including medical history, physical examination, functional and cognitive status, symptom burden, psychosocial needs, caregiver concerns, and spiritual or cultural factors that may affect care.