Hospice Nurse Practitioner-Gwinnett/DeKalb County, GA

Job Description

Job Description

About Us

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care's clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, "To Care is an Honor." Join Ennoble Care today!

Position Overview/Purpose:  

We are looking for an experienced Per Diem Nurse Practitioner to provide face-to-face assessments care to hospice patients in the Gwinnett/DeKalb Counties, GA   region. You will apply medical techniques and principles under the supervision of a physician and you will care for a diverse set of patients with chronic diseases. 

Principal Duties and Responsibilities (Essential Functions):  

Hospice FTF Day to Day 

• Review daily schedule and visit locations

• Confirm all required Face-to-Face (F2F) encounters due within regulatory timeframe
• Review patient hospice eligibility, terminal diagnosis, and prior certifications
• Review recent:
• Nursing notes
• IDG notes
• Hospitalizations/ER visits
• Medication changes
• Decline indicators

Before Each Visit

• Review patient history and prior F2F documentation
• Identify:
• LCD eligibility indicators
• Functional decline
• Weight loss/nutritional decline

• PPS/FAST trends

• Cognitive changes
• Symptom burden
• Confirm caregiver/contact availability
• Notify family/facility of estimated arrival if needed

Eligibility Documentation

• Clearly document continued decline supporting hospice eligibility
• Include objective findings:
• PPS score
• FAST score (if dementia)
• MAC/weight loss
• Frequent infections/hospitalizations
• Increased dependence
• Ensure documentation supports physician recertification
• Avoid vague wording such as "stable" without context

Medication Review

• Reconcile medications
• Review comfort medications and effectiveness
• Identify unnecessary or non-covered medications
• Address symptom management concerns
• Communicate recommendations to hospice physician/IDT as needed

Communication & Coordination

• Educate patient/family on disease progression and expectations
• Reinforce goals of care and hospice philosophy
• Collaborate with:
• Case manager
• Medical director
• Escalate urgent concerns immediately
• Update clinical leadership regarding high-risk patients

Documentation Checklist

• Complete F2F note same day 
• Ensure note includes:
• Reason for encounter
• Clinical findings
• Decline indicators
• Functional status
• Prognosis indicators
• Eligibility statement
• Sign documentation promptly

Per Visit rate

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Full-time employees qualify for the following benefits:

• Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity. 
• Paid Time Off
• Paid Office Holidays 

All employees qualify for these benefits:

• Paid Sick Time
• 401(k) with up to 3% company match
• Referral Program
• Payactiv: pay-on-demand. Cash out earned money when and where you need it!

Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.

Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.