Hospice Nurse Practitioner-Gwinnett/DeKalb County, GA

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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.