Hospice Nurse Practitioner-Gwinnett/DeKalb County, GA

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.