Hospice Nurse Practitioner-Gwinnett/DeKalb County, GA

Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients across New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Our clinicians visit patients in their homes, providing a continuum of care for those with chronic conditions and limited mobility. We offer programs such as remote patient monitoring, behavioral health management, and chronic care management to ensure patients receive the highest quality of care from a trusted team. We seek individuals driven to make a difference and embody our motto, “To Care is an Honor.”

About the role

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

Responsibilities

• 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.
• Assess recent nursing notes, IDG notes, hospitalizations/ER visits, medication changes, and 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, and symptom burden.
  • Confirm caregiver/contact availability and notify family/facility of estimated arrival if needed.
• Clearly document continued decline supporting hospice eligibility, including objective findings:
  • PPS score
  • FAST score (if dementia)
  • MAC/weight loss
  • Frequent infections/hospitalizations
  • Increased dependence
  Ensure documentation supports physician recertification and avoids vague wording such as “stable” without context.
• Reconcile medications, review comfort medications and effectiveness, identify unnecessary or non-covered medications, and address symptom management concerns.
• Communicate recommendations to hospice physician/IDT as needed.
• Educate patient/family on disease progression and expectations, reinforce goals of care and hospice philosophy.
• Collaborate with case manager and medical director, escalate urgent concerns immediately, and update clinical leadership regarding high-risk patients.
• Complete F2F note same day, ensuring it includes:
  • Reason for encounter
  • Clinical findings
  • Decline indicators
  • Functional status
  • Prognosis indicators
  • Eligibility statement
  Sign documentation promptly.

Benefits

Full-time employees qualify for the following benefits:

• Medical, Dental, Vision, and supplementary benefits (Life Insurance, Short Term and Long Term Disability)
• Flexible Spending Accounts for Medical and Dependent Care
• Accident, Critical Illness, and Hospital Indemnity coverage
• 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 needed)

Pay

Per visit rate.