Hospice Nurse Practitioner-Atlanta - GA

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 Atlanta, 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):  

• 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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