RN Hospital Liaison

Location: Madison, WI

Full-time 1.0 FTE (40 hours/week) | Day Shift | Monday-Friday | 9am-5pm

Includes weekend (every 4 th ) and holiday (1 or 2/year) rotations

Make a lasting impact with Agrace

Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are a skilled RN who values meaningful, patient-centered care, this is your opportunity to make a difference!

How You’ll Make a Difference (Essential Functions)

The RN Hospital Liaison is responsible for acting as liaison between Agrace, Hospital Staff and Physician, and Patient and Family; evaluating patients for Agrace hospice and palliative programs; assisting with hospital discharge plans; and developing discharge plans of care. The RN Hospital Liaison provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.

Key Responsibilities

• Act as Liaison between Agrace, Hospital Staff and Physician, and Patient and Family

• Serve as a resource and consultant for hospital/clinic staff, physicians, nurses, social workers, chaplains about pain, symptom management, end-of-life issues, hospice/palliative care philosophies and services.

• Serve as a consultant to patients and families about end-of-life issues and Agrace philosophies and services.

• Actively pursue relationships and develop partnerships with all referral sources to promote the benefits of Agrace services.

• Evaluate Patient for Agrace Hospice and Palliative Programs

• Review medical records to identify hospice and palliative care services eligibility, physician orders, and to verify diagnosis.

• Identify if patient meets admission criteria in collaboration with primary care, specialty, and Agrace physicians. Collaborate with the Interdisciplinary Team (IDT) and primary care provider to create a Hospice Eligibility Summary (HES) for determination of hospice eligibility.

• Identify if patient meets admission criteria by assessing patient’s physical, pain, psychosocial, emotional, spiritual, environmental, fall, medication safety, and educational needs. Collect data from the patient, family, significant other and other health care professionals about immediate goals and needs.

• Collaborate with the Admission’s Certification Nurse or Clinical Team Manager (CTM) regarding all patients deemed ineligible for hospice services.

• Plan of Care (POC) and Discharge Planning

• Formulate and implement individualized POC and/or Discharge Plan in collaboration with hospital staff, patient, nursing facility, and family. The POC will include goals, symptom management, interventions, education, coroner involvement, etc.

• Identify potential care challenges and document interventions in the POC to minimize, manage, or resolve the concern.

• Obtain medication and other orders.

• Order durable medical equipment.

• Review advanced directives and obtain required Agrace paperwork including informed consent; service agreement; and Hospice Benefit Election form.

• Miscellaneous

• Precept new staff and students.

You Bring (Qualifications)

• ADN, required; BSN, preferred

• Current, unrestricted Registered Nursing License in state of employment

• One-year nursing experience, preferred

• Valid driver’s license, auto insurance, and access to a reliable vehicle

• Must be at least 18 years of age

• Basic Microsoft Office skills

• Intermediate electronic health records skills

• Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property

• Ability to use proper body mechanics, safe patient handling, and standard precautions

Benefits

• Competitive salary with mileage reimbursement

• Health, dental, and vision insurance for employees who are hired for 28+ hours per week (.7 FTE +)

• Retirement plans with employer matching

• Generous Paid Time Off (PTO) and holiday paid time off

• Comprehensive onboarding, mentorship, and career development

About Agrace

For more than 45 years, Agrace has been an innovator and leader in both caring for patients and their families, and in educating others about death, dying and grief. We are the largest hospice provider in Wisconsin. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.

At Agrace we are strengthened by the unique experiences, cultures and traditions of our staff, patients and clients.

Together, we pursue a vision in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.

We foster a culture of belonging that celebrates people’s uniqueness and leads to meaningful, empathetic connections.

Agrace Health Inc. is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.