RN Hospital Liaison (Madison)

Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving.

Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!

Hours Day Shift
Weekend Rotation Every 4th weekend
Holiday Rotation one to two holidays a year
On Call Rotation No on-call
Bonus Eligibility Not Eligible for bonus

WHO YOU'LL WORK WITH (AND WHAT THEY HAVE TO SAY)

The RN Admissions/Hospital Liaison works with a collaborative interdisciplinary team including enrollment representatives, RNs, and Doctors.

"Most rewarding/fulfilling important work I've ever done and I know I am making a difference" - Admissions Employee

HOW YOU’LL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)

The RN Admissions/Hospital Liaison is responsible for admitting patients to Agrace’s homecare program and inpatient units. The RN Admissions/Hospital Liaison is responsible for evaluating patients for appropriate Agrace services; providing patient care; and developing plans of care. In addition, this role is responsible for acting as liaison between Agrace, Hospital Staff and Physician, and Patient and Family, assisting with hospital discharge plans; and developing discharge plans of care. The RN Admissions/Hospital Liaison provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.

Evaluate Patient for Appropriate 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 IDT and primary care provider to create 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.
Serve as a consultant to patients and families about end-of-life issues and Agrace programs philosophies and services.
Collaborate with CTM regarding all patients deemed ineligible for hospice services.
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.
Patient Care
Provide interventions, treatments, and symptom management to patient and family to meet immediate needs. Evaluate the effectiveness of symptom management or other intervention and adjust to meet needs.
Provide patient and family education on pain, symptom management, end of life, etc. Evaluate the effectiveness of education and adjust to meet needs.
Review advanced directives and obtain required Agrace paperwork including informed consent; service agreement; and Hospice benefit election form.
Plan of Care (POC) and Discharge Planning
Formulate and implement an individualized POC in collaboration with nursing facility, patient and family. The POC will include goals, symptom management, interventions, education, discharge plan, coroner involvement.
Identify potential care challenges and document in the POC interventions 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
Provide outreach and education to healthcare providers and referral sources.
Precept new staff and students.

YOU BRING (EXPERIENCE & QUALIFICATIONS)

ADN or BSN, required
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
Ability to develop, maintain, and apply knowledge of hospice and end of life process
Ability to maintain professional boundaries with patients, families and co-workers
Ability to create and follow plans of care, and patient, family, and clinical staff directions
Basic Microsoft Office skills
Intermediate electronic health records skills; Epic preferred
Ability to work effectively and cooperatively with others
Ability to communicate effectively verbally and in writing
Ability to be flexible in time and task to meet organizational needs
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

Don’t meet these qualifications as written? We would still love to talk about roles at Agrace: Join Here

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

Together, we pursue a vision of equity—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 and inclusion that celebrates people’s uniqueness and leads to meaningful, empathetic connections.

Agrace HospiceCare 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.