Hospice Registered Nurse - Day Shift (Winona Area)

Agrace • Winona, MN

34d • $80,000 - $110,000

About The Position

The RN – New Market provides patient- and family-centered hospice and palliative care in new geographic markets, in accordance with Agrace’s philosophy, goals, standards, regulations, and policies. The role evaluates potential patients for hospice and palliative care, admits patients to Agrace’s homecare program in new markets, and supports patient and family satisfaction through nursing care and case management. This includes conducting assessments, triaging needs, creating and updating plans of care, providing interventions, communicating, and documenting care.

The position is full-time at 1.0 FTE (40 hours per week), based in the Winona area, with an AM shift Monday through Friday, 8 a.m.–5 p.m. The schedule includes on-call coverage three to four weeknights per month, occasional weekends, a weekend rotation every eighth weekend, and three holidays per year. The starting annual salary range is $80,000–$110,000. Travel by driving is required.

Agrace is a nonprofit hospice and palliative care provider. It describes itself as a nationally recognized leader, an innovator with more than 45 years of experience, and the largest hospice provider in Wisconsin. The organization serves people across southern Wisconsin who are aging, seriously ill, or grieving, and emphasizes respectful, individualized care, fairness, belonging, and empathetic connections.

Requirements

• Current, unrestricted Registered Nursing license in Minnesota and Wisconsin.
• Valid driver’s license, auto insurance, and access to a reliable vehicle.
• Ability to develop, maintain, and apply knowledge of hospice and the end-of-life process.
• Ability to maintain professional boundaries with patients, families, and coworkers.
• Ability to create and follow plans of care and directions from patients, families, and clinical staff.
• Basic Microsoft Office skills.
• Intermediate electronic health records skills.
• Ability to work effectively and cooperatively with others.
• Effective verbal and written communication skills.
• Ability to be flexible with time and tasks to meet organizational needs.
• Ability to maintain confidentiality regarding patients, families, caregivers, staff, donors, and organizational intellectual property.
• Ability to use proper body mechanics, safe patient handling, and standard precautions.

Nice To Haves

• One year of nursing experience is preferred.

Responsibilities

• Review medical records to determine hospice and palliative care eligibility, verify diagnoses, and review physician orders.
• Determine admission eligibility in collaboration with primary care, specialty, and Agrace physicians, and collaborate with the interdisciplinary team and primary care provider to create HES for hospice eligibility determinations.
• Assess patients’ physical, pain, psychosocial, emotional, spiritual, environmental, fall, medication-safety, and educational needs.
• Gather information from patients, families, significant others, interdisciplinary team members, and other health professionals about immediate and longer-term goals and needs.
• Consult with patients and families about end-of-life issues and Agrace programs, philosophies, and services.
• Interpret and document information collected through nursing interviews, physical assessments, and other health data.
• Serve as a resource for hospital and clinic staff, physicians, nurses, social workers, and chaplains on pain and symptom management, end-of-life issues, and hospice and palliative care.
• Report significant changes in condition and unusual incidents to the appropriate interdisciplinary team member, including concerns such as abuse or neglect, suicidal intent, harmful coping mechanisms, or violence.
• Collaborate with the manager regarding patients deemed ineligible for hospice services.
• Develop relationships and partnerships with referral sources to promote Agrace services.
• Assess patient and family needs as outlined in the plan of care and respond to needs, changes in condition, and needs for acute intervention.
• Provide treatments, interventions, and pain management, then evaluate their effectiveness and adjust as needed.
• Educate patients and families about pain, symptom management, and end-of-life matters; evaluate the effectiveness of education and adjust as needed.
• Formulate, implement, and revise individualized plans of care in collaboration with the interdisciplinary team, patient, and family, including goals, pain management, interventions, education, and discharge planning.
• Establish achievable outcomes and priorities for planning and providing care.
• Obtain medication and other orders and order durable medical equipment.
• Follow the plan of care and document interventions, outcomes, and changes in patient condition in the electronic health record.
• Delegate visits to appropriate disciplines, manage visit sets, and oversee Certified Nursing Assistants and Licensed Practical Nurses.
• Participate in meetings to plan and evaluate patient and family services.
• Precept new staff and students.
• Participate in education and outreach.

Benefits

• Applicable mileage reimbursement.
• Health, dental, and vision insurance for employees hired for at least 28 hours per week (0.7 FTE or more).
• Retirement plans with employer matching.
• Generous paid time off and holiday paid time off.
• Comprehensive onboarding, mentorship, and career development.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed