Hospice Registered Nurse - Day Shift (La Crosse Area) - Weekender

Agrace • La Crosse, WI

4d

About The Position

The RN – New Market provides patient- and family-centered hospice and palliative care in new geographic markets. The role evaluates prospective 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 assessments, triaging needs, creating and updating plans of care, providing interventions, communicating, and documenting care. The position also works with referral sources, physicians, patients, families, and the interdisciplinary team, and may oversee Certified Nursing Assistants and Licensed Practical Nurses.

This is a part-time, 0.5 FTE position (20 hours per week) serving the La Crosse area. The weekender schedule is Saturday and Sunday, either 8:30 a.m.–6:30 p.m. or 9:00 a.m.–7:00 p.m. The role includes on-call coverage three to four weeknights per month and participation in three holiday rotations per year. Driving is required.

Requirements

• Current, unrestricted Registered Nursing license in the state of employment, including Wisconsin and Minnesota RN licenses.
• 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 identify hospice and palliative care eligibility, physician orders, and diagnoses.
• Collaborate with primary care, specialty, and Agrace physicians to determine admission eligibility and with the interdisciplinary team and primary care provider to create HES for hospice eligibility determination.
• 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 healthcare professionals about immediate and longer-term goals and needs.
• Advise patients and families about end-of-life issues, Agrace programs, philosophies, and services; serve as a resource for hospital and clinic staff and other professionals on pain and symptom management and hospice and palliative care.
• Interpret, document, and report assessment findings, significant changes in condition, and unusual incidents to the appropriate interdisciplinary team member.
• 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 according to the plan of care and respond to needs, changes in condition, and acute intervention needs.
• Provide treatments, interventions, pain management, and education; evaluate their effectiveness and adjust as needed.
• Formulate, implement, and revise individualized plans of care with the interdisciplinary team, patient, and family, including goals, pain management, interventions, education, and discharge planning.
• Set achievable outcome measures and priorities for care; obtain medication and other orders and order durable medical equipment.
• Follow the plan of care and document interventions, outcomes, and condition changes in the electronic health record.
• Delegate visits to appropriate disciplines, manage visit sets, and oversee the work of 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

• Competitive pay with mileage reimbursement.
• Health, dental, and vision insurance for employees hired for 28 or more hours per week (0.7 FTE or greater).
• 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: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed