Program Coordinator RN - Home-Based Hospital Care
About The Position
The Program Coordinator RN coordinates care for Home-Based Hospital Care (HBHC) patients and serves as the central point of contact through virtual visits and phone communication to help ensure seamless, hospital-level care in the home. The role works within a care team model alongside the rounding provider, equipment coordinator, admission RN, and in-home RNs and paramedics to support daily care planning, patient monitoring, and safe transitions of care. The position conducts virtual medication administration visits and ongoing virtual patient check-ins, provides clinical oversight, and collaborates with the interdisciplinary team to address changes in patient condition. It also participates in interdisciplinary rounds and manages post-acute referrals, discharge services, and equipment coordination. The coordinator maintains timely and thorough electronic medical record documentation while monitoring patient progress and supporting individualized care needs throughout the HBHC episode. This is a hybrid position combining onsite and remote work, with travel required within the Madison, Wisconsin area. Infrequent travel to University Hospital or East Madison Hospital may be required to support patient enrollment. The assigned work location is the Administrative Services Building at 301 S. Westfield Rd., Madison, Wisconsin. The schedule consists of seven 10-hour shifts per two-week pay period (70 hours total), with day/evening hours based on department operational needs, plus a weekend and holiday rotation.
Requirements
- At least 2 years of relevant acute care or home health nursing experience.
- Active Registered Nurse license in Wisconsin or a license issued by a jurisdiction that has adopted the nurse licensure compact.
- Current CPR/BLS certification.
Nice To Haves
- Bachelor of Science in Nursing (BSN).
- Experience in care coordination, triage, or nursing leadership.
- Experience in program development.
- Experience teaching self-care skills to patients and families.
- Recent, relevant home health experience.
- Experience using EPIC and virtual health platforms.
- Experience with IV therapy and knowledge of venous-access devices and ambulatory pumps.
- Relevant certification.
Responsibilities
- Coordinate care for Home-Based Hospital Care patients and serve as the central point of contact through virtual visits and phone communication.
- Partner with the rounding provider, equipment coordinator, admission RN, and in-home RNs and paramedics to support daily care planning, patient monitoring, and safe transitions of care.
- Conduct virtual medication administration visits and ongoing virtual patient check-ins.
- Provide clinical oversight and address changes in patient condition in collaboration with the interdisciplinary team.
- Participate in interdisciplinary rounds.
- Manage post-acute referrals, discharge services, and equipment coordination to support safe discharge and continuity of care.
- Maintain thorough and timely documentation in the electronic medical record.
- Monitor patient progress and ensure individualized care needs are met throughout the HBHC episode.
- Travel within the Madison, Wisconsin area; infrequent travel to University Hospital or East Madison Hospital may be required to support patient enrollment.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
