RN Hospital Liaison (Waukesha Area)

Agrace • Watertown, WI

8d

About The Position

The RN Hospital Liaison acts as a liaison among Agrace, hospital staff and physicians, and patients and families. The role evaluates patients for Agrace hospice and palliative programs, assists with hospital discharge planning, and develops discharge plans of care. Care is patient- and family-centered and consistent with Agrace’s philosophy, goals, standards, regulations, and policies.

The liaison serves as a resource and consultant to hospital and clinic staff, physicians, nurses, social workers, chaplains, patients, and families on pain and symptom management, end-of-life issues, and hospice and palliative care services. The role also builds relationships and partnerships with referral sources to promote Agrace services.

The position reviews medical records and collaborates with care providers and the interdisciplinary team to assess eligibility and patient needs. It develops individualized plans of care and discharge plans with hospital staff, patients, nursing facilities, and families; obtains orders; arranges durable medical equipment; and reviews advance directives and required Agrace forms. The role may also precept new staff and students.

This is a full-time, 1.0 FTE (40 hours per week) position serving the Waukesha/Milwaukee areas, with a listed job location in Watertown, Wisconsin. The schedule is Monday through Friday, 9:00 a.m. to 5:00 p.m., with driving, an every-fourth-weekend rotation, and one or two holidays per year.

Requirements

• Associate Degree in Nursing (ADN) required.
• Current, unrestricted Registered Nursing license in the state of employment.
• Valid driver’s license, auto insurance, and access to a reliable vehicle.
• At least 18 years of age.
• Basic Microsoft Office skills.
• Intermediate electronic health records skills.
• 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

• Bachelor of Science in Nursing (BSN).
• One year of nursing experience.

Responsibilities

• Act as a liaison between Agrace, hospital staff and physicians, and patients and families.
• Advise hospital and clinic staff, physicians, nurses, social workers, and chaplains about pain and symptom management, end-of-life issues, and hospice and palliative care philosophies and services.
• Consult with patients and families about end-of-life issues and Agrace’s philosophies and services.
• Develop relationships and partnerships with referral sources to promote Agrace services.
• Review medical records to identify eligibility for hospice and palliative care services, physician orders, and diagnosis information.
• Collaborate with primary care, specialty, and Agrace physicians to determine whether patients meet admission criteria.
• Work with the interdisciplinary team and primary care provider to create a Hospice Eligibility Summary for hospice eligibility determination.
• Assess physical, pain, psychosocial, emotional, spiritual, environmental, fall, medication safety, and educational needs.
• Gather information from patients, families, significant others, and health care professionals about immediate goals and needs.
• Consult with the Admissions Certification Nurse or Clinical Team Manager about patients deemed ineligible for hospice services.
• Develop and implement individualized plans of care and discharge plans with hospital staff, patients, nursing facilities, and families.
• Include goals, symptom management, interventions, education, and coroner involvement as applicable in plans of care.
• Identify potential care challenges and document interventions to minimize, manage, or resolve them.
• Obtain medication and other orders and order durable medical equipment.
• Review advance directives and obtain required Agrace paperwork, including informed consent, service agreement, and Hospice Benefit Election form.
• Precept new staff and students.

Benefits

• Competitive salary with mileage reimbursement.
• Health, dental, and vision insurance for employees hired for 28 or more 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
• Career Level: Mid Level
• Education Level: Associate degree