RN Hospital Liaison

Agrace • Madison, WI

1d • Onsite

About The Position

The RN Hospital Liaison is responsible for acting as liaison between Agrace, Hospital Staff and Physician, and Patient and Family; evaluating patients for Agrace hospice and palliative programs; assisting with hospital discharge plans; and developing discharge plans of care. The RN Hospital Liaison provides patient and family centered care consistent with Agrace philosophy, goals, standards, regulations and policies.

Requirements

• ADN, required; BSN, preferred
• 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
• Basic Microsoft Office skills
• Intermediate electronic health records skills
• 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

Responsibilities

• 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.
• Evaluate Patient for 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 the Interdisciplinary Team (IDT) and primary care provider to create a Hospice Eligibility Summary (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.
• Collaborate with the Admission’s Certification Nurse or Clinical Team Manager (CTM) regarding all patients deemed ineligible for hospice services.
• Plan of Care (POC) and Discharge Planning
• Formulate and implement individualized POC and/or Discharge Plan in collaboration with hospital staff, patient, nursing facility, and family.
• The POC will include goals, symptom management, interventions, education, coroner involvement, etc.
• Identify potential care challenges and document interventions in the POC 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
• Precept new staff and students.

Benefits

• Competitive salary with mileage reimbursement
• Health, dental, and vision insurance for employees who are hired for 28+ hours per week (.7 FTE +)
• Retirement plans with employer matching
• Generous Paid Time Off (PTO) 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