RN Case Manager Homecare - West Madison

Location: West Madison, WI – Full-time 1.0, day shift (Monday-Friday, 8:30am-5:00pm). Includes on-call rotations (1 weekend per quarter), weekend shifts (every 8th weekend), and holiday rotations (2 per year). Sign-on bonus: $6,000.

About the Role

Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. As a Nurse Case Manager (RN Case Manager), you will deliver patient- and family-centered care, conducting assessments, creating and updating plans of care, providing interventions, and ensuring thorough communication and documentation.

Responsibilities

• Patient and Family Assessments
  • Assess physical, pain, psychosocial, emotional, spiritual, environmental, and educational needs as outlined in the plan of care (POC).
  • Collect and document data from patients, families, interdisciplinary team (IDT) members, and other healthcare professionals.
  • Identify, interpret, and document assessment findings, reporting significant changes or unusual incidents (e.g., abuse/neglect, suicidal intent, harmful coping mechanisms).
  • Collaborate with the IDT and primary care provider to create a Hospice Evaluation Summary (HES) for eligibility determination.
• Patient Visits
  • Respond to patient and family needs, including changes in condition or requests for acute intervention.
  • Provide interventions, treatments, and pain management tailored to patient and family needs.
  • Evaluate and adjust pain management or other interventions for effectiveness.
  • Educate patients and families on pain/symptom management, end-of-life care, and related topics, evaluating and adjusting education as needed.
• Plan of Care
  • Formulate, implement, and revise individualized POCs in collaboration with the IDT, patient, and family, including goals, pain management, interventions, education, and discharge plans.
  • Develop achievable outcome measures and establish care priorities.
  • Document interventions, outcomes, and changes in patient condition in the electronic health record (EHR).
  • Delegate visits to appropriate disciplines and oversee the work of Certified Nursing Assistants (CNAs) and Licensed Practical Nurses (LPNs).
• Additional Duties
  • Participate in meetings to plan and evaluate patient/family services.
  • Precept new staff and students.

Requirements

• ADN or BSN required.
• Current, unrestricted Registered Nursing License in the state of employment.
• One year of 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 and intermediate electronic health record (EHR) skills.
• Ability to use proper body mechanics, safe patient handling, and standard precautions.

Benefits

• Competitive salary with mileage reimbursement.
• Health, dental, and vision insurance for employees working 28+ hours per week (.7 FTE or more).
• Retirement plans with employer matching.
• Generous Paid Time Off (PTO) and holiday paid time off.
• Comprehensive onboarding, mentorship, and career development.

About Agrace

For over 45 years, Agrace has been a leader in hospice and palliative care, serving patients and families across southern Wisconsin. As the largest hospice provider in the state, Agrace is known for end-of-life care, as well as support for aging, seriously ill, or grieving individuals. We value diversity, equity, and inclusion, fostering a culture of belonging that celebrates unique experiences and traditions. Our goal is to ensure every staff member is treated fairly and every patient receives respectful, individualized care.