RN Hospital Liaison (Waukesha Area)

Location: Waukesha/Milwaukee Areas · Full-time 1.0 FTE (40 hours/week) · Day Shift · Monday–Friday, 9:00 am–5:00 pm · Weekend rotation every 4th weekend · Holiday rotation 1–2 times per year

About the Role

The RN Hospital Liaison acts as liaison between Agrace, hospital staff and physicians, and patients and families; evaluates patients for Agrace hospice and palliative programs; assists with hospital discharge plans; and develops discharge plans of care. The role provides patient- and family-centered care consistent with Agrace philosophy, goals, standards, regulations, and policies.

Responsibilities

• Serve as liaison between Agrace, hospital staff and physicians, and patients and families
• Act as a resource and consultant for hospital/clinic staff, physicians, nurses, social workers, and chaplains on pain and symptom management, end-of-life issues, and hospice/palliative care philosophies and services
• Consult with 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
• Review medical records to identify hospice and palliative care eligibility, physician orders, and verify diagnosis
• Determine if patients meet 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 hospice eligibility determination
• Assess patients’ physical, pain, psychosocial, emotional, spiritual, environmental, fall, medication safety, and educational needs to determine admission eligibility
• Collect data from patients, families, significant others, and other healthcare professionals about immediate goals and needs
• Collaborate with the Admissions Certification Nurse or Clinical Team Manager (CTM) regarding patients deemed ineligible for hospice services
• Formulate and implement individualized plans of care (POC) and/or discharge plans in collaboration with hospital staff, patients, nursing facilities, and families, including goals, symptom management, interventions, education, coroner involvement, etc.
• Identify potential care challenges and document interventions in the POC to minimize, manage, or resolve concerns
• Obtain medication and other orders
• 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

Qualifications

• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred
• Current, unrestricted Registered Nursing license in 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
• 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

Benefits

• Competitive salary with mileage reimbursement
• Health, dental, and vision insurance for employees hired for 28+ hours per week (0.7 FTE+)
• Retirement plans with employer matching
• Generous Paid Time Off (PTO) and holiday paid time off
• Comprehensive onboarding, mentorship, and career development

About Agrace

For more than 45 years, Agrace has been an innovator and leader in both caring for patients and their families, and in educating others about death, dying, and grief. We are the largest hospice provider in Wisconsin. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill, or grieving. At Agrace we are strengthened by the unique experiences, cultures, and traditions of our staff, patients, and clients. Together, we pursue a vision in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve. We foster a culture of belonging that celebrates people’s uniqueness and leads to meaningful, empathetic connections.