Location:

Beaver Dam, Portage, Wisconsin Dells Full-time (40 hours/week) Day Shift Monday-Friday Includes on call 4-8 weekends/year Make a lasting impact with Agrace Join Agrace, a nationally recognized nonprofit leader in hospice and palliative care. If you are a skilled Nurse Practitioner who values meaningful, patient-centered care, this is your opportunity to make a difference! How You'll Make a Difference (Essential Functions) The NP, Hospice/Palliative provides community-based specialty palliative care to patients and their families while working in collaboration with a patient's other health care providers and caregivers. This includes the evaluation and management of symptoms and syndromes of advanced disease states, and skillful communication concerning a patient's diagnoses, disease status, prognosis, care goals, treatment options, and care planning. This position also provides specialty palliative care education and guidance to community health care providers, Agrace employees, and long-term care facility staff. The NP, Hospice/Palliative provides care through a consultative model, practices as part of an interdisciplinary team, and participates in ongoing quality assessment and practice improvement, ensuring exceptional patient- and family-centered care. Key Responsibilities Provide clinical care in the community-based Palliative Care Program Perform initial palliative care consultation including gathering history, performing a physical exam, evaluating medication list, interpreting diagnostics, and providing recommendations for palliative management of a patient's medical condition in context of their care goals, preferences, and values. Provide follow-up in person or via telehealth to address the palliative care needs outlined in the referral or identified at the initial visit. Lead discussions on care goals, preferences, and values with patients, their families, and others involved in their care. Discussions may include sharing difficult news, providing supportive listening and counseling, evaluating quality of life, discussing trade-offs and time-limited trials, addressing conflict, and navigating end of life issues. Provide recommendations to patients, families, and others involved in the patient's care on completing advance directives (including plans for life-sustaining therapy and cardiopulmonary resuscitation) in context of the patient's medical condition and care goals, preferences, and values. Facilitate the provision of interdisciplinary care by working together with other disciplines on the palliative care team. Communicate and coordinate care with the patient, family, caregivers, and the referring physician and/or Primary Care Physician (PCP). Provide clinical care for hospice patients Participate in on-call rotation to support the hospice team Discuss medication/therapy needs for hospice patients with RN. Decide on medication changes/refills/treatments; submit orders to the pharmacy. Collaborate with physician on call regarding complex patient needs. Complete face-to-face evaluations and participate in incapacity assessments, as appropriate, when needed to meet hospice patient needs. Miscellaneous Participate in internal work groups, meetings and committees relative to position responsibilities. Ensure compliance with Agrace policies and protocols, state, federal, and other regulations. Precept new staff and students. You Bring (Qualifications) Valid driver's license, auto insurance, and access to a reliable vehicle Current, unrestricted RN licensure, Advanced Practice Nurse Prescriber licensure, and NP certification in state of employment; DEA licensure CPR certification (required within 90 days of hire) 2+ years' experience as a Nurse Practitioner, preferred; hospice/palliative care experience, preferred Advance Certified Hospice and Palliative Nurse (ACHPN) certification, preferred Experience with and knowledge of health care policies and reimbursement practices, state and federal health care regulations and home health standards and procedures. Experience with personal computers, database applications, and Microsoft office software. Experience with electronic health records. Ability to demonstrate exceptional theoretical and practical knowledge of hospice and palliative philosophy and best practices of symptom management and pain control. Ability to demonstrate polished and effective written and verbal communication skills, including group presentation skills and the ability to relate to various levels within the agency. Ability to work effectively with Boards of Directors, leadership, auditors and examiners, vendors, staff, volunteers, patients and families, and the general public. Ability to be flexible and effectively manage priorities and multiple tasks and meet deadlines. Ability to maintain organizational confidentiality which includes, but is not limited to, information about patients/families, volunteers, employees, donors and agency processes. Benefits Competitive pay 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 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. Agrace Health Inc is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.