Position: Palliative & Hospice RN

Monogram Health is seeking a skilled Registered Nurse, with experience in palliative care, to join the team due to continued nationwide growth. The Palliative & Hospice RN supports chronically ill patients through advanced illness management, palliative care management, and hospice coordination. The ideal candidate will have a deep understanding of palliative care, excellent communication skills, and the ability to coordinate patient care with empathy and a strong attention to detail.

Your Impact

As a Registered Nurse with palliative and hospice knowledge and experience, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. This role is a key member of the palliative care team and enables palliative-focused physicians and APPs as well as our market care teams to provide the highest impact care to our patients. This role promotes patient-centered care by ensuring seamless communication between care teams, patients, and families.

Highlights & Benefits

• Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
• Competitive salary plus company bonus program
• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions

Roles & Responsibilities

Palliative Care Triage & Clinical Support

• Triage urgent palliative care needs and escalate appropriately.
• Provide clinical support to regional palliative physicians, including documentation and workflow assistance.
• Assist with conservative management support for select patients.
• Participate in co-visits and telephonic follow-ups as needed.

Hospice Enablement & Coordination

• Facilitate hospice referrals and coordinate informational visits.
• Provide education to patients and families considering hospice.
• Identify patients enrolled in hospice by external providers (e.g., PCPs).
• Maintain regular communication with hospice agencies to receive updates on referred patients, ensuring continuity of care and timely information sharing through the patient’s hospice journey.
• Deliver education and workflow support to market teams, including travel for training and quality improvement.
• Provide regular updates and hospice-related reporting to regional palliative physicians, market palliative specialists, and MPEs.

Panel Management & Patient Education

• Conduct palliative-focused patient care tasks and “tuck-in” calls in collaboration with the patient’s care team.
• Engage high-need, hard-to-reach patients to encourage participation in palliative care.
• Support scheduling and pre-visit education for complex patients.
• Attend co-visits and coordinate telephonic follow-ups with providers.

Advance Care Planning & Documentation

• Obtain ACP documentation from external offices and hospitals.
• Assist with lower-complexity ACP discussions and patient education and ensure accurate documentation.
• Collaborate with care teams to ensure ACP preferences are reflected in care plans.

Position Requirements

• Graduate of an accredited School of Nursing
• Currently licensed as a Registered Nurse
• 2+ years of experience working in palliative-focused care, geriatric home-based care, and/or hospice care
• Ability to travel to assigned market(s) up to 20%
• Self-starter with the ability to work independently and collaboratively in a remote environment with minimal supervision
• Ability to show empathy and quickly build relationships with patients and physicians
• Familiarity with Microsoft Office and web-based applications
• Excellent verbal and written communication skills
• Prior experience in value-based care models preferred

About Monogram Health:

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.