Program Coordinator RN - Home Based Hospital Care

UW Health; Madison (WI); Hybrid; USD 70,000 - 100,000; Full time

Job summary

UW Health is hiring a Registered Nurse to coordinate care for Home-Based Hospital Care (HBHC) patients through virtual visits and phone communication, ensuring hospital-level care at home.

You will partner with rounding providers, equipment coordinators and in-home RNs to support daily care planning, patient monitoring, and safe transitions of care within a collaborative team. This hybrid role requires occasional travel to area hospitals.

Qualifications

• BSN preferred and RN licensure in WI or compact state.
• 2 years of acute care or home health nursing experience required.
• Experience with care coordination, triage, or nursing leadership preferred.
• Experience with IV therapy and venous-access devices preferred.

Responsibilities

• Coordinate care for HBHC patients as central contact via virtual visits and phone.
• Conduct virtual medication administration visits and patient check-ins with interdisciplinary team.
• Participate in rounds and manage post-acute referrals, discharge services, and equipment coordination.
• Maintain timely documentation in the EMR and monitor patient progress.
• Hybrid role with onsite and remote work; occasional travel within Madison area.

Skills

Care coordination

Triage

Nursing leadership

Program development

Teaching self-care

Home health nursing

Remote/telehealth coordination

Electronic health records

Education

BSN preferred

Tools

EPIC

Virtual health platforms

Job description

Day/evening, you will work eight 10-hour shifts per pay period weekend rotation, and a holiday rotation required. Hours are based off the operational needs of the department. This position is hybrid with onsite work, remote work and travel required within the Madison, WI area. Your assigned work location will be the Administrative Services Building at 301 S. Westfield Rd., Madison, WI.

Be part of something remarkable

Coordinate care for Home-Based Hospital Care (HBHC) patients, serving as the central point of contact through virtual visits and phone communication to ensure seamless, hospital-level care in the home.

We are seeking a Registered Nurse to:

• Partner closely with the rounding provider, equipment coordinator, admission RN, and in-home RNs/paramedics within a care team model to support daily care planning, patient monitoring, and safe transitions of care.
• Conduct virtual medication administration visits and ongoing virtual patient check-ins, providing clinical oversight and addressing changes in condition in collaboration with the interdisciplinary team.
• Participate in interdisciplinary rounds and manage post-acute referrals, discharge services, and equipment coordination to support safe discharge and continuity of care.
• Maintain thorough and timely documentation in the electronic medical record while monitoring patient progress and ensuring individualized care needs are met throughout the HBHC episode.
• This is a hybrid position combining onsite and remote work; infrequent travel to University Hospital or East Madison Hospital may be required to support patient enrollment.

Pay:

Additional components of compensation include impressive shift differentials - $4/hour evening, $5/hour night and $4.25/hour weekend differential as applicable for hours worked.

Qualifications

• Bachelor's Degree in Nursing (BSN) Preferred

Work Experience

• 2 years relevant acute care or home health nursing experience Required
• Experience in care coordination, triage, or nursing leadership Preferred
• Experience in program development Preferred
• Experience in teaching self-care skills to patients and families Preferred
• Recent, relevant home health experience Preferred
• Experience using EPIC and virtual health platforms Preferred
• Experience with IV therapy and knowledge of venous-access devices and ambulatory pumps Preferred

Licenses & Certifications

• Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction that has adopted the nurse licensure compact Required
• Current CPR/BLS Certification Required
• Relevant certification Preferred

Our Commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.