All jobs

Begin Your Search Here

Registered Nurse (RN) | Surgery

$32.50 - $48.50 / hour

Location: Avera Sacred Heart Hospital Worker Type: Regular Work Shift: Primarily days with night, weekend and holiday on-call involvement (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $32.50 - $48.50 Position Highlights Hours : Days - start times vary, Three 8hr shifts and One 12 hr shift per week; weekday call once a week/every other week; Every 10th weekend on call; 1 holiday per year on call Student Loan Repayment: This position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Delivers Nursing Care by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to patients, families, and friends to understand patient conditions, medications, and self-care skills; noting changing conditions and needs; re-evaluating care objectives. What you will do Provides patient care by reviewing physician prescriptions; communicating the nursing care plan and all pertinent information to other members of the health care team; coordinating with other healthcare providers; providing physical, emotional, psychological, and spiritual support to patients, families, and friends; conferring with physicians. Develops nursing care plans by obtaining medical histories; examining patients; documenting patient physical condition, psychological status, and influencing social factors; conferring with family and friends; developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions, schedules, and timetables. Teaches healthcare requirements by establishing patient care goals; instructing patient, family, and friends to understand condition, medications, and self-care skills; answering questions; providing information and resources. Evaluates patient care by adhering to therapeutic standards; measuring health outcomes against patient care standards; reviewing patient records; noting changing conditions and needs; re-evaluating care objectives; modifying nursing care plan. Maintains safe, secure, and healthy patient care environment by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations; adhering to organization standards and policies, and to legal regulations; alerting others regarding potential concerns. Documents patient care services by charting in patient and department records. Keeps patient care equipment operating by following operating instructions and established procedures; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs. Keeps patient care supplies ready by checking stock; anticipating needs; placing and expediting orders; verifying receipt; stocking items. Maintains competence in nursing capabilities outlined by leadership. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire Preferred Education, License/Certification, or Work Experience: 1-3 years Experience working in a clinical environment Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Registered Nurse (RN) or Licensed Practical Nurse (LPN) | 69th and Western Clinic

Avera Health Sioux Falls, SD

$22.50 - $41.25 / hour

Location: Avera 69th & Western Clinic Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.50 - $41.25 Position Highlights Primary nurse for Dr. Jason Knutson RN: $27.75-$41.25 LPN $22.50 - $31.50 May be eligible for a $3000 sign on bonus You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for providing professional nursing care to patients and families. Communicates with physicians as well as other healthcare team members to provide excellent patient care. What you will do Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards. Coordinates the patient care activities for the clinic. Prepares equipment and assists provider during procedures, treatments, examinations, and testing of patients. Observes, records, and reports patient’s condition and reactions to drugs and treatments to provider. Oversees appointment scheduling and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and prepares them for physical examination. Screens patients for appropriate information including obtaining the health history, taking vitals, and conducting a nursing assessment. Documents obtained information in patient chart. Instructs patient in collection of samples and tests. Responds to patient phone calls in a timely manner with appropriate input from the physician. Educates patients and families about diagnostic process, medications, nutrition, and maintenance of health and wellness. Suggests solutions to patient care crisis problems and complaints. Maintains exam rooms with necessary supplies and materials. Ensures cleanliness. Prepares list of medical supplies needed. Assures appropriate labeling of pathology specimens according to lab protocol as needed. Performs quality control and maintains records on all lab testing. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Medical Assistant or Transplant Specialist

Avera Health Sioux Falls, SD

$19.50 - $28 / hour

Location: Avera Transplant Institute Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $19.50 - $28.00 Position Highlights ****Position located in Rapid City, SD The Medical Assistant works under the direction of the RN Transplant Coordinator for all aspects of the job. Assists the Transplant Coordinator in referral, evaluation, listing, and post transplant activities. A high degree of personal initiative, attention to detail and accuracy is required in a fast-paced multidisciplinary clinic and ancillary setting. The Medical Assistant: Serve as first line resource for patients and assist in facilitating the patient through all transplant/donor phases; referral, evaluation, waitlist and post-transplant or donation phases (referral, evaluation and post donation). Triage a high volume of challenging patient, provider and calls. Report urgent calls to coordinator and physicians. Triage phone calls and faxes for the Transplant Office. Schedule appointments/testing as needed and notify patient via phone call and/or letter. Obtain/track testing results performed at outside facilities. Accurately enter outside labs into the transplant database. Notify RN Transplant Coordinator of abnormal/urgent results. Assembles packets of information for patients/patients’ families/donors to be used at meetings, education sessions, or individually, both handed out or mailed. Create, update and track all program referrals and patient information in the transplant database, OTTR, Expanse, etc. Provide referral data for review by team and Transplant Administrator. Collaborate with the Financial Coordinator to provide insurance information, determine if authorizations are required and to secure required authorizations from insurance carriers. Schedule all initial, annual and post-transplant multidisciplinary team evaluations which may include but are not limited to, Transplant Coordinator, Dietician, MSW, Pharmacy, Financial Coordinator, Surgeon and Nephrologist. Also scheduling of diagnostic studies, health maintenance exams and specialty consults. Notify patient of upcoming appointments and provide verbal and written instructions. Determine records required for the evaluation process. Request/Retrieve medical reports required for pre-transplant evaluation from dialysis units, HIM, outside facilities and physicians. Continually follow-up on requests to obtain reports throughout all phases of transplant; document actions taken. Scan and attach records in the transplant database. Retrieve records directly from medical records systems outside of the Avera system, ie Epic. Communicates with primary nephrologists and primary care physicians. Faxes or mails medical information to the dialysis units, case managers, referring physicians and consulting physicians. Generate Expanse and OTTR chart on each patient. Demonstrates effective verbal and written communication with a diverse audience including leaders, subject matter experts, and ITC. Participates in project plan development and implementation, facilitating project meetings and documenting effectively. Provides patient reception services, backing-up other secretaries, answers telephone, operates paging system, answers inquiries, directs and assists patients or visitors, takes and relays messages, and runs errands for managerial, Nursing or Social Work staff as needed. Assists with discharge as directed by the Transplant Coordinator or physician. Investigate cancels and no shows. Reschedule appointments as directed by Transplant Coordinator Assist in informing multidisciplinary team regarding patient appointment flow throughout the day. Maintains contact with the organ and donor candidates in order to obtain updated medical information and reports. Assists in the arrangements of living related/non-related organ donation and transplantation as directed by the RN Transplant Coordinator. Collaborates with RN Transplant Coordinators in order to assure that all responsibilities are covered when one Coordinator is absent. The Assistants may rotate some tasks as appropriate and approved by the RN Transplant Coordinators and update Expanse schedule accordingly. Manages incoming data via fax and route to the appropriate member of the multidisciplinary team. Participates on committees and attends meetings as appropriate. Gather and send records requested by outside facilities. Prepares and maintains pending work-up lists for presentation at team meetings. Responsible for sending out appropriate data. Coordinate transplant outreach to include patient and physician schedules, car rentals, lodging accommodations and may travel with team when indicated by patient load. Training of new staff on job responsibilities, database familiarization, scheduling workflow and other duties as appropriate. Assists in the arrangements of living related/non-related organ donation and transplantation as directed by the RN Transplant Coordinator. Schedule follow-up appointments/stent removals Comply with all CMS and UNOS regulatory requirements, to include written patient communications regarding decisions from Selection Committee, proper documentation, scanning of source documents and other regulatory requirements as assigned. Order office supplies, medical supplies and forms; monitor usage/supply of same. Cross coverage with other members of the team to ensure incoming communications are addressed in a timely manner. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Performs selected medical assistant and clerical duties that assist in care for clinic patients following established standards, practices, and competency. Works collaboratively with other clinic staff to solve practice-related problems. Demonstrates knowledge of the principles of growth and development and possesses the ability to respond to specific issues and data reflective of the patient/customer's status. Demonstrates the knowledge and skills necessary to provide care for the population served in the department. What you will do Assists in care to patients as directed by provider based on competency. Provides accurate, completed, legible and timely documentation of all patient procedures in the medical record. Maintains timely flow of patients. Instructs patients in collection of samples and tests. Responsible for assisting with patient and family education to include procedures, medication use, nutrition, disease processes, and maintenance of health and wellness, etc., based on competency. Greets patients and conducts clinical interview collecting history and vital signs. Labels and processes lab specimens according to lab procedures. Maintains exam room for necessary supplies and materials. Performs daily and weekly environmental cleaning and equipment quality control and maintenance. Cleans and sterilizes medical equipment according to policy. Follows correct procedures for handling and disposing of bio-hazardous infectious waste. Provided back-up help for front desk personnel. This may include answering telephone, scheduling and cancelling appointments, and scheduling consult patients. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Certified Clinical Medical Assistant (CCMA) - National Healthcareer Association (NHA) Upon Hire or Certified Medical Assistant (CMA) - American Medical Certification Association (AMCA) Upon Hire or Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) Upon Hire or Registered Medical Assistant (RMA) - American Medical Technologists (AMT) Upon Hire or National Certified Medical Assistant (NCMA) - National Center for Competency Testing (NCCT) Upon Hire Preferred Education, License/Certification, or Work Experience: Associate's Graduate of Medical Assistant program or diploma Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

CNA

Full-time

2 weeks ago

Certified Nursing Assistant (CNA) or Nurse Assistant WEEKEND WARRIOR | Long Term Care

Avera Health Yankton, SD

$19.75 - $27.50 / hour

Location: Avera Majestic Bluffs/Avera Sister James Care Center Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $19.75 - $27.50 Position Highlights HOURS : Weekend Warrior position; 6am-6:30pm; work Friday, Saturday, and Sunday - 5 out of 6 weekends for a 25% incentive; 72hrs/pp *May be eligible for $1,000 sign on bonus You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview The Nurse Assistant is in training to become a Certified Nurse Assistant. The Nurse Assistant will provide direct, personal care and services to residents in the skilled nursing facility, which meet the physical academical, social and spiritual needs on a daily basis to maintain and improve their highest level of independent function. What you will do In training to become Nurse Assistant certified and/or Medication Aide certified. Provides assistance to residents with their activities of daily living. Performs routine and non-routine duties as directed by nursing staff. This may includes but not limited to assisting patients with bathing and dressing needs, shaving, oral hygiene, bed making, transfers into and out of bed, repositioning, toileting needs, serving and collecting food trays, encouraging and/or assisting with feeding, answering call lights, insuring a clean environment, transporting patients upon admission and dismissal, assisting with ambulation and orienting/reorienting of resident to the facility environment to insure resident safety. Performs blood pressure, pulse, temperature, respiration and weight. Documents concise and factual information on the appropriate forms. Performs or assists residents in performing specific medical care activities in accordance with established policy and procedure to contribute to the patient's plan of care. This includes assisting residents in performing restorative exercises, collecting specimens as directed by nursing staff. Assessing and documenting completed cares. Provides feedback to nursing staff immediately on status or changes in patient conditions, pain management, and other important concerns. Assists with restocking supplies and maintaining appropriate work environment in unit including cleaning procedures. Participates in providing emotional, educational and spiritual support for families. Complies with all aspects of resident rights including confidentiality and privacy. Report all allegations of resident abuse or misappropriation of resident property. Understands and follows established policy and procedures related to fire, tornado, evacuation, disaster plan, universal precautions, infection control procedures, hazardous and chemical communication program. Maintains an environment that is clean and safe for all residents, families and staff. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Certified Nurse Aide (CNA) - Licensing Board in the state of practice within 120 Days Preferred Education, License/Certification, or Work Experience: High School or GED Equivalent Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Oncology

Part-time

2 weeks ago

Registered Nurse (RN) | Cancer Institute Navigation PRN

Avera Health McKennan Hospital, SD

$27.75 - $41.25 / hour

Location: Avera Cancer Institute-Sioux Falls Worker Type: PRN Work Shift: Day/Evening/Weekend/Holiday Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $27.75 - $41.25 Position Highlights This position supports all six of our Avera Cancer Institute locations. We prefer individuals with oncology-related experience. This position can be either in-person or remote during our business hours of 7a-6p Monday-Friday. For coverage outside those hours, all shifts are remote. On average, four on-call shifts are required per month. Individuals in this position must be able to work independently and be comfortable using technology. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Serves as the point of contact for those affected by cancer both in person but primarily via phone through the call center. Performs needs assessment of all clients, addresses clinical concerns, provides education, triages, makes referrals to appropriate resources and services, assists with access to care, enhances patient experience, improves care coordination, and has ongoing follow-up and support as needed. Utilizes local, regional and national resources while collaborating with all of the Avera Cancer Institute locations. Maintains contact with referring agencies and related people and with community resources used for referral. What you will do Assists clients in eliminating barriers to timely, quality care through all phases of health care including prevention, detection, diagnosis, treatment, and survivorship with particular focus on disparate populations. Completes needs assessment of all clients and documents within database and electronic medical record as appropriate and effectively provides oncology nurse triage based on AAACN model of the nursing process including assessment, analyzing and planning, implementation and evaluation. Makes referrals to appropriate resources and services and documents within database and electronic medical record as appropriate. Provides ongoing support and follow-up per outlined protocols and documents within database and electronic medical record as appropriate. Provides education and educational resources to those affected by cancer, including assisting in clients making informed decisions, with documentation in database as well as in electronic medical record as appropriate. Appropriately refers mental health and emotional support needs to social work navigator or back to community or health system mental health professional. Assists leader in planning, development, implementation and evaluation of goals and objectives. Assists leader with data collection, analysis and reporting. Achieves and maintains a current knowledge base regarding local, regional and national resources while ensuring electronic database of resources remains up to date including working collaboratively with the American Cancer Society and other organizations that provide support to cancer patients. Works collaboratively with all Avera Cancer Institute staff and providers as well as other staff and providers throughout the Avera system to provide coordinated services which facilitate continuity of care for the patient and their families. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire Preferred Education, License/Certification, or Work Experience: 1-3 years Experience working in a clinical environment Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

LPN

Part-time

2 weeks ago

Registered Nurse (RN) or Licensed Practical Nurse (LPN) - Care Center

Avera Health Sioux Center, IA

Location: Sioux Center, IA Worker Type: Regular Work Shift: Evening Shift (United States of America) Discover a Career of Faith and Healing: For over 70 years, Sioux Center Health has served patients with Jesus’ healing ministry. With eight locations located in Sioux Center, Iowa and surrounding communities, we take great pride in providing superior care in our state-of-the-art facilities. A Career that You Will Love: There’s no other way to say it: You will love working here. Between our strong mission and our great people, we have nurtured a pretty exceptional culture at Sioux Center Health. A Chance to Make a Difference: Working with us means making a real difference in the lives of our community members. Your talents and your passions are truly appreciated here. In addition to the service we provide, Sioux Center Health also supports our community with sponsored programs and events, and other volunteer work. If this is your passion, you need to consider joining our team driven to provide quality care and services within a caring Christian culture. Position Highlights Sioux Center Health has been awarded Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 12 healthcare categories. Sioux County also ranked #6 in the nation for being one of the Healthiest Communities according to U.S. News & World Report and CVS. There’s a reason we are a recognized healthcare leader. Summary The Long Term Care RN is responsible for directing and supervising resident care consistent with the Iowa Nursing Practice Code, Federal, State, and Sioux Center Health standards of care while promoting each resident’s highest practicable physical, mental, and psychosocial well-being. General Hours of Work 8 and 12 hour rotating shift; nights, weekend, call involvement. Pool status. Education and/or Experience Graduate of an accredited school of nursing, for registered nurse. Minimum of one year of experience in Long Term Care preferred. OR Graduate of an accredited school of nursing for licensed vocational practical nurse. Minimum of one year of experience in Long Term Care preferred. Certificate, Licenses, Registrations Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date. OR Current LPN license in the State of Iowa. Must obtain CPR certification within 3 months of hire date. Completion of LPN Supervisory course and IV certification. Essential Functions Utilize the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation) in the practice of nursing. To assess the health status of each resident. To formulate a nursing diagnosis based on the analysis of data from the nursing assessment; To plan nursing care which includes determining goals and priorities for activities based on the nursing diagnosis; To develop nursing interventions implementing the plan of care; and To evaluate the individual resident’s status in relation to established goals and the plan of care. Recognize and understand the legal implications of accountability including, but no limited to the following: Performing or supervising those activities and functions which require the knowledge and skill level of a registered nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparation; Using professional judgment supervising unlicensed assistant personnel; Using professional judgment in assigning and delegating activities and functions to unlicensed assistant personnel; Supervising, among other things, includes any or all the following: Direct observation of any activity or function; Assumption of overall responsibility for assessing, planning, implementing, and evaluating nursing care; Delegation of nursing tasks while retaining accountability; Determination that nursing care being provided is adequate and delivered appropriately. Executing the regimen prescribed by the physician while exercising professional judgment in accordance with minimum standards of nursing practice.If the prescribed medical regimen is not carried out, based on the nurse’s professional judgment, accountability will include: timely notification of the prescribing physician the medical regimen was not executed and reason(s) for same; documentation on medical record the physician was notified and reason(s) for not following order(s). Performs, skillfully and proficiently, the following duties: Reads report from previous shift and writes report for following shift. Reports and explains all pertinent resident care information to C.N.A.’s. Supervises all meals and nourishment or assure proper diet is served, nutrition and hydration needs are met, and residents are assisted as necessary. Makes rounds as necessary, assessing unstable residents. Prepares and administers medications, nutrition, fluids and medication, and treatments as ordered. Documents all medications, IV fluids, and treatments as administered. Supervises any restraint application and/or removal. Supervises prompt response to resident’s call lights. Orders medications as necessary. Notifies pharmacy of changes/additions to resident’s drug regimen. Receives medication delivery from pharmacy and checks and documents all drug received. Supervises all resident care and assists with direct care as needed. Observes, evaluates, reports, and documents all changes in resident’s conditions every two hours or as needed. Assists in the managerial responsibilities (interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems). Performs other duties and responsibilities as assigned.

Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Marion Road Pediatric Clinic

Avera Health Sioux Falls, SD

$22.50 - $41.25 / hour

Location: Avera Family Health Center Marion Rd Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.50 - $41.25 Position Highlights Great opportunity for an LPN or RN to join our clinic! Primary Nurse for Pediatrics. 36 hours per week with Thursdays off. Student Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster. LPN Job Summary: Provides for the delivery of professional nursing care under the direction of the provider. Licensed Practical Nurse (LPN ) - Board of Nursing - An active license in the state of practice if required upon hire. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for providing professional nursing care to patients and families. Communicates with physicians as well as other healthcare team members to provide excellent patient care. What you will do Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards. Coordinates the patient care activities for the clinic. Prepares equipment and assists provider during procedures, treatments, examinations, and testing of patients. Observes, records, and reports patient’s condition and reactions to drugs and treatments to provider. Oversees appointment scheduling and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and prepares them for physical examination. Screens patients for appropriate information including obtaining the health history, taking vitals, and conducting a nursing assessment. Documents obtained information in patient chart. Instructs patient in collection of samples and tests. Responds to patient phone calls in a timely manner with appropriate input from the physician. Educates patients and families about diagnostic process, medications, nutrition, and maintenance of health and wellness. Suggests solutions to patient care crisis problems and complaints. Maintains exam rooms with necessary supplies and materials. Ensures cleanliness. Prepares list of medical supplies needed. Assures appropriate labeling of pathology specimens according to lab protocol as needed. Performs quality control and maintains records on all lab testing. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Part-time

Avera Health Sioux Falls, SD

Location: Sioux Falls, SD Worker Type: Regular Work Shift: Day Shift (United States of America) At Avera Heart Hospital, you’re not just joining a workplace – you’re becoming part of a family. With more than 700 dedicated employee, we deliver care that truly makes a difference. Our commitment to excellence has earned us the distinction of being one of only a handful of hospitals nationwide – out of more than 4,000 – to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services. Position Highlights Position Summary: North Central Heart a Division of the Avera Heart Hospital endorses Standards of Care that require all nurses to practice at a competent level of nursing care and demonstrate a competent and professional level of behavior in his/her role as an LPN. He/she assumes responsibility and accountability for his/her individual actions and outcomes of patient care delivered on his/her clinic shift. Primary functions will be to assist the cardiologists and surgeons in the clinic setting by entering orders in the computer/EMR as requested, refilling medications via the EMR, give patient’s their summary and/or education information upon completion of the office visit, assist with rooming patients and cleaning exam rooms, complement nursing requests and various other job duties that may be necessary in the clinic setting. Work Schedule: Variable shifts: Monday through Friday 10-hour days. Education/Experience: Graduate from a CCNE or NLN accredited nursing program is strongly preferred. Graduate from an approved nursing program is acceptable. Licensure/Certification: Licensed as a LPN in the State of South Dakota and/or meeting the requirements of Multi-state licensure required. MN licensure required within 6 months of start date. Current BLS Certification.

Registered Nurse (RN) - Visiting Nurse | Home Hospice

Avera Health Sioux Falls, SD

$31 - $46.25 / hour

Location: Avera at Home Hospice-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights Home Hospice Nurse for Sioux Falls. On call approximately 2 times a month. Service are is 40 mile radius of Sioux Falls and 30 mile radius of Madison and Flandreau. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for utilizing the nursing process to provide nursing care for Avera@Home patients following the ANA Standards of Clinical Nursing Practice. The Nurse assumes responsibility for the outcome of nursing care provided to patients in their homes or in facilities. The Nurse demonstrates the knowledge and skills necessary to provide exceptional care for the population served. What you will do Collects patient health data. Analyzes the assessment data in determining nursing diagnoses/problem focus. Identifies expected outcomes/goals individualized to the patient. Develops a plan of care that prescribes interventions to attain expected outcomes. Implements the interventions identified in the plan of care. Evaluates the patient’s progress toward attainment of the outcomes Systemically evaluates the quality and effectiveness of nursing practice. Collaborates with the patient, significant others, and healthcare providers in providing patient care. Utilizes research/evidence-based findings in practice if appropriate. Considers factors related to safety, effectiveness, cost in planning, and delivering patient care. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Drivers License - Licensing Board This position requires a valid driver’s license and that the employee is insurable by the Avera Health automobile liability insurance carrier Upon Hire Registered Nurse (RN) - Board of Nursing An active license in the state of practice. Upon Hire Preferred Education, License/Certification, or Work Experience: Minimum two (2) years related experience and/or training or equivalent combination of education and experience. Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Registered Nurse (RN) | Oncology Outpatient Clinical Nurse Educator

Avera Health McKennan Hospital, SD

$29 - $43.25 / hour

Location: Avera Cancer Institute-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $29.00 - $43.25 Position Highlights May be eligible for a $6000 sign on bonus. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Accountable for staff development expertise as an educator, consultant, facilitator, change agent and a leader in the area of support. Develops nursing expertise and fosters empowerment through knowledge to achieve excellence through the delivery of evidenced-based clinical practice. This occurs through the facilitation of the educational process through assessment, development, planning, implementation and evaluation of competency assessment, continuing education and leadership development. What you will do Provides staff development expertise as an educator, consultant, facilitator, change agent and leader. Develops and identifies clinical prevention strategies in area of expertise. Supports the development of the nurse and fosters empowerment through knowledge to achieve excellence through the delivery of evidenced-based clinical practice. This occurs through the facilitation of the educational process through assessment, development, planning, implementation, and evaluation of competency assessment, continuing education and leadership development. Proactively participates in continuing education with a goal of enhancement of clinical practice. Serves as a resource in the development, implementation and evaluation of clinical protocols and practice management guidelines essential to assure compliance with care standards. Collaborates with the director/manager to develop and implement an education and orientation plan in clinical area of focus. Coaches and provides feedback to staff regarding their nursing care. Delegates, supervises, and evaluates nursing care given by others while retaining accountability for the quality of care given to the patients and provides input to nursing leadership as necessary. Contributes to the professional development of peers, colleagues and others. Assists in compiling and presenting optimal care standards via case reviews of patients for internal and regional committees. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire 1-3 years Nursing experience Preferred Education, License/Certification, or Work Experience: Specialty Certification - Area of Nursing Practice - Certification Board within 1 Year Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

LPN

Outpatient

Full-time

Avera Health McKennan Hospital, SD

$22.50 - $41.25 / hour

Location: Avera Medical Group Neurosurgery-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $22.50 - $41.25 Position Highlights LPN-$22.50-31.50 RN-$27.75-41.25 RN and LPN may be eligible for $6,000 sign on bonus! Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. Each month an extra payment of $167 (up to $10,000) from Avera will help pay down your principal balance faster. LPN Job Summary: Provides for the delivery of professional nursing care under the direction of the provider. An active license in the state of practice required. You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for providing professional nursing care to patients and families. Communicates with physicians as well as other healthcare team members to provide excellent patient care. What you will do Performs general nursing care to patients. Administers prescribed medications and treatments in accordance with nursing standards. Coordinates the patient care activities for the clinic. Prepares equipment and assists provider during procedures, treatments, examinations, and testing of patients. Observes, records, and reports patient’s condition and reactions to drugs and treatments to provider. Oversees appointment scheduling and ensures preferences are given to patients in emergency situations. Maintains timely flow of patients. Greets patients and prepares them for physical examination. Screens patients for appropriate information including obtaining the health history, taking vitals, and conducting a nursing assessment. Documents obtained information in patient chart. Instructs patient in collection of samples and tests. Responds to patient phone calls in a timely manner with appropriate input from the physician. Educates patients and families about diagnostic process, medications, nutrition, and maintenance of health and wellness. Suggests solutions to patient care crisis problems and complaints. Maintains exam rooms with necessary supplies and materials. Ensures cleanliness. Prepares list of medical supplies needed. Assures appropriate labeling of pathology specimens according to lab protocol as needed. Performs quality control and maintains records on all lab testing. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire Expectations and Standards Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community. Promote Avera’s values of compassion, hospitality, and stewardship. Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity. Maintain confidentiality. Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable. Benefits You Need & Then Some Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future. PTO available day 1 for eligible hires. Up to 5% employer matching contribution for retirement Career development guided by hands-on training and mentorship Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to talent@avera.org .

Full-time

3 weeks ago

Registered Nurse (RN) | Long Term Care

Avera Health Freeman, SD

Location: Freeman, SD Worker Type: Regular Work Shift: Primarily days with rotating weekends and holidays (United States of America) Freeman Regional Health Service is looking for individuals to join our growing, team-oriented organization. Position Highlights Worker Type: Full Time - Benefit Eligible (working at least 72 hours per pay period) Work Shift: Day Shifts (6:00 a.m. to 6:30 p.m.) Rotating weekends/holidays A Brief Overview Becoming an RN, in Long Term Care (LTC), allows you to provide significant, ongoing care to elderly patients. You can develop deep connections with residents and their families, getting to know their stories and personalities over time, while making a positive impact on their quality of life. By providing attentive care, you can significantly improve the daily lives of residents, making a noticeable difference. What you will do: Regularly evaluating residents' physical and mental health, including vital signs, cognitive function, and overall well-being. Accurately dispensing and monitoring medications according to physician orders. Maintaining open communication with residents, families, physicians, and other healthcare team members to ensure coordinated care. Observing for any significant changes in resident health status and promptly reporting them to the appropriate healthcare provider. Assessing pain levels and administering pain medication as prescribed. Providing emotional support and addressing psychosocial needs of residents. Maintaining accurate and detailed resident records, including progress notes and medication administration logs. Recognizing subtle changes in resident behavior or health status due to the chronic nature of conditions. Collaborating effectively with Certified Nursing Assistants (CNAs) and other healthcare professionals to deliver comprehensive care. Comply with all aspects of resident rights including confidentiality and privacy. Lead, by example, following Freeman Regional Health Services CARE standards. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - SD Board of Nursing 1-3 years experience working in a clinical or long term care environment, preferred. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

LPN

Full-time

3 weeks ago

Avera Health Freeman, SD

Location: Freeman, SD Worker Type: PRN Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Freeman Regional Health Service is looking for individuals to join our growing, team-oriented organization. Position Highlights Licensed Practical Nurse (LPN) - Long Term Care Location: Freeman Regional Health Services Worker Type: PRN Work Shift: Day Shift (6:00 a.m. to 6:30 p.m.) Night Shifts (6:00 p.m. to 6:30 a.m.) Rotating weekends/holidays A Brief Overview Becoming an LPN, in Long Term Care (LTC), allows you to provide significant, ongoing care to elderly patients. You can develop deep connections with residents and their families, getting to know their stories and personalities over time, while making a positive impact on their quality of life. By providing attentive care, you can significantly improve the daily lives of residents, making a noticeable difference. What you will do: Regularly evaluating residents' physical and mental health, including vital signs, cognitive function, and overall well-being. Accurately dispensing and monitoring medications according to physician orders. Maintaining open communication with residents, families, physicians, and other healthcare team members to ensure coordinated care. Observing for any significant changes in resident health status and promptly reporting them to the appropriate healthcare provider. Assessing pain levels and administering pain medication as prescribed. Providing emotional support and addressing psychosocial needs of residents. Maintaining accurate and detailed resident records, including progress notes and medication administration logs. Recognizing subtle changes in resident behavior or health status due to the chronic nature of conditions. Collaborating effectively with Certified Nursing Assistants (CNAs) and other healthcare professionals to deliver comprehensive care. Comply with all aspects of resident rights including confidentiality and privacy. Lead, by example, following Freeman Regional Health Services CARE standards. Required Education, License/Certification, or Work Experience: Licensed Practical Nurse (LPN) - SD Board of Nursing 1-3 years experience working in a clinical or long term care environment, preferred. Essential Qualifications The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.