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Certified Registered Nurse Anesthetist (CRNA) | Sacred Heart Hospital

Location: Avera Sacred Heart Hospital Worker Type: Regular Work Shift: Primarily days with night, weekend and holiday on-call involvement (United States of America) Position Highlights May be eligible for up to a $50,000 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 Cares for patients at all acuity levels across the lifespan in a variety of settings for procedures including, but not limited to, surgical, obstetrical, diagnostic, therapeutic, and pain management. What you will do Performs a pre-operative patient assessment. Determines a plan of care and communicating the plan of care to patient and family. Establishes and maintains essential venous access. Ensures establishment and maintenance of airway. Responsible for inducting, maintaining the anesthesia, and proper monitoring. Responsible for completing the anesthesia and the emergence from anesthesia. Transfers care to appropriate staff at termination of procedure. Performs post-operative follow-up for each case performed. Perform as a clinical instructor for anesthesia students. 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 Anesthetist (CRNA) - Board of Nursing An active license in the state of practice Upon Hire and Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire and Certified Registered Nurse Anesthetist - National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) 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 .

Certified Nursing Assistant - Care Center

Location: Sioux Center, IA Worker Type: Regular Work Shift: Day 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 a Top 100 Critical Access Hospital award, 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 Certified Nursing Assistant (C.N.A.) provides direct care for the Long-Term Care residents that follows the Care Plan and assists each resident to achieve and maintain the highest level of health and physical condition. General Hours of Work 4, 8, 9 hour shift (weekend & holiday involvement). Education and/or Experience Completion of 75 hour C.N.A. course preferred. Prefer high school diploma or GED. Prior related work experience preferred. Attends 12 hours of in-service training yearly. Certificate, Licenses, Registrations Certified as a Nursing Assistant in the State of Iowa required. CPR certification preferred. Essential Functions Communicates effectively with residents, families, and coworkers to protect and promote each resident’s dignity, individuality and rights. Assesses patient’s daily needs and treatments. This includes obtaining and recording vital signs, height, weight, assessing need for assistance with or independence in dressing needs, bathing, eating, and ambulation. The CNA conducts the assessments in consideration for the patient’s choice, privacy, dignity, and independence. As a member of the multidisciplinary team, they provide input in the care planning process. Provides or assists the patient with daily needs and treatments in accordance with established policy and procedure. This includes assisting patients with bathing and dressing needs, shaving, oral, hygiene, bed making, transferring 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/reorientating of patients to the facility environment to insure patient safety. Performs or assists patients 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 patients in performing restorative exercises, collecting specimens administering enemas, bowel and bladder training, assessing and documenting completed cares, intake and output, baths, dietary intake/calorie counts on flow sheets while providing important feedback to nursing staff immediately on status or changes in patient conditions, pain management, and other important concerns. Performs safety and infection control procedures to insure a safe, clean environment for patients and staff. This includes understanding and following established policy and procedures related to fire, tornado, evacuation, disaster plan, universal precautions, infection control procedures, hazardous and chemical communication program. Demonstrates knowledge of the strategic and operational plans of the facility and actively supports these on a daily basis and as a part of this involvement actively supports all facility functions. Performs other duties and responsibilities as assigned

Certified Nursing Assistant - Care Center

Location: Sioux Center, IA Worker Type: Regular Work Shift: Night 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 a Top 100 Critical Access Hospital award, 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 Certified Nursing Assistant (C.N.A.) provides direct care for the Long-Term Care residents that follows the Care Plan and assists each resident to achieve and maintain the highest level of health and physical condition. General Hours of Work 4, 8, 9 hour shift (weekend & holiday involvement) (9:00 pm - 6:30 am every 3rd weekend only) Education and/or Experience Completion of 75 hour C.N.A. course preferred. Prefer high school diploma or GED. Prior related work experience preferred. Attends 12 hours of in-service training yearly. Certificate, Licenses, Registrations Certified as a Nursing Assistant in the State of Iowa required. CPR certification preferred. Essential Functions Communicates effectively with residents, families, and coworkers to protect and promote each resident’s dignity, individuality and rights. Assesses patient’s daily needs and treatments. This includes obtaining and recording vital signs, height, weight, assessing need for assistance with or independence in dressing needs, bathing, eating, and ambulation. The CNA conducts the assessments in consideration for the patient’s choice, privacy, dignity, and independence. As a member of the multidisciplinary team, they provide input in the care planning process. Provides or assists the patient with daily needs and treatments in accordance with established policy and procedure. This includes assisting patients with bathing and dressing needs, shaving, oral, hygiene, bed making, transferring 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/reorientating of patients to the facility environment to insure patient safety. Performs or assists patients 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 patients in performing restorative exercises, collecting specimens administering enemas, bowel and bladder training, assessing and documenting completed cares, intake and output, baths, dietary intake/calorie counts on flow sheets while providing important feedback to nursing staff immediately on status or changes in patient conditions, pain management, and other important concerns. Performs safety and infection control procedures to insure a safe, clean environment for patients and staff. This includes understanding and following established policy and procedures related to fire, tornado, evacuation, disaster plan, universal precautions, infection control procedures, hazardous and chemical communication program. Demonstrates knowledge of the strategic and operational plans of the facility and actively supports these on a daily basis and as a part of this involvement actively supports all facility functions. Performs other duties and responsibilities as assigned

Registered Nurse (RN) - Acute Care Units

Location: Sioux Center, IA Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (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. Current available opportunities in our Med Surg Unit, Emergency Department, and Obstetrics Unit. Summary The RN assists the Resource Nurse in the management and care of their assigned patients by means of direct patient care, nursing diagnosis, and patient teaching. Participate in educational programs as an educator/consultant (if applicable). General Hours of Work 8 or 12 hour shift rotation (weekends, holidays and call rotation) Education and/or Experience Must be a graduate of an accredited school of nursing. Experience preferred, but not required. Bi-lingual experience preferred but not required. Certificate, Licenses, Registrations Must have a current registered nurse license to practice in the State of Iowa. Must obtain and maintain professional certifications prior to working in the applicable areas: Med Surg: ACLS, BLS, PALS ED: ACLS, PALS, NRP, TNCC (within one year) Postpartum: ACLS, PALS L&D: Fetal Monitoring, STABLE, ACLS, NRP Essential Functions In collaboration with Resource Nurse makes patient assignments to team members to provide the best and most efficient nursing care. Logs into Vocera adding room assignments, updates electronic white boards with patients assigned and individual patient information. Coordinates making post discharge follow-up calls. Performs patient assessments, hourly rounding and initial nursing assessment of all new admissions, admission note as well as on-going assessments and patient notes. Coordinates making physicians rounds and physician notifications with the Resource Nurse. Carries out new orders and/or communicates new orders to team members to be completed. Makes necessary observation and suggestions to attending physicians. Accountable for acknowledging all new orders and following through with them. Provides bedside report for oncoming staff. Provides bedside care and functions to the patients. Is responsible for appropriate discharge and patient teaching for their shift and completes discharge routine documentation. Knows the hospital area resource services and insurance certification procedure for patients. Administers medication and treatments per physician orders and reviews H & P, meds, treatments, etc. Utilizes principles of good leadership and management in organizing nursing care on the unit. Serves as liaison between patient, physician, and staff. Attends and conducts in-services meeting, if needed. Records and documents all clinical and patient data including, but not limited to, narcotic counts, census data, QI information, physician orders, patients charges, and etc. Serves as an instructor for prenatal educational activities and collaborates with clinical leaders to assess, plan, implement and evaluate goals, objectives and content of educational programs (if applicable). Performs other duties and responsibilities as assigned.

LPN

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

Location: Sioux Center, IA Worker Type: Regular Work Shift: Day 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 a Top 100 Critical Access Hospital award, Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 13 healthcare categories including Best Place to Work. 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 Part Time Day Shift, Weekend Only hours. 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. Certificate, Licenses, Registrations Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date. RN 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. LPN Essential Functions Participate in the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation), consistent with accepted and prevailing practice, by assisting a registered nurse or physician. The LPN may assist in monitoring, observing, and reporting reactions to interventions. Refrain from performing any activity requiring the knowledge and skill of a registered nurse including: The initiation of an assessment related to procedures/therapies requiring the knowledge or skill level of a registered nurse; The initiation of intravenous solutions, intravenous solutions, intravenous medications and blood components; The administration of medicated intravenous solutions, intravenous medications and blood components; The initiation or administration of medications requiring the knowledge or skill level of a registered nurse. Engage in, under the supervision of a registered nurse, a limited scope of practice in intravenous therapy as follows: Add intravenous solutions without medications to established peripheral intravenous sites; Regulate the rate of non-medicated intravenous solutions; Administer maintenance doses of analgesics via resident-controlled analgesic pump set at a lock-out interval; Discontinue intravenous therapy. Perform intravenous therapy procedures as outlined in Iowa Code, Chapter 6, Nursing Practice for Registered Nurses/Licensed Practical Nurses following completion of a board-approved intravenous therapy certification course offered by a board-approved provider of education. Recognize and understand the legal implications of accountability including, but not limited to the following: Performing those activities and functions which require the knowledge and skill level of a licensed practical nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparations; Accepting responsibility for performing assigned and delegated functions and informing the registered nurse when assigned and delegate functions are not executed. Executing the medical regimen prescribed by a physician. In executing the medical regimen as prescribed by the physician, the licensed practical nurse will exercise prudent judgment in accordance with minimum standards of nursing practice. If the medical regimen prescribed by the physician is not carried out based on the LPN’s prudent judgment, accountability will include but need not be limited to the following: Timely notification of the physician who prescribed the medical regimen that order(s) was not executed and reason(s) for same. Documentation on the medical records the physician was notified and reason(s) for not following order(s). Supervise unlicensed assistant personnel under the provisions of the Iowa Code. Supervision, among other things, includes any or all of the following: Direct observation of a function or activity; Delegation of nursing tasks while retaining accountability; Determination that nursing care being provided is adequate and delivered appropriately. A licensed, practical nurse may serve as a charge nurse under the supervision of a registered nurse. 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) - Home Health

Location: Sioux Center, IA Worker Type: Regular Work Shift: Day 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 a Top 100 Critical Access Hospital award, Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 13 healthcare categories including Best Place to Work. 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 Home Health and Hospice RN is responsible for client care to include direct nursing care, coordination of care, and coordination of services in the home for clients of all ages, unless otherwise specified, in order to assist the client in achieving a maximum level of wellness and independence. General Hours of Work Rotating shifts with weekday/evening & weekend/holiday call involvement. Education and/or Experience Diploma, Associates or Bachelor's degree from a college or university; or one to two years related experience and/or training; or equivalent combination of education and experience. Bi-lingual experience preferred but not required. Certificate, Licenses, Registrations Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date. Access to automobile required. This position requires a valid driver’s license and must carry their own automobile liability insurance. Essential Functions Responsible for coordinating client services, case management, providing assigned clients with direct skilled care, and teaching patient care skills to the client and/or caregiver. Initiates preventative and rehabilitative nursing procedures individualized to the client and according to age specific needs. All duties will be performed within the scope of the Nurse Practice Act. Develops and revises a plan of care based on the initial assessment, continual reassessment of client/family needs, client history, nursing diagnosis, physician orders, expected outcomes, and client goals to include discharge plans when appropriate. Utilize appropriate agency and community resources, be a client/family advocate and follow visit utilization guidelines and protocols. Formulates and implements appropriate teaching plans, communicates significant clinical findings and changes in status to the physician and other involved personnel, including the clients. Thoroughly document all skilled and medically necessary care thoroughly, timely and accurately. The plans of care, the documentation and the care provided, must comply with Medicare, State, Federal, insurance and payer requirements as well as local agency policy. Maintains client and organizational confidentiality at all times. The RN actively participates in the QAPI (Quality Assurance and Performance Improvement) program and completes all required in-service programs to ensure standards are met and skills are kept current. Conducts Home Health Aide supervisory visits, prepares and updates Home Health Aide’s written instructions and documents findings. The Home Health RN must ensure that clients receive appropriate care and all duties and activities delegated to aides are within the scope of the Nurse Practice Act. Collects patient health data. Documents findings utilizing Meditech Home Care and completes appropriate OASIS time point completely and accurately. Identifies expected outcomes/goals individualized to the patient and develops a plan of care that prescribes interventions to attain expected outcomes. Collaborates with the patient, significant others and health care providers in providing patient care. Attends and prepares for active participation in every other week care conferences. Contributes to the professional development of peers, colleagues and others. Decisions and actions on behalf of clients are determined to be in an ethical manner. Considers factors related to safety, effectiveness and cost in planning and delivering patient care. Assists with the intake of referrals in Home care assuring Medicare admission criteria are met and will obtain benefits and preauthorization of services for commercial payers as indicated. Performs other duties and responsibilities as assigned.

LPN

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

Location: Sioux Center, IA Worker Type: Regular Work Shift: Day 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 a Top 100 Critical Access Hospital award, Top Workplace honor by The Des Moines Register, and won Best of the Northwest in 13 healthcare categories including Best Place to Work. 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 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. Certificate, Licenses, Registrations Current Registered Nurse license in the State of Iowa. Must obtain CPR certification within 3 months of hire date. RN 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. LPN Essential Functions Participate in the “nursing process” (i.e. ongoing assessment, nursing diagnosis, planning, intervention, and evaluation), consistent with accepted and prevailing practice, by assisting a registered nurse or physician. The LPN may assist in monitoring, observing, and reporting reactions to interventions. Refrain from performing any activity requiring the knowledge and skill of a registered nurse including: The initiation of an assessment related to procedures/therapies requiring the knowledge or skill level of a registered nurse; The initiation of intravenous solutions, intravenous solutions, intravenous medications and blood components; The administration of medicated intravenous solutions, intravenous medications and blood components; The initiation or administration of medications requiring the knowledge or skill level of a registered nurse. Engage in, under the supervision of a registered nurse, a limited scope of practice in intravenous therapy as follows: Add intravenous solutions without medications to established peripheral intravenous sites; Regulate the rate of non-medicated intravenous solutions; Administer maintenance doses of analgesics via resident-controlled analgesic pump set at a lock-out interval; Discontinue intravenous therapy. Perform intravenous therapy procedures as outlined in Iowa Code, Chapter 6, Nursing Practice for Registered Nurses/Licensed Practical Nurses following completion of a board-approved intravenous therapy certification course offered by a board-approved provider of education. Recognize and understand the legal implications of accountability including, but not limited to the following: Performing those activities and functions which require the knowledge and skill level of a licensed practical nurse and seeking assistance when activities and functions are beyond the licensee’s scope of preparations; Accepting responsibility for performing assigned and delegated functions and informing the registered nurse when assigned and delegate functions are not executed. Executing the medical regimen prescribed by a physician. In executing the medical regimen as prescribed by the physician, the licensed practical nurse will exercise prudent judgment in accordance with minimum standards of nursing practice. If the medical regimen prescribed by the physician is not carried out based on the LPN’s prudent judgment, accountability will include but need not be limited to the following: Timely notification of the physician who prescribed the medical regimen that order(s) was not executed and reason(s) for same. Documentation on the medical records the physician was notified and reason(s) for not following order(s). Supervise unlicensed assistant personnel under the provisions of the Iowa Code. Supervision, among other things, includes any or all of the following: Direct observation of a function or activity; Delegation of nursing tasks while retaining accountability; Determination that nursing care being provided is adequate and delivered appropriately. A licensed, practical nurse may serve as a charge nurse under the supervision of a registered nurse. 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.

Medication Aide

Medication Aide - Assisted Living

Location: Sioux Center, IA Worker Type: PRN Work Shift: As Needed (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 At Sioux Center Health, our people are the heart of everything we do. Guided by a strong mission and a commitment to exceptional care, we've built a stable, thriving organization where employees make a meaningful difference. Our dedication to excellence is reflected in the recognition we have earned. Sioux Center Health has been named a Top Workplace in Iowa, received Best of the Northwest honors in 13 categories—including Best Place to Work—and earned a Five-Star Patient Survey Rating from the Centers for Medicare & Medicaid Services (CMS). We have also been recognized as a Chartis Top 100 Critical Access Hospital and Top Hospital in Iowa. Our Care Center has received the LeadingAge Excellence in Workplace Award, reflecting our commitment to creating a positive environment for both residents and employees. Beyond our organization, you'll find an outstanding community to call home. Sioux County was ranked #4 in the nation among the Healthiest Communities by U.S. News & World Report and CVS Health, reflecting the high quality of life and strong community values that make this region a great place to live, work, and grow. Summary The Medication Aide, under supervision of the charge nurse, provides assistance with distribution of medications to residents. Assists with Care Assistant responsibilities as needed. General Hours of Work 12 hour shifts, every other holiday, and every 3rd weekend. Education and/or Experience Certified Nurse Aide Certification preferred, but not required. Certified Medication Aid required. Prefer high school diploma or GED. Experience in working with the elderly population preferred, but not required. Certificate, Licenses, Registrations Certified as a Medication Aide in the State of Iowa required. Essential Functions Must follow the CDC legal and ethical guidelines set by the state, resident’s rights, and organization for the distribution of medication to residents, and must be knowledgeable about the medication or research information. Know the special physical conditions of the resident that might affect how medication would react. Receives work assignments from Charge Nurse including assisting with medication pass, obtaining vital signs and blood glucose readings, and other duties within scope of practice. Stays current on resident care plans, reviews report sheets and new interventions at beginning of shift and as needed. Observes residents and notes physical condition, attitude, reactions, appetite, etc. Acts as leader and mentor to fellow team members. Reports any changes or unusual findings to Charge Nurse. Performs other duties and responsibilities as assigned.

Avera Health Pipestone, MN

Certified Nursing Assistant (CNA) / Health Unit Coordinator (HUC)

$20.40 - $31.62 / hour

Location: Pipestone, MN Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pipestone County Medical Center and Family Clinic is currently seeking to find qualified individuals to join our growing team. We are committed to providing high quality services to our southwest Minnesota community. Position Highlights Job Duties: Under the direction of a licensed nurse, the Health Unit Coordinator provides direct, personal care and services to patients in the facility which meets their physical, intellectual, social and spiritual needs on a daily basis; additionally, duties will include various clerical and reception responsibilities at the nursing station and surrounding environment. Education/Certifications: High School diploma or general education degree (GED) required. Completion and maintenance of certification and training requirements as established by the Minnesota Department of Health for registered nursing assistants required. BLS certified or must be obtained within 1 week of hire. Certification of NRP Essentials required or must be obtained within one year of hire. The pay range for this position is $20.40 - $31.62. Actual hourly rate dependent upon experience. We offer an excellent benefits package which includes: Health and Dental Insurance Employer Contribution to Health Savings Account (HSA) Paid Time Off and Extended Sick Leave Competitive wages Pension Plan with Substantial Employer Contribution Employee Wellness Program Various Employee Discounts Tuition Reimbursement for Career Development Employee Assistance Program Continuing Education Opportunities Employee Recognition Events Bereavement Leave Employer Paid Life Insurance

CRNA

Avera Health Pipestone, MN

CRNA

$217,859.20 - $277,201.60 / year

Location: Pipestone, MN Worker Type: Regular Work Shift: Day Shift (United States of America) Pipestone County Medical Center and Family Clinic is currently seeking to find qualified individuals to join our growing team. We are committed to providing high quality services to our southwest Minnesota community. Position Highlights 2 weeks on, 1 week off; First week call 24/7, no call weeks 2 & 3 **POSITION IS ELIGIBLE FOR $20,000 RELOCATION ASSISTANCE** Job Duties: The Certified Registered Nurse Anesthetist (CRNA) is responsible for the anesthesia services in patient care delivery. He/she manages staff in regards to anesthesia services in the OR, Outpatient Surgery, OB and PACU. He/she consults with staff, medical staff and the Surgical Services Nurse Manager with problems and interpretation of policies and procedures. The CRNA maintains performance improvement activities with in the department and participates in PI activities. He/she assists in formulating the budget. The CRNA provides care in the pain management environment directed toward meeting both the psychosocial and physical needs of the patient. He/she functions as a resource person and teacher. Care given reflects initiative and responsibility indicative of professional expectations. He/she is proficient in pain management, guidelines and medication dosing. He/she adheres to the mission, vision and values of Pipestone County Medical Center & Family Clinic in all aspects of job performance. Position Qualifications: Education and/or Experience: Graduate from an approved professional CRNA program. Master’s Degree required. Previous experience preferred. Certificates, Licenses, Registrations: An active CRNA license and Licensed as an Advanced Practice Registered Nurse in the State of Minnesota and/or meeting the requirements of Multi-state licensure required. Certification as a Certified Registered Nurse Anesthetist by the Council on Certification of Nurse Anesthetists or re-certified by the Council on Re-certification of Nurse Anesthesia is also required. Certification as an APRN through the Minnesota Board of Nursing with designation specific to the board of practice is required. Federal DEA certification as required by the state of Minnesota. BLS (CPR) certification required. Certification in CALS with newborn module OR ACLS, PALS and NRP required. The salary range for this position is $217,859.20 - $277,201.60 annually. Actual salary rate dependent upon experience. We offer an excellent benefits package which includes: Health and Dental Insurance Employer Contribution to Health Savings Account (HSA) Paid Time Off and Extended Sick Leave Competitive wages Pension Plan with Substantial Employer Contribution Employee Wellness Program Various Employee Discounts Tuition Reimbursement for Career Development Employee Assistance Program Continuing Education Opportunities Employee Recognition Events Bereavement Leave Employer Paid Life Insurance

Licensed Practical Nurse | Home Health & Hospice

Avera Health Pipestone, MN

$26.44 - $34.87 / hour

Location: Pipestone, MN Worker Type: PRN Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pipestone County Medical Center and Family Clinic is currently seeking to find qualified individuals to join our growing team. We are committed to providing high quality services to our southwest Minnesota community. Position Highlights Job Duties: The Licensed Practical Nurse will provide direct patient care in the residential hospice. The LPN is responsible for all duties related to the daily care including medication administration, meal preparation, daily personal cares and procedures as designated by the Case Management RN’s. LPN is responsible for interacting with patient’s family and visitors in a compassionate and respectful manner understanding that Hospice engulfs the whole of the patient and family; physical, emotional and spiritual needs. 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 care for the population served. Education and/or Experience: Graduate of accredited Practical Nursing program required; Minimum six months experience preferred. Must have current practical nurse licensure from the state of Minnesota. CPR certified or must be obtained within 1 week of hire. Must have a valid driver’s license and auto insurance. This is a PRN/Casual Status Position. The pay range for this position is $26.44 - $34.87 per hour. Actual hourly rate dependent upon experience. We offer an excellent benefits package which includes: Sick Leave Competitive wages Pension Plan with Substantial Employer Contribution Employee Wellness Program Various Employee Discounts Employee Assistance Program Continuing Education Opportunities Employee Recognition Events

Registered Nurse (RN) | Outpatient Clinic

Avera Health O'Neill, NE

$31 - $46.25 / hour

Location: Avera St Anthony's Hospital 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 Hours : Monday-Friday, 8am-5pm; 4 shifts one week & 5 shifts the next; 72hrs/2wks 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 preventative maintenance; calling for repairs. Keeps patient care supplies ready by checking stock; anticipating needs; placing and expediting orders; verifying receipt; stocking items. 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: 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) | Family Medicine Clinic

$27.75 - $41.25 / hour

Location: Avera Family Medicine Yankton 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. $27.75 - $41.25 Position Highlights Hours : Monday-Friday, Days; 40hrs/wk 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 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 .

Clinic Nurse - NWIA ENT - Spencer Hospital

Avera Health Spencer, IA

Location: Spencer, IA Worker Type: Regular Work Shift: Day Shift (United States of America) Spencer Hospital is proud to employ highly skilled and caring staff members. We offer competitive salaries and benefits as well as a pleasant work environment. Position Highlights Spencer Hospital is a rural hospital located in northwest Iowa employing over 500+ employees. Positions at Spencer Hospital are not affiliated with Avera; however, we collaborate to provide services to the communities we serve. Employment offers, if accepted, are exclusively with Spencer Hospital. Responsibilities: Responsible for utilizing the nursing process to provide individualized nursing care in ENT clinic. Schedule patients and perform office administrative functions. Assumes the responsibility for the outcome of nursing care during a specified work period. Collaborates with all available nursing personnel to provide total patient care. Must have knowledge of and utilize appropriate age-related patient protocols relating to the physical and psychological needs of patients. Requirements: Must be a caring communicator, flexible, able to multitask and be comfortable with technological systems Previous clinic nursing experience preferred IA LPN or RN license BLS - onsite training available upon hire Schedule: 72 hrs per pay period 4 days per week; 7:30a-4:30p The schedule may fluctuate based upon the needs of the department Spencer Hospital offers competitive wages, affordable insurance, IPERS retirement, in-house education, paid time off, family gym membership and so much more! Please contact Spencer Hospital Human Resources for any questions at 712.264.6205 or email hr@spencerhospital.org .

Nursing Assistant | Long Term Care | PRN

Avera Health Pierre, SD

$19.75 - $26 / hour

Location: Avera Mary House Worker Type: PRN Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $19.75 - $26.00 Position Highlights Pay scale $21.00 - $26.00/hr Varied shifts as needed; PRN Position Highlights 💡 Position Highlights 🎓 No Experience? No Problem! Paid training + certification costs covered ❤️ Job Satisfaction: Build meaningful relationships with residents and families 💵 Caregiver career path and learn as you earn 🕒 Work Schedule 🌞 Day Shift: Variable; can discuss during an interview 📅 Every other weekend & holiday ⏳ This position PRN, which means it does not have benefits, but is an excellent opportunity for students or as a second job for adults! 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 providing 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 Provides assistance to residents with their activities of daily living Performs routine duties and non-routine duties as directed by nursing staff. This may include 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. Provide 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. Reports all allegations of resident abuse or misappropriation of resident property. Understanding and following 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 Less than 1 year Related experience or training 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 .

Avera Health Sioux Falls, SD

Registered Nurse (RN) Case Manager | MCK Case Management

$34.50 - $51.50 / hour

Location: Avera McKennan Hospital 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. $34.50 - $51.50 Position Highlights * May be eligible for a sign on bonus of up to $15,000* 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 Facilitates the plan for an orderly transition of patients from the Med/Surg and medical ICU acute area settings to the next appropriate level of care. Works closely with physicians and payors to assure proper use of fiscal resources. Serves as liaison with physicians and staff to assure on going continuity. What you will do Provides customer service and communicates in a courteous manner consistent with principles of service excellence in order to achieve patient, family and physician satisfaction. Maintains collaborative relationships with providers, staff, facility liaisons, and outside community agencies. This includes providing medical updates to any appropriate outside facility during hospitalization and at discharge to ensure continuity of care. Works closely with physician groups and monitors documentation to assure that patients of all age groups are receiving evidence based care in an efficient manner throughout entirety of hospitalization. Completes medical record documentation in a thorough and timely manner. Maintains knowledge of services that are covered by managed care organizations, private insurances, and government payers. Coordinates all discharges for acute to acute transfers, transfers to tertiary care centers, skilled nursing facilities, long term care facilities, assisted living facilities, inpatient rehabilitation centers, long term acute care facilities, group homes, hospice, prisons, etc. Can assist in discharges to hospital related programs such as behavioral health services or the hospital at home program. Case managers are responsible for arranging any transportation services needed for an acute to acute transfer or for a transfer to a tertiary care center. Helps coordinate and arrange services such as home health care, outpatient dialysis, outpatient/home infusions, durable medical equipment, oxygen supplies, wound care supplies/appointments, outpatient therapy services, NICU care programs, etc. Coordinates and participates in daily and weekly multidisciplinary rounds and any patient care conferences that are requested. Communicates with Patient Advocate Services to facilitate financial resources for patients. Communicates with logistics department for potential transfer back candidates to local community hospitals. Coordinates and completes are state required paperwork and documentation required for skilled nursing or long term care facilities. Works and coordinates with state officials for difficult to place patients. Assists with the Important Medicare Message on discharges for all Medicare patients and will complete the appeal process paperwork if necessary. Serves as a resource in the development of and complies with standard operating procedures and standards of care to meet regulatory and participation standards. Assists with the collection and maintenance of records as needed by the Medical Support Services department, Joint Commission, OSHA, or as may be required by law. 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: Case Management Nurse - Board Certified (CMGT-BC) - American Nurses Credentialing Center (ANCC) 4-6 years hospital experience and/or training; or equivalent 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 .

Licensed Practical Nurse (LPN) | AESS Temp Staffing | PRN

$24.50 - $33.75 / hour

Location: Avera Education & Staffing Worker Type: PRN Work Shift: Rotating days/evenings/nights/weekends (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $24.50 - $33.75 Position Highlights Varied Shifts 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 LPN practices under the supervision of a registered nurse, advanced practice registered nurse, licensed physician, or other health care provider. The LPN organizes and directs those aspects of care for which he/she is accountable; communicating and coordinating care with well-defined nursing diagnoses, including all health team members. What you will do Collects data and conducts a focused nursing assessment of the health status of a patient. Participates with other health care providers in the development and modification of the patient-centered health care plan. Implements nursing interventions within a patient-centered health care plan. Assists in the evaluation of responses to interventions. Provides for the maintenance of safe and effective nursing care rendered directly or indirectly. Advocates for the best interest of the patient. Communicates and collaborates with patients and members of the health care team. Assists with health counseling and teaching. Delegates and assigns nursing interventions to implement the plan of 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: Licensed Practical Nurse (LPN) - 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. 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) Traveler | AESS Temp Staffing

Location: Avera Education & Staffing Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Position Highlights Varied Shifts; 80hrs/2wks 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 Travels to facilities across the Avera footprint. The nurse is responsible for utilizing the nursing process to provide nursing care for Avera patients following the ANA Standards of Clinical Nursing Practice. The nurse assumes responsibility for the outcome of nursing care provided to patients in facilities. The nurse demonstrates the knowledge and skills necessary to provide exceptional care for the population served. 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 1-3 years recent 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) | AESS Temp Staffing | PRN

$31 - $46.25 / hour

Location: Avera Education & Staffing Worker Type: PRN Work Shift: Rotating days/evenings/nights/weekends (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 Varied Shifts 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 preventative maintenance; calling for repairs. Keeps patient care supplies ready by checking stock; anticipating needs; placing and expediting orders; verifying receipt; stocking items. 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: 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 .

Nursing Assistant | Long Term Care

Avera Health Pierre, SD

$19.75 - $26 / hour

Location: Avera Mary House Worker Type: Regular Work Shift: Rotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $19.75 - $26.00 Position Highlights Pay scale $21.00 - $26.00/hr May be eligible for up to $2,500 sign on bonus and $1,500 relocation bonus! 💡 Position Highlights 🎓 No Experience? No Problem! Paid training + certification costs covered ❤️ Job Satisfaction: Build meaningful relationships with residents and families 💵 Caregiver career path and learn as you earn 🕒 Work Schedule 🌞 Shift: Variable; can discuss during an interview 📅 Every other weekend & holiday ⏳ 24hrs/2wks part-time benefits eligible employment 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 providing 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 Provides assistance to residents with their activities of daily living Performs routine duties and non-routine duties as directed by nursing staff. This may include 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. Provide 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. Reports all allegations of resident abuse or misappropriation of resident property. Understanding and following 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 Less than 1 year Related experience or training 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 .

MedSurg RN

Avera Health Cresco, IA

Location: Cresco, IA Worker Type: Regular Work Shift: Day/Evening/Weekend/Holiday Shift (United States of America) Join Our Team! At Regional Health Services, we strive to create a positive, team-oriented work environment for our staff. Our professional team of clinical, administrative, and support staff work each day to better serve and care for our community. If you would like to join us on our mission, apply today! Position Highlights POSITION SUMMARY: The purpose of this position is to provide general nursing care and leadership, working collaboratively with physicians and multidisciplinary team members. The R.N. will promote and restore patient’s health as they prescribe, provide, delegate, evaluate and coordinate comprehensive professional nursing care through the use of the nursing process for patients of all ages, gender, cultures, and background; provide physical and psycho-social support to patients, friends, and families. POSITION QUALIFICATIONS: Registered nursing degree from a nursing school. Licensed as a Registered Nurse in the State of Iowa. BLS (CPR) required or obtained within 3 months of hire. ACLS, PALS, NRP Certified within 1 year (required within 3 months for ER RN) NRP not required for Surgical RN-Advanced For specialization to Emergency room completion of TNCC.