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Registered Nurse (RN) | Hospital at Home

Company: Avera Health
Location: Montrose
Posted on: March 10, 2026

Job Description:

Location: Avera McKennan Hospital Worker Type: Regular Work Shift: Day/Evening/Weekend/Holiday Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $31.00 - $46.25 Position Highlights May be eligible for a $15,000 sign on bonus Join Our Hospital at Home Team – Redefining Inpatient Care Are you ready to be part of a healthcare revolution? Hospital at Home is transforming the way we deliver care by providing hospital-level services to patients with low to moderate acuity needs—right in the comfort of their own homes. As part of our innovative care team, you’ll: - Redefine inpatient care alongside hospitalists, therapy, pharmacy, and our advanced practice providers (APPs). - Serve patients throughout the Sioux Falls region, typically for 1–2 days, ensuring a seamless and personalized experience. - Collaborate in a high-satisfaction care model—patients love it so much that when they return to the hospital, they often ask their physicians to call us! This is your chance to: - Make a real impact on patient outcomes and satisfaction. - Work at the forefront of healthcare innovation, shaping a new culture of care. - Enjoy flexibility and autonomy while being part of a supportive, multidisciplinary team. If you’re passionate about improving care delivery and want to help us build the future of healthcare, we’d love to connect. Apply today—or reach out to learn more about joining our team! 1-3 years working in a clinical environment. 8am-8:30pm, weekend - every 4th, holiday 2-3 per year, minimal call time. The Registered Nurse (RN) – Hospital at Home provides acute-level nursing care to patients receiving hospital services in their homes. This role delivers comprehensive, evidence-based clinical care consistent with inpatient standards while promoting patient safety, comfort, and recovery in the home setting. The RN functions as part of an interdisciplinary care team and is responsible for assessment, clinical intervention, care coordination, and patient education within the Hospital at Home model. - 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. - 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. 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 the care planning, utilization of services, coordination of care, and the education of the interdisciplinary teams in the management of patient care services. Develops all patient care plans in collaboration with the physician and interdisciplinary team, providing patient centered care efficiently, effectively, with the best possible outcomes. What you will do - Functions as interventionalists in the home utilizing clinical expertise and problem solving to make recommendations to the physicians based on comprehensive physical, psychosocial, emotional, spiritual and bereavement patient assessments. - Implements the nursing process utilizing highly proficient assessment skills in the performance of Start of Care visits, post-hospital evaluations, patient re-certifications, discharges and supervisory visits. - Partners with the physician and the interdisciplinary team to develop the plan of care in collaboration with the patient. - Makes recommendations for efficient and effective utilization of resources to achieve positive outcomes by implementing clinical protocols during the admission visit as dictated by patient’s diagnosis. - Initiates and responds to requests for changes in plans of care, determines appropriateness of change and whether or not the change would be considered a Significant Change in Condition, for which an OASIS is required. - Demonstrates ability to affect the behavior of others to follow the recommended alternatives to care which includes providing thorough instruction and disease management education to patients and/or caregivers as ordered by the physician. - Educates patients, families, and caregivers about disease process, community resource and recommended self 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: - Registered Nurse (RN) - Board of Nursing Upon Hire Preferred Education, License/Certification, or Work Experience: - 1-3 years in home health or hospice 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.

Keywords: Avera Health, Sioux Falls , Registered Nurse (RN) | Hospital at Home, Healthcare , Montrose, South Dakota


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