Registered Nurse (RN) | Hospital @ Home

Avera•Sioux Falls, SD

31d•$31 - $46

About The Position

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! Hospital at Home RN Case Manager: Delivers Nursing Care in the patients home by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to patients, families, and friends. Understand patient conditions, medications, and self-care skills; identifying changing conditions and needs; re-evaluating care objectives. Provide all cares to include lab draws, nebulizer treatments, wound care, case management, discharge planning and as needed cares. 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. 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.

Requirements

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.
Registered Nurse (RN) - Board of Nursing Upon Hire

Nice To Haves

1-3 years in Med Surg, ER or home health experience preferred.
1-3 years in home health or hospice

Responsibilities

Delivers Nursing Care in the patients home by developing a nursing diagnosis
establishing nursing care objectives
defining nursing interventions
providing physical, emotional, psychological, and spiritual support to patients, families, and friends
Understand patient conditions, medications, and self-care skills
identifying changing conditions and needs
re-evaluating care objectives
Provide all cares to include lab draws, nebulizer treatments, wound care, case management, discharge planning and as needed cares
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
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.