Avera Health·Yankton, South Dakota
The Registered Nurse Case Manager is responsible for coordinating patient care, developing care plans, and educating interdisciplinary teams. They perform home visits to conduct assessments, implement nursing processes, and ensure efficient utilization of resources for positive patient 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.
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.
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.
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
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.
Candidates must hold a valid Registered Nurse (RN) license from the Board of Nursing. Preferred qualifications include 1-3 years of experience in home health or hospice settings.
Market context
In South Dakota, nursing support roles such as CNA and Medication Aide positions are often sought in long-term care and related facility settings, where dependable staffing is important. Competition can center on active certifications, comfort with hands-on care, and experience in similar environments. Review the AI-summarized requirements and benefits on this platform to save time, and if you apply, emphasize your certifications and any facility-based experience.