Avera

Avera

Midwest regional health system delivering care

Certified Nursing Assistant - Long Term Care

Full-Time
$20.75 - $27.50/hr

+ $5,000 sign-on bonus + $3 shift differential + $2 weekend differential + $5 weekend-night differential

Entry
Parkston, SD, USA
In Person

About the job

Requirements
  • A high school diploma or GED equivalent.
  • An active Certified Nurse Aide certification from the licensing board in the state of practice within 120 days.
  • An active Medication Aide certification from the licensing board in the state of practice within 120 days.
  • Ability to work the specified rotating day, evening, night, weekend, and holiday hours.
  • Ability to perform the essential job functions, including adequate visual acuity and effective communication, hearing, understanding, and speech discrimination.
  • At least 18 years of age.
  • Ability to comply with resident rights, confidentiality and privacy requirements, safety procedures, infection control procedures, and applicable laws, regulations, and standards.
  • Ability to work effectively in a team environment and coordinate workflow with other team members.
Responsibilities
  • Provide residents with assistance in activities of daily living.
  • Perform routine and non-routine duties directed by nursing staff, including bathing, dressing, shaving, oral hygiene, bed making, transfers, repositioning, toileting, food-tray service, feeding assistance, answering call lights, maintaining a clean environment, transporting patients during admission and dismissal, assisting with ambulation, and orienting or reorienting residents to the facility environment.
  • Measure blood pressure, pulse, temperature, respiration, and weight, and document concise, factual information on the appropriate forms.
  • Perform or assist residents with medical-care activities according to established policies and procedures, including restorative exercises and specimen collection as directed by nursing staff.
  • Assess and document completed care and immediately provide nursing staff with feedback about patient status or changes, pain management, and other concerns.
  • Restock supplies and maintain the unit work environment, including cleaning procedures.
  • Provide emotional, educational, and spiritual support to families.
  • Report allegations of resident abuse or misappropriation of resident property.
  • Follow policies and procedures for fire, tornado, evacuation, disaster plans, universal precautions, infection control, and hazardous and chemical communication programs.
  • Maintain a clean and safe environment for residents, families, and staff.
  • Mentor new employees, assist with orientation, and serve as a lead example in enforcing the organization's CARE standards with coworkers.
Desired Qualifications
  • One to three years of related experience or training.

About the company

Avera Health operates an integrated health system with hospitals, clinics, and support services across 315 locations in five states, serving about 1 million people. Care is delivered through an interconnected network where clinicians and non-clinical teams coordinate prevention, treatment, and recovery for patients. The company combines a large multi-state footprint with faith-based values—compassion, hospitality, and stewardship—and relies on strong non-clinical support to connect care across communities. Its goal is to improve the health and wellness of individuals and communities by expanding access to coordinated, quality care.

Company Size

5,001-10,000

Company Stage

Grant

Total Funding

$10.5M

Headquarters

Sioux Falls, South Dakota

Founded

1897

Get referred to Avera

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • Avera closed the CNOS acquisition July 15, 2026, expanding Siouxland specialty volume.
  • B. Thomas Golisano’s $35 million gift on April 20, 2026, accelerates pediatric tower buildout.
  • The June 9, 2026 SDSU partnership builds a rural respiratory workforce pipeline in Mitchell.

What critics are saying

  • The Link needs new management after Avera declined re-bidding, threatening 24/7 crisis coverage.
  • Avera McKennan’s $245 million tower depends on fundraising and 2027 execution.
  • Sanford and Monument pressure Avera on EMS funding; failure weakens regional influence.

What makes Avera unique

  • Avera’s 2026 CNOS acquisition adds 100-plus specialists across nine orthopaedic and spine specialties.
  • Its Catholic, regional network spans 315 locations across five states, anchoring referral control.
  • Avera blends hospitals, clinics, and training pipelines, like SDSU respiratory education in Mitchell.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Unlimited Paid Time Off

401(k) Company Match

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

↑ 9%

1 year growth

↑ 9%

2 year growth

↑ 9%
KXLG
Aug 21st, 2026
Avera included in Forbes America's Best-In-State Employers 2026 list.

Avera included in Forbes America's Best-In-State Employers 2026 list. * ben dylla * 1 hr ago. {KXLG - Sioux Falls, SD} Avera Health has been named on the Forbes list of America's Best-In-State Employers 2026 for South Dakota. Avera ranks third on the list and is the first ranking health care system. This prestigious award is presented in collaboration with Statista, the world-leading statistics portal and industry ranking provider. The award list was announced on Aug. 13, 2026, and can be viewed on Forbes website. To create this eighth annual list, Forbes partnered with market research firm Statista to survey more than 245,000 employees who work for a company of at least 500 people within the United States. Survey respondents from all 50 states and Washington, D.C. were asked how likely they were to recommend their employer on a scale of zero to 10 and were asked to assess their workplace based on criteria including wages and benefits, management style, company reputation, flexibility and career advancement opportunities. Participants were also asked to evaluate their previous employers (within the last two years) and organizations they knew within their industry or through friends or family who work there. Responses were then tallied and incorporated into a scoring system, along with survey data from the past three years. Greater weight was given to the more recent data and to the responses from current employees within the state. Companies that received the highest scores in each state made the final lists, with each state ranking between three and 101 employers, depending on the size of the state and the number of responses received. Ultimately, 1,365 employers across the country landed on at least one of the final state lists, which produced a combined total of 2,499 rankings. "We are honored to receive this recognition and are deeply proud of the incredible team we have built at Avera," said Jim Dover, FACHE, Avera President and CEO. "Our employees are dedicated to the mission of Avera. They want to be part of something bigger than themselves and contribute to the greater good. This creates a collaborative workplace culture as well as a caring and compassionate setting for achieving excellence in the care we deliver." This recognition reinforces that Avera continues to lead the industry for workplace excellence on a regional and statewide level.

Mitchell Media Group
Aug 18th, 2026
Avera Queen of Peace welcomes new board members.

Avera Queen of Peace welcomes new board members. Avera Queen of Peace welcomes three new board members. By Kelli Koepsell Communications & Public Relations Partner August 18, 2026 2:48 pm MITCHELL S.D. (Mitchell Now) The Avera Queen of Peace Board of Directors welcomed three new board members: Sister Jodie Zimmerman, RJ Rylance and Tim Goldammer. Terms began July 1, 2026, and they will serve 4 years. "Avera Queen of Peace is fortunate to have experienced community leaders join our board," said Dr. Hilary Rockwell, President & CEO for the Avera Queen of Peace Region. "Members of the Avera Queen of Peace Board of Directors volunteer their time and expertise to help guide our mission, ensure quality care and support the long-term health needs of the region. The board focuses on governance and strategic planning as well as supporting financial oversight and resource stewardship." Sister Jodelle "Jodie" Zimmerman, of Yankton, S.D., is experienced in education, pastoral care, volunteerism, ethics, social justice and environmental sustainability. Previously, she was the pastoral care chaplain from 1995-2005 at Avera St. Benedict Health Center and Avera Bormann Manor in Parkston, S.D. She served on the Avera Marshall Board of Directors from 2009-2012 and 2015-2026. During that time, she was on the Planning Committee and Quality Committee. She was a member of the Monastic Council from 2017-2020. Sister Zimmerman has participated in church choirs and liturgy planning, the Catholic Daughters of the Americas (including serving as Regent) and instructed Faith Formation for Children and Adults. Richard J. "RJ" Rylance, of Mitchell, S.D., graduated from Augustana College and USD School of Law. He has been with MorganTheeler since 2024. Prior to that, he was with the Pennington County State's Attorney Office and Clayborne, Loos & Sabers in Rapid City, S.D. Along with his legal career, he is experienced in strategy, small business, human resources, technology, research and insurance. Rylance has been serving on the Mitchell Area United Way board since 2024 and was on the Abbott House board from 2015-2024. Timothy Goldammer, of Mitchell, S.D., has a broad range of experience in business, finance, strategy, human resources and education. He is currently Culinary Department Head at Mitchell Technical College. Goldammer is serves as Pastoral Council Chair for the Mitchell Catholic Pastorate, which he joined in 2022. He has been a Mitchell City Council Member for Ward 1 since 2022. Previously, he was active with the Area Community Theater from 2016-2022, where he was Board President.

Mitchell Republic
Jul 21st, 2026
New bookstore offers more than books.

New bookstore offers more than books. Former nurse Kalli Mimmack opens eight: twenty eight as a place for faith, fellowship. July 21, 2026 at 2:59 PM News Reporting MITCHELL - For 14 years, Kalli Mimmack cared for patients in hospitals and clinics. Today, she hopes to care for people in a different way. After leaving her position as clinic manager at the Avera Cancer Institute in June, Mimmack has opened eight: twenty eight, a Christian bookstore in the Corn Palace Plaza, trading scrubs for shelves filled with Bibles, devotionals, apparel and faith-based gifts. Keep Watching Midweek Update- Mitchell Activities Director For Mimmack, the career change wasn't about leaving behind a calling to serve others. It was about following what she believes is God leading her in a new direction. "Sometimes you have to just take that leap of faith, trusting God's plans with all your heart," Mimmack said. The store's name comes from Romans 8:28, one of her favorite Bible verses: "And we know that in all things God works for the good of those who love him, who have been called according to His purpose." Proverbs 3:5, which encourages believers to trust in the Lord rather than their own understanding, also helped guide her decision. Mimmack began her nursing career in Mitchell in 2012 at Queen of Peace Hospital before working in labor and delivery, the operating room and clinic settings. She earned her Master of Science in Nursing in healthcare leadership in 2019 and most recently managed the Avera Cancer Institute clinic. Her final day in healthcare was June 12. While opening a bookstore may seem like an unlikely next chapter, Mimmack sees a common thread between the two careers. "I still get to care for people," she said. "I just get to do it in a different way." Rather than simply operating a retail business, Mimmack envisions the store as a gathering place where people can grow in their faith together. She hopes church groups, Bible studies, college students from Dakota Wesleyan University and Mitchell Technical College and anyone seeking a quiet place can use the space for fellowship. The store is open from 9 a.m. to 6 p.m. Monday through Saturday, but Mimmack said she's willing to open as early as 5 a.m. for devotional groups and gatherings over coffee. Her husband already hosts a weekly men's Bible study, and their daughter hopes to begin leading a devotional group for high school students. The bookstore also features an espresso bar using coffee beans supplied by Bread and Vine, another downtown Mitchell business. Located in the former Cornerstone Too storefront, which had been vacant since October, Mimmack and her husband transformed the space into the new bookstore. Customers still occasionally wander in looking for ice cream, a reminder of the building's previous tenant. The store offers a variety of products, including study Bibles, journaling Bibles, children's Bibles, devotionals, apparel, jewelry, gifts and children's toys. One feature setting the business apart is free Bible embossing with purchases. Mimmack is also preparing to offer custom laser engraving and embossing for customers' personal items once additional equipment arrives. Near the front of the store sits a prayer and verse wall where visitors can leave prayer requests or favorite Bible verses. During the first week alone, three rows quickly filled with handwritten notes. Mitchell has been without a local bookstore since The Reader's Den closed in 2021, and Mimmack said many customers have expressed excitement about having a faith-focused bookstore back in town. The community response has exceeded Mimmack's expectations. She said complete strangers have walked into the store and prayed over her, while others have circled the building outside to pray before introducing themselves. Many have shared stories of how God has worked in their own lives. "I'm feeling pretty lucky to do this every day," she said. Sales have also been strong. During Crazy Days, Saturday sales were double any other day during the store's opening week, and several popular items sold out quickly, including "Bible in a Year" reading guides. Residents have already expressed interest in working at the store, but for now, Mimmack is running the business with help from family and friends as needed. Read more stories from Jen Leither here... Launching the business was made easier through community support. After Mimmack presented her business plan, the Mitchell Area Chamber and Development Corporation approved a $2,500 entrepreneur loan and offered the storefront at a reduced rate for the summer to help launch the business. As part of the agreement, businesses filling the space were required to include a retail component. The Chamber began offering discounted space after launching its student business competition this spring, hoping to give entrepreneurs an affordable place to start. "We're excited to welcome 8:28 Christian Bookstore to the Chamber Courtyard," Mitchell Area Chamber and Development Corporation CEO Mike Lauritsen said. "We believe 8:28 is a great addition to downtown Mitchell, and we're excited to watch them flourish as they build their business and become part of our community." For Mimmack, opening the bookstore fulfills a dream rooted in faith and family. Her parents own a medical transport business in Florida, her in-laws own Simply Unique in Mitchell, and her husband founded Anchor'D Recovery. Though Mimmack has collected Bibles for years - she owns nine different versions herself - she said the store's greatest purpose isn't selling books or gifts. Instead, she hopes it becomes a place where people find encouragement, community and a deeper relationship with God. News Reporting Jennifer Leither joined the Mitchell Republic in April 2024. She was raised in Sioux Falls, S.D. where she attended Lincoln High School. She continued her education at South Dakota State University, graduating in December 2000 with a bachelor's degree in Journalism. During her time in college, Leither worked as a reporter for the campus newpaper, The Collegian. She also interned for Anderson Publications in Canistota, SD the summer of 2000. Upon graduation, Leither continued to reside in the Sioux Falls area and worked as a freelance writer for the Argus Leader for a number of years. /jennifer-leither More stories for you. Conversation

Sioux City Journal
Jul 16th, 2026
Avera acquires Dakota Dunes' CNOS

According to a release: The partnership includes over 100 CNOS physicians, advanced practice providers, physical therapists, occupational therapists and athletic trainers across 9 specialties and subspecialities with over 350 staff.

Mitchell Republic
Jun 9th, 2026
Avera, SDSU partner on respiratory therapy education, hands-on clinical training in Mitchell.

Avera, SDSU partner on respiratory therapy education, hands-on clinical training in Mitchell. The hospital will host up to eight students annually who will receive extensive hands-on learning opportunities alongside Avera's team of respiratory care and medical professionals. June 09, 2026 at 4:00 PM News Reporting MITCHELL - Avera Queen of Peace is partnering with the South Dakota State University Respiratory Care program to provide respiratory therapy education and hands-on clinical training in Mitchell as part of an initiative to strengthen rural health care workforce development. The professional training year consists of respiratory-specific coursework, lectures, labs and clinical experiences. Keep Watching KNBN-6 00 PM - 7 00 PM-6 5 2026 5 33 54 PM - 6 5 2026 5 35 33 PM-2026-06-05 The hospital will host up to eight students annually. The upcoming cohort which started in May will include two students. They will receive extensive hands-on learning opportunities alongside Avera's team of respiratory care and medical professionals. Clinical experiences at Avera Queen of Peace will include medical/surgical care, emergency department experiences, ICU patient care and pulmonary function testing. Specialized experiences including neonatal intensive care, pediatric intensive care and dedicated intensive care rotations will take place at facilities in Sioux Falls. Additional experiences will include tracheostomy training and home ventilator care through Avera Home Medical Equipment and an inpatient/outpatient rehabilitation center. "We are grateful to partner with Avera Queen of Peace to offer our respiratory care program in the Mitchell community," said Ranae Phinney, clinical instructor for the SDSU Respiratory Care program, in a statement. "We are committed to increasing access to education for students through partnerships. Our goal is to help build a rural workforce pipeline for the respiratory care profession." Phinney serves as the clinical instructor for the program at Avera Queen of Peace. She teaches clinical and lab courses on-site while facilitating hybrid lecture courses delivered online. Weekly lab sessions focused on respiratory equipment and patient care skills will also take place at Avera Queen of Peace. In addition to supporting student education, Phinney will also help develop a breathing program for Avera Queen of Peace's pulmonary rehabilitation services. "Avera Queen of Peace will provide these students with hands-on, real-life events," said Julie Hoffmann, Avera Queen of Peace vice president of patient services. "We are small enough where we will get to know them by name yet large enough to give them a wide range of experiences, so they are well-prepared for their careers after graduation." News Reporting Its newsroom occasionally reports stories under a byline of "Mitchell Republic." Often, the "Mitchell Republic" byline is used when rewriting basic news briefs that originate from official sources, such as a city press release about a road closure, and which require little or no reporting. At times, this byline is used when a news story includes numerous authors or when the story is formed by aggregating previously reported news from various sources. If outside sources are used, it is noted within the story. More stories for you. Conversation