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At Sutter Health, we provide you with a range of opportunities to help you fulfill your professional goals—today and in the future. Learn more about this nursing opportunity and join us at Sutter Health.

  • JOB TYPE: Full Time
  • JOB LEVEL: All Levels
  • TRAVEL: Home Health & Hospice Only

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  • Healthcare

    Medical, dental, vision, life insurance

  • Paid Time Off

    Holidays, sick days, leaves of absence

  • Continuing Education

    Tuition Reimbursement and Professional Development

  • Corporate Discount and Perks

    Exclusive pricing and discounts at a variety of retailers

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Job ID SCAH-1822854 Date Posted 02/11/2019 Location Salt Lake City, Utah
Position Overview:
On any given day, Sutter Care at Home (SCAH) touches the lives of thousands of individuals by bringing health care directly to our patient's home - where most people chose to receive their care.Sutter Care at Home is one of the largest not-for-profit home health care and hospice agencies in Northern California. Founded in 1906, SCAH is committed to compassion and excellence through home health care, hospice, home medical equipment and respiratory care, home infusion therapy, private and geriatric care, Lifeline medical alert services and community flu and wellness programs. Serving more than 150,000 patients in 23 counties each year, Sutter Care at Home clinicians partner with our patients for better health.Through competitive wages and benefits, flexible schedules, innovative care models, new technologies, and tuition reimbursement - Sutter Care at Home strives to be your "employer of choice."
Sutter Care at Home is the home health care and hospice affiliate of Sutter Health, one of the nation's largest not-for-profit health care systems.
The AIM Telesupport RN has the responsibility to identify, plan, coordinate ,implement, monitor and evaluate appropriate healthcare for patients enrolled in the Advanced Illness Management Program. The AIM Telesupport RN provides for optimal outcomes through collaboration with the patient, the family , the physician and other members of the AIM team.
The AIM telesupport RN enters referrals into Epic Electronic Medical Record. (and completes referral process and admits patient as appropriate. Once patients are enrolled, the AIM Telesupport RN assists the care team with patient education and coaching, begins advanced care planning, provides transition of care interventions, and coordinate with the Home health care team for Home health needs, including facilitating orders, assessing patient needs, including care goals, level of care, DME, comfort medications and transportation.


Bachelor Degree required. Graduate from an accredited school of nursing with a current California Registered Nursing license. California Public Health Certificate or completion of Community Health Nursing program preferred.


Minimum one year Case Management, Hospice and/or Home health experience.

Recent experience in acute-care hospital setting; knowledge of discharge planning/case management strongly preferred.

Experience in developing care plans, working as a member of a multi-disciplinary team, telephone patient case management, knowledge of health related information education, resource and referral services.

Experience providing patient education and self-management support.


Possess critical thinking skills, in-depth knowledge of clinical disease entities common to hospice and palliative care for terminally ill patient.

General Knowledge of common diagnoses and procedures, working knowledge of current treatments and their physical and psychosocial sequelae, knowledge of the influence of cultural and spiritual values on health care, must know elder and dependent adult and domestic violence reporting requirements, general knowledge of available healthcare and community resources appropriate for populations served.

Knowledge of chronic disease processes. Should also possess knowledge of hospice reimbursement methods.


Must have the ability to function independently and as a member of an interdisciplinary team; ability to exercise independent, sound nursing judgment in planning and providing patient care.

Ability to recognize the special needs of Hospice patients and others in the home.

Ability to communicate with patients and significant others in an effective, mature, caring manner.

Ability to maintain harmonious constructive relationships with internal and external customers.

Must have the ability to work in a high volume case load and deal effectively with rapidly changing priorities, strong clinical assessment and critical thinking skills to develop a comprehensive plan of care appropriate to patients with complex medical, emotional and social needs.

Must show demonstrated skills in motivating, mentoring, coaching and redirecting clients in order to achieve compliance with various necessary medical, social and functional interventions.

Organization: Sutter Care at Home
Employee Status: Regular
Benefits: Yes
Position Status: Non-Exempt
Union: No
Job Shift: Day
Shift Hours: 8 Hour Shift
Days of the Week Scheduled: Monday-Friday
Weekend Requirements: None
Schedule: Full Time
Hrs Per 2wk Pay Period: 80

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity, or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, political affiliation, pregnancy, childbirth or related medical condition, genetic information or any other characteristic made unlawful by local, state, or federal law, ordinance or regulation. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state, and local laws, including but not limited to the San Francisco Fair Chance Ordinance.

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