Jobs in Grimes Iowa

Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!

• 0-1 years of experience: $10,000

• 1-3 years of experience: $15,000

• 3+ years of experience: $20,000

7 North (7N) is a specialized cardiac telemetry unit focused on the care of patients recovering from cardiovascular surgery, including procedures such as coronary artery bypass grafts (CABG), transcatheter aortic valve replacement (TAVR), and various thoracic and vascular surgeries. After patients stabilize in the critical care unit, they are typically transferred to 7N for continued care.

Nurses on 7N are trained to provide expert care for patients with complex cardiac conditions, including those with Ventricular Assist Devices (VADs). They are skilled in managing a variety of critical interventions, such as chest tubes, central lines, and temporary pacemakers, ensuring optimal recovery and patient outcomes.

POSITION PURPOSE

Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

ESSENTIAL FUNCTIONS

1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.

• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant medical history into the plan of care.

• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.

• Determines nursing interventions to achieve those outcomes/goals.

• Prioritizes patient care needs/ activities.

• Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.

• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.

3. Implements the outcome/goal- based plan of care.

• Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.

• Organizes and prioritizes care for the patients within the team.

• Delegates tasks appropriately to other team members.

• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.

• Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.

• Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.

• Uses nursing judgment to determine the appropriate frequency and components of reassessment.

• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).

• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.

• Participates in develop discharge plan.

• Documents discharge instructions for patient and/or significant other and/or other care provider. 

4. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.

• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

• Updates the problem list and outcomes/goals.

5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.

• Communicates relevant clinical information to physicians regarding the patient’s condition.

• Reports progress toward outcomes/goals and/or changes in condition to other health team members.

• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.

• Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.

• Documents completely, comprehensively and legibly and in accordance with policy.

6. Demonstrates clinical competence.

• Utilizes Patient Care Policies and Procedure as references to guide nursing practice.

• Assures medication safety by following the “5 Rights” of medication administration.

• Prioritizes and implements intervention according to patient assessment.

• Demonstrates competency in computer systems and applications required for role.

• Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.

• Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.

• Completes assigned shift duties and assures resolution of discrepancies.

7. Manages telemetry and cardiac monitoring when applicable.

• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.

• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.

• Must be capable of managing multiple patients requiring continuous cardiac monitoring.

• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.

• May be required to assist with data collection and quality improvement initiatives.

• Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).

• May be asked to participate in unit-based committees and provide education to nursing staff as requested.

8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.

9. Collects, analyzes, interprets and applies age-specific data.

• Performs tasks/procedures, uses equipment in an age-appropriate manner.

• Communicates and works with others in an age-appropriate manner.

10. Adheres to all safety, infection control and colleague health policies and procedures.

• Attends required safety programs.

• Appropriately and consistently uses the personal protective equipment required of the job.

• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.

• Reports and removes unsafe equipment/furniture.

• Asks for assistance when needed to assure safety for all involved.

• Maintains a safe working environment and practices safe working habits.

11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Mission Statement:  We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Core Values:

• Reverence:  We honor the sacredness and dignity of every person.

• Commitment to Those who are Poor:  We stand with and serve those who are poor, especially those most vulnerable.

• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.

• Justice:  We foster right relationships to promote the common good, including sustainability of Earth.

• Stewardship:  We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.

• Integrity: We are faithful to those we say we are.

MINIMUM QUALIFICATIONS

• Associate degree in nursing required

• Bachelor of Science in Nursing (BSN) preferred.

• Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

• American Heart Association Basic Life Support (BLS) required. 

• American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities. 

• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. 

• H

** New ICU RN Rate **

Employment Type:

• Full Time - 36 hours per week

Shift Schedule:

• Night Shift (7 PM - 7 AM)

Position Highlights and Benefits

• Relocation incentive eligible

• Eligible for a generous Night Shift Differential

Mission Statement: We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

• Assessment & Planning: Performs initial and ongoing patient assessments; develops individualized, outcome-based plans of care.

• Care Implementation: Coordinates and delivers patient care, delegating tasks appropriately and collaborating with interdisciplinary teams.

• Evaluation & Documentation: Regularly reassesses patients, updates care plans, and documents thoroughly.

• Communication: Effectively communicates patient status and care needs across teams and during shift transitions.

• Clinical Competence: Follows protocols, administers medications safely, and demonstrates proficiency in required systems and procedures.

• ECMO Management (if applicable): Provides advanced care to ECMO patients, including circuit management, data documentation, and technical education.

• Age-Appropriate Care: Delivers care based on developmental stages and patient-specific age needs.

• Safety & Compliance: Follows infection control, safety procedures, and regulatory standards.

• Professional Integrity: Adheres to legal, ethical, and organizational policies and participates in continuous professional development.

1. Associate degree required, BSN preferred.

2. No experience required; critical care nursing experience preferred.

3. Current Iowa RN license, (current IL license if working in IL).

4. BLS, Mandatory Reporter. 

5. ACLS within 12 months of hire.

6. Cardiac monitoring course and/or select units of advance Nursing / Critical Care Course or comparable training

7. TNCC

8. Non-Violent Crisis Intervention Training (NVCI) within 6 months of hire

9. High language, intermediate to high math, high critical thinking ability.

8. Basic computer skills required.

9. Ability to work with diverse groups of people.

10. Ability to work under pressure and with a large degree of independence and accountability.

11. Ability to lead/direct others in a high stress situation/environment.

12. If caring for ECMO patients:

• Attend and satisfy all the requirements of a formal course of study that is based upon the guidelines and recommendations set forth by the Extracorporeal Life Support Organization (ELSO), designed by the ECLS Program Coordinator, and approved by the ECLS Program Medical Director.
• Complete (72) hours of supervised ECLS case management experience
• First (36) hours obtained with a qualified preceptor at the pump
• Remaining (36) hours obtained as the primary pump specialist with a veteran specialist as the patient’s bedside RN
• Satisfactorily participate in an introductory (8) hour ECLS competency simulation workshop verified by the ECLS Coordinator and ECLS Medical Director.
• Satisfy annual requirements to maintain status as an ECLS specialist.

Provides and directs safe, effective and culturally competent care for high risk, critically acute patients with actual or potential life-threatening conditions.  Through evidence-based practice, utilizes critical thinking to assess, plan, implement and evaluate outcome-based care of patients. Provides care to critically ill patients including cardiovascular and surgical patients.  May assume responsibilities and accountability for assigned ECMO patients.  Supervises and coordinates care provided to patients by the LPN, Patient Care Assistants and other nursing team members. Facilitates communication with physicians, patient and family, other departments and/or team members. Adheres to MercyOne's performance expectations and performs all defined services and other related duties in accordance with the Mission, Vision and Values of MercyOne.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Full-Time | Leadership Opportunity | Impact-Driven Role

The Manager plays a key leadership role within MercyOne, guiding day‑to‑day departmental operations and upholding the highest clinical practice standards. This leader fosters a culture of excellence, collaboration, and continuous improvement while ensuring high-quality patient care and an exceptional experience for patients, families, providers, and staff.

This role combines clinical expertise with strategic leadership—helping shape the department's future, support staff growth, champion safety and quality, and ensure alignment with MercyOne’s Mission, Vision, and Values.

• Oversee and support the clinical practice standards within the department.

• Ensure safe, high-quality, and effective delivery of clinical services.

• Maintain strong visibility within the department through regular rounding with staff, providers, patients, and families.

• Provide accessible leadership—offering guidance, problem solving, and support for the care team.

• Stay current with emerging clinical trends, technologies, and best practices.

• Monitor staffing levels to balance exceptional care with financial responsibility.

• Ensure clinical operations reflect current coding, billing, and reimbursement expectations.

• Develop, implement, and evaluate a comprehensive Continuous Quality Improvement (CQI) plan.

• Respond promptly to patient concerns, incident reports, and safety events.

• Ensure compliance with all regulatory, accrediting, and licensing requirements.

• Proactively identify and correct unsafe conditions.

• Promote a culture of patient safety and accountability.

• Champion MercyOne’s Mission, Vision, and Values through everyday actions and decisions.

• Collaborate with physicians, staff, volunteers, and leaders across the organization.

• Communicate effectively with the team—holding consistent staff meetings and sharing critical updates.

• Support organizational change by educating and encouraging staff with clarity and enthusiasm.

• Manage stress constructively and help team members navigate challenges.

• Recruit, hire, and retain highly skilled team members.

• Ensure thorough onboarding, training, and competency assessments.

• Provide consistent, honest, and constructive performance feedback.

• Support staff development and educational opportunities.

• Drive team engagement, celebrate success, and cultivate a positive workplace culture.

• Maintain an acceptable turnover rate through strong leadership and support.

• Contribute to the development and management of the department’s annual budget.

• Monitor expenditures and adjust staffing and resources based on workload.

• Ensure efficient use of personnel, materials, equipment, and time.

• Follow and promote all safety, infection control, and colleague health procedures.

• Use required personal protective equipment consistently.

• Demonstrate strong knowledge of department emergency procedures.

• Report and remove unsafe equipment and conditions.

• Maintain a safe and healthy working environment for all.

• A collaborative leader with strong clinical judgment.

• A proactive problem-solver who thrives in a dynamic care environment.

• A communicator who inspires trust, engagement, and teamwork.

• An advocate for patient-centered care and continuous improvement.

• A values-driven healthcare professional dedicated to MercyOne’s mission.

Minimum Qualifications

• Bachelor of Science in Nursing (BSN) required, or actively pursuing a BSN with completion expected within 3 years of hire.

• Minimum of 5 years of nursing experience, including at least 3 years in nursing leadership.

• Current Iowa RN license required; Illinois RN license required if practicing in Illinois.

• Current certifications:

  • Basic Life Support (BLS)

  • Advanced Cardiovascular Life Support (ACLS)

  • Mandatory Reporter

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

ESSENTIAL FUNCTIONS 

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.  

Deliver patient care through patient preparation, vital sign collection, and documentation. Assist with various procedures, exams, and diagnostic equipment (e.g., tympanometry, spirometry). Maintain aseptic techniques during preparation, procedures, and medication administration.  

Administer medications, treatments, and immunizations under the direction of providers. 

Prepare and organize patient charts with necessary information. File dictations and ensure completion of all required documentation. Communicate with patient regarding test results and plan of care   

Schedule procedures, labs, x-rays, and surgeries; provide pre- and post-surgery information. Assist with patient outreach for overdue visits, labs, and referrals. 

Coordinate physician schedules and ensure insurance pre-certifications. Schedule and manage patient follow-ups, ensuring continuity of care. 

Maintain patient confidentiality and adhere to organizational standards and ethical guidelines. 

Educate patients and families based on assessed needs and discharge plans. 

Promote evidence-based resources to optimize nursing practice and patient care. 

Proactively serves as a patient advocate by utilizing courteous and professional etiquette at all times reflecting positive tone and speaking distinctly with poise, tact and assurance. Assures accurate and complete messages to appropriate personnel. 

Assists in training, orienting, and supporting new colleagues. Work includes cross coverage in other clinic areas as team needs. 

Document patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). 

Ensure safety checklists/quality controls are completed as required. 

Other duties as needed and assigned by the manager. 

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.  

MINIMUM QUALIFICATIONS 

Must be comfortable operating in a collaborative, shared leadership environment.  

Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES). 

Must obtain one of the following certifications listed for a Medical Assistant with their corresponding listed certification provider within one year of hire: 

Acceptable Certifications:  

• Certification: Certified Medical Assistant (CMA). Provided by the American Association of Medical Assistants (AAMA) 

• Certification: Registered Medical Assistant (RMA). Provided by the American Medical Technologists (AMT)  

• Certification: Medical Assistant (NCMA). Provided by the National Center for Competency Testing  

• Certification: Clinical Medical Assistant Certification (CMA). Provided by the American Medical Certification Association.  

• Certification: Certified Clinical Medical Assistant (CCMA). Provided by the National Health Career Association.  

• Certification: Nationally Registered Certified Medical Assistant (NRCMA). Provided by the National Association for Health Professionals (NAHP) 

• Certification: NPCE MA. Provided by the National Phlebotomy Certification Examination (NPCE).  

Basic Life Support (BLS) certification required within 3 months of hire. 

Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire. 

Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office). 

Ability to work with diverse groups of people and in a collaborative, shared leadership environment. 

Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties. 

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

• 0-1 years of experience: $10,000
• 1-3 years of experience: $15,000
• 3+ years of experience: $20,000

At MercyOne, health care is more than just a doctor’s visit or a place to go when you’re in need of medical attention. Our Mission is based on improving the health of our communities – that means not only when you are sick but keeping you well. 

MercyOne Central Iowa sets the standard for personalized and radically convenient care in the Des Moines metro area and surrounding counties. MercyOne Des Moines Medical Center, founded by the Sisters of Mercy in 1893, is the longest continually operating hospital in Des Moines and Iowa’s largest medical center, with 802 beds available. The hospital is one of the Midwest’s largest referral centers. 

With more than 7,000 colleagues and a medical staff of almost 1,500 physicians and allied health professionals, MercyOne Central Iowa is one of Iowa’s largest employers. 

Join the MercyOne Family! We are looking to hire a Registered Nurse 

As a RN at MercyOne, you will provide individualized, high-quality nursing care to patients of all ages.  Uses a team approach to delegate and coordinate patient care at admission, transfer, and discharge.  Independently delivers nursing care using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, ethical principles, and professional judgment.  Works rotating shifts, weekends, and holidays as scheduled. 

• Assesses, plans, and implements nursing care while ensuring patient comfort. 

• Practices safe patient handling techniques. 

• Continues to evaluate assigned patients and provides ongoing treatment. 

• Anticipates, identifies, and responds to educational and emotional needs of patients and families. 

• Guides and directs healthcare personnel (i.e. Patient Care Technicians) in caring for patients. 

• Maintains knowledge of equipment set-up, maintenance, and use (i.e., IV pumps, monitoring equipment, and drainage devices). Utilizes safeguards such as IV pump drug library and monitor alarms whenever available to maximize patient safety. 

• Initiates emergency support measures (i.e., cardiopulmonary resuscitation, protecting patient from injury). 

Schedule: 

• 36 hours/week

• 3, 12-hour shifts

• Rotating shifts: 3 weeks of nights and 3 weeks of days per 6-week cycle.

• $7 differential for all shifts, just being part of our Resource Pool team!

• $5 differential for Night Shifts

• $4 differential for Weekend Shifts

• Differentials do stack!

Want to learn more about MercyOne Des Moines? Click here: Find a Location Des Moines, Iowa (IA), MercyOne Des Moines 

General Requirements: 

• Possession of a current or compact state licensure as a registered nurse issued/defined by the State of Iowa 

• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. 

• American Heart Association Basic Life Support (BLS) for Healthcare Providers certified within six (6) weeks of hire. 

Colleagues of MercyOne Health System enjoy competitive compensation with a full benefits package and opportunity for growth throughout the system! 

Visit MercyOne Careers to learn more about the benefits, culture, and career development opportunities available to you at MercyOne Health System circle of care. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Position Summary
The Charge Nurse is a registered nurse who provides shift leadership to ensure safe, effective, efficient, and compassionate care for patients. This role blends clinical expertise with operational oversight—supporting staff, coordinating resources, and fostering collaboration across the care team to achieve excellent patient outcomes and maintain a positive work environment.

Key Responsibilities

• Lead daily operations of the unit, including staffing, workflow coordination, and resource allocation based on patient acuity and unit needs.

• Serve as the on‑shift clinical leader and primary liaison between nurses, physicians, and administrative teams.

• Support onboarding, education, and development of staff and students.

• Provide direct patient care, including assessment, planning, implementation, and evaluation of nursing interventions.

• Ensure compliance with organizational policies, safety protocols, Joint Commission standards, and regulatory requirements.

• Promote evidence‑based practice, quality improvement initiatives, and consistent documentation standards.

• Conduct and/or oversee audits such as chart reviews, safety checks, incident follow-up, and nursing-sensitive quality indicators.

• Lead daily huddles, interdisciplinary rounding, patient-family communication, and care conferences.

• Partner with leadership on scheduling, hiring input, and HR-related matters.

• Act as a resource and role model for clinical practice, teamwork, and use of the electronic medical record.

• Facilitate smooth patient flow through admission, discharge, and transfer processes.

• Function independently with sound judgment, guided by the Nurse Practice Act and organizational policies.

Minimum Qualifications

• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.

• Minimum 12 months of RN experience required; 24 months preferred.

• Current Iowa RN license (MercyOne Genesis: Iowa or Illinois RN license required at hire; secondary state license must be obtained within 12 months).

• American Heart Association BLS and ACLS certifications required.

• Completion of Mandatory Reporter—Child and/or Dependent Adult Abuse training within 3 months of hire.

• Strong critical thinking, high-level language skills, and intermediate-to-advanced math proficiency.

• Basic computer proficiency required.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

POSITION PURPOSE 

The Medical Assistant supports the operation of the clinical practice by performing a variety of administrative and clinical tasks. This position is responsible for assisting physicians and other healthcare providers in delivering patient care through patient preparation, vital sign collection, documentation, and basic clinical procedures. The Medical Assistant also coordinates patient flow, maintaining accurate medical records, and ensuring a positive patient experience.   

ESSENTIAL FUNCTIONS 

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.  

Deliver patient care through patient preparation, vital sign collection, and documentation. Assist with various procedures, exams, and diagnostic equipment (e.g., tympanometry, spirometry). Maintain aseptic techniques during preparation, procedures, and medication administration.  

Administer medications, treatments, and immunizations under the direction of providers. 

Prepare and organize patient charts with necessary information. File dictations and ensure completion of all required documentation. Communicate with patient regarding test results and plan of care   

Schedule procedures, labs, x-rays, and surgeries; provide pre- and post-surgery information. Assist with patient outreach for overdue visits, labs, and referrals. 

Coordinate physician schedules and ensure insurance pre-certifications. Schedule and manage patient follow-ups, ensuring continuity of care. 

Maintain patient confidentiality and adhere to organizational standards and ethical guidelines. 

Educate patients and families based on assessed needs and discharge plans. 

Promote evidence-based resources to optimize nursing practice and patient care. 

Proactively serves as a patient advocate by utilizing courteous and professional etiquette at all times reflecting positive tone and speaking distinctly with poise, tact and assurance. Assures accurate and complete messages to appropriate personnel. 

Assists in training, orienting, and supporting new colleagues. Work includes cross coverage in other clinic areas as team needs. 

Document patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). 

Ensure safety checklists/quality controls are completed as required. 

Other duties as needed and assigned by the manager. 

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.  

MINIMUM QUALIFICATIONS 

 Must be comfortable operating in a collaborative, shared leadership environment.  

Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES). 

Must obtain one of the following certifications listed for a Medical Assistant with their corresponding listed certification provider within one year of hire: 

Acceptable Certifications:  

• Certification: Certified Medical Assistant (CMA). Provided by the American Association of Medical Assistants (AAMA) 

• Certification: Registered Medical Assistant (RMA). Provided by the American Medical Technologists (AMT)  

• Certification: Medical Assistant (NCMA). Provided by the National Center for Competency Testing  

• Certification: Clinical Medical Assistant Certification (CMA). Provided by the American Medical Certification Association.  

• Certification: Certified Clinical Medical Assistant (CCMA). Provided by the National Health Career Association.  

• Certification: Nationally Registered Certified Medical Assistant (NRCMA). Provided by the National Association for Health Professionals (NAHP) 

• Certification: NPCE MA. Provided by the National Phlebotomy Certification Examination (NPCE).  

Basic Life Support (BLS) certification required within 3 months of hire. 

Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire. 

Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office). 

Ability to work with diverse groups of people and in a collaborative, shared leadership environment. 

Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties. 

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Apply today and ask about our Sign on Bonus of up to $20,000 and Relocation Bonus!

• 0-1 years of experience: $10,000

• 1-3 years of experience: $15,000

• 3+ years of experience: $20,000

7 North (7N) is a specialized cardiac telemetry unit focused on the care of patients recovering from cardiovascular surgery, including procedures such as coronary artery bypass grafts (CABG), transcatheter aortic valve replacement (TAVR), and various thoracic and vascular surgeries. After patients stabilize in the critical care unit, they are typically transferred to 7N for continued care.

Nurses on 7N are trained to provide expert care for patients with complex cardiac conditions, including those with Ventricular Assist Devices (VADs). They are skilled in managing a variety of critical interventions, such as chest tubes, central lines, and temporary pacemakers, ensuring optimal recovery and patient outcomes.

POSITION PURPOSE

Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members. Adheres to MercyOne’s performance expectations and upholds the Mission, Vision, and Values of MercyOne.

ESSENTIAL FUNCTIONS

1. Conducts an initial assessment to gather data.

• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.

• Completes all areas of the admission assessment database within 24 hours of admission.

2. Identifies patient problems and develops them into an outcome/goal-based plan of care.

• Initiates the patient problem list and incorporates relevant medical history into the plan of care.

• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.

• Determines nursing interventions to achieve those outcomes/goals.

• Prioritizes patient care needs/ activities.

• Identifies and makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.

• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.

3. Implements the outcome/goal- based plan of care.

• Assigns and coordinates patient care incorporating patient acuity and the skills, knowledge and abilities of the team members.

• Organizes and prioritizes care for the patients within the team.

• Delegates tasks appropriately to other team members.

• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.

• Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.

• Assists to decrease the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.

• Uses nursing judgment to determine the appropriate frequency and components of reassessment.

• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).

• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.

• Participates in develop discharge plan.

• Documents discharge instructions for patient and/or significant other and/or other care provider. 

4. Evaluates patient progress and revises the outcome/goal-based plan as needed.

• Evaluates patient response(s) to interventions.

• Review/modifies/revises the outcome-based plan of care based on ongoing reassessments.

• Updates the problem list and outcomes/goals.

5. Communicates relevant clinical information to the team to optimize patient outcomes/goals.

• Communicates relevant clinical information to physicians regarding the patient’s condition.

• Reports progress toward outcomes/goals and/or changes in condition to other health team members.

• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.

• Communicates with other team leaders and members throughout the shift to reassess and prioritize the needs of the unit.

• Documents completely, comprehensively and legibly and in accordance with policy.

6. Demonstrates clinical competence.

• Utilizes Patient Care Policies and Procedure as references to guide nursing practice.

• Assures medication safety by following the “5 Rights” of medication administration.

• Prioritizes and implements intervention according to patient assessment.

• Demonstrates competency in computer systems and applications required for role.

• Receives, transcribes and processes and implements physician orders per policy including dating, timing and verifying accuracy.

• Maintains communication with the manager/house supervisor and staffing office regarding admissions, unit needs, acuity numbers and significant events.

• Completes assigned shift duties and assures resolution of discrepancies.

7. Manages telemetry and cardiac monitoring when applicable.

• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.

• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.

• Must be capable of managing multiple patients requiring continuous cardiac monitoring.

• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.

• May be required to assist with data collection and quality improvement initiatives.

• Must be willing to serve as a resource to other hospital services (nursing, pharmacy, laboratory, radiology, respiratory, etc.).

• May be asked to participate in unit-based committees and provide education to nursing staff as requested.

8. Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.

9. Collects, analyzes, interprets and applies age-specific data.

• Performs tasks/procedures, uses equipment in an age-appropriate manner.

• Communicates and works with others in an age-appropriate manner.

10. Adheres to all safety, infection control and colleague health policies and procedures.

• Attends required safety programs.

• Appropriately and consistently uses the personal protective equipment required of the job.

• Knows and can demonstrate departmental emergency procedures for fire, disaster and other emergency situations.

• Reports and removes unsafe equipment/furniture.

• Asks for assistance when needed to assure safety for all involved.

• Maintains a safe working environment and practices safe working habits.

11. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.

Mission Statement:  We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Core Values:

• Reverence:  We honor the sacredness and dignity of every person.

• Commitment to Those who are Poor:  We stand with and serve those who are poor, especially those most vulnerable.

• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.

• Justice:  We foster right relationships to promote the common good, including sustainability of Earth.

• Stewardship:  We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.

• Integrity: We are faithful to those we say we are.

MINIMUM QUALIFICATIONS

• Associate degree in nursing required

• Bachelor of Science in Nursing (BSN) preferred.

• Current Iowa RN license, (current Illinois (IL) license if working in IL) required.

• American Heart Association Basic Life Support (BLS) required. 

• American Heart Association Advanced Cardiac Life Support (ACLS) required only if the unit has telemetry monitoring capabilities. 

• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. 

• H

ESSENTIAL FUNCTIONS 

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.  

Deliver patient care through patient preparation, vital sign collection, and documentation. Assist with various procedures, exams, and diagnostic equipment (e.g., tympanometry, spirometry). Maintain aseptic techniques during preparation, procedures, and medication administration.  

Administer medications, treatments, and immunizations under the direction of providers. 

Prepare and organize patient charts with necessary information. File dictations and ensure completion of all required documentation. Communicate with patient regarding test results and plan of care   

Schedule procedures, labs, x-rays, and surgeries; provide pre- and post-surgery information. Assist with patient outreach for overdue visits, labs, and referrals. 

Coordinate physician schedules and ensure insurance pre-certifications. Schedule and manage patient follow-ups, ensuring continuity of care. 

Maintain patient confidentiality and adhere to organizational standards and ethical guidelines. 

Educate patients and families based on assessed needs and discharge plans. 

Promote evidence-based resources to optimize nursing practice and patient care. 

Proactively serves as a patient advocate by utilizing courteous and professional etiquette at all times reflecting positive tone and speaking distinctly with poise, tact and assurance. Assures accurate and complete messages to appropriate personnel. 

Assists in training, orienting, and supporting new colleagues. Work includes cross coverage in other clinic areas as team needs. 

Document patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s). 

Ensure safety checklists/quality controls are completed as required. 

Other duties as needed and assigned by the manager. 

Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.  

MINIMUM QUALIFICATIONS 

Must be comfortable operating in a collaborative, shared leadership environment.  

Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES). 

Must obtain one of the following certifications listed for a Medical Assistant with their corresponding listed certification provider within one year of hire: 

Acceptable Certifications:  

• Certification: Certified Medical Assistant (CMA). Provided by the American Association of Medical Assistants (AAMA) 

• Certification: Registered Medical Assistant (RMA). Provided by the American Medical Technologists (AMT)  

• Certification: Medical Assistant (NCMA). Provided by the National Center for Competency Testing  

• Certification: Clinical Medical Assistant Certification (CMA). Provided by the American Medical Certification Association.  

• Certification: Certified Clinical Medical Assistant (CCMA). Provided by the National Health Career Association.  

• Certification: Nationally Registered Certified Medical Assistant (NRCMA). Provided by the National Association for Health Professionals (NAHP) 

• Certification: NPCE MA. Provided by the National Phlebotomy Certification Examination (NPCE).  

Basic Life Support (BLS) certification required within 3 months of hire. 

Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire. 

Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office). 

Ability to work with diverse groups of people and in a collaborative, shared leadership environment. 

Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties. 

Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.  

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

POSITION PURPOSE 

The dedicated Charge Nurse is a registered nurse responsible for providing shift-to-shift leadership for the practice and delivery of safe, effective, efficient, ethical, and culturally competent care to the unit patient population. This pivotal role bridges direct patient care with administrative responsibilities, ensuring optimal patient outcomes through effective leadership, resource allocation, and collaboration with the interdisciplinary healthcare team. The Charge Nurse ensures adherence to established policies, promotes a collaborative work environment, and supports staff development while maintaining patient safety and satisfaction. 

ESSENTIAL FUNCTIONS 

• Develops and maintains departmental daily staffing plan detailing appropriate employee classifications and qualifications consistent with the department's operational plan, projected volumes, patient/acuity and other relevant indicators. Assures compliance with staffing plan.  
• Oversees daily operations, staff management, and coordination of interdepartmental activities within the unit or department during the assigned shift. 
• Responsible for resolving clinical issues, and serving as a liaison between nurses, physicians, and administrative teams. 
• Provides orientation/education for staff and students to ensure assigned patients have a positive care experience. 
• Leads staff in the delivery of safe and effective patient care.  
• Delivers nursing care by assessing, planning, implementing, and evaluating patient care in collaboration with the physician. 
• Provides input on staff interviewing and hiring decisions as delegated by the unit leader.  
• Maintains knowledge of documentation requirements needed for patient records.  
• Ensures compliance with all policies and procedures governing assigned services, including Joint Commission standards, safety protocols, and applicable federal, state, and regulatory requirements. 
• Serves as a resource, mentor, and role model in delivering patient care using a team approach. 
• Facilitates communication between patient/family, physicians and other caregivers to achieve consensus for the plan of care. Consults with the Ethics Committee as appropriate. 
• Leads and promotes evidence-based practice and research among unit leaders and staff. 
• Leads quality improvement activities including performance improvement processes to facilitate clinical practice changes.  
• Conduct follow-up on incident reports as directed by the Unit leader and participate in ongoing audits of nursing-sensitive indicators to ensure regulatory compliance. Responsibilities include, but are not limited to, chart reviews, patient safety audits, shift-based crash cart checks, and other quality assurance activities as identified by the facility. 
• Functions independently with minimal supervision from Nursing Leadership, guided by the Nurse Practice Act, MercyOne Central IA Market and Trinity Health policies, established nursing standards, and sound professional judgment. 
• Plans unit and nursing resource utilization based on established admission, discharge and transfer criteria, initiating appropriate intervention and collaboration to optimize patient care and unit/department operations.  
• Serves as a group leader and fulfills an assistant supervisory or lead role, providing guidance and support to team members. Additionally, it contributes to Human Resources functions by offering input and recommendations on personnel matters. 
• Identifies and communicates staff needs to the unit leader. 
• Serves as a resource or “Super User” for documentation in the electronic medical record. 
• Leads or participates in interdisciplinary patient rounds and care conferences, management rounding to patients and staff, and Rounding to Influence (Safety First). 
• Reviews and codes as indicated for shift needs in timekeeping system. 
• Collaborate with Unit leader to balance schedule after closure of self-scheduling time-period and prior to completion of schedule. 
• Leads or delegates daily huddles and maintains huddle boards in collaboration and direction from Unit leader.  
• Assists nursing and interdisciplinary team in patient/family education and discharge planning. 

Mission Statement:  We, MercyOne Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities. 

Core Values: 

• Reverence:  We honor the sacredness and dignity of every person. 
• Commitment to Those who are Poor:  We stand with and serve those who are poor, especially those most vulnerable. 
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.  
• Justice:  We foster right relationships to promote the common good, including sustainability of Earth. 
• Stewardship:  We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care. 
• Integrity: We are faithful to those we say we are. 

MINIMUM QUALIFICATIONS 

• Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.   
• Bachelor’s degree in nursing preferred.  
• 12 months of RN experience required.  24 months preferred. 
• Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire. 
• Basic Life Support (BLS) for the Healthcare Provider certified or obtained within three (3) months of hire.  Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers. 
• Unit specific credentialing and education active and in good standing. 

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.