Nursing Jobs in Carroll, IA

Summit BHC

Director of Nursing- SUD

Director of Nursing- SUD | St. Gregory Recovery Center | Bayard, Iowa About the Job: PURPOSE STATEMENT: The Director of Nursing is responsible and accountable for providing professional nursing care to clients. Directs, plans, coordinates, monitors and supervises the effective and efficient use of the operations of nursing and the safe delivery of behavioral health/nursing services with a positive, empathetic, and professional attitude. Ensures the development, implementation, and evaluation of policies, programs, and services consistent with the facility’s strategic goals and objectives. Roles and Responsibilities: ESSENTIAL FUNCTIONS: Sets the vision for nursing practice in the delivery of safe, timely, efficient, equitable and client centered care. Manages the daily operations of nursing services. Identifies and prioritizes issues of importance, including those priority issues as set by leadership. Collaborates with department leaders and corporate leaders, as needed. Communicates instructions, expectations and timelines clearly and concisely. Develops, maintains and implements nursing services, policies and procedures that conform to current standards of nursing practice and accrediting agencies, facility philosophy and operational policies while maintaining compliance with state, federal and local governmental agencies laws and regulations. Develops and interprets operational indicators to detect census and acuity changes and increases or decreases in volume that could impact staffing levels, revenues or expenses. Acts to correct undesirable trends. Allocates nursing resources based on measurement of client acuity/care needed. Leads a team of highly qualified and engaged department members thru hiring, orienting, performance assessment and management, motivating, training, scheduling, and coaching to meet department and facility goals. Ensures adequate staffing. Maintains productivity levels that are aligned with client census, curtailing unnecessary overtime and/or excessive staff work hours. Manages staff scheduling and maintains an updated plan for contingency staffing. Maintains accountability expectations for self and staff in all areas of job performance. Engages staff in quality and safety basics to ensure sustained, measurable compliance. Identifies staff educational needs and ensures they are addressed with education programs that are attended by staff. Holds staff accountable for non-compliance and client safety concerns, as well as attendance, following policies, behavior, and adherence to code of conduct. Oversees medication management for the facility. Orders and maintains adequate inventory of medication. Ensures compliance with medication management standards and record keeping. Implements corrective actions based on pharmacy consultant inspection of medication rooms and medication management processes. Reviews and reconciles medication reports in collaboration with the pharmacy vendor. Audits and organizes medication room to maintain compliance with regulatory requirements, best practices, and reduce the opportunity for medication errors or diversion. Makes nursing diagnosis of the medical and emotional status of clients and recommends treatment options. Consults with psychiatrists and other behavioral health staff in designing appropriate treatment plans for clients. Provides overall supervision of client assessments and care plans. Coordinates nursing services with all other departments. Participates in daily or weekly management team meetings to discuss client’s status, identify indicators for reassessment of client’s condition, reaction/responsiveness and involvement of other disciplines. Discusses census changes, client or staff complaints or concerns. Establishes, implements and oversees the infection control program and safety. Prepares or reviews infection control surveillance reports to identify trends and to develop effective actions to control and prevent infections. Collaborates with interdisciplinary treatment teams, other departments and administration to ensure that all client’s physical, biopsychosocial, age, developmental and cultural needs are met. Develops and implements health care related training that assures the best possible delivery of health-related supports and services. Assists the Chief Executive Officer (CEO) in the preparation and administration of the organization's budget. Manages budget and operates within approved budget while providing excellent quality of care. Actively participate in strategic planning and budget development. Maintains adequate and appropriate inventory of supplies and equipment for the provision of client services. Oversees the maintenance of client clinical records, statistics, reports and records for purposes of evaluation and reporting of organization activities. Stays informed about changes in the field of nursing and behavioral health care and uses information to stay compliant and improve performance. Assists CEO in preparing staff for inspection survey. Participates in the preparation and implementation of the Plan of Correction response to an inspection survey. Monitors unit/floor functioning by making frequent rounds. Intervenes in crisis situations and investigates incidents. Analyzes, reviews and completes follow up on incident reports related to nursing/client safety issues in conjunction with Risk Management. May be required to provide onsite coverage for other programs when needed, develops, and executes new programs according to market needs and may provide training, case consultation and Administrator On Call coverage during and after program hours as needed. Performs Leadership Rounds as assigned to include observation and immediate identification of environment of care, safety, and infection control concerns, as well as real time education of new facility processes. Assumes client care assignment in emergency situations as needed. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: Graduation from an accredited school of nursing required. Master’s degree in psychiatric or mental health nursing preferred. If not MSN, you must enter into a nursing consultation agreement with a master’s level nurse for supervision per state requirement. Three or more years’ experience in nursing practice required. One or more years’ psychiatric or behavioral health experience required. Skills in assessment, considerable knowledge of nursing principles and practice, staffing, budgeting, employee management, regulatory requirements and documentation of care; ability to meet regulatory requirements. LICENSES/DESIGNATIONS/CERTIFICATIONS: Valid current RN license from the state or from a compact state, where applicable. Certified in Psychiatric Nursing preferred. CPR certification and de-escalation training required (training available upon hire and offered by facility). First aid may be required based on state or facility. WORK LOCATION: This position is onsite at the facility and is not a remote position. SUPERVISORY REQUIREMENTS: Two or more years progressive managerial experience required. Why St. Gregory Recovery Center?St. Gregory Recovery Center offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. St. Gregory Recovery Center is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.
Gentiva

Registered Nurse On Call

Overview Lead with Heart. Be the Difference. Deliver Compassionate Care After Hours. As an After Hours Hospice RN, you’ll respond to patient needs during evenings, nights, weekends, and holidays—bringing peace of mind and compassionate care when it’s needed most. What You'll Do as a Hospice RN – After Hours / On-Call: Report directly to the Administrator, Executive Director, or Patient Care Manager Senior Provide direct patient care and support after normal business hours Serve as the primary liaison between patients, families, physicians, and the hospice team during your shift Respond promptly and compassionately to urgent calls, patient visits, and symptom management needs Evaluate patient and family needs to guide clinical decisions and implement the plan of care Support and collaborate with an interdisciplinary group including LPNs/LVNs, CNAs, and other support staff Accurately document clinical visits and communications Participate in quality assessment and performance improvement programs Work independently while ensuring continuity of care and coordination with the daytime care team About You Experience - What you'll bring: Current RN license in the state of requested employment (or eligibility to obtain) 1+ years of nursing experience A hospice heart: compassionate, calm, and dependable in urgent care situations Excellent clinical judgment and the ability to provide support in emotionally intense settings Comfortable providing care in patients’ homes, facilities, or wherever they reside Valid driver’s license, automobile insurance, and reliable transportation Current CPR certification Preferred Experience (Not Required): 1+ years of hospice, home health, oncology, or palliative care experience Familiarity with symptom management, triage, and after-hours home-based care Prior experience in on-call or overnight nursing roles Strong documentation and electronic medical records (EMR) skills We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now and bring comfort, skill, and reassurance to patients and families when it matters most—after hours. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-143189 Category: Registered Nurses Position Type: Full-Time Company: Gentiva Hospice
Gentiva

Certified Nursing Assistant Hospice Aide

Overview Deliver Comfort. Honor Dignity. Transform Care. Are you a Hospice Aide or Certified Nursing Assistant (CNA) who finds purpose in providing compassionate, hands-on care during life’s most meaningful moments? We believe every day is an opportunity to bring comfort, dignity, and peace to patients and families facing end-of-life journeys. We’re currently seeking a dependable, empathetic, and attentive Hospice Aide to provide essential personal care and emotional support to patients wherever they call home—whether that's a private residence, assisted living facility, or inpatient unit. If you're passionate about making a difference when it matters most, we invite you to join our dedicated hospice care team. Essential Functions Provide direct personal care to terminally ill patients Assist with personal hygiene, grooming, and toileting Support safe mobility, including use of walkers and wheelchairs Help with meal preparation, feeding, and light housekeeping Observe and report changes in the patient’s physical or mental condition Offer emotional and psychological support to patients and families Maintain accurate and timely documentation of visits Attend team meetings and participate in Quality Improvement (QI) activities Practiceinfection control and follow safety protocols at all times About You Qualifications – What You’ll Bring: Active CNA license in the state of employment (Required) Current CPR certification (Required) Driver’s license and reliable vehicle with insurance (Required) Six (6) months of direct patient care experience (Required) Comfortable working in home settings, hospice facilities, or long-term care environments Demonstrated compassion, patience, and ability to handle emotional situations Willingness to work independently and adapt to changing patient needs Preferred Background (Not Required): Experience in home health, hospice, palliative care, or oncology Prior roles in hospital nursing, ICU, geriatrics, med-surg, ER, telemetry, or nursing homes Exposure to end-of-life care, wound care, or admissions support We Offer Benefits for All Hospice Associates (Full-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Make a Difference in Someone’s Daily Life? Apply now to become part of our Hospice Care team and help patients live safely, comfortably, and with dignity—at home. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-143011 Category: Home Health Aides/CNAs Position Type: Flex/Per Diem Company: Gentiva Hospice
MercyOne

Medical Assistant/ LPN Carroll Iowa

Employment Type: Full time Shift: Day Shift Description: 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 Certification s : 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 C areer 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.
Gentiva

Registered Nurse Hospice

Overview Lead with Heart. Be the Difference. Transform End-of-Life Care. Join our company, where every day is an opportunity to deliver personalized, meaningful hospice and palliative care to patients facing life-limiting illness. We support patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the primary point of contact for patients and families, guiding them through every step of their hospice journey. Deliver and document skilled, hands-on nursing care based on each patient’s individualized Plan of Care—in their home, assisted living, or wherever they call home. Perform initial and ongoing assessments to monitor patient condition and adjust care as needed. Collaborate with an interdisciplinary team—including physicians, LPNs, CNAs, social workers, chaplains, and others—to build and refine personalized care plans. Provide emotional, physical, and spiritual support not just to the patient, but to their loved ones as well—offering education, comfort, and bereavement guidance. Teach caregivers how to care for their loved one safely and confidently, offering both practical training and emotional reassurance. Communicate important updates in patient condition to the care team, ensuring timely and appropriate interventions. Maintain accurate, up-to-date clinical documentation and follow infection control and compliance standards. Support the organization's quality improvement and scheduling initiatives to ensure care is consistent, compassionate, and efficient. Help patients and families understand and navigate topics such as: Medication administration Hospice philosophy and services Symptom and pain management End-of-life processes and expectations Essential Functions Job Responsibilities Perform comprehensive patient assessments and reassessments including in-person/telephonic RN assessments/screenings and provide education to patients, family members and caregivers as appropriate. Deliver skilled nursing interventions and symptom management aligned with goals of care. Develop and update individualized plans of care including patient visit frequency to meet individual needs and risk identification. Coordinate care across interdisciplinary teams including consultation with physicians and nurse partitioners. Provide patient and caregiver education regarding disease process, self-care techniques, end-of-life care, medications, nutrition and dietary needs. Communicate change in condition, or signs and symptoms of decline to appropriate provider (e.g., NP, PCP, Hospice Physician). Support the continuity of care by recognizing and supporting home health, palliative and hospice referrals as appropriate and recognizing and supporting transitions in levels of care. Document timely clinical records on all patients including screening/assessment findings, physician orders, progress notes, and care plans. Maintain effective working relationships with IDG, and involve team when patient's care plan warrants team participation to achieve desired outcome. Participate in on-call and patient support activities as applicable, conducting on-call services in a clinically competent and responsive manner. Core Competencies Clinical excellence and sound judgment Patient-centered communication and empathy Interdisciplinary collaboration Accountability and regulatory compliance Adaptability and critical thinking Timeliness of patient visits and documentation Accuracy and completeness of clinical records Patient and caregiver satisfaction Compliance with regulatory and policy standards Participation in team collaboration and IDG activities About You To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education: Registered Nurse Experience: A minimum of one (1) year experience as an RN, either in acute care hospital, oncology, long-term care, hospice or home health. School internships and clinical hours may be considered as experience in individual cases. Hospice or palliative care experience preferred Licenses, Certifications and/or Registration: Current license to practice nursing in the state of requested employment CPR Certification Current automobile insurance and valid driver’s license Specialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions: Patient’s homes and/or institutional setting and automobile. Potential exposure to infections, communicable diseases, odors, blood, excreta and hazardous materials. Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis. Must be able to demonstrate flexibility by performing a variety of tasks, often changing from one to another of a different nature without loss of efficiency or composure. Communicate effectively with people of all socioeconomic backgrounds. Responsible functioning in the work place, maturity, cooperation, flexibility, tact in dealing with co-workers and all members of the hospice team. Equipment/Tools/Work-Aids: Must be able to effectively operate nursing assessment tools, computers, facsimile equipment, copier and cell phone/beeper. Must have and maintain transportation to be used for work. We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Ready to Join a Team That Cares? Apply now to become part of our Hospice Nursing team and help make every moment count for our patients and their loved ones. Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-139923 Category: Registered Nurses Position Type: Full-Time Company: Gentiva Hospice