Nursing Jobs in Shenandoah, IA

Posting Date 05/22/2026 300 Pershing Avenue, Shenandoah, Iowa, 51601, United States of America WILL FLOAT IN AREAS OF SHENANDOAH, HARLAN, CRESTON, and OMAHA DaVita is seeking a Registered Nurse to join our outpatient dialysis team. In this role, you'll provide life-saving care to patients with end-stage renal disease or chronic kidney conditions. No dialysis experience required—just a commitment to compassionate, high-quality care. . Responsibilities: Deliver direct patient care in an outpatient dialysis setting Monitor patients, manage treatment plans, and respond to health changes Collaborate with a supportive clinical team, including Patient Care Technicians Educate patients and families on kidney health and treatment options Float to nearby clinics as needed; flexible schedule required What to Expect: Fast-paced, hands-on environment Long-term patient relationships Broad nursing skill application with medically complex patients Paid training provided Schedule: Flexible shifts including mornings, evenings, weekends, and holidays Training may occur at a clinic other than your home location Qualifications: RN license in the state of practice ADN required; BSN preferred Basic computer proficiency Reliable transportation for potential floating Preferred (Not Required): Experience in ICU, CCU, ER, or Med Surg CNN/CDN certification Benefits: Medical, dental, vision, and 401(k) match Paid time off and PTO cash-out Family support: EAP, Headspace, parental leave, backup child/elder care Career growth and tuition support Join DaVita and help patients live better, healthier lives. Apply today. #LI-KOG At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. 
Days: 6a-6p with every other weekend $10,000 Sign on Bonus paid out over 2 years Azria Health is building on the traditions of the past with a focus on the future. We take pride in delivering quality care to each of our residents. This begins and ends with our fantastic team. It is our belief that Happy Team Members make Happy Residents . Our team enjoy benefits such as Health Insurance, Paid Time Off, Holiday Pay, 401K. We strive to provide a path for personal and professional growth, a great atmosphere, an outstanding team and the tools to be a great employee. We are currently looking for an RN/LPN to join our team! Successful team members will have a current license, an enthusiastic attitude, a love for helping provide restorative care to our residents, and a desire to learn and grow with our company. We want professional nurses who are comfortable in reassuring residents and families, and able to effectively and efficiently communicate with the clinical team at all times. Job Type: Full-time Required license or certification: RN/LPN We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 
Full Time Night Shift 6p-6a, $5,000 Sign on Bonus Azria Health is building on the traditions of the past with a focus on the future. We take pride in delivering quality care to each of our residents. This begins and ends with our fantastic team. It is our belief that Happy Team Members make Happy Residents . Our team enjoys benefits such as Health Insurance, Paid Time Off, Holiday Pay, 401K. We strive to provide a path for personal and professional growth, a great atmosphere, an outstanding team and the tools to be a great employee. Azria Health is currently seeking an experienced RN/LPN position. If you want to make a difference in the care of our Seniors and have an upbeat positive attitude, we want you to come work with our team. Requirements: Current RN/LPN license in the state of IA Previous experience in a Long Term Care facility Previous experience in Long Term Care management and planning Strong interpersonal and communication skills, both written and verbal Ability to manage multiple priorities Point Click Care experience is a plus Full time position has the following benefits: Paid vacation Holidays Medical and dental insurance EOE Job Type: Full-time possible part time night shift position available We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 
Azria Health is building on the traditions of the past with a focus on the future. We take pride in delivering quality care to each of our residents. This begins and ends with our fantastic team. It is our belief that Happy Team Members make Happy Residents . Our team enjoy benefits such as Health Insurance, Paid Time Off, Holiday Pay, 401K. We strive to provide a path for personal and professional growth, a great atmosphere, an outstanding team and the tools to be a great employee. We are currently looking for an LPN to join our team! Successful team members will have a current license, an enthusiastic attitude, a love for helping provide restorative care to our residents, and a desire to learn and grow with our company. We want professional nurses who are comfortable in reassuring residents and families, and able to effectively and efficiently communicate with the clinical team at all times. Job Type: Casual Required license or certification: LPN We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 
Azria Health is building on the traditions of the past with a focus on the future. We take pride in delivering quality care to each of our residents. This begins and ends with our fantastic team. It is our belief that Happy Team Members make Happy Residents . Our team enjoy benefits such as Health Insurance, Paid Time Off, Holiday Pay, 401K. We strive to provide a path for personal and professional growth, a great atmosphere, an outstanding team and the tools to be a great employee. We are currently looking for an RN to join our team! Successful team members will have a current license, an enthusiastic attitude, a love for helping provide restorative care to our residents, and a desire to learn and grow with our company. We want professional nurses who are comfortable in reassuring residents and families, and able to effectively and efficiently communicate with the clinical team at all times. Job Type: Casual Required license or certification: RN We are an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. 
1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the LPN scope of practice. Performs complete admission evaluation. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type. Reviews, discusses and implements health care provider orders appropriately and takes appropriate measures if there are questions. Responds to patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions within the scope of practice for LPN-C. 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Works effectively with ancillary areas as part of the team approach to patient care. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriately manner. Completes patient and family education throughout the patient’s visit. 3. Performs emergency treatment as required in accordance with LPN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at end of appointment. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, patient satisfaction needs and recommendations for meeting identified outcomes. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer/lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for disposal of sharps and hazardous materials. 7. Performs other duties as assigned. 
1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs complete admission assessment. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type, which may include: Acute, Observation, ER, SNF and Outpatient. Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions. Responds to call lights and patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions . 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Lead Nurse or Nurse Manager regarding patient care issues in a timely and appropriate manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the interdisciplinary team. Completes patient and family education throughout the patient’s stay and at discharge. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge. Completes shift end check prior to leaving duty. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follows approved shift report format when communicating patient information. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs in a Lead Nurse capacity, as assigned or requested by department leader. Oversees care delivery and staffing needs and assignments on the nursing unit. Provides secure pharmacy coverage. Demonstrates knowledge of treatments, policies/procedures, and equipment. Responds to Patient/Family concerns and provides immediate interventions when possible. Adapts to changes in workload and completes assignments while maintaining quality care. Initiates and performs duties that need to complete although not directly assigned. 8. Performs other duties as assigned. 
1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs comprehensive nursing assessments in an efficient and effective manner. Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions . 2. Collaborate with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Nurse Manager regarding patient care issues in a timely and appropriate manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the interdisciplinary team. Completes patient and family education throughout the patient’s stay and at discharge. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follows policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Document all aspects of patient care accurately and comprehensively, adhering to hospital protocols. Complete all documentation in regard to surgical implants, specialized equipment, and capturing all case charges (as applicable). 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follows approved hand off report format when communicating patient information to other staff. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments prior to surgical procedure. Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs operating room specific tasks, as assigned. Prepare and maintain the operating room environment, ensuring all necessary instruments, equipment, and supplies are sterile and ready for use. Collaborate effectively with surgeons, anesthesiologists, and surgical team members to ensure seamless patient care. Assist in patient positioning, ensuring that all pressure points are padded, and patient is secured throughout the procedure. Demonstrates knowledge of treatments, policies/procedures, and surgical equipment. Responds to Patient/Family concerns and provides immediate interventions when possible. Provide emotional support to patients and their families throughout the surgical process, communicating with family during procedures as needed. Adapts to changes in workload and completes assignments while maintaining quality care. Initiates and performs duties that need to be completed although not directly assigned. Participate in quality improvement initiatives and maintain compliance with hospital, and regulatory standards. 8. Performs post-anesthesia Phase 1 recovery care, as assigned. Completes a thorough assessment upon entry to the recovery area, this includes but is not limited to: Vital signs, including pulse oximetry, heart rhythm/rate, BP, and pain assessment to ensure safety and comfort. Respiratory system: airway patency, breath sounds, oxygen saturation, and presence of artificial airway (as applicable). Cardiac system: heart sounds, peripheral pulses, capillary refill (monitor for hypotension, hypertension, and dysrhythmias. Neurologic function: LOC, ability to follow commands GI: bowel sounds (as applicable). Extremity sensation, muscular strength, and mobility (as applicable). Skin integrity Surgical site, including dressing and drains. All invasive lines and IV sites, and drainage tubes (as applicable). Administer medications and manage intravenous (IV) lines. Communicates care provided in recovery to RN completing Phase 2 care after surgery, per hospital policy. 9. Performs other duties as assigned. 
1. Utilizes the nursing process for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes according to the RN scope of practice. Performs complete admission assessment. Performs comprehensive nursing assessments in an efficient and effective manner. Conducts full body system analysis. Administers and performs nursing assessment in accordance with the applicable patient type, which may include: Acute, Observation, ER, SNF and Outpatient. Reviews, discusses and implements health care provider orders appropriately and acts appropriately if there are questions. Responds to call lights and patient needs in a timely fashion. Recognizes abnormal symptoms/changes in patient condition, establishes priorities and takes appropriate action. Serves as a patient advocate. Performs patient rounding for all patient assignments. Evaluates patient progress toward desired outcomes prior to discharge. Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner. Provides intravenous interventions . 2. Collaborates with health care providers to coordinate medical and nursing management of patient care. Promotes team concept through effective communication regarding patient condition, patient care plan and patient satisfaction with appropriate individuals that are involved in the patient’s care. Works effectively with ancillary areas as part of the team approach to patient care. Directs patient support team members effectively and appropriately. Demonstrates initiative and flexibility in the provision of patient care. Informs and involves Lead Nurse or Nurse Manager regarding patient care issues in a timely and appropriate manner. Assists in making patient assignments, coordinating admissions, and meeting staffing needs for unit. Collaborates with the interdisciplinary team. Completes patient and family education throughout the patient’s stay and at discharge. 3. Performs emergency treatment as required in accordance with RN scope of practice. Initiates or assists in patient care in an effective and responsive manner as each situation requires. Triages each emergency situation appropriately and involves other resources as appropriate. Administers and performs emergent care in accordance with the applicable patient population type, which may range from newborn to geriatrics. Follows emergency policies, procedures and protocols in an effective manner. 4. Performs and maintains documentation. Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge. Completes shift end check prior to leaving duty. 5. Communicates effectively. Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfaction needs and recommendations for meeting identified outcomes. Follows approved shift report format when communicating patient information. Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately, reports condition changes to medical provider. 6. Promotes and ensures patient and staff safety in all aspects of responsibilities. Administers medications, treatments and procedures in a timely and safe manner according to health care provider orders and nursing policy, including appropriate performance of standard precautions, using two patient identifiers, and performing patient risk assessments every shift. Utilizes proper body mechanics, transfer and lifting techniques to minimize fall risk to patient and injury to self. Implements infectious disease controls as appropriate including isolation procedures, proper use of hand hygiene and gloves. Follows proper procedures for wasting narcotics and disposal of sharps and hazardous materials. 7. Performs in a Lead Nurse capacity, as assigned or requested by department leader. Oversees care delivery and staffing needs and assignments on the nursing unit. Provides secure pharmacy coverage. Demonstrates knowledge of treatments, policies/procedures, and equipment. Responds to Patient/Family concerns and provides immediate interventions when possible. Adapts to changes in workload and completes assignments while maintaining quality care. Initiates and performs duties that need to complete although not directly assigned. 8. Performs other duties as assigned.