Advanced Practice Provider - Emergency Department - PRN​/Casual - Rotating

Job Summary

Location:

Methodist Jennie Edmundson Emergency Department, 33 E Pierce Street, Council Bluffs, IA.

Schedule:

Rotating 12‑hour shifts (Mon–Sat, weekends and holidays). Shift options include 9am‑9pm or 12pm‑12am, with at least one shift per month required. Casual/PRN staff work on an as‑needed basis and may have varying work days/hours from week to week.

• Perform primary health care for patients using assessment and diagnostic processes.
• Obtain patient history, conduct physical examinations, and determine mental status.
• Develop, implement, and evaluate individualized treatment, follow‑up, and care plans.
• Collaborate with physicians and interdisciplinary teams, providing consistent feedback.
• Order and perform appropriate ancillary and diagnostic tests, recording findings accurately.
• Provide telephone triage, assess patient condition, and schedule appointments as needed.
• Apply therapeutic interventions safely and in accordance with the plan of care.
• Administer medications and immunizations following protocols and physician oversight.
• Prescribe medications in compliance with DEA regulations.
• Initiate referrals to relevant services to advance diagnosis or care progression.
• Evaluate patient response to interventions and modify care plans for optimal outcomes.
• Provide patient and family education using adult learning principles, ensuring understanding and readiness for follow‑up.
• Maintain a professional appearance, demeanor, and communication style with all stakeholders.
• Identify risks to patient, family, or staff, take corrective action, and report unresolved issues.
• Serve as a role model and reliable resource, participating in meetings, research projects, and professional organizations.
• Document complete patient records, interventions, consultations, and outcome data.
• Engage in performance improvement, outcome management, and patient satisfaction initiatives.

• Graduate of an accredited Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) program.
• Must have completed an accredited Advanced Registered Nurse Practitioner (ARNP) program.
• NIH Stroke Scale training required at hire or within six months.

• Prior experience in an emergency environment preferred.

• Current valid Registered Nurse (RN) license (compact multi‑state license acceptable) or provisional permit while awaiting licensure.
• Advanced Registered Nurse Practitioner (ARNP‑IA) required.
• American Heart Association or American Red Cross Basic Life Support (BLS) at hire; required within three months.
• Current Pediatric Advanced Life Support (PALS) certification required.
• Current Advanced Cardiac Life Support (ACLS) certification required.
• Advanced Trauma Life Support (ATLS) required within the first year.
• Ongoing completion of continuing medical education (CME) to maintain ARNP licensure.

• Strong leadership, problem‑solving, and clinical judgment.
• Effective communication with physicians, staff, patients, and families.
• Proficiency in patient education and counseling.

• Ability to exert up to 50pounds of force and perform frequent standing, walking, lifting, climbing, and kneeling.
• Occasional flexibility for tasks such as crawling, crouching, and visual tasks involving distinction of colors.

We are an affirmative action/equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other federally, state, or locally protected classification.