Intermediate Care Unit (IMCU) Advanced Practice Provider (ARNP/PA)-Stead Family Children's Hospital

University of Iowa•Iowa City, IA

69d•Onsite

About The Position

Iowa Health Care Stead Family Children’s Hospital is seeking an Advanced Practice Provider (ARNP/PA) to work rotating days/nights/weekends with 12-hour shifts in the Intermediate Care Unit (IMCU). This position may be eligible for relocation assistance. In this role, the APP will provide overall medical care and management for pediatric patients requiring intermediate-level care, functioning independently and/or as part of an interdisciplinary team. The focus is on managing hospitalized patients to optimize care delivery, reduce length of stay, improve resource utilization, and enhance patient and family-centered outcomes within a 24/7 care model.

Requirements

Advanced Registered Nurse Practitioner (ARNP): Master’s Degree required; Doctor of Nursing Practice (DNP) preferred. If Master’s is in a related field, a Bachelor of Science in Nursing is required. Current certification as Pediatric Nurse Practitioner (CPNP-AC or CPNP-PC). Current ARNP license in the State of Iowa.
Physician Associate (PA): Graduate of an accredited PA program. Current certification by NCCPA. Current licensure with the Iowa Board of Physician Assistant Examiners.
1–3 years of experience caring for acutely ill pediatric patients preferred
Understanding of the Nurse Practice Act and APP scope of practice in Iowa
Demonstrated ability to function as an independent practitioner within a collaborative practice agreement
Strong clinical judgment, critical thinking, and problem-solving skills
Excellent written and verbal communication skills

Nice To Haves

Experience in pediatric intermediate care, PICU, or step-down environments
Demonstrated experience managing hospitalized patients, including throughput, length of stay, and resource utilization
Pediatric Advanced Life Support (PALS) certification
Basic Life Support (BLS) certification
Federal DEA license (if applicable)
Certification in Pediatric Acute Care NP, if holds nurse practitioner certification
Experience providing autonomous medical management in an inpatient setting
Demonstrated ability to work independently with indirect supervision

Responsibilities

Assesses the patient’s health status through history taking, physical examination, laboratory evaluation, and other diagnostic modalities as appropriate.
Plans, implements, and communicates treatment programs addressing the patient’s medical and developmental needs.
Recognize and manage acute illness, chronic conditions, and clinical deterioration in an intermediate care setting.
Initiates and titrates therapies including respiratory support (e.g., HFNC, non-invasive ventilation), continuous infusions, and post-operative care management.
Determines and facilitates appropriate referral and consultation services in a timely manner.
Coordinates admissions, transfers (including escalation to ICU), and discharges to ensure continuity of care.
Completes medical documentation and billing in accordance with institutional and departmental standards.
Initiates therapeutic interventions using independent judgment and evidence-based clinical guidelines.
Integrates clinical data into diagnostic reasoning and individualized care planning.
Provides patient and family education, supporting care plan implementation both inpatient and at discharge.
Participates in quality improvement, patient safety, and clinical pathway initiatives.
Completes required administrative responsibilities including compliance training, credentialing, and institutional documentation.
Performs additional duties and special projects assigned.