Our Licensed Practical Nurses and Registered Nurses play a vital role in delivering exceptional long-term care at PACHS. As an LPN or RN in our care centers, you will support residents and families by assessing health needs, planning and implementing care, and ensuring a safe, respectful, and supportive environment. You will work under the Director of Aging Services, supervising nurse aides and collaborating with the interdisciplinary team to maintain high standards of nursing practice.

In this role, you will assess resident conditions, provide direct nursing care, administer medications according to PACHS policy, respond to resident concerns, and participate in resident and family education. You will help maintain a rehabilitative and restorative care environment, follow infection control techniques, implement individualized care plans, and maintain accurate and timely documentation in electronic and paper medical records.

Your responsibilities include receiving and transcribing physician orders, maintaining adequate clinical supplies, recognizing and reporting resident health concerns, utilizing safety protocols, assisting in maintaining a positive physical and emotional environment, and supporting resident rights. You will adapt to changes in healthcare processes and technology, maintain required system access, and assist with other duties as assigned.

This role requires dependability, strong communication skills, professionalism, and the ability to remain calm and effective in rapidly changing or urgent situations. Candidates must be graduates of an accredited nursing program (LPN or RN) and hold a current Iowa nursing license. CPR certification, basic computer skills, and flexibility in scheduling are required. Prior experience in a healthcare environment is preferred.

Employee Benefits

PACHS offers a comprehensive and competitive benefits package designed to support your well-being, financial stability, and professional success.

Health & Wellness

• Two medical plan options (PPO and HDHP) with no-cost preventive care
• Employer HSA contributions for HDHP participants
• Dental insurance with 100% preventive coverage
• Vision coverage
• Discounted membership to the Arthur & Audrey Smith Wellness Center

Financial Security

• Iowa Public Employees’ Retirement System (IPERS)
• Employer-paid Basic Life and AD&D insurance
• Optional voluntary life insurance
• Employer-paid Short-Term Disability
• Employer-paid Long-Term Disability
• Voluntary Accident and Critical Illness coverage

Time Off & Lifestyle

• PTO begins accruing on your first day
• PTO cash-out program available up to four times per year
• Holiday Club payroll savings program

Support & Resources

• Employee Assistance Program (EAP) offering 24/7 confidential counseling, financial coaching, legal support, and more

About Palo Alto County Health System

Palo Alto County Health System is the healthcare hub of choice in Northwest Iowa, committed to delivering exceptional patient-centered care supported by a culture of teamwork, respect, and compassion. PACHS provides a family-oriented and supportive workplace where employees feel valued, appreciated, and empowered to grow professionally. When you join PACHS, you join a mission-driven team dedicated to caring for our community — and for one another.