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Primary Health Care
Des Moines, Iowa

Nurse Practitioner or Physician Assistant - Float

Nurse PractitionerIncludes weekendsFull-Time Full Practice Authority

Listed compensation

$92k-$139k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the work setting, call expectations, nights and shift pattern and time off.

Posted 1mo ago

Job Description

Are you looking for an opportunity to do amazing work helping others? You've come to the right place. Let's make a difference!

Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay.

Based on the needs of the communities we serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC’s Homeless Support Services is the entry point for serving people experiencing homelessness in Polk County.

Enabling services are available to help patients with benefits enrollment, case management, transportation, translation, and patient education. We currently have locations in Ames, Des Moines, & Marshalltown. This position will be floating to all of our clinics in the Des Moines metro as well as Ames and Marshalltown.

As a Nurse Practitioner or Physician Assistant, you will be responsible for providing patient care services to the Primary Health Care, Inc. (PHC) patient population in assigned clinic sites, and occasionally any of the various Outreach Project sites, including, but not limited to, patient homes, school-based clinics, mobile unit(s), shelters, street sites, and any other current or future designated location or PHC site.

Works collaboratively with a Patient Care Team to provide, delegate, evaluate, and coordinate comprehensive professional care for patients of all cultures and backgrounds. Meets ever changing healthcare challenges while engaging patients in holistic care.

Utilizes established workflows to ensure patient and staff satisfaction and organizational financial success. Demonstrates iCare values in daily work. This position is for a Float Nurse Practitioner who will see patients across our PHC clinics.

What's Great About This Position?

  • Continue to develop your skills and grow your career through PHC’s training opportunities including: PHC University, Emerging Leaders, and medical and dental assistant training programs.
  • Be part of a team who can provide different services and specialties to our patients.
  • Great team environment in a beautifully remodeled clinic.
  • Work at multiple locations and be exposed to a variety of medical specialties and patient populations.
  • Serve vulnerable and underserved populations in an FQHC and make direct and meaningful impact on patients who have barriers and limited access to healthcare.

What You Will Do

1. Provides medical care in accordance with established standards, regulations, and policies and procedures of PHC. Obtains medical histories and performs examination to diagnose and treat patients in person or via telemedicine. Orders diagnostic tests including radiology and laboratory studies and interprets results. Writes medical orders and prescriptions. Performs approved procedures. Provides patient and family education and counseling.

2. Codes patient encounters accurately. Maintains and monitors electronic medical records including history, physical exams, progress notes, and discharge summaries. Ensures complete documentation of medical records within the designated PHC time frame.

3. Completes appropriate correspondence, phone calls, referral documentation, prior authorizations, refills, and letters to patients and referring providers within the designated time frame established by PHC.

4. Actively participates in process improvement work and quality measures consistent with organizational priorities. Collaborates with Patient Care Team members to ensure effective and efficient functioning of the team.

5. Follows and ensures compliance with all regulatory requirements including, but not limited to, risk management, medical records/peer review, accreditation requirements and federal, state, and local regulations.

6. Leads, mentors, trains, and educates employees, students, and residents. Participates in research as desired.

Qualifications You Need to Bring

Required

  • Graduate of an approved Nurse Practitioner or Physician Assistant program.
  • Experience with and demonstrates patient centered care.
  • Strong organization, prioritization, and time management skills with ability to multi task in a fast-paced environment.
  • Detail oriented with high degree of accuracy.
  • Good listening skills.
  • Proficiency using Microsoft Office applications; willingness and ability to learn data base applications.
  • Excellent verbal and written communication skills.
  • Strong professional skills with ability to interact with others in a calm and empathetic, and efficient manner.
  • Outstanding interpersonal skills with ability to de-escalate difficult situations and work effectively with and serve a diverse population in various environments.
  • Excellent collaboration and team-oriented skills.
  • Outstanding problem-solving skills with analytical and critical thinking capability.
  • License/Certifications: Licensed Nurse Practitioner in the state of Iowa; Board Certified as appropriate for license/specialty; current registration with the Federal Drug Enforcement Administration (DEA) and Iowa Board of Pharmacy Examiners (CSA); *current Basic Life Support (BLS) for Health Care Providers Certification recognized by the American Heart Association; *current Mandatory Reporter Training: Child and Dependent Adult Abuse recognized by the Iowa Department of Public Health; valid driver’s license and insurance. *Must be obtained during introductory period if not current.

[If applicable, *Must be obtained within Introductory Period if not current]

Preferred

  • Community Health Center experience
  • Prior clinical experience as a Nurse Practitioner or Physician Assistant
  • Bilingual, verbal, and written language proficiency in English/Spanish.

We Take Care of Our People

Your experience and skills determine your base pay. The hiring range for this position is typically $92,400 - $115,500 annually. Candidates with extensive work experience related to this position may be considered for additional compensation up to the pay grade maximum of $138,600 annually.

Join the PHC Community

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Monday - Friday 8am - 5pm, occasional weekends

40

Key Responsibilities

Provide comprehensive medical care to patients across various clinic sites, including mobile units and outreach locations. Collaborate with the Patient Care Team to ensure accurate documentation, diagnostic testing, and effective patient education.

Requirements

Must be a graduate of an approved Nurse Practitioner or Physician Assistant program with current Iowa licensure. Requires strong organizational skills, proficiency in Microsoft Office, and the ability to work effectively with diverse populations.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA LicenseBoard Certification

Key Skills

Clinical documentationMentoringAnalytical skillsDe-escalation

Family Medicine — Nurse Practitioner Career Context

Of the 40 active Family Medicine listings this role was benchmarked against, 8% are remote, 45% have no call, 68% require no weekends.

The cost-of-living index for Iowa is 87.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$116k midpoint carries the purchasing power of roughly $132k in an average-cost state. 59.8% of Iowa clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Primary Health Care holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 75/100, 15 active listings.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner or Physician Assistant - Float at Primary Health Care a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Family Medicine nurse practitioner listings evaluated on our platform.

Top Nurse Practitioner Jobs

18 matches · ranked by pay

Salary Distribution18 jobs · 16 employers

5
<$125k
1
$130k
6
$140k-155k
5
$155k-170k
1
$184k

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
80%
CME allowance
73%
Sign-on bonus
67%
Loan repayment
47%
Relocation assistance
20%

Share of similar jobs offering each benefit

#1

Primary Care PA-C or ARNP

Olympic Medical Center · Port Angeles, Washington

$113k-$184k
#2

NP - Integrative Health - Duluth, MN

Essentia Health · Duluth, Minnesota

$121k-$169k
#3

Nurse Practitioner

$139k-$166k
#4

PMHNP - Outpatient Telehealth Private Practice (Hybrid- 1 Day)

$145k-$160k
+ 16 more · ranked by pay

Work-life snapshot

median 6.4this job 6.0
Better work-life than 50% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,637 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Des Moines

Typical 3-bedroom home value
$227k≈ 2.5× annual pay
Typical market rent
$1,126/mo≈ 15% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
91.7
State income tax
Up to 6%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Des Moines-West Des Moines, IA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Primary Health Care logo

About Primary Health Care

Hospitals and Health Care
Des Moines, IA
1,001-5,000 employees

Benefits & Perks

Training Opportunities
Team Environment
Meaningful Impact
Health Insurance
Dental
Vision
Retirement
PTO