Nurse Practitioner or Physician Assistant
Listed compensation
maximum of $139K
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
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.
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.
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.
- 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 12hour shift, Tuesday 4 hours in clinic and 4 hours of admin time, Wednesdays 12 hour shift, Thursdays off, Friday 8 hour shift.
40
Key Responsibilities
As a Nurse Practitioner or Physician Assistant, you will provide patient care services in various clinic and outreach settings. You will work collaboratively with a Patient Care Team to deliver comprehensive care and ensure patient satisfaction.
Requirements
Candidates must be graduates of an approved Nurse Practitioner or Physician Assistant program and demonstrate patient-centered care. Strong organizational skills, communication abilities, and relevant licenses and certifications are required.
Qualifications
- Experience
- 2+ years of experience
Certifications
Key Skills
Family Medicine — Nurse Practitioner Career Context
Of the 41 active Family Medicine listings this role was benchmarked against, 27% are remote, 46% have no call, 71% 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).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.2 / 10 · above average in family medicine (np) | ranked against 2,613 Family Medicine (NP) listingslisting-based score, 0–10 |
| Listed pay | $92k–$139k | Family Medicine median $138k (middle half $128k–$159k)294 comparable listings, Oct 2026 |
| Cost-of-living adjusted pay | ~$132k in purchasing power | Iowa index 87.8 (US = 100)BEA Regional Price Parities (2024) |
| Family Medicine listings in Iowa | 41 active | 2,652 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 27% remote · 46% no call · 71% no weekends41 benchmarked listings |
| Primary Health Care | silver tier, 75/100 | Top Employers work-life index15 active listings |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Nurse Practitioner or Physician Assistant at Primary Health Care a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the Above average in Family Medicine (NP) — ranked against 2,613 active Family Medicine (NP) listings on WeekdayDoc.
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