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TU
The University of Iowa
Intermediate Care Unit (IMCU) Advanced Practice Provider (ARNP/PA)-Stead Family Childrens Hospital
Career Insights for Pediatrics Nurse Practitioner
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What they do
A Pediatrics Nurse Practitioner provides primary care and nursing care to infant, children and adolescent patients. Performs physical exams, orders diagnostic tests, and provides medications. Works in a physician's office or other healthcare facility, under the direction of a physician. Performs work similar to that of a physician assistant but has different medical training and degree.
$107,130 / year median in Iowa
+21% projected growth
Job Description
Intermediate Care Unit (IMCU) Advanced Practice Provider (ARNP/PA)-Stead Family Children's Hospital 🔍 Iowa City, Iowa, United States New 📁 Advanced Practice Providers 📅 14 hours ago Post Date 📅 26004919 Requisition # Apply for Job Share this Job Sign Up for Job Alerts Iowa Health Care Stead Family Children's Hospital is seeking a 90-100% 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 based on institutional guidelines. In this position, APP will provide overall medical care and medical management for pediatric patients requiring intermediate-level care, exercising autonomy in clinical decision-making, and services provided. The APP will function independently and/or as a member of an interdisciplinary team to plan, deliver, and evaluate care for neonates, infants, children, adolescents, and young adults with acute and chronic conditions requiring step-down or progressive care. There is a strong emphasis on managing hospitalized patients to optimize care delivery, reduce length of stay, improve resource utilization, and enhance patient and family-centered outcomes across a 24/7 care model. Position 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. Clinical Competencies
- Ability to synthesize scientific, clinical, and humanistic principles into advanced practice care delivery.
- Demonstrates knowledge of pathophysiology, pharmacology, and disease progression in pediatric populations.
- Performs comprehensive patient assessments and develops differential diagnoses based on clinical findings.
- Develops and implements plans of care including diagnostics, therapeutics, consultations, and follow-up.
- Evaluates patient response to treatment and adjusts care accordingly.
- Identifies patient, family, and community education needs and facilitates appropriate resources.
- Utilizes therapeutic communication to support patients and families during hospitalization.
- Applies quality improvement principles and evidence-based practice to improve patient outcomes. Education 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 Education 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 Experience Requirements
- 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 Desired Qualifications
- 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 Position and Application Details Successful candidates will be subject to a criminal background check and education/credential verification.