Employment Opportunities


Thank you for your interest in employment at HCI Care Services and Visiting Nurse Services of Iowa.  Our organization prides itself on employing qualified, caring professionals who are dedicated to our mission of “promoting dignity, independence and quality of life for all through education, compassion and effective community-based care.”  

Why choose a career with HCI Care Services & VNS of Iowa?

  • We have been voted Top Work Place by our employees, as reported by the Des Moines Register
  • We have been recognized with a Better Business Bureau Integrity Award for commitment to ethics and integrity in the workplace 
  • Our organization is financially sound and continues to grow
  • We pay competitive salaries and offer a full range of employment benefits
  • We encourage and assist employees in continuing their education
  • Our employees have input into the direction of our organization
  • You can build a career with us!

Healthy Start Director

Department: Healthy Start
Location: Des Moines, IA

Provide planning, coordination, and direction of daily operational activities of all programming in the Healthy Start/Empowerment department including: Healthy Start/Empowerment case management and outreach; local coordinated intake services; Storkís Nest and Family Nest Incentive Programs; Community Voices interpretation services; and the Storybook Project.


  • Provides leadership and facilitate team planning, implementation of procedures, and best practices for staff working with parents and their young children. 
  • Collaborates with staff to conduct ongoing review of clinical practice and documentation of services provided to assure compliance with standards and regulatory requirements. 
  • Communicates findings and recommendations to the President/CEO and other appropriate personnel.
  • Ensures adherence to grant-specific program standards including federal Healthy Start requirements and Iowa Family Support Credential accreditation standards. 
  • Monitors and ensures the delivery of culturally competent services.
  • Conducts grant writing and reporting for assigned programs. 
  • Communicates with other agency personnel as appropriate regarding available funding opportunities. 
  • Provides professional guidance regarding participant service delivery, agency policies and procedures, and continuous improvement in participant care. 
  • Participates in the recruitment process and assume responsibility for selection of staff assigned to the project.
  • Maintains adequate staffing to carry out grant requirements.
  • Collaborates with appropriate agency personnel regarding needs, disciplinary actions, and/or termination of staff.
  • Responsible for performance appraisals and assisting staff in developing a professional development plan.
  • Conducts ongoing evaluation of policies and services. 
  • Participates in the development of business plans and participate in strategic planning process. 
  • Collaborates with outside evaluators and researchers to monitor program quality and outcomes. 
  • Participates in professional activities, e.g., continuing education, publication, research, etc.
  • Assumes responsibility for the development of project budgets and implementation and monitoring of approved budgets.
  • Represents the agency at meetings, on committees, and in public speaking venues; and participate in public relation and community activities that promote the Healthy Start Project and related activities including attendance and participation in federal Healthy Start meetings and workgroups. 
  • Promotes customer satisfaction through effective communication with participants, families, community members, contract agencies, and funders.


  • Bachelorís Degree in Social Work, Nursing, or other human service related field. Masterís degree preferred
  • Minimum of five years supervisory experience in community health or maternal/child health required, experience in home visitation strongly preferred
  • Excellent written and oral communication skills
  • Knowledge of professional principles and practices including knowledge of family centered care
  • Knowledge of principles and methods involved in planning and directing programs and services
  • Ability to provide guidance, supervision, and lead multi-disciplinary staff
  • Ability to exercise independent judgment and work with little supervision
  • Ability to organize and manage several tasks effectively under the constraints of deadlines
  • Knowledge of third party reimbursement criteria
  • Current understanding of changes occurring in the health care system
  • Ability to implement and model culturally competent service delivery 
  • Working knowledge of word-processing, spreadsheets, and database software
  • Working knowledge of Microsoft Office, including Word, Excel and Outlook
  • Must have valid driver's license, auto liability insurance and reliable transportation if driving is required
  • Successful completion of pre-employment physical, drug screen, 2-step TB test and background check

Working Conditions:

  • Physical requirements: Sedentary work exerting up to 10 pounds occasionally, and/or a small amount of force frequently to move objects, including the human body
  • Physical activities: Talking, Hearing, Repetitive Motions, Fingering (picking, pinching, typing, etc.), Visual acuity (field of vision for analyzing data, viewing computer, using measurement devices, operating machines, determining accuracy or neatness, and/or making general observations)
  • Environment: Work is primarily performed in a climate controlled environment with minimal safety/health hazard potential
  • Time: Ability to be flexible with a varying schedule and programmatic requirements
  • Travel: Required between locations

These characteristics are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Note: This job description is not intended to be all-inclusive. You may be required to perform other duties to meet the on-going needs of the organization.

HCI Care Services and VNS of Iowa is an equal opportunity employer. Employment practices are implemented without regard to race, creed, color, sex (including pregnancy), sexual orientation, gender identity, citizenship, national origin, religion, veteran status, genetic information or on the basis of age or physical or mental disability unrelated to ability to perform the work required.

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