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!

Home Care RN

Department: Home Care
Location: Creston, IA


Provides health promotion and health prevention activities and home health nursing services for individuals, families, groups, and communities in a variety of settings.


  • Assesses the population served. Gathers data from a wide variety of sources. Contributes as appropriate to other agency and community health assessments.
  • Plans for services to individuals, families, groups and communities. Participates in agency and community planning activities as directed. Confers with other agencies and providers in order to collaborate and coordinate efforts.
  • Provides services, which may include but are not limited to physical assessment, education, case management, referral, advocacy, screening, follow up, and consultation. 
  • Follows accepted policies/procedures to assure safety for self and other staff and clients.
  • Participates in marketing and outreach activities, and represents the agency in community groups and activities as directed.
  • Maintains accurate and timely documentation of all services. Contributes to appropriate statistical data collection for billing purposes and completion of reports and documentation in the time specified by supervisor. Documents accurate, reimbursable, comprehensive, goal directed nursing notes. 
  • Develops a comprehensive plan of care. Establishes realistic, achievable, measurable and quantifiable client goals. 
  • Performs OASIS/Comprehensive Assessment of clients within regulatory timeframes. 
  • Obtains physician orders for provided services, treatments and changes in frequency and duration of services provided.
  • Keeps clinical records reviewed and updated including medication sheets, care plans, and progress notes. 
  • Plans for discharge at the initial visit. Completes required documents for preparation of discharge of the client. 
  • Participates in evaluating the effectiveness of program activities.
  • Accepts and supports the mission and vision of the agency.
  • Seeks and obtains sufficient information necessary to function effectively in the health care setting where assigned.
  • Accepts responsibility for personal growth and development. Maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and in-service classes.
  • Assists with the orientation and training of new staff.


  • Current and valid Iowa RN license 
  • Completion of an accredited nursing degree program
  • One year of clinical experience in an acute care, long-term care or home health setting preferred
  • Knowledge of public health nursing principles and practices, including community health issues, preventive measures and community resources
  • Possess excellent verbal and written communication skills using the English language
  • Possess excellent critical thinking and decision making skills as well as strong nursing assessment skills
  • Keeps current in nursing knowledge and skills
  • Ability to plan, organize, teach, and work collaboratively with individual clients/families, community groups/organizations, and other health care providers to achieve public health objectives
  • Ability to exercise independent nursing judgement and work well within a team setting
  • Ability to provide services in various community settings
  • Ability to communicate and work effectively with diverse populations
  • Ability to work with the management information system, enter client data appropriately and assist with data collection and reporting
  • Appearance and personality appropriate for daily contact with patients/clients, social workers, community agencies, and co-workers
  • Current American Heart Association Healthcare Provider certification
  • Mandatory Reporter of Child and Dependent Adult abuse training certification (within 30 days of hire)
  • 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: Medium work exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
  • Physical activities: Kneeling, Reaching, Talking, Repetitive motions, Standing, Pulling, Walking, Lifting, Fingering (picking, pinching, typing, etc.), Grasping (applying pressure with fingers and palm), Feeling (perceiving size, shape, texture, temperature by touching), 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: Hazards (chemicals, infectious diseases), Atmospheric conditions (fumes, odors, dusts, mists, gases)
  • 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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