Physician Assistant (PA)Nurse Practitioner (NP) Same Day Clinic West Union, IA (.01 FTE)

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profile Job Location:

Palmer, MA - USA

profile Monthly Salary: Not Disclosed
Posted on: 29-10-2025
Vacancies: 1 Vacancy

Job Summary

We are seeking a Physician Assistant (PA) or Nurse Practitioner (NP) to add to our current clinician group. Our team currently includes two Family Physicians and seven midlevel practitioners as well as several specialists from the La Crosse Gundersen Health System campus who provide outreach services in the West Union area. The West Union location is a Monday through Friday family medicine practice with walk-in clinic addition the practice has two satellite clinics located in Postville and Fayette both are a Monday through Friday family medicine practice.

This position will work primarily weekends clinic hours are 8:00am 12:00pm.

West Union is a rural community in beautiful NE Iowa. Enjoy your life and practice in West Union the county seat for Fayette County. Our town has been designated a Green Main Street community with many outdoor recreational opportunities a wonderful school system and a robust community. The population base for West Union and surrounding rural communities is approximately 21000. A state-of-the-art completely remodeled full-service hospital is attached to the clinic.

An Iowa license and completion of an accredited Physician Assistant or Nurse Practitioner program is required to start but not a prerequisite for applying.

Emplify Health by Gundersen is:

  • A physician-led not-for profit healthcare system
  • Located throughout western Wisconsin northeastern Iowa and southeastern Minnesota caring for patients in 22 counties
  • A regional referral center with regional hospitals
  • A teaching hospital with 325 beds and a Level II Trauma and Emergency Center
  • The designated Western Academic Campus for the University of Wisconsin School of Medicine & Public Health
  • We offer a competitive salary loan forgiveness generous benefits including CME time and monetary allowance retirement plan and more.

Emplify Health is comprised of two of the Midwests most respected healthcare systems Bellin Health and Gundersen Health System. Once neighbors we are now partners united in our mission to provide exceptional care to our communities. As a not-for-profit patient-centered healthcare network we have headquarters in Green Bay and La Crosse Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics serving 67 cities and rural communities across Wisconsin Iowa Minnesota and Michigans Upper Peninsula. With over 4500 dedicated nurses and providers we are committed to delivering primary specialty and emergency care along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities.

You will find that we live our values every day which is a BREATH of all things good. Belonging Respect Excellence Accountability Teamwork and Humility.

West Union is a welcoming family-friendly community in the heart of northeast Iowa. The town is a vibrant community that perfectly blends modern convenience with rural charm. Known for its strong sense of community and rich history West Union offers a unique opportunity to live in an area where you are truly valued. The towns picturesque surroundings including beautiful Echo Valley State Park provide endless opportunities for outdoor activities like hiking biking and fishing. With affordable housing excellent schools and a welcoming atmosphere. West Union is an ideal spot for a physician looking to make a lasting impact while enjoying a fulfilling work-life balance. It is not just a place to practice medicine it is a place to truly call home. For more information about West Union IA visit

Position Purpose: The Nurse Practitioner (NP) performs the functions of examining assessing planning and implementing the health care of assigned patients in collaboration and under the general supervision of a licensed physician. The NP secures patient histories performs physical examinations orders laboratory tests develops and implements treatment plans performs diagnostic and treatment procedures records findings and provides patient education and counseling to enhance our effectiveness in providing primary care preventative services and improved outreach. Scheduling Pattern: Monday through Friday Clinic hours. Extended hours as required by the needs of the organization. Education/Licensure/Training/Experience: Masters of Science in Nursing granted by an accredited college or university and is qualified for certification as a nurse practitioner. A current license to practice as a Registered Nurse in the stat of employment current certifications as an Advanced Registered Nurse Practitioner in Iowa. Must be able to apply diverse principles of logic medical or scientific thinking to a wide range of health care situations. Ability to apply accepted methods of treatment and creative new developments to heath care problems. Special Skills & Abilities: Annual Competency Skills Review: Completion of an annual skills evaluation is required of this position to demonstrate competency to perform the NP role. This evaluation is reviewed and delegated by the supervising physician as appropriate activities for this NP based on training and experience and the practice setting and practice needs. The list is reviewed and updated on an annual basis. Additional activities may be performed under direct physician supervision as required. Scope of Practice: The NPs practice may not exceed his or her education training or experience and may not exceed the scope of practice of a supervising physician. Prescriptive Authority: The NP prepares prescription orders for medications including controlled substances in accordance to all applicable state and federal laws under the guidance of a supervising physician. Supervision is assured through the use of written guidelines which are updated and reviewed annually direct consultation for situations not covered by guidelines and/or countersignature of the patient record. The NP does not prescribe substances a supervising physician does not have authority to prescribe Schedule I controlled substances anabolic steroids to enhance athletic performance nor experimental or investigational substances except as directed by research protocol approved by Gundersens Institutional Review Board and a supervising physician who is an investigator in the study. Schedule II controlled substances listed as stimulants or depressants require prior approval and direction by the supervising physician. They are limited to use in treatment of cancer-related pain narcolepsy hyperkinesis drug-induced brain dysfunction epilepsy and refractory depression. All written prescriptions issued by a Nurse Practitioner shall contain the date of issue; name and address of patient; name of substance/device strength quantity and directions for use; the Nurse Practitioners name the practice address and phone number; the Nurse Practitioners signature; and the Nurse Practitioners DEA number if a controlled substance. Working Conditions: May be exposed to communicable diseases toxic substances ionizing radiation medicinal preparation hostile situations stressful situations and other conditions common to working in a health care environment. Access to Patient Information: In order to comply with HIPAA all employees must abide by organization and department policies regarding security and privacy. All staff members must work together to ensure patient confidentiality. This position will be working in a patient care area and will have access to oral written and electronic data containing patient information. This information is needed in order to carry out the duties assigned to this position. All staff will display name badges when seeking data. Staff will have electronic access via their own individual password and will log off as appropriate when inquiry is complete. Patient records and charts will be kept in a confidential manner in a controlled area to assure privacy and security of such information. Standards of Behavior Finance/Affordability GPLHC will make decisions that support our Mission and Vision while ensuring financial viability. 1. Acts as a responsible steward of the resources with which we work including time materials supplies equipment and property. Provides suggestions for utilization of facility assets. 2. Observes work hours attends work regularly keeps absenteeism/tardiness at a minimum. Ready to work at start of shift and works until off the clock. 3. Works in a cost effective manner. Quality To promote quality outcomes while emphasizing positive patient experiences 0. Uses appropriate communication with patients coworkers leaders and other departments to ensure continuity of services and sharing of information. 1. Properly introduces self acknowledges all customers and recognizes individuals privacy dignity and personal preferences. 2. Greets listens and provides timely feedback to patients guests and coworkers. 3. Uses courteous phone techniques and returns calls in a timely fashion. 4. Treats everyone with the utmost respect dignity courtesy and confidentiality. 5. Supports process improvement initiatives and participates in quality activities. 6. Demonstrates continual awareness and use of appropriate infection prevention practices. 7. Keeps current with all policies/procedures. Consistently follows policies. When in doubt seeks clarification. 8. Performs job assignments according to facility standards. 9. Practices service recovery key words at key times. 10. Seeks and supports a non-violent climate; a culture where safety and security is our number one goal. 11. Immediately reports all safety hazards accidents/incidents. 12. Works to understand and value the diversity of our customers and coworkers. Service To provide the services our patients need in the appropriate setting. 0. Promotes Gundersen Palmer Lutheran Hospital and Clinics and its services in a positive manner to all customers. 1. Demonstrates and encourages a multidisciplinary team approach to providing services and problem resolution. 2. Handles unanticipated events/crisis situations professionally is alert to potential problems and notifies appropriate individuals. 3. Demonstrates ability to make appropriate decisions as needed in a timely manner 4. Identifies areas for improvement in their job/department and participates in performance improvement initiatives. 5. Initiates own education growth and development through training and development activities such as internal or external courses seminars on-the-job training etc. 6. Accepts supervision and instruction; is open to suggestions clarifies responsibilities and is flexible. 7. Demonstrates responsibility for own judgment/actions; is receptive to constructive suggestions offered by others. Workplace of Choice to create an environment to attract and retain excellent staff and physicians. 0. Regularly attends scheduled departmental staff meetings or meets with manager to receive updates. 1. Attends mandatory in-service sessions (100% compliance). 2. Gives full attention to task at hand and completes work accurately and on time. 3. Projects image of professionalism through appropriate attire and behavior (including proper name tag display). 4. Willingly shares in the distribution of work load/assignments. 5. Demonstrates core value of the Employee Code of Conduct in interactions with peers patients/patients family members physicians and others. 6. Resolves issues or problems directly openly and effectively utilizing appropriate chain of command as needed. 7. Demonstrates flexibility and cross trains as customer needs require. 8. Ensures Kronos timecard is completed and ready for supervisor to sign by 8:30 a.m. Monday of payroll week. 9. Adapts to changes in department and organization when policies and procedures change. 10. Assists new coworkers in orientation and adaptation to the department and the organization. 11. Contributes to a positive work environment. 12. Demonstrates willingness to take on additional responsibility when department work loads demands. Growth/Community to expand services at Gundersen Palmer Lutheran Hospital and Clinics that meets the need of our communities. 0. Follows HIPAA guidelines and reports confidentiality breeches. 1. Takes pride in Gundersen Palmer Lutheran Hospital and Clinics as if he/she owns it. 2. Represents Gundersen Palmer Lutheran Hospital and Clinics positively in the community. 3. Participates in events in the community in which you work or live. % Essential Functions: Finance/Affordability GPLHC will make decisions that support our Mission and Vision while ensuring financial viability. 1. Prepares and submits accurate billing and insurance claim information reflecting the services provided in compliance with the standard coding guidelines federal and state regulation insurance contract terms and Gundersen Palmer policy and procedures. Quality To promote quality outcomes while emphasizing positive patient experiences 0. Supports the Gundersen Palmer Mission Statement values and goals of service by demonstrating concern for quality efficiency and effectiveness of operations services activities and personnel. 1. Cares for patients of any age to obtain a personal medical history perform an appropriate physical examination record and present pertinent data concerning the patient in a manner meaningful to the supervising physician. 2. Performs and assists in performing routine diagnostic studies and therapeutic procedures. 3. Recognizes medical emergencies and initiates evaluative and treatment procedures necessary in life-threatening situations and immediately reports to supervising physician. 4. Assists the practice physicians in quality improvement efforts by participating in quality improvement teams maintaining necessary logs preparing reports and participating in practice evaluation and education programs. Service to provide the services our patients need in the appropriate setting. 0. Maintains knowledge of current statutes regulating Nurse Practitioner practice and provides within the limitations as established by the state licensure boards local and federal regulations. 1. Instructs and counsels patients on physical and mental health including diet disease medications treatment growth and development screening and disease prevention. 2. Prepares and maintains clinical records in a problem-oriented format fostering communication between health care providers continuity of care and coordination of services. 3. Facilitates referrals to community health facilities agencies and resources. 4. Provides patient services in outpatient facilities hospitals nursing homes extended care facilities and patient homes as required. 5. Consults with the physicians nursing staff and technicians in order to evaluate standards of patient care provided and makes recommendations for improvement. Workplace of Choice to create an environment to attract and retain excellent staff and physicians. 0. Complies with and keeps current regarding licensure. 1. Participates in the annual performance review process by completing a self-evaluation instrument assisting the general supervising physician in updating the job description and scope of practice establishing a personal education plan and meeting with the general supervising physician and administrative director to review progress and establish future goals. 2. Maintains Basic Life Support (BLS) certification. Growth/Community to expand services at Gundersen Palmer Lutheran Hospital and Clinics that meets the need of our communities. 0. NP undertakes additional primary care job-related duties as requested.

Primary Recruiter:

Ben Reynolds

Recruiter Email Address:

We inspire your best life by relentlessly caring learning and innovating. This is our purpose. Together with our values belonging respect excellence accountability teamwork and humility our pillars set our foundation and our future.

Equal Opportunity Employer

We are seeking a Physician Assistant (PA) or Nurse Practitioner (NP) to add to our current clinician group. Our team currently includes two Family Physicians and seven midlevel practitioners as well as several specialists from the La Crosse Gundersen Health System campus who provide outreach service...
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Key Skills

  • EMR Systems
  • Pain Management
  • Acute Care
  • Primary Care Experience
  • Suturing
  • Vital Signs Experience
  • Dermal Fillers
  • Experience Administering Injections
  • Pediatrics Experience
  • Nursing
  • Botox Experience
  • Medicare

About Company

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Gundersen Health System Hospitals & Clinics delivers world-class primary and specialized healthcare in Wisconsin, Minnesota and Iowa.

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