Advanced Registered Nurse Practitioner (ARNP)

General Description:

The Emergency Department/Hospitalist Nurse Practitioner (ARNP) delivers patient-centered care across emergency inpatient and rural health clinic settings in accordance with Iowa licensure and hospital credentialing requirements. Working as an integral member of the interdisciplinary team the ARNP practices under general physician supervision. The ARNP will conduct comprehensive assessments prescribe medications develop evidence-based care plans communicate effectively with patients families and care teams and maintain accurate timely EHR documentation. This position is Comply with hospital policies bylaws quality standards and regulatory requirements.

Key Responsibilities:

• Emergency Department: Evaluate diagnose treat admit discharge and stabilize patients with acute or emergent conditions; coordinate transfers to higher levels of care as needed.

• Inpatient/Hospitalist Services: Complete admissions perform histories and physicals initiate and manage treatment plans provide ongoing inpatient care and occasional rounds coordinate care determine discharge readiness and manage transfers under physician oversight.
• Rural Health Clinic: Occasionally manage acute and same-day visits order and interpret diagnostics implement treatment plans and ensure follow-up and referrals.

Experience/Education Requirements:

Minimum of three (3) years of ER experience. Graduate of an accredited ARNP program with unrestricted license in the state of Iowa as a Nurse Practitioner. National certification as a Nurse Practitioner required. Active BLS ACLS PALS NRP ATLS TNCC required within 90 days of hire. Credentialed as a provider with active and unrestricted DEA and CSA license and prescriptive authority. Able to communicate effectively with all members of the health care team. Able to perform a variety of duties characterized by frequent change. Must have a working knowledge of computers and Electronic Health Records.

About Us:

Audubon County Memorial Hospital & Clinics is a 17 bed Critical Access Hospital serving Audubon County and the surrounding areas with the mission of Excellence With Quality and Compassion to Those We Serve.

Our services include emergency services acute care skilled nursing services laboratory radiology heart and vascular services physical therapy occupational therapy speech therapy and surgical addition we offer several specialty services including cardiology dermatology ENT general surgery gynecology hand specialist nephrology obesity medicine (weight management) obstetrics oncology/hematology orthopedics pain management podiatry pulmonology rheumatology and urology.

We also operate two rural health clinics the Audubon Family Health Clinic and the Exira Medical Clinic. Our clinics offer complete care from newborns to senior adults by providing well-child check-ups age-appropriate preventive care sports and school physicals immunizations and treatment of occasional and ongoing illness.

Audubon County Memorial Hospital & Clinics has been named one of the 2026 Top 100 Critical Access Hospitals in the United States by The Chartis Center for Rural Health. ACMH is proud of having received this honor eight times in the past 2017 Audubon County Memorial Hospital & Clinics was also named a Top 20 Critical Access Hospital in the nation by the National Rural Healthcare Association (NRHA).

EEO/AAP Statement:

Audubon County Memorial Hospital and Clinics complies with all applicable Federal Civile Rights Laws and does not discriminate on the basis of race color national origin age disability or sex (consistent with the scope of sex discrimination described at 45 CFR 92.101(a)(2)). ACMH does not exclude people or treat them less favorably because of race color national origin age disability or sex.

No question included on this application is intended to secure information to be used for such discrimination. Further ACMH takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.

This institution is an equal opportunity provider and employer.

If you wish to file a Civil Rights program complaint of discrimination complete the USDA Program Discrimination Complaint Form found online at or at any USDA office or call to request the form. You may also write a letter containing all of the information requested in the form. Send your completed complaint form or letter to us by mail at U.S. Department of Agriculture Director Office of Adjudication 1400 Independence Avenue S.W. Washington D.C. 20250-9410 by fax or email at .