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Nursing Services Positions

Shift Nurse

Works every Saturday & Sunday 4:45am – 4:45pm for seven weekends & then have the eighth weekend off.

Specific duties include, but not limited to:

  • Monitoring resident health issues on a day-to-day basis and insuring necessary individual interventions.
  • Implementing and maintaining temporary care plans are in place for residents who have a deviation from their normal activity level or care due to health issues.
  • Informing direct staff of their responsibilities with resident’s in regards to health care matters for the shift, i.e., positioning, appointments, treatments, cares, etc.  
  • Implementing physician orders and treatment plans.
  • Responding to health emergency situations in a calm, professional manner, assessing the situation, giving necessary instructions and initiating appropriate interventions. 
  • Maintaining a working knowledge of medications and treatments administered. 
  • Accurately administering medications according to the six R’s: right resident, right medication, right dose, right time, right route and right documentation; accurately administering treatments and internal feedings, providing timely documentation; assists in revising monthly medication sheets. 
  • Works with physicians to assure individual health concerns are addressed; insures that appropriate staff is informed and up-to-date regarding resident health issues. 
  • Maintains necessary contact with pharmacy and laboratory.  Maintains resident parent/guardian contact for acute and routine health issues; insures that necessary information is related to and from nurses at schools and vocational site on a day-to-day basis. 
  • Insures the Health Services Manager is informed and up to date on resident status changes. 
  • Complies with building security policies, procedures and practices.


  1. Free of a conviction or prior employment history of child or resident abuse or dependent adult abuse.
  2. High school degree or equivalent.
  3. Certification as a licensed practical nurse; registered nurse preferred.
  4. A minimum of one year nursing experience, preferably with targeted population.
  5. Current certification in cardio pulmonary resuscitation (CPR).
  6. Required state training in dependent adult and child abuse class.

Certified Medication Aide

The Certified Medication Aide is responsible for providing day-to-day support of the organization’s clients/residents through provision of the prescribed medications.

Full-time: 80 hours per pay period, 2nd Shift

Duties and Responsibilities: 

  • Administers scheduled/assigned medications accurately according to the six R’s:  Right Resident, Right Medication, Right Dose, Right Time, Right Route and Right Documentation.
  • Lifts and positions residents as required to administer treatment and/or medication.
  • Monitors stock medication supply and prepare medication orders as scheduled.
  • Documents medication administration accurately and in a timely manner.
  • Maintains a working knowledge of medications administered.
  • Performs assigned treatments utilizing the proper procedures and techniques.
  • Maintains a working knowledge of resident programs and procedures and applies them to medication/treatment tasks.
  • Informs nurse on duty of medication/treatment errors that are discovered in a timely manner.
  • Provides assistance to the shift nurse by observations regarding resident health and safety; following directions provided by nurses during medical emergencies and routine daily tasks.
  • Monitors nursing inventory supply and prepare supply list for items needed; maintains and stocks nursing areas during assigned shift.
  • Accompanies residents to medical appointments, as assigned; may drive Center vehicles for errands or transportation, if an approved driver.
  • Maintains resident/client privacy.
  • Assures the confidentiality of all data, including resident, employee, and operations data in accordance with HIPAA policy & confidentiality procedures.
  • Assists with the direct support of residents as needed.
  • Performs other duties, as assigned.
  • Works alternate or additional shifts as assigned.


  • Free of a conviction or prior employment history of child or resident abuse or dependent adult abuse.
  • High school degree or equivalent.
  • Certification as a medication aide in the state of Iowa.




All positions at Hills & Dales require the ability to pass an extensive background check including checks of the Dependent Adult and Child abuse registries, Sex Offender registry and a criminal history check.

Full-time positions receive benefits including health, dental, life and disability insurance, paid vacation and sick time, paid holidays, and 401(k). Part-time positions receive paid vacation, sick time and paid holidays.

Hills & Dales is an Equal Opportunity Employer and a Drug Free Workplace. Fill out an online application or send resume and cover letter to