FIRST NURSE

Mary Greeley Medical Center; Ames (IA); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Weekend shift

Evening shift

Holiday rotation

Job summary

Mary Greeley Medical Center seeks a licensed RN to provide weekend and evening triage and clinical guidance via phone and telehealth. The role serves as the primary entry into care, using evidence-based protocols to support safe, timely decisions and care coordination.

Required are 3+ years in acute or ambulatory care, Iowa RN license, and proficiency with EHR and telephony tools. The position emphasizes patient empathy, teamwork, and high-quality outcomes in a fast-paced environment.

Qualifications

• Active RN license in Iowa.
• 3+ years nursing experience in acute or ambulatory care.
• BSN or higher; required within 6 years if hired after 2014.
• Mandatory Reporter training.
• De-escalation training.
• Proficient in EHR systems and telephony/clinical decision support tools.

Responsibilities

• Provides clinical assessment, triage, and care guidance via telephone and virtual platforms.
• Acts as primary entry point into the health system to ensure appropriate care.
• Promotes care coordination and optimal outcomes across the continuum.
• Accurately documents assessments, recommendations, and decisions.
• Manages high-volume, high-acuity call environments with safety and accuracy.
• Collaborates with care teams to ensure seamless transitions of care.
• Maintains composure in high-stress situations and communicates clearly.

Skills

Clinical assessment

Triage skills

Communication

Team collaboration

Critical thinking

Patient empathy

Education

Registered Nurse (RN)

BSN considered

Tools

EHR systems

Cisco telephony

Job description

Weekend Package (WEP) , Evening Shift , Friday 5:00 p.m-11:00 p.m Saturday's and Sunday's varied 8 hour shifts with holiday rotation.

Biweekly Hours: 48

Date Posted 10/13/2026

Position Summary

Provides clinical assessment, triage, and care guidance via telephone and virtual platforms. Serves as a primary point of entry into the health system, ensuring patients receive the right care, at the right time, in the right setting. Utilizes evidence-based protocols, clinical judgement, and electronic health record data to support safe, timely decision-making. Promotes care coordination, patient understanding, and optimal outcomes across the continuum.

Position Responsibilities

Unit Specific Position Responsibilities

Serves as a primary clinical point of contact, providing real-time assessment, triage, and care guidance across the continuum.

Demonstrates advanced ability to assess patient-reported symptoms, synthesize clinical data, and determine appropriate disposition (emergent, urgent, routine, or self-care).

Applies evidence-based triage protocols in combination with clinical judgement to ensure safe, timely and appropriate care decisions.

Utilizes electronic health record (EHR) data and patient history to inform decision-making and enhance care continuity.

Ensures patients receive the right care, at the right time, and in the right setting, reducing unnecessary utilization and delays in care.

Demonstrates strong escalation capabilities, identifying and initiating appropriate interventions.

Communicates complex clinical information in a way that ensures patient comprehension, engagement, and adherence.

Establishes therapeutic rapport in a non-face-to-face environment, using active listening and patient-centered communication techniques.

Accurately documents assessments, recommendations, and decision-making to support medicolegal integrity and continuity of care.

Effectively manages high-volume, high-acuity call environments, maintaining accuracy, efficiency, and patient safety.

Collaborates with care teams and services to ensure seamless coordination and transitions of care.

Maintains composure and clinical effectiveness in high stress or emotionally complex situations.

Contributes to quality improvement and performance excellence efforts, including protocol adherence, call audits, and identification of opportunities to enhance patient outcomes and experience.

Qualifications, Knowledge & Experience

Required Qualifications (Including any licensure, certification, education):

Licensed as a Registered Nurse and authorized by the State of Iowa to practice nursing.

Three (3) or more years nursing experience in acute or ambulatory care services.

Achievement of Baccalaureate degree in nursing within 6 years of hire if hired after January 1, 2014.

Mandatory Reporter training or within 90 days of hire and must maintain throughout employment.

De-escalation training prior to performing direct patient care or within 90 days of hire

Proficient in EHR systems, telephony platforms (e.g. Cisco or similar), and clinical decision support tools, with the ability to simultaneously assess, document, and communicate real time.

Organizational Requirements:

Maintain stroke education per regulatory requirements.

Preferred Qualifications:

Experience using data, call metrics, or quality monitoring to improve performance and outcomes.

Required Knowledge, Skills & Experience:

Ability to pursue and foster a sense of team and partnership across all disciplines.

Ability to communicate effectively, in English, with diverse population groups.

Ability to be self-directed, flexible, and able to adapt to change.

Ability to communicate effectively in a professional and tactful manner with physicians, staff, patients and/or their representatives.

Ability to read and understand chart documentation.

Ability to demonstrate basic computer skills.

Ability to read, write and understand the English language.

Ability to work independently and make sound clinical judgements.

Strong clinical assessment and critical thinking skills.

Ability to handle high stress situations calmly and professionally.

Excellent interpersonal skills and patient empathy.

Preferred Knowledge, Skills & Experience: