Staff Nurse - Level of Care

Patient Care Providers
18000615 Requisition #
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Classification Title: Staff Nurse

Department: Department of Nursing

Pay Grade: 6 (PD20)

Percent of Time: 50% & 100%

Schedule: Days

  • 100% - Rotating shifts, 8 / 10 / 12 hour shifts with weekend and alternating holiday coverage (shifts could include between 8:00 AM - 12:30 AM)
  • 50% -  Rotating shifts, 8 / 10 / 12 hour shifts with weekend and alternating holiday coverage (shifts could include between 8:00 AM - 12:30 AM)

Location: Level of Care

Rotations: Day shifts


Applicant selected for position, if external, must complete a 2-3 week orientation. Monday-Friday 8:00 AM-4:30 PM. Hours may vary based on department needs.


Successful candidates will be subject to a criminal background check. 


Staff Type: Professional & Scientific (P&S)

Type of Position: Regular


University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®


Our primary and specialty care is provided by experts from all medical specialties, attracting patients from around the world. We offer our care in convenient, comfortable settings, using the most advanced approaches and with the best outcomes as our goal.


University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. In 2018-19 seven of our adult care specialties were ranked among the nation’s best, including otolaryngology (3rd), ophthalmology (7th), orthopedics (14th), cancer (18th), urology (34th), pulmonology (39th), and gynecology (50th).


Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended. For questions or additional information, please contact the Nursing Recruitment office at 319-356-2285.


Position Specific Summary:


The Staff Nurse performing Medical Necessity level of care reviews within the Continuum of Care Management Department at the University of Iowa Hospitals and Clinics will be responsible for collaborating with LIP identifying medical necessity and level of care; submitting cases for review to external consultants; Review of scheduled and unscheduled admits applying clinical care guidelines; working with LIP’s to identify non-appropriate admits.   Admissions are identified through online work list reports, real time dialogue at time of admit, both planned and emergent. 


Key Areas of Responsibilities Include but are not limited to:


Assumes accountability for advice provided to callers.


Assumes responsibility for service provided by self and other staff members under the nurse’s direction. 


Evaluates the quality of nursing care provided by other staff members.


Participates in the development of unit, division, department, hospital policies, procedures and protocols. 


Contributes to the solutions of staffing issues.


Participates in projects/committees for enhanced functioning of the unit and supports department level decision-making.


Participates in ongoing strategic planning process.


Participates in the development and implementation of computer applications.


Provides recognition and support for colleagues.


Represents the interests of the University and of unit leadership in the use of resources to meet service and productivity demands within unit goals and budgets; strives to promote continual process and quality improvement.


Contributes to cost containment strategies in unit.


Maintains knowledge of Standards of Care and other regulatory compliances.


Consistently makes sound judgments after gathering factual, objective information.


Demonstrates tolerance for change.

Incorporates the principles of Service Excellence to ensure positive patient/customer relations.


Maintain knowledge of Telehealth Nursing Practice Administration and Practice Standards


Develops and maintains knowledge of the full range of UI faculty, staff, and services offered by the University of Iowa Health Care.


Keep current with nursing and health care knowledge base and to pursue further enhancements of job-related knowledge.


Builds and sustains relationships and develops collaborative working relationships.


Builds and sustains relationships and develops collaborative working relationships.


Maintains competency in age appropriate communications skills for the following age groups:  Adolescent 12 – 18 years;  Adult 19 – 64 years;  Geriatric ³65


Maintains interpersonal relationships and communications with caller that exemplifies the highest level of guest relations with an unfailing courteous and helpful approach without regard to the caller’s manner


Responds efficiently and effectively to requests from internal and external customers, assessing the need, prioritizing the request, offering appropriate alternatives, and connecting them with the appropriate resource or handling the request if the information is within the scope of the call center


Offers constructive feedback and solutions to problems.


Ensures that information is documented and recorded per Departmental procedures..


Monitors calls appropriately to assure that appropriate individuals are notified, information is communicated, and resources are arranged.


Remains calm and constructive in conflict situations.

Develops, and implements, patient/family teaching plan based on identified health education needs and the condition and age of the patient.


Evaluates and documents effectiveness of patient/family teaching through follow up telephone calls.


Participates in the orientation of new nursing staff and the ongoing education of nursing personnel, as directed by the Director or designee.


Collaborates with unit nursing staff to develop/share best practices


Invests in own continuous learning and skill enhancement.

Establishes and maintains positive and productive working relationships within and outside of own area and background. 


Identifies and resolves disagreements/conflicts in early stages.


Promotes a safe, equitable, respectful environment.


Recommends changes to work practices and policies to promote transparency and approachability.


Ensures time, resources, energy, learning opportunities, and actions are focused on priorities that matter to the changing workplace.


Maintains compliance with codes of ethics that benefit the overall good of all constituents.


Demonstrates a big picture understanding of the organization, its interrelationships, and priorities. 

Participates in developing a variety of effective ways to deal with service challenges.

Models service excellence and coaches others to deliver excellent service in a variety of settings.

Communicates well with peers, leadership and external constituents.

Utilizes various methods for information sharing and information gathering. Modifies processes to enhance service.

Serves as a liaison between UI faculty and Referring Providers and patients.

Provide nursing care via the telephone utilizing clinical judgment skills in conjunction with established protocols to enable, educate, and encourage people to improve their health and make appropriate use of medical care.

·    Assist callers with non-clinical needs.

Synthesizes the scientific, behavioral, and humanistic principles for application to clinical practice.

Adheres to standards established within the Department.

Utilizes and supports practice guidelines.

Applies nursing theory to the assessment, diagnosis, treatment recommendations, and evaluation of patient responses to health and illness.

Analyzes initial and ongoing assessment data to determine nursing diagnosis and client outcomes.

Assesses patient health care preferences and expectations.

Collaboratively coordinates the continuum of care across settings.

Uses evaluation data to revise and implement change.

Develops patient care advice based on patient condition, age, and psychological, educational, and socioeconomic conditions that prescribes interventions to attain expected outcomes.

Advises patient according to patient priorities, which include interventions identified through nursing diagnosis. Documents/reports interventions and patient/family response.

Collaborates and integrates contributions of patients and families into patient care advice given.

Implements emergency care procedures in potential or actual emergencies according to departmental policies, procedures and protocols.

Maintains skills/competency related to special equipment, medications, and procedures common to the patient population of the division.

Understanding of the issues related to the decision-making process; ability to analyze situations fully and accurately, and reach productive decisions.

Maintains confidentiality.

Practices within legal boundaries of the Nurse Practice Act.

Complies with personnel policies.

Performs special projects and tasks as assigned.

Performs duties as assigned.

Follows instructions.

Education Required:

  • A Baccalaureate Degree in Nursing, Professional Masters of Nursing and Healthcare Practice (MNHP), MSN/Clinical Nurse Leader or a Master’s Degree in Nursing (MSN, MA) is required.

Experience Required:

  • Excellent written and verbal communication skills are required.
  • Demonstrates excellent interpersonal skills with patients/families, nursing staff, and interdisciplinary team members as demonstrated through written and verbal interactions.
  • General computer skills are required.
  • Proficiency with computer software applications (i.e. Microsoft Office) is required.
  • Demonstrated experience working effectively in a multidisciplinary team environment is required.
  • Two years recent medical/surgical experience is required, including inpatient and outpatient experience and/or care coordination experience.


  • Current license to practice nursing in Iowa is required by date of hire.
  • Professional certification in a related specialty is highly desired.

Desirable Qualifications:

  •  Masters Degree in Nursing is highly desired.
  • Knowledge of level of care desired.
  • Demonstrated organizational skills, critical thinking, and problem solving skills are desired.
  • Demonstrated ability to provide great patient-centered customer service is desired.
  • Emergency Department experience is desired.

Equal opportunity/affirmative action employer

The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran.

Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, (319) 335-2660 or  For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543.

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