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Posted 20 July, 2026

DIRECT HIRE Nurse Practitioner Assignment in West Des Moines, Iowa with Sign-On Bonus

ICON MEDICAL NETWORK
West Des Moines, IA, US Full Time

Job Description

\n Nurse Practitioner (NP) - Nocturnal Hospitalist | 7 On / 7 Off\n
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\n Clinical Magnet (part of ICON Medical) is hiring a Nocturnal Hospitalist Nurse Practitioner for a full-time, permanent opportunity with a highly respected physician-owned healthcare organization in the Des Moines, Iowa area. This is an excellent opportunity for an experienced provider who thrives in an autonomous hospital setting and enjoys collaborative, team-based patient care.\n
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\n This role is ideal for Nurse Practitioners with Emergency Medicine, Critical Care, Hospitalist, or Med-Surg experience who are confident making independent clinical decisions while having physician support readily available when needed.\n
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\n Compensation & Schedule\n
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  • 7 on / 7 off nocturnal schedule
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  • Shifts: 4:30pm - 4:30am or 6:00pm - 6:00am
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  • Competitive compensation based on experience:
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  • 0-2 years: $141,900
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  • 2.1-5 years: $148,500
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  • 5.1-10 years: $159,500
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  • 10+ years: $167,200
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  • Additional nocturnist differential available
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  • $5,000 sign-on bonus
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  • CME allowance
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  • 401(k) profit sharing retirement plan
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  • Health, dental, and vision insurance options
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  • Flexible spending accounts
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\n Job Summary\n
\n As a Nocturnal Hospitalist Nurse Practitioner, you will provide overnight coverage and first-call response for hospitalized Internal Medicine, Family Medicine, Cardiology, and Hematology-Oncology patients. You will perform admissions, assess acute patient needs, and collaborate closely with physicians and inpatient teams to ensure high-quality patient care throughout the night shift.\n
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\n This position offers a high level of autonomy while maintaining strong physician support and a collaborative team environment. Two APPs are scheduled on every night shift, and a backup physician is always available for escalation and consultation.\n
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\n Key Responsibilities\n
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  • Provide overnight first-call coverage for hospitalized patients within:
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  • Internal Medicine
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  • Family Medicine
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  • Cardiology
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  • Hematology-Oncology
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  • Perform hospital admissions
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  • Respond to acute patient needs and changes in condition
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  • Take first calls from answering services regarding hospitalized patients
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  • Collaborate with physicians, nursing staff, and interdisciplinary teams
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  • Exercise strong independent clinical judgment overnight
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  • Escalate patient concerns appropriately to backup physicians when necessary
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\n Qualifications\n
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  • Master's degree required
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  • Licensed Nurse Practitioner required
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  • FNP-C, AGACNP, ACNP, or related certification preferred
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  • Prior Emergency Medicine, Critical Care, Hospitalist, or Med-Surg experience strongly preferred
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  • Strong clinical assessment and decision-making skills
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  • Ability to work independently in a fast-paced hospital environment
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  • Excellent communication and collaboration skills
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\n Why Des Moines?\n
\n Des Moines offers an exceptional quality of life with a low cost of living, short commute times, excellent schools, and a strong healthcare community. The metro area combines the amenities of a larger city with a welcoming, family-friendly atmosphere, making it an ideal place to build both a career and a lifestyle.\n
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\n Keywords\n
\n Nurse Practitioner, NP, Hospitalist NP, Nocturnist NP, Acute Care NP, AGACNP, FNP-C, Critical Care, Emergency Medicine, Med Surg, Hospital Medicine, APP Jobs, Iowa Healthcare Jobs, Night Shift Hospitalist\n