PACU Nurse Jobs in Iowa
PACU Nurse jobs in Iowa are concentrated in Des Moines, Cedar Rapids, and Iowa City, where large systems like UnityPoint Health, UI Health Care, and MercyOne maintain active surgical programs and hire across experience levels from new graduates to senior recovery nurses. The most consistent demand is for nurses with cardiac surgery, pediatric, and orthopedic post-anesthesia experience. See the openings below and apply to the ones that match your experience.
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Summary
The Post Anesthesia Care Unit (PACU) Registered Nurse (RN) provides specialized care in the assessment, planning, implementing and evaluation of care throughout the peri anesthesia continuum to include the Pre anesthesia Phase, Post anesthesia Phase I, Post anesthesia Phase II, and extended care from sedation/analgesia and/or anesthesia for surgical, diagnostic, or therapeutic procedures.
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This job is open to
The public
Internal to an agency
Clarification from the agency
NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below.
Duties
Major duties included but are not limited to:
- Responsible and accountable for all elements of the nursing process when providing and/or supervising direct patient care.
- Assumes responsibility for the coordination of care focused on patient education, self management, and customer satisfaction throughout the continuum of care.
- Administers medications and procedures per established policies and guidelines.
- Possesses knowledge related to the physiology associated with various anesthesia techniques and surgical interventions.
- Assesses and prepares patients for procedures appropriately.
- Performs clinical assessment of the patient and readily recognizes contraindication for anesthesia and/or surgical intervention.
- Applies the appropriate post sedation scoring and assesses the patient's postoperative status to include cardiovascular and respiratory systems and airway management needs, neurological system, hemodynamic stability, pain, and comfort needs and mental status, implementing appropriate interventions to maintain or return all physiological system to baseline or above.
- Responsible for ensuring comprehensive documenting of all phases of care and is timely, complete, and accurate in the electronic Health record.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Preferred Experience:
- PACU, CCU, or ICU experience
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
Work Schedule: Monday - Friday, 0730-1600. On-call (when required) 0800-1700
Compressed/Flexible: Not Available
Telework: Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not Authorized
Permanent Change of Station (PCS): Not Authorized
The VA Midwest Health Care Network advocates for a Whole Health System of care in each of the Medical Centers. This is an approach to healthcare that empowers and equips people to take charge of their health and well-being and live their lives to the fullest. As an employee operating in a Whole Health System of care, you will operate in a model with three core elements, seeking to create a personalized health plan for each Veteran. This is done in the context of healing relationships and healing environments and a connection back to the Veteran's community. This aligns with the Veterans Health Administration (VHA) Mission Statement to Honor America's Veterans by providing exceptional health care that improves their health and well-being.
Requirements
Conditions of employment
- U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
- All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
- Selective Service Registration is required for males born after 12/31/1959.
- Subject to background/security investigation.
- Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
- Must pass pre-employment physical evaluation/examination.
- Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
- You may be required to serve a probationary period.
- Complete all application requirements detailed in the "Required Documents" section of this announcement.
Qualifications
Basic Requirements:
- English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
- Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
- Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)
Grade Determinations: The following Scope, Education and Dimension criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade. The Dimension requirements (Practice, Veteran/Patient Driven Care, Leadership, Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13041355.
Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: You will be asked to participate in a pre-employment examination or evaluation as part of the pre-employment process for this position. Questions about physical demands or environmental factors may be addressed at the time of examination.
Additional information
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.
NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.
Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following five dimensions of nursing: Practice, Veteran/Patient Driven Care, Leadership, Professional Development, and Evidence/Based Practice/Research. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.
It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.
Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.
Required Documents
To apply for this position, you must provide a complete Application Package which includes:
- Resume
Special Note for Applications: To complete your application, please use the following link https://vacareers.va.gov/wp-content/uploads/sites/5/Resume.docx to download the standard Clinical Resume Document. This one-page document does not need to be modified and must be uploaded into the two-page restricted 'Resume' document upload field.
Your full resume/CV may be uploaded without page limitation into the 'Other' document upload field.
The following documents are accepted and may be required if applicable to your eligibility and/or qualifications for this position.
- DD-214/ Statement of Service
- Disability Letter (VA)
- License
- Other (1)
- Performance Appraisal
- Professional Certification
- Resume
- SF-15
- SF-50/ Notification of Personnel Action
- Transcript
Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 08/28/2026 to receive consideration. To preview the questionnaire, click https://apply.usastaffing.gov/ViewQuestionnaire/13041355.
- To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.
- Click Submit My Answers to submit your application package.
NOTE: It is your responsibility to ensure your responses and appropriate documentation are submitted prior to the closing date.
During the application process you may have an option to opt-in to make your resume available to hiring managers in the agency who have similar positions. Opting in does not impact your application for this announcement, nor does it guarantee further consideration for additional positions.
Agency contact information
3600 30th St
Des Moines, IA 50310
US
Next steps
Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued, and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made.
You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center.
NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.
Overview
- 0610 Nurse
- Credentialing
- Suitability/Fitness
See All 10 PACU Nurse Jobs in Iowa
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Find PACU Nurse JobsPACU Nurse Jobs by City in Iowa
Where Iowa roles are concentrated, by current openings.
PACU Nurse Job Market in Iowa
A snapshot from current Iowa openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
What Iowa Employers Look For
The qualifications that appear most often in PACU nurse jobs across Iowa.
- Active RN license issued or recognized by the Iowa Board of Nursing
- BLS certification required with ACLS certification strongly preferred
- Minimum one to two years of critical care or perioperative nursing experience
- CPAN or CAPA certification preferred for senior or lead PACU positions
- Proficiency with post-anesthesia assessment, airway management, and pain control protocols
- Ability to work rotating shifts including evenings, weekends, and on-call hours
PACU Nurse Jobs in Iowa: Frequently Asked Questions
How do you become a pacu nurse in Iowa?
You must hold an active RN license issued by the Iowa Board of Nursing, which requires passing the NCLEX-RN after completing an accredited associate or bachelor's degree nursing program. Most Iowa employers also expect prior experience in a critical care, emergency, or perioperative setting before placing nurses in the PACU. Earning the Certified Post Anesthesia Nurse credential strengthens your candidacy at larger systems like UnityPoint Health and UI Health Care.
How much do PACU nurses make in Iowa?
PACU nurses in Iowa earn a median of about $78,630 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $63,840 for the lowest 10% to over $100,500 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire pacu nurses in Iowa?
Employers hiring pacu nurses in Iowa right now include MercyOne, The University of Iowa, and Wolfe Surgery Center, based on current listings on Migrate Mate as of August 2026. Iowa's largest health systems, including those anchored in Des Moines and Iowa City, tend to post the most consistent PACU openings tied to active surgical and cardiac programs.
Which Iowa cities have the most pacu nurse jobs?
The cities with the most pacu nurse openings in Iowa are Des Moines, Iowa City, and West Des Moines. Des Moines drives the largest share of listings as the state's most populous metro and home to major health systems, while Iowa City's concentration around UI Health Care and Cedar Rapids' regional medical centers account for much of the remaining volume.
Are there remote pacu nurse jobs in Iowa?
Yes, but they're rare. PACU nursing is a hands-on, bedside role that requires physical presence in a recovery unit, so remote work is not a realistic option for most positions. About 0% of pacu nurse openings tied to Iowa are remote or hybrid as of August 2026, and those exceptions are typically administrative, education, or care coordination roles adjacent to the PACU.
How can I get hired as a pacu nurse in Iowa with little or no experience?
The most realistic entry path is completing a new-graduate nursing residency at an Iowa health system and then rotating into perioperative or PACU training. UnityPoint Health and UI Health Care both run structured residency programs that include critical care exposure and may offer PACU transitions for strong performers. Candidates coming from ICU, stepdown, or emergency nursing roles are commonly considered for lateral moves into PACU positions, and holding a current ACLS certification alongside an Iowa RN license gives newer candidates a clear edge.
Where can I find and apply to pacu nurse jobs in Iowa?
You can find and apply to pacu nurse jobs in Iowa on Migrate Mate, which lists current openings across the state. Search the listings, find the roles that fit your experience and location, and apply directly to the ones that match.
See All 10 PACU Nurse Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
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