Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs - including some jobs that never get posted. CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.<ul><li>Must have active state license</li><li>BC or BE required</li><li>Weekdays, Days, Call</li><li>Women's health required</li><li>16 - 20 patients per day, must see all ages</li><li>C-sections preferred but not required</li><li>Credentialing needed</li><li>DEA needed</li><li>We negotiate better pay and deposit it weekly</li><li>We arrange complimentary housing and travel and comprehensive malpractice coverage</li><li>We simplify the credentialing and privileging process</li><li>Access to online portal for assignment details and time entry</li><li>Your specialized recruiter takes care of every detail</li></ul> CompHealth JOB-<img src="https://www.jobg8.com/Tracking.aspx?xa1smmC1jf4Dv9sMebYsCAa" width="0" height="0" />

**Job Title**

Interested in this assignment? Or maybe you still haven't found what you're looking for? Contact one of our specialty-specific recruiters to get access to our vast network of open jobs - including some jobs that never get posted. CompHealth will handle all the details like housing and credentialing for you, and our services are always free to you.

**Job Description**

- Must have active state license
- BC or BE required
- Weekdays, Days, Call
- Women's health required
- 16 - 20 patients per day, must see all ages
- C-sections preferred but not required
- Credentialing needed
- DEA needed
- We negotiate better pay and deposit it weekly
- We arrange complimentary housing and travel and comprehensive malpractice coverage
- We simplify the credentialing and privileging process
- Access to online portal for assignment details and time entry
- Your specialized recruiter takes care of every detail

Family Practice/obstetrics Is Needed for Temp to Perm Help in IA

Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services.Responsibilities<ul><li> Utilizes the nursing process to assess, plan, implement and evaluate patient care. </li><li> Assess signs and symptoms indicating physiologic and psychosocial changes in the patient s condition. </li><li> Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. </li><li> Documents the patient s plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions. </li><li> Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard. </li><li> Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions. </li><li> Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor including establishing priorities. </li><li> Other Registered Nurse (RN) duties as assigned. </li></ul>Requirements<ul><li> Current Registered Nurse (RN) License for the state in which the nurse practices. </li><li> Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). </li><li> Current PPD or Chest X-Ray. </li><li> Current BLS card. </li><li> One year prior Registered Nurse (RN) experience preferred. </li></ul> Benefits At Maxim Healthcare Services, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:<ul><li> Competitive pay & weekly paychecks </li><li> Health, dental, vision, and life insurance </li><li> 401(k) savings plan </li><li> Awards and recognition programs </li></ul> About Maxim Healthcare Services Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.Maxim Healthcare Services is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.<img src="https://www.jobg8.com/Tracking.aspx?mJnrnntXdRj2yrsJbZ07Jww" width="0" height="0" />

**Registered Nurse (RN)**

Maxim Healthcare Services is seeking a Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care. The Registered Nurse (RN) demonstrates the ability to make clinical judgments in an effective and efficient manner under the direction of the Director of Clinical Services.

**Job Description**

- Utilizes the nursing process to assess, plan, implement, and evaluate patient care.
- Assesses signs and symptoms indicating physiologic and psychosocial changes in the patient's condition.
- Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses.
- Documents the patient’s plan of care using identified nursing diagnoses, expected patient outcomes, and selected nursing interventions.
- Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standards.
- Revises the plan of care according to evaluation, changes in medical plan of care, and effective/ineffective nursing interventions.
- Uses clinical judgment in evaluation activities to meet patient care needs of an assigned unit/floor including establishing priorities.
- Other Registered Nurse (RN) duties as assigned.

**Requirements**

- Current Registered Nurse (RN) License for the state in which the nurse practices.
- Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation).
- Current PPD or Chest X-Ray.
- Current BLS card.
- One year prior Registered Nurse (RN) experience preferred.

**Benefits**

- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs

**Community Overview**

Maxim Healthcare Services has been making a difference in the lives of our patients, caregivers, employees, and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care, and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed.

Registered Nurse - Home Health

Seeking Internal Medicine Physician to join our team in southwest Iowa. We offer comprehensive services in primary care, inpatient, outpatient observation, skilled care, specialty care, and rural health clinics. <ul><li> 2 Physician Partners </li><li> 70% Inpatient / 30% Outpatient </li><li> Inpatient census is 1-4 patients on the floor-rounding in the morning / Outpatient: 6-10 patients in the afternoon for chronic care management </li><li> Schedule: Monday-Friday 7a-4p; 1 day per week extended hours and shift rotated / Option for: 4 day work week / 10hr shifts or 5 day work week / 8hr shifts </li><li> EMR = EPIC </li></ul> Compensation & Benefits: <ul><li> Salary based on Internal Med MGMA and years of experience </li><li> Sign-On Bonus and Quality Bonus </li><li> Relocation Assistance </li><li> Loan Assistance </li><li> Iowa Public Employees Retirement System, a defined pension plan with employee and employer contribution / Vested after 7 years </li></ul> The Community: <ul><li> Friendly Community: Known for its welcoming and close-knit community, where neighbors quickly become friends. The strong community spirit here makes it an excellent place to build relationships and establish roots. </li><li> Scenic Surroundings: If you appreciate natural beauty, you'll love the picturesque landscapes. The area offers a serene and peaceful environment for you and your family. </li><li> Great Schools: Boasts a quality education system with excellent schools that are dedicated to nurturing students' growth and development. It's an ideal place for families looking to provide their children with a top-notch education. </li><li> Affordable Living: Compared to many other regions, it offers a cost-effective living situation. The housing market is reasonably priced, and the overall cost of living is manageable, allowing you to enjoy a comfortable lifestyle without breaking the bank. </li><li> Recreational Activities: Whether you enjoy outdoor adventures or prefer indoor activities, there's something for everyone. From parks and recreational facilities to community events and sports activities, there's always something exciting to do in your free time. </li><li> Strong Economy: The local economy is well-supported by a thriving agricultural sector and a growing local business community. This stability provides a reliable foundation for both job opportunities and business ventures, ensuring a secure financial outlook for you and your family. </li><li> Convenient Amenities: Despite its tranquil atmosphere, the area provides convenient access to essential amenities, such as grocery stores, healthcare facilities, and local businesses. You'll find everything you need for day-to-day living within easy reach. </li></ul> APPLY NOW or TEXT Job and email address to 636 - 628 - 2412. Search all of our provider opportunities here: brittmedical DOT com/search-current-jobs <img src="https://www.jobg8.com/Tracking.aspx?K%2fSjzhaMwUQetbs9CzCm1Qp" width="0" height="0" />

**Internal Medicine Physician**

Seeking an Internal Medicine Physician to join our team in southwest Iowa. We offer comprehensive services in primary care, inpatient, outpatient observation, skilled care, specialty care, and rural health clinics.

**Job Description**

- 2 Physician Partners
- 70% Inpatient / 30% Outpatient
- Inpatient census is 1-4 patients on the floor-rounding in the morning / Outpatient: 6-10 patients in the afternoon for chronic care management
- Schedule: Monday-Friday 7a-4p; 1 day per week extended hours and shift rotated / Option for: 4 day work week / 10hr shifts or 5 day work week / 8hr shifts
- EMR = EPIC

**Benefits**

- Salary based on Internal Med MGMA and years of experience
- Sign-On Bonus and Quality Bonus
- Relocation Assistance
- Loan Assistance
- Iowa Public Employees Retirement System, a defined pension plan with employee and employer contribution / Vested after 7 years

**Community Overview**

- Friendly Community: Known for its welcoming and close-knit community, where neighbors quickly become friends. The strong community spirit here makes it an excellent place to build relationships and establish roots.

- Scenic Surroundings: If you appreciate natural beauty, you'll love the picturesque landscapes. The area offers a serene and peaceful environment for you and your family.

- Great Schools: Boasts a quality education system with excellent schools that are dedicated to nurturing students' growth and development. It's an ideal place for families looking to provide their children with a top-notch education.

- Affordable Living: Compared to many other regions, it offers a cost-effective living situation. The housing market is reasonably priced, and the overall cost of living is manageable, allowing you to enjoy a comfortable lifestyle without breaking the bank.

- Recreational Activities: Whether you enjoy outdoor adventures or prefer indoor activities, there's something for everyone. From parks and recreational facilities to community events and sports activities, there's always something exciting to do in your free time.

- Strong Economy: The local economy is well-supported by a thriving agricultural sector and a growing local business community. This stability provides a reliable foundation for both job opportunities and business ventures, ensuring a secure financial outlook for you and your family.

- Convenient Amenities: Despite its tranquil atmosphere, the area provides convenient access to essential amenities, such as grocery stores, healthcare facilities, and local businesses. You'll find everything you need for day-to-day living within easy reach.

Internal Medicine Physician

Internal Medicine opening in IALocated in Carroll, IowaFull-Time & PermanentSeeking a BE/BC Internist to join hospital.<ul><li>Hospital owned, established practice. </li><li>Office hours are 8 a.m. 5 p.m. weekdays, with a half day off each week. </li><li>Call is one in five. </li><li>This opportunity is a traditional inpatient/outpatient practice.</li><li>The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package. </li><li>Relocation incentives are available.</li></ul>Location:Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce and healthcare, with 75,000+ people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components and a multi-state distributor of institutional foods. The areas economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.<img src="https://www.jobg8.com/Tracking.aspx?7R81h2CKPNKKrc9afPqwYQm" width="0" height="0" />

**Internal Medicine Physician**

Internal Medicine opening in Iowa. Located in Carroll, Iowa, this is a full-time and permanent position seeking a board-eligible/board-certified internist to join the hospital.

**Job Description**

- Hospital owned, established practice.
- Office hours are 8 a.m. to 5 p.m. weekdays, with a half day off each week.
- Call is one in five.
- This opportunity is a traditional inpatient/outpatient practice.
- The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package.
- Relocation incentives are available.

**Community Overview**

Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce, and healthcare, with over 75,000 people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components, and a multi-state distributor of institutional foods. The area's economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.

Neurology opening in IALocated in Carroll, IowaFull-Time & PermanentSeeking a BE/BC Neurologist to join hospital.<ul><li>Hospital owned, established practice. </li><li>The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package. </li><li>Relocation incentives are available.</li></ul>Location:Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce and healthcare, with 75,000+ people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components and a multi-state distributor of institutional foods. The areas economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.<img src="https://www.jobg8.com/Tracking.aspx?%2bYLd8HQrsuwBQAtERPKjcAz" width="0" height="0" />

**Neurologist**

Neurology opening in Iowa. Located in Carroll, Iowa, this is a full-time and permanent position seeking a board-eligible or board-certified neurologist to join the hospital.

**Job Description**

- Hospital owned, established practice.
- The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package.
- Relocation incentives are available.

**Community Overview**

Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce, and healthcare, with over 75,000 people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components, and a multi-state distributor of institutional foods. The area's economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.

Neurology Physician

OBGYN opening in IALocated in Carroll, IowaFull-Time & PermanentSeeking a BE/BC OBGYN to join hospital.<ul><li>Hospital owned, established practice. </li><li>The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package. </li><li>Relocation incentives are available.</li></ul>Location:Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce and healthcare, with 75,000+ people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components and a multi-state distributor of institutional foods. The areas economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.<img src="https://www.jobg8.com/Tracking.aspx?Xk9mY%2bVneWE6zQCZbozmvwx" width="0" height="0" />

**OBGYN**

OBGYN opening in Iowa. Located in Carroll, Iowa, this is a full-time and permanent position seeking a board-eligible or board-certified OBGYN to join the hospital.

**Job Description**

- Hospital owned, established practice.
- The physician will be a full-time hospital employee and will enjoy a highly competitive salary and benefit package.
- Relocation incentives are available.

**Community Overview**

Carroll, Iowa is a community of 10,000 residents located 90 miles northwest of Des Moines, Iowa and 90 miles northeast of Omaha, Nebraska. The community is a regional hub for shopping, commerce, and healthcare, with over 75,000 people residing within a 26-mile radius of Carroll. While the community is located in an agricultural area, the economy of Carroll is supported by many non-agricultural businesses, including a claims processing center for a national real estate warranty insurance company, a nationally known manufacturer of windows, a manufacturer of jet aircraft engine components, and a multi-state distributor of institutional foods. The area's economy is supplemented by a number of smaller local businesses and has a thriving shopping area which includes many nationally known retailers.

Obstetrics & Gynecology Physician

SCP Health is a physician-led team of clinical and operational experts, collectively passionate about revitalizing health care. We craft and utilize proven models of care, proprietary technology, and data-driven insights to accelerate progress in care delivery across health care organizations. Our clinical offerings currently span the entire continuum of care, from emergency and hospital-based medicine to telemedicine, intensive care, ambulatory, and in-home clinical care. Together, We Heal. Job Details <ul><li>4K annual ED volume<li>Average daily census: 4<li>24-hour physician coverage<li>Physician required to round on inpatients</ul> Facility Information Greene County Medical Center, a UnityPoint Health affiliate, has been caring for patients and area residents since 1937. Striving to serve the evolving needs of their patients, this center counts with a group of healthcare professionals and top-notch technological innovations. Green County Medical Center is a full-service hospital offering emergency care, cardiac services, diabetes management, women's health, surgery, and much more. Community Description Jefferson is a progressive town centrally located one hour from Des Moines, IA, and Ames, IA, offering residents easy access to additional metropolitan events and attractions while enjoying the perks of quality life in a safe and friendly place. Jefferson offers low cost of living, great neighborhoods, excellent schools providing education-based child care, plenty of recreational programs and parks, and much more. Jefferson is a vibrant small community perfect for families to call it home. We offer a competitive compensation package, leadership training and development, SCP University with over 200 hours of free CMEs and more.<img src="https://www.jobg8.com/Tracking.aspx?L2cmaMZ87uBZ69yUz5xySwd" width="0" height="0" />

**Physician**

SCP Health is a physician-led team of clinical and operational experts, collectively passionate about revitalizing health care. We craft and utilize proven models of care, proprietary technology, and data-driven insights to accelerate progress in care delivery across health care organizations. Our clinical offerings currently span the entire continuum of care, from emergency and hospital-based medicine to telemedicine, intensive care, ambulatory, and in-home clinical care. Together, We Heal.

**Job Description**

- 4K annual ED volume
- Average daily census: 4
- 24-hour physician coverage
- Physician required to round on inpatients

**Facility Overview**

Greene County Medical Center, a UnityPoint Health affiliate, has been caring for patients and area residents since 1937. Striving to serve the evolving needs of their patients, this center counts with a group of healthcare professionals and top-notch technological innovations. Greene County Medical Center is a full-service hospital offering emergency care, cardiac services, diabetes management, women's health, surgery, and much more.

**Community Overview**

Jefferson is a progressive town centrally located one hour from Des Moines, IA, and Ames, IA, offering residents easy access to additional metropolitan events and attractions while enjoying the perks of quality life in a safe and friendly place. Jefferson offers low cost of living, great neighborhoods, excellent schools providing education-based child care, plenty of recreational programs and parks, and much more. Jefferson is a vibrant small community perfect for families to call it home.

**Benefits**

We offer a competitive compensation package, leadership training and development, SCP University with over 200 hours of free CMEs and more.

Emergency Medicine Physician

<ul><li>Dates: ASAP-Ongoing</li><li> Schedule: Full time, M-F 8-4:30 </li><li>No Call</li><li> 15 patients on treatment, 1-2 consults, 2-3 follow ups per day on average </li><li> Support Staff: FT Nurse, Dosimetrist, FT therapists, PRN nurse, PRN therapist, physics on site 2 days a week, 1 nurse navigator, 1 dietician, 1 social worker </li><li>EMR: ARIA, Varian/True Beam, Meditech</li></ul><img src="https://www.jobg8.com/Tracking.aspx?HPHXsEq4T5W5kSe7V49Upwa" width="0" height="0" />

**Job Description**

- Dates: ASAP-Ongoing
- Schedule: Full time, M-F 8-4:30
- No Call
- 15 patients on treatment, 1-2 consults, 2-3 follow-ups per day on average
- Support Staff: FT Nurse, Dosimetrist, FT therapists, PRN nurse, PRN therapist, physics on site 2 days a week, 1 nurse navigator, 1 dietician, 1 social worker
- EMR: ARIA, Varian/True Beam, Meditech

Oncology - Radiation Physician

NP/PA Family Medicine opening in IowaLocated in Carroll, IA - Des Moines 90m, Omaha 95mFull-time, permanent positionSeeking a board-certified providerAssesses, diagnoses and treats medical and surgical problems in the Clinic, patient's homes and nursing homes and records such findings using the patients medical recordMakes referrals to specialists, other physicians, as neededElicits medical histories and performs physical examinations on patientsPerforms or initiates therapeutic, office surgical, diagnostic and laboratory procedures and radiologic examinations as indicated by common medical practiceInstructs and counsels patients regarding physical and mental health, and provides patient educationAdministers and prescribes properly packaged and labeled prescription medications and immunizations as neededMaintains orderly and efficient business practicesMaintains timely patient documentation in the electronic medical recordProvides supervision and direction to other clinic personnel as neededAttends all mandatory meetings and programsThree to five years experience as a Licensed Physician Assistant or Nurse Practitioner with emphasis in family practice, is preferred but not requiredActive and unrestricted DEA and CSA in the State of IowaBLS certification requiredPALS, ACLS preferred, but not requiredHospital is a 99-bed hospital that provides a wide array of services, including inpatient general medical care, in-patient and out-patient mental health care, intensive care, obstetrics, and inpatient and outpatient surgery. Ancillary services include laboratory; radiology examinations, including CT, MRI, ultrasound, bone densitometry and PET CT; wound care, infusion therapy and sleep studies. The hospital has four endoscopy suites with daVinci and Mako robotic surgery and a twelve station hemodialysis service. Hospital just opened a brand new freestanding cancer Center that provides a holistic approach to cancer care. The hospital operates a home health service, a hospice and is the county's public health nursing service provider.<img src="https://www.jobg8.com/Tracking.aspx?Scf2IQuVWXke%2brlfB4iUxge" width="0" height="0" />

**NP/PA Family Medicine**

Join our team in Carroll, IA, located 90 minutes from Des Moines and 95 minutes from Omaha. This is a full-time, permanent position seeking a board-certified provider.

**Job Description**

- Assess, diagnose, and treat medical and surgical problems in the clinic, patients' homes, and nursing homes, and record findings using the patients' medical records.
- Make referrals to specialists and other physicians as needed.
- Elicit medical histories and perform physical examinations on patients.
- Perform or initiate therapeutic, office surgical, diagnostic, and laboratory procedures and radiologic examinations as indicated by common medical practice.
- Instruct and counsel patients regarding physical and mental health, and provide patient education.
- Administer and prescribe properly packaged and labeled prescription medications and immunizations as needed.
- Maintain orderly and efficient business practices.
- Maintain timely patient documentation in the electronic medical record.
- Provide supervision and direction to other clinic personnel as needed.
- Attend all mandatory meetings and programs.

**Requirements**

- Three to five years of experience as a Licensed Physician Assistant or Nurse Practitioner with an emphasis in family practice is preferred but not required.
- Active and unrestricted DEA and CSA in the State of Iowa.
- BLS certification required; PALS and ACLS preferred but not required.

**Benefits**

The hospital is a 99-bed facility that provides a wide array of services, including inpatient general medical care, inpatient and outpatient mental health care, intensive care, obstetrics, and inpatient and outpatient surgery. Ancillary services include laboratory; radiology examinations, including CT, MRI, ultrasound, bone densitometry, and PET CT; wound care, infusion therapy, and sleep studies. The hospital has four endoscopy suites with da Vinci and Mako robotic surgery and a twelve-station hemodialysis service. The hospital just opened a brand new freestanding cancer center that provides a holistic approach to cancer care. The hospital operates a home health service, a hospice, and is the county's public health nursing service provider.