Advanced Practice Nurse - Nurse Practitioner - Primary Care
Veterans Health Administration
Dubuque, Iowa
$111k–$161k/yr
Posted pay
About a minute · no account or résumé needed.
More from Veterans Health Administration
Last seen active Aug 30, 2026
What this means for you
Veterans Health Administration is hiring for its own floors — no agency between you and the manager. It's a day shift — the busiest hours, the fullest crew, and your evenings back.
What the listing says
- Base pay
- $111k–$161k/yr
- Shift
- Days
About this role
Show full description
Skills for this role
Requirements
- 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. English Language Proficiency. In accordance with 38 U.S.C. 7402(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. 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.
About the employer
Nationally the VA describes itself as the largest U.S. nurse employer, with more than 120,000 RNs, APNs, LPNs, and nursing assistants. The VA has said it is on pace to reduce staff by nearly 30,000 by the end of FY2025…
What reviewers appreciate
- CPRS/VISTA already in use as the EHR
- VA employs more than 120,000 nursing staff nationally across settings
- Some new grads describe VA pay as decent for no experience
What reviewers flag
- VA on pace to cut nearly 30,000 staff by end of FY2025 via attrition, early outs, and hiring freeze
- Nurses discuss anxiety, stress, and uncertainty about staying in VHA roles
- Public threads note doctors and nurses turning down VA offers
Living in Dubuque, IA
Perched along the Mississippi River amid scenic limestone bluffs, Dubuque blends small-town warmth with historic riverfront charm. Nurses drawn to quieter Midwestern living will find a tight-knit community, modest traffic, and easy access to outdoor recreation along the river and surrounding hills.
- Metro price level · Dubuque area
- 13% below the national average
- BEA index 87.3 (100 = national)
- Median gross rent
- $948/mo
- rent and tenant-paid utilities
- Median household income
- $65,845/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
On your path
Nurse Practitioner is advanced-practice territory. The long route; independence depends on your state.
Worth asking
The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.
- How does the productivity or RVU formula work?
- Are there differentials or other recurring incentives?
- Does the employer cover malpractice and tail coverage, plus CME, licensing, and DEA support?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?