NewIn-Home Nurse Practitioner or Physician Assistant Part Time Signify HealthIn-Home Nurse Practitioner or Physician Assistant Part TimeMitchellville, IARemote$37.66–$81.11Signify Health, part of CVS Health®, is seeking a Part Time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You’ll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people’s front doors.
NewIn-Home Traveler Nurse Practitioner or Physician Assistant Full Time Signify HealthIn-Home Traveler Nurse Practitioner or Physician Assistant Full TimeIARemote$78,331–$168,714Signify Health, part of CVS Health®, is seeking a Full Time Clinician (Nurse Practitioner or Physician Assistant) to provide In-Home Health Evaluations, engaging with people in the comfort of their own homes and helping bridge gaps in care. You’ll play a critical role in building trusted relationships to make people healthier, helping bring flexible, comprehensive and personalized health evaluations right to people’s front doors.
NewTravel Certified Occupational Therapist Assistant (COTA) - $1,536 per week in Norwalk, IA Pride HealthTravel Certified Occupational Therapist Assistant (COTA) - $1,536 per week in Norwalk, IANorwalk, IA$1,536Assist patients in developing and restoring functional independence.\nResponsibilities:\n•\tImplement therapy interventions per OT plan of care\n•\tDocument patient progress accurately and timely\n•\tAssist with patient and family education\n•\tCommunicate patient status to supervising OT\n•\tFollow all safety, infection control, and compliance protocols\nQualifications:\n•\tGraduate of an accredited Occupational Therapy Assistant program\n•\tActive state COTA license (or ability to obtain)\n•\tStrong teamwork and patient care skills Provide occupational therapy services under the supervision of a licensed OT, in accordance with state/federal regulations and facility guidelines.
NewAssistant Professor In Psychology Iowa State UniversityAssistant Professor In PsychologyAmes, IAResponsibilities include establishing and maintaining an active program of research, pursuing external funding, teaching undergraduate and graduate courses in cognitive psychology, mentoring undergraduate students, providing doctoral training in cognitive psychology, and contributing service to the department, college, university, and profession. We are particularly interested in candidates who would bring a distinct area of expertise beyond the cognitive psychology program's existing strengths in learning and long-term memory, spatial cognition, legal psychology, and judgment and decision making.
NewCook/ Culinary Assistant CassiaCook/ Culinary AssistantJohnston, IA$17–$19 / hourOur 106-unit campus includes independent living, assisted living, and memory care—creating a diverse and rewarding setting to serve residents with purpose and compassion. Meadowview of Johnston , a brand-new senior care campus in one of Des Moines' most welcoming suburbs, offers a modern work environment and a strong sense of community.
NewMedical Assistant U.S. NavyMedical AssistantNewton, IAKey Responsibilities Perform emergency medical treatment for Sailors, Marines, and specialized units such as SEALs and Seabees; provide basic and emergency dental care and process dental X rays; serve as operating room technician and assist in surgery; administer preventive care and medications including immunizations and IVs; conduct physical exams and assist in diagnosing and treating diseases and injuries; maintain patient records, perform clinical tests, and support physicians and nurses in a wide range of specialties. Pathways, Training & Advancement Recruit Training followed by Hospital Corpsman A School at Fort Sam Houston, Texas; numerous advanced C schools that lead to Navy Enlisted Classifications in areas such as Independent Duty Corpsman, Fleet Marine Force, preventive medicine, surgical technology, respiratory therapy, pharmacy, radiology, laboratory, dental, and dive medicine; progressive professional development through leadership courses and warfare qualifications such as Fleet Marine Force and Surface, Aviation, or Expeditionary pins where applicable.
NewCulinary Assistant CassiaCulinary AssistantClive, IAPosition Type: Part-Time position working a varied schedule including weekends Location: 3300 Berkshire Pkwy, Clive, IA 50325 Culinary Assistant Responsibilities: Provide excellent customer service to residents, staff, and families. Opened in June 2023 near the scenic Clive Greenbelt Trail, our community offers a beautiful and inspiring setting; where you might even spot a few Greenbelt Goats in the spring!
NewTravel Certified Occupational Therapy Assistant - $1,165 per week RCM HealthCare TravelTravel Certified Occupational Therapy Assistant - $1,165 per weekNorwalk, IASince 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. Pay package is based on 8 hour shifts and 32 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
NewTravel Physical Therapy Assistant - $1,777 per week Anders GroupTravel Physical Therapy Assistant - $1,777 per weekNevada, MTFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
NewExpanded Duties Dental Assistant Highpointe Dental CareExpanded Duties Dental AssistantAnkeny, IAHeartland Dental is the nation's largest dental support organization, providing non-clinical administrative support services to more than 3,000 supported doctors across 39 states and the District of Columbia in 1,900+ dental offices. As an Expanded Duties Dental Assistant at a Heartland Dental supported office, you will organize and maintain lab equipment, take and develop X-rays and provide comprehensive post-operative dental procedures to patients.
Assistant Store Manager - Spencer's Spencer Gifts - Spirit HalloweenAssistant Store Manager - Spencer'sAltoona, IA$14.75–$15 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Senior Assistant Store Manager Spencer Gifts - Spirit HalloweenSenior Assistant Store ManagerWest Des Moines, IA$16.75–$17 / hourFull timeThe Assistant Manager is responsible for supporting the Store Manager in the various tasks involved in the overall operation of a store, ensuring maximum sales and profitability by developing staff, controlling expenses and shrinkage as well as all aspects of merchandising and inventory control in adherence with all Company policies and procedures. The physical demands of the job require in excess of 8 hours of standing, walking, climbing ladders and lifting up to 50 pounds.
Assistant Store Manager - Kay Jewelers - Shops on Delaware Signet Jewelers LtdAssistant Store Manager - Kay Jewelers - Shops on DelawareAnkeny, IAWe particularly encourage women and minorities who are interested in management opportunities at Signet to participate in this program and use this online registry system to express your interest in a management position. Make the decision to build your career with a company that thrives on an outstanding customer experience, intense and continuous training and being able to make a difference in our customer's and employee's lives.
Patron Services Assistant Grand View UniversityPatron Services AssistantDES MOINES, IAUnder the direction of the Director of the Library and Information Resources, The Patron Services Assistant will provide high quality customer service to library patrons, execute and process all circulation procedures, and provide assistance to patrons in the use of library resources both from within and outside of the institution, computers, and equipment. Organize the reserve materials; enter and maintain the reserves list; prepare reserve articles and books consulting faculty concerning student access and copyright compliance, updating the materials as needed each semester.
Food Service Assistant Costco Wholesale CorpFood Service AssistantANKENY, IAWashes containers, pans and utensils in 3 compartment sink, power wash sink, or dishwasher. Busses, cleans and sanitizes tables, sweeps and mops floors, empties trash.
NewAssistant Route Service Sales Representative (Pleasant Hill, IA, US, 50327) Cintas CorpAssistant Route Service Sales Representative (Pleasant Hill, IA, US, 50327)Pleasant Hill, IAWith offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday. Cintas Corporation helps more than one million businesses of all types and sizes get Ready to open their doors with confidence every day by providing products and services that help keep their customers' facilities and employees clean, safe, and looking their best.
NewAssistant Route Service Sales Representative CintasAssistant Route Service Sales RepresentativePleasant Hill, IAWith offerings including uniforms, mats, mops, towels, restroom supplies, workplace water services, first aid and safety products, eye-wash stations, safety training, fire extinguishers, sprinkler systems and alarm service, Cintas helps customers get Ready for the Workday®. Cintas Corporation helps more than one million businesses of all types and sizes get Ready™ to open their doors with confidence every day by providing products and services that help keep their customers’ facilities and employees clean, safe, and looking their best.
Administrative Assistant, Assessment and Professional Services (contractor) Jobsultant SolutionsAdministrative Assistant, Assessment and Professional Services (contractor)Des Moines, IowaThe ability to support key executives and interact with staff at all levels, in a fast-paced environment, while remaining proactive, resourceful, and efficient, with a high degree of professionalism, is critical to this role. Important components of this role are also gaining and using valuable insights into many facets of the company, project management and using discretion in handling confidential and sensitive information.
Fire Service Technical Assistant State of IowaFire Service Technical AssistantJohnston, IA$43,742.40–$64,313.60 / yearThis position supports the Bureaus mission by performing the following duties: Coordinates timely and safe delivery and retrieval of mobile training props to facilitate fire service training and education across the State of Iowa, in coordination with the FSTB field programs coordinator. The preferred candidate will have experience in carpentry skills, including use of woodworking machines, carpenters hand tools, and power tools and/or experience in the inspection, maintenance, and repair of cars, trucks, tractors, and various agricultural equipment.
Service Manager-Diesel Repair Shop GpacService Manager-Diesel Repair ShopDes Moines, IA90000–105000Our client is seeking a motivated Service Manager to oversee daily operations in their diesel service and repair shop with a team of Service Technicians, Fabricators, and Service Assistant. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.
Temp-to-Perm Nursing Assistant, earn up to $1,200 per week Connected Health Care, LLCTemp-to-Perm Nursing Assistant, earn up to $1,200 per weekDes Moines, IAA Genuine Partnership Built on Trust: We're not just a staffing firm; we're your advocate in a competitive worldturning challenges into rewarding paths with empathy, transparency, direct client focus for seamless fits, and a network that feels like family, helping you build the career you deserve. Streamlined Compliance & Flexibility: Reimbursed/fast-tracked licenses/certs; user-friendly Portal for seamless onboarding (avg 14 days); shifts customized to your needs; rapid interviews (38 hours typical)we value your time, making compliance effortless and flexible to fit your unique schedule.
Certified Nursing Assistant (CNA) – In-Home Care | $20+/hr | Weekly Pay BrightStar Care Iowa Cedar Rapids, Des MoinesCertified Nursing Assistant (CNA) – In-Home Care | $20+/hr | Weekly PayDes Moines, IAPart timeBrightStar Care Is Hiring CNAs in Pay & Benefits$20.00/hour base payEarn more for overnight shifts and weekend shiftsWeekly Friday pay - direct deposit or paper checkPaid training and continuing educationFlexible schedule - full-time, part-time, and PRN availablePaid travel time between clientsMileage reimbursement24/7 on-call management supportReferral bonus programCareer growth opportunities - advance to supervisory or clinical rolesAre you a Certified Nursing Assistant (CNA) looking for a home care position with competitive pay, flexible scheduling, and a supportive nursing team? What You'll DoAs a BrightStar Care CNA, you will deliver skilled personal care under the direction of a Registered Nurse.
Certified Medical Assistant - CMA - East Des Moines Family Medicine UnityPoint HealthCertified Medical Assistant - CMA - East Des Moines Family MedicineDes Moines, IAUnder the direction of a health care provider, Certified Medical Assistant is responsible for the delivery of patient care that promotes the safety and wellbeing of our patients. *Reference the Clinical Staffing Matrix for clarification of procedures, actions and processes that you are permitted to undertake according to the terms of your professional license.
NewCertified Medical Assistant - Lakeview OB/GYN UnityPoint HealthCertified Medical Assistant - Lakeview OB/GYNWest Des Moines, IowaIn this hands-on role, you'll support providers, educate patients, and help deliver outstanding care while working alongside a close-knit team that values collaboration, flexibility, and work-life balance. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. .
NewCertified Medical Assistant - LAB (CMA/MLT/LabTech) UnityPoint HealthCertified Medical Assistant - LAB (CMA/MLT/LabTech)Waukee, IowaThe ideal candidate will demonstrate strong clinical skills, excellent customer service, and a commitment to quality, safety, and accuracy in all aspects of patient care and laboratory operations. • Communicate effectively with providers, clinical staff, patients, and external laboratory partners regarding testing, results, and specimen requirements .
Medical Assistant/Phlebotomist CVS Health CorpMedical Assistant/PhlebotomistDes Moines, IA$18.50–$35.29 / hourOak Street Health is a rapidly growing, innovative company of community-based healthcare centers delivering higher quality health and wellness care that improves outcomes, manages medical costs and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patients' communities, we can help keep them healthy and reinvest cost savings in further care for those same communities and others.
Utilization Management Assistant Cottingham & ButlerUtilization Management AssistantDes Moines, IowaWe are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service who are looking to make a meaningful impact behind the scenes. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve.
Certified Nursing Assistant - CNA/STNA Otterbein SeniorLifeCertified Nursing Assistant - CNA/STNAJohnston, OHWe offer Flexible scheduling, weekend warrior, overtime available, shift diff, meals or meal stipend provided, partner referral program, partner incentive program, fun partner events, fun family friendly work environment. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.
Nursing Assistant / CNA / NAR - LTC Presbyterian Homes & ServicesNursing Assistant / CNA / NAR - LTCClive, Iowa$19.49–$21.46 / hourOur Biblical Framework and “Love One Another” Christian ministry theme (John 13:34) guide every action and help us to focus on our Mission: To honor God by enriching the lives and touching the hearts of older adults. YOU become part of the most important resource in our ministry--focused on helping to understand people's needs and working together to be supportive and empowering in order to build a vibrant and thriving community.
Nursing Assistant / CNA / NAR LTC Presbyterian Homes & ServicesNursing Assistant / CNA / NAR LTCClive, IA$19.49–$22.33 / hourAs an employee you can take advantage of a variety of amenities such as: Free employee meals- Free Fitness Center access (family members welcome)- Warm water swimming pool- Great walking paths- Access to bus route. Our Biblical Framework and "Love One Another" Christian ministry theme (John 13:34) guide every action and help us to focus on our Mission: To honor God by enriching the lives and touching the hearts of older adults.
Certified Nursing Assistant (CNA) StoryPointCertified Nursing Assistant (CNA)Urbandale, IAFor over 37 years, our senior living communities have served seniors and their families across Michigan, Ohio, Indiana, Iowa, Kentucky, and Tennessee, with each location offering unique services including independent, enhanced, and assisted living, as well as memory care and rehabilitation and skilled nursing. Through forming authentic connections and committing to creating the absolute best experiences each day for our residents and their families, we’ve created a special culture within our communities that allows our employees to do their best work and our residents to shine every day.
Long Term Care Activities Assistant Calvin CommunityLong Term Care Activities AssistantDes Moines, IowaAbout Calvin Community: Calvin Community proudly provides high-quality, compassionate services in independent living, assisted living, skilled nursing, long-term care, and memory support. Position Summary: Calvin Community, a not-for-profit senior living community located in the heart of Des Moines' Beaverdale neighborhood, is seeking a compassionate and energetic Activities Assistant to join our team.
NewAdministrative Assistant GAS Global ServicesAdministrative AssistantGrimes, IADisplays the following competencies: Detail orientation, Ability to multi-task, great communication skills (orally and written), computer savvy, problem solving skills, team orientation, ability to work at a fast pace . . Experience developing presentations in PowerPoint, documents in Word and developing reports/charts in Excel using advanced functions like Pivot tables, Vlookup, and formulas.
Certified Nursing Assistant CNA CassiaLife (US)Certified Nursing Assistant CNANewton, IACertified Nursing Assistant (CNA) Responsibilities: Help each resident reach and maintain the highest level of performance and independence while assisting them with personal care and daily living activities. As a Certified Nursing Assistant (CNA) at Newton Village, you will assist with ADLs for our residents, which include toileting, bathing, dressing and other activities of daily living.
Certified Medical Assistant/CMA with Limited Rad UnityPoint HealthCertified Medical Assistant/CMA with Limited RadNorwalk, IowaThis clinical professional will play an important role in supporting patient care by assisting providers with exams, treatments, and procedures while helping deliver a positive, patient-centered experience. This is a great opportunity for a CMA who enjoys building relationships with patients, collaborating with a team, and making a meaningful impact in the care of individuals and families.
Certified Nursing Assistant CNA Augustana Care CorporationCertified Nursing Assistant CNANewton, IACertified Nursing Assistant (CNA) Responsibilities: Help each resident reach and maintain the highest level of performance and independence while assisting them with personal care and daily living activities. As a Certified Nursing Assistant (CNA) at Newton Village, you will assist with ADLs for our residents, which include toileting, bathing, dressing and other activities of daily living.
Certified Medical Assistant-Part Time-Clinic Broadlawns Medical CenterCertified Medical Assistant-Part Time-ClinicIAThe Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support services. Performs lab testing (i.e. urine dip, pregnancy test, hemoccult, hemocue, strep screen) including all quality controls as applicable and documents all results comprehensively and accurately in the chart and maintains all laboratory/diagnostic test logs.
Medical Assistant - Float Primary Health Care IncMedical Assistant - FloatClive, IA$18.65–$23.32 / hourExcellent interpersonal, teamwork and collaboration skills with ability for a team approach to care plus develop and maintain effective working relationships with a diverse group of individuals. One year of experience in a medical assistant, patient care technician, certified nurse assistant, phlebotomy, or related clinical position or completion of medical assisting program from an accredited institution.
NewMedical Assistant - East Side Clinic Primary Health Care IncMedical Assistant - East Side ClinicDes Moines, IA$18.65–$23.32 / hourExcellent interpersonal, teamwork and collaboration skills with ability for a team approach to care plus develop and maintain effective working relationships with a diverse group of individuals. One year of experience in a medical assistant, patient care technician, certified nurse assistant, phlebotomy, or related clinical position or completion of medical assisting program from an accredited institution.
NewMedical Assistant - Internal Medicine - East Side Clinic Primary Health Care IncMedical Assistant - Internal Medicine - East Side ClinicDes Moines, IA$18.65–$23.32 / hourExcellent interpersonal, teamwork and collaboration skills with ability for a team approach to care plus develop and maintain effective working relationships with a diverse group of individuals. One year of experience in a medical assistant, patient care technician, certified nurse assistant, phlebotomy, or related clinical position or completion of medical assisting program from an accredited institution.
Medical Assistant - Engebretsen Clinic Primary Health Care IncMedical Assistant - Engebretsen ClinicDes Moines, IA$18.65–$23.32 / hourExcellent interpersonal, teamwork and collaboration skills with ability for a team approach to care plus develop and maintain effective working relationships with a diverse group of individuals. One year of experience in a medical assistant, patient care technician, certified nurse assistant, phlebotomy, or related clinical position or completion of medical assisting program from an accredited institution.
Nurse Practitioner or Physician Assistant - (PRN, as needed) Medcor IncNurse Practitioner or Physician Assistant - (PRN, as needed)Ankeny, IATo preserve our pioneering, entrepreneurial spirit, we impart our values through the ongoing Better@Medcor campaign: encouraging our advocates to make a conscious choice to practice our values, to celebrate and recognize each other via our peer recognition program, and to support one another during tough times. The clinic provides a broad scope of services including the diagnosis and treatment of workers compensation injuries and illnesses, urgent care, surveillance and regulatory exams, and preventative services.
CNA Certified Nursing Assistant CommuniCareCNA Certified Nursing AssistantIowaA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Caroleton Healthcare Center , a member of the CommuniCare Family of Companies , is currently recruiting for Certified Nursing Assistants (CNA) to join our nursing team!
CNA Certified Nursing Assistant Part Time CommuniCareCNA Certified Nursing Assistant Part TimeIowaA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Caroleton Healthcare Center , a member of the CommuniCare Family of Companies , is currently recruiting for Part Time Certified Nursing Assistants (CNA) to join our nursing team!
CNA Certified Nursing Assistant PRN CommuniCareCNA Certified Nursing Assistant PRNIowaA family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Caroleton Healthcare Center , a member of the CommuniCare Family of Companies , is currently recruiting for PRN Certified Nursing Assistants (CNA) to join our nursing team!
Nursing Assistant Trainee - PT - Varies Sanford HealthNursing Assistant Trainee - PT - VariesIowaThe trainee assists with basic health care needs and activities of daily living such as bathing, toileting, grooming, dressing, undressing, obtaining vital signs, providing psychosocial support, and delivering other personal care as assigned. Under the supervision of a licensed nurse, the trainee, in partnership with a preceptor, provides holistic client-centered care that promotes independence and client rights in a safe, caring, and efficient manner.
Assistant Chief Financial Officer/Controller - 998259 Drake UniversityAssistant Chief Financial Officer/Controller - 998259Des Moines, IAThe Assistant CFO/Controller is tasked with a diverse set of financial and operational duties: Financial Reporting & Auditing: Oversight of financial reporting, ensuring accurate and timely preparation of annual and monthly financial statement in accordance with Generally Accepted Accounting Principles (GAAP). Department Summary: The Finance division consists of the finance and accounting administrative functions of the University and includes the offices of Accounting, Treasury and Endowment Management, Budgeting, Student Accounts, Payroll, and the Student Financial Aid Office.
Nurse Practitioner or Physician Assistant - Float Primary Health Care IncNurse Practitioner or Physician Assistant - FloatDes Moines, IA$92,400–$115,500 / yearAs a Nurse Practitioner or Physician Assistant, you will be responsible for providing patient care services to the Primary Health Care, Inc. (PHC) patient population in assigned clinic sites, and occasionally any of the various Outreach Project sites, including, but not limited to, patient homes, school-based clinics, mobile unit(s), shelters, street sites, and any other current or future designated location or PHC site. Completes appropriate correspondence, phone calls, referral documentation, prior authorizations, refills, and letters to patients and referring providers within the designated time frame established by PHC.
Nurse Practitioner or Physician Assistant - HIV Clinic Primary Health Care IncNurse Practitioner or Physician Assistant - HIV ClinicDes Moines, IA$92,400–$115,500 / yearAs a Nurse Practitioner or Physician Assistant, you will be responsible for providing patient care services to the Primary Health Care, Inc. (PHC) patient population in assigned clinic sites, and occasionally any of the various Outreach Project sites, including, but not limited to, patient homes, school-based clinics, mobile unit(s), shelters, street sites, and any other current or future designated location or PHC site. Completes appropriate correspondence, phone calls, referral documentation, prior authorizations, refills, and letters to patients and referring providers within the designated time frame established by PHC.
OTA - Occupational Therapist Assistant RehabVisionsOTA - Occupational Therapist AssistantWinterset, IA$30–$38 / hourRehabVisions, a rehab therapy provider, delivers high quality rehab services to communities of all sizes through innovative care delivered with compassion. PRN or part-time Occupational Therapist Assistant position near Creston, Winterset, and southwest of Des Moines, Iowa areas.