North Country Healthcare

North Country Healthcare Nursing Jobs

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North Country Healthcare

RN-PACU/Circulator (Full Time)

This position is eligible for a commencement bonus of $7,500.00, with 50% payable at or around the hire date and the remaining 50% payable after six (6) months of continuous employment. Position Title: Perioperative Registered Nurse (OR Circulator & PACU Nurse) Department: Surgical Services Reports To: Director of Perioperative Services Status: Full time Position Summary The Perioperative Registered Nurse functions in both the intraoperative (Circulator) and postoperative (PACU) phases of surgical care. This dual-role nurse is responsible for coordinating and delivering safe, high-quality, evidence-based nursing care to patients undergoing surgical procedures. The role requires flexibility, critical thinking, and collaboration with surgeons, anesthesia providers, and the multidisciplinary team to ensure optimal patient outcomes throughout the surgical continuum. Key Responsibilities Intraoperative (Circulator Nurse) Duties Serve as the patient advocate throughout the surgical procedure Perform and document preoperative verification and surgical time-out Ensure the sterility of the operative field and adherence to aseptic technique Anticipate and provide necessary supplies and equipment during surgery Collaborate with surgical and anesthesia teams to optimize workflow and patient safety Manage intraoperative documentation, including counts, specimens, implants, and events Respond to intraoperative emergencies and support the team during urgent situations Post-Anesthesia (PACU Nurse) Duties Receive and monitor patients emerging from anesthesia following surgery Conduct rapid physical assessments including airway, vital signs, neurologic status, and surgical sites Manage post-op pain, nausea, and hemodynamic stability with medications and interventions Provide emotional support and post-op education to patients and families Coordinate patient transfer to the next level of care or discharge Accurately document patient recovery and maintain safety protocols throughout stay Qualifications Licensure: Current, active RN license in the state of practice Education: ADN required; BSN preferred Certifications: BLS and ACLS (required) PALS (preferred) CNOR and/or CPAN/CAPA certification (preferred but not required) Experience: Minimum 1 year of nursing experience in PACU, OR, critical care, or emergency nursing New graduates considered if enrolled in a perioperative training program Skills & Abilities Strong assessment and critical thinking skills in fast-paced environments Proficient in sterile technique, patient positioning, and perioperative safety standards Excellent communication and teamwork abilities Competent with EMR systems and medical equipment (e.g., monitors, infusion pumps, ventilators) Ability to adapt to changing situations and respond effectively in emergencies Physical & Environmental Requirements Ability to stand and walk for prolonged periods Lift, move, and position patients and equipment (up to 50 lbs) Exposure to bloodborne pathogens, radiation, and surgical chemicals Must wear PPE including surgical masks, lead aprons, and protective eyewear as appropriate Core Competencies Patient advocacy and safety Collaboration and interdisciplinary communication Quality improvement and regulatory compliance Cultural competence and ethical care Lifelong learning and professional development Equal Opportunity Employer NCH and AVH are committed to a diverse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion. About North Country Healthcare (NCH): North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying. Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion.
North Country Healthcare

Medical Assistant- Wound Care Center (Full Time)

The anticipated hourly range for this position is $18.77/hr - $23.46/hr - $25.34/hr . Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors.
North Country Healthcare

Registered Nurse- Emergency Dept. (Per Diem)

$41.39 - $55.94 / hour
Job Summary: The Registered Nurse (RN) is responsible for managing individualized patient care by promoting and restoring patients' health through the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families; and supervising assigned team members. The RN is responsible to their Nurse Manager and ultimately, Chief Nursing Officer. The anticipated hourly range for this position is $41.39/hr - $51.80/hr - $55.94/hr . Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors. Essential Qualifications: Graduate of an accredited school of professional nursing and current NH License, BLS & ACLS cert required, PALS (preferred) Proficient oral and written communication skills. Excellent interpersonal skills, organizational and time management skills Current clinical experience preferred. 2+ years of prior RN ED experience required. About AVH: The major strength of Androscoggin Valley Hospital (AVH) is found in its wide network of specialists who provide care throughout Coos and portions of Carroll County, NH. With wide-ranging specialties including, but not limited to, Audiology, Urology, Ear, Nose, Throat/Allergy, OB/GYN, Orthopaedic Surgery and Sports Medicine, and General Surgery, a number of our providers travel to multiple North Country locations, providing a seamless and convenient patient experience. A 25-bed critical access hospital, AVH also offers state of the art Imaging technology: Mammography, CT Scan, Ultrasound, and MRI all received Gold Seal Accreditation by the American College of Radiology. AVH proudly offers a full complement of Physical Therapy services (Inpatient, Outpatient, and off-site) as well as Occupational Therapy (Inpatient and Outpatient.) The close relationship that AVH enjoys with Coos County Family Health Services yields multiple off-site Laboratory locations within their primary care clinics. Named a Top 100 Critical Access Hospital by iVantage numerous times, the providers, nurses, staff, and volunteers work tirelessly to personify the Hospital’s Mission to Deliver the Best Healthcare Experience to Every Patient, Every Day. About North Country Healthcare (NCH): North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying. Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion. Additionally, if Weeks Medical Center is not your designated home base, you will be eligible for travel reimbursement in accordance with our standard travel policy.
North Country Healthcare

LNA (Per Diem)

$18.77 - $25.34 / hour
Position Summary Provides quality patient care to the medical/surgical and pediatric patients under the direction of a registered nurse. The anticipated hourly range for this position is $18.77/hr - $23.46/hr - $25.34/hr . Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job-related factors. Job Requirements Education, Required Licenses/Certifications: Current New Hampshire registration as a Nursing Assistant or have completed a board approved Nursing Assistant Education Program (awaiting licensure within 120 days from program’s last day of class). Must be CPR certified. Work Experience, Skills, Knowledge and Abilities: Training or experience and ongoing education specific to nursing activities regarding the pediatric, adult, and geriatric patient populations is required. Familiarity with computer applications required. Must have technical aptitude and a willingness to learn software applications used at AVH. Physical Requirements Indicates the appropriate physical requirements of this job in the course of a shift. Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. Essential Functions Exhibits courteous and cooperative behavior towards patients, families, visitors, volunteers, students, peers, and providers. Anticipates service needs and proactively resolves issues. Consistently holds self and others accountable for meeting patient/customer service standards. Practices service recovery skills. Works openly and collaboratively both inside and outside the department; promotes performance improvement. Follows through on statements and actions in a timely manner. Strives for excellence in all endeavors. Encourages discussion and consensus building. Recognizes and adapts to different view points and opinions; values diversity. Uses “indoor” voice. Avoids interrupting others. Champions change and exhibits flexibility and adaptability. Accepts responsibility for own actions, behaviors and decisions. Consistently optimizes time efficiently and effectively. Reports to work promptly at the beginning of the work shift and prepares to begin work. Returns to work promptly from lunch and breaks. Completes work assignment and departs timely. In compliance with Absenteeism and Tardiness policy. Is viewed as a resource in the department when dealing with issues of systems and resources and accomplishing tasks in the most efficient and effective ways. Provides quality patient care to the medical/surgical and pediatric patients under the direction of a registered nurse. Assists with admitting, discharging and transferring of patients. Assists with lifting, turning, moving, positioning, and transporting patients in and out of beds, chairs, bathtubs, wheelchairs, lifts, etc. Assists patients in ambulating with or without self-help devices, as instructed. Assists in preparing patients for surgery and diagnostic tests. Assists patients with dressing/undressing, daily dental/mouth care, bowel/bladder functions, hair/nail care, and daily bath/skin care as directed. Prepares patients for meals (i.e., wash hands, raise head of bed, position and clean tables, place protective coverings when needed). Delivers and returns food trays. Assists patients with feeding as needed (i.e., cutting foods, feeding, assisting impaired patients). Serves ice water and nourishment as instructed. Reports changes in eating habits to assigned nurse. Responds appropriately to all emergency situations. Records intake and output on proper document, excluding IV’s, JP drains, T-tubes, and new G-J tubes. Collects specimens as instructed. Takes vital signs, oxygen saturations, accuchecks, weights, and stools for occult blood as instructed and records information in computer. Reports all changes in the patients’ condition to the responsible nurse immediately. Assesses the patient for risk or potential of neglect or abuse. Makes referrals as appropriate. Reports complaints of pain to appropriate medical personnel. Makes beds and changes bed linens. Assists patients in preparing for rehabilitation activities and appointments as instructed. Assists with the application of slings, elastic stockings, etc. as instructed. Keeps the patients’ call system within easy reach of the patient and answers calls promptly. Observes for and reports the presence of pressure areas and skin breakdowns to the responsible nurse. Assists with post-mortem care as instructed. Demonstrates technical aptitude. Is familiar with computer applications. Is willing to learn software applications. Non-Essential Functions Performs additional duties as assigned. Maintains work area in a clean and orderly manner. About North Country Healthcare (NCH): North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying. Please Note: All new hires are required to attend a mandatory three-day orientation at Weeks Medical Center in Lancaster, NH. This orientation provides essential training, compliance information, and an introduction to our organizational culture to ensure a smooth and successful transition into your role. Attendance on all three days is required for onboarding completion. Additionally, if Weeks Medical Center is not your designated home base, you will be eligible for travel reimbursement in accordance with our standard travel policy.
North Country Healthcare

LNA Apprentice (Full Time)

About North Country Healthcare (NCH): North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance. Position Summary : Adhering to System Values, Service Excellence, and Standards of Behavior, the Licensed Nursing Assistant (LNA) Apprentice is an employee actively enrolled in an approved nursing assistant training program and participates in classroom instruction, laboratory training, and supervised clinical experiences while working toward New Hampshire LNA certification. Under the direct supervision and direction of a Registered Nurse (RN), Licensed Practical Nurse (LPN), clinical instructor, or other designated licensed healthcare professional, the LNA Apprentice assists with basic patient care activities appropriate to their level of education, training, demonstrated competency, and program requirements. The LNA Apprentice promotes patient dignity, privacy, safety, and comfort while developing the knowledge, skills, and behaviors necessary to transition into the Licensed Nursing Assistant role upon successful completion of the training program and attainment of required certification. Essential Qualifications : Education: High School Diploma or GED is Required Enrollment in and active participation in an approved Nursing Assistant Training Program. Must meet all eligibility requirements established by the approved training program. Certification or Licensure: Additional healthcare-related training certifications appropriate to student status. All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis. *Refer to the NCH Life Support Certification Policy for position specific requirements. Skills: ​ ​ ​ Active Listening Attention to Detail Basic Patient Care Communication Skills Compassionate Care Customer Service Dependability Infection Prevention Awareness Interpersonal Communication Observation and Reporting Organization Professionalism Respect for Privacy and Confidentiality Teamwork and Collaboration Time Management Work Experience: No prior healthcare experience required. Ability to participate successfully in patient care activities as part of an approved nursing assistant training program. Essential Functions: Participates in required classroom instruction, laboratory experiences, clinical training activities, orientation programs, and competency validation associated with the approved Nursing Assistant Training Program. Performs only those patient care activities that have been taught, validated, authorized by the training program, and assigned under appropriate supervision. Assists patients with personal hygiene, grooming, bathing, dressing, oral care, and other activities of daily living consistent with approved training and demonstrated competency. Supports patient nutrition and hydration needs, including meal assistance, feeding support, and monitoring intake as directed by licensed staff. Assists with elimination needs, toileting, continence care, and related patient support activities under appropriate supervision. Obtains and reports vital signs, weights, intake and output, and other patient observations that are within the apprentice's approved level of training and competency. Assists with ambulation, repositioning, transfers, range-of-motion activities, and mobility support according to established safety practices and training requirements. Observes patient conditions during assigned care activities and promptly reports on changes, concerns, abnormal findings, or potential safety risks to the supervising RN, LPN, or clinical instructor. Maintains patient dignity, confidentiality, privacy, and respect while delivering care and interacting with patients, families, visitors, and coworkers. Assists in maintaining a safe, clean, organized, and comfortable patient environment, including room organization, supply replenishment, and equipment readiness. Communicates assigned-care activities, observations, completion of tasks, and patient concerns to supervising licensed staff in a timely and professional manner. Documents patient care activities and observations only as permitted by organizational policy, training program requirements, and under required supervision or review. Responds appropriately during emergency situations by following the direction of licensed staff and performing only those tasks appropriate for the apprentice role and current training level. Maintains positive working relationships with patients, families, clinical instructors, licensed staff, medical staff, support personnel, and other members of the healthcare team. Demonstrates accountability, professionalism, appropriate appearance, effective time management, compliance with organizational policies, and commitment to ongoing learning while preparing to transition into the Licensed Nursing Assistant role. Performs additional duties as assigned. Mental Requirements: Ability to maintain sustained concentration and attention to detail for extended periods while performing hands-on patient care and operational tasks. Ability to assess, interpret, and respond appropriately to changing patient conditions, environmental factors, and safety concerns in a fast-paced healthcare environment. Ability to exercise sound judgment, critical thinking, and problem-solving skills during routine and emergency situations. Ability to prioritize multiple tasks simultaneously while meeting productivity, quality, and patient care expectations. Ability to communicate effectively and professionally with patients, families, physicians, and interdisciplinary team members through verbal, written, and auditory methods. Ability to comprehend, retain, and apply complex instructions, policies, procedures, and technical information. Ability to perform work requires frequent mental alertness, situational awareness, and coordination while standing, walking, lifting, and using fine motor skills for prolonged periods. Ability to adapt to interruptions, changing workflows, varying patient volumes, and evolving clinical priorities with professionalism and composure. Ability to work safely and effectively in environments involving exposure to body fluids, chemicals, medical equipment, and other healthcare-related hazards while adhering to infection prevention and safety protocols. Ability to accurately distinguish colors, sounds, visual cues, and monitor readings necessary for safe patient care and equipment operation. Ability to maintain emotional stability, professionalism, and effective interpersonal interactions during stressful, sensitive, or physically demanding situations. Ability to collaborate effectively as part of a multidisciplinary healthcare team while maintaining confidentiality and compliance with organizational standard. Work Environment Considerations: Office setting, clinical environment, remote work expectations, travel requirements, on-call requirements, exposure risks). North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws. North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre-employment testing should contact NCHRecruiting@northcountryhealth.org.
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