RN ER Manager/Supervisor Full-time
Dartmouth Hitchcock Medical Center

Charge Nurse - Emergency Department

Dartmouth Hitchcock Medical Center New London, NH 03257, US

Overview

The ED Lead/Triage Nurse is a vital leadership and clinical role responsible for overseeing shift operations in the Emergency Department, ensuring efficient patient flow, safe care delivery, and effective team coordination. This role also involves assessing and prioritizing patients upon arrival through systematic triage, initiating appropriate care pathways, and facilitating communication between healthcare teams.

Responsibilities

Lead Nurse Responsibilities:

Leadership & Oversight

  • Serve as the clinical leader and primary resource for nursing staff during assigned shifts.
  • Coordinate staffing assignments based on patient acuity and unit needs.
  • Manage shift operations, including delegation of tasks and monitoring workflows.
  • Support staff in escalating clinical concerns to providers or leadership as needed.

Patient Flow & Throughput

  • Oversee the movement of patients through the ED, from arrival to disposition (admission, transfer, or discharge).
  • Collaborate with bed management, inpatient units, and ancillary departments to optimize patient flow.
  • Address and mitigate bottlenecks or delays in real-time.

Resource Management

  • Ensure appropriate availability of supplies, equipment, and staffing resources.
  • Initiate and lead code responses, disaster preparedness actions, and emergency protocols.

Communication & Team Support

  • Act as a liaison between ED staff, physicians, other departments, and hospital leadership.
  • Facilitate shift handoff and ensure continuity of care through effective communication.
  • Provide coaching, mentorship, and conflict resolution as needed.
  • Provide coverage for breaks to ensure downtime for our staff.

 Triage Nurse Responsibilities:

 Initial Patient Assessment

  • Perform comprehensive triage assessments using standardized triage protocols (e.g., ESI—Emergency Severity Index).
  • Determine the priority level for care based on patient acuity and resource needs.

Clinical Decision-Making

  • Identify high-risk patients and initiate life-saving interventions per standing orders or protocols.
  • Communicate critical findings promptly to the care team.

Documentation & Data Entry

  • Accurately document triage assessments, vital signs, chief complaints, and other pertinent clinical information in the EHR.

Patient Experience & Safety

  • Provide clear instructions and explanations to patients and families regarding wait times, processes, and care expectations.
  • Ensure infection control and safety measures are adhered to in the waiting area and triage spaces.

Qualifications

  • Education: Graduate of an accredited Nursing Program (ADN or BSN preferred).
  • Licensure: Current Registered Nurse (RN) license.
  • Certifications: BLS and ACLS upon hire.  PALS and AVADE within 6 months of hire. TNCC and NRP within 1 year of hire. ENPC is supported by leadership and optional.
  • Experience: Minimum of 2–3 years Emergency Department nursing experience. Prior leadership or triage experience preferred.
  • Skills:
    • Strong clinical assessment and critical thinking skills.
    • Excellent communication, leadership, and team coordination abilities.
    • Proficiency in electronic medical records (EMR/EHR).
    • Ability to manage multiple priorities in a fast-paced environment.

Required Licensure/Certifications

REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support • (ACLS) Advanced Cardiac Life Support

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

RN Home Health Home Health Full-time
Dartmouth Hitchcock Medical Center

RN Case Manager - Home Health, Full-time

Dartmouth Hitchcock Medical Center White River Junction, VT
Overview RN Case Manager – Home Health Full-time and Part-time, Shifts are Days 8am to 4.30pm and on call requirement **$10,000 New Hire Retention Bonus (conditions apply)** Why work as an RN at the Dartmouth Health Home Care? You experience satisfying and challenging work that makes a difference, every day. You really get to know your patients and become an integral part of their care team. You are provided broad independence but are also part of a cohesive interdisciplinary team. You get to be an important part of the community where you live. You have a work/life balance that can match the flexibility you need. Benefits include: Employee Referral Bonuses Clinical CEUs Online LinkedIn Learning Extensive health, dental, and lifestyle benefits that come with being part of the renowned Dartmouth Health system Locations: Upper Valley (Surrounding Area) Dartmouth Health Home Care covers more than 70 towns delivering superior nursing, rehabilitation, hospice, and personal care services with proven effectiveness, integrity, and compassion. Our only goal is to help the people in our communities. When you join the Dartmouth Health Home Care, you’ll become part of a dedicated team delivering outstanding home health and hospice services that enrich the lives of the people we serve. We would love to meet you and tell you more about this engaging and fulfilling part of our healthcare delivery system. Our Hiring Managers can explain the different roles, our service area, the unique aspects of home and hospice care, and the many benefits we can offer your career and personal life. Responsibilities The RN Case Manager at the direction of the Clinical Manager, screens, evaluates, re-evaluates and treats patients referred by a licensed provider. Coordinates and communicates treatment activities with health care team members and the patient. Works closely with the interdisciplinary team to ensure high-quality patient care. Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission. Periodically reviews the patient care plan and recertifies the patient care plan as appropriate. Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate. Advise other disciplines of discharges in a timely manner. Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals. Communicate significant changes to the patient's physician and DHHC colleagues. Document evaluations, treatment goals, and objectives. Teach the patient and caregiver self-care techniques as appropriate. Provide medication, diet, and other instructions as ordered by the provider and utilizes opportunities for health counseling with patients and caregivers. Provides clinical oversight of LPNs and LNAs in the home. This job description is not meant to be exhaustive and may be modified as needed. Employees may be assigned other related duties to meet organizational needs. Qualifications Must be a licensed Registered Nurse in Vermont and New Hampshire or hold a compact license. Graduate of an accredited school of nursing One year of experience as an RN in a home health care setting is preferred Required Licensure/Certifications Must hold at least one active unencumbered RN license in either unencumbered VT or NH at the time of hire. Employees must have active unencumbered RN licenses in both VT and NH within 30 days of their hire date. Valid driver’s license with a clean driving record Current car insurance, which meets minimum standards BLS within 90 days of hire
RN Home Health Home Health Full-time
Dartmouth Hitchcock Medical Center

RN Case Manager - Home Health - Full-time, Part-time and Per Diem

Dartmouth Hitchcock Medical Center White River Junction, VT
Overview RN Case Manager – Home Health Full-time, Part-time and Per Diem, Shifts are Days 8am to 4.30pm and on call requirement **$10,000 New Hire Retention Bonus (conditions apply)** Why work as an RN at the Dartmouth Health Home Care? You experience satisfying and challenging work that makes a difference, every day. You really get to know your patients and become an integral part of their care team. You are provided broad independence but are also part of a cohesive interdisciplinary team. You get to be an important part of the community where you live. You have a work/life balance that can match the flexibility you need. Benefits include: Employee Referral Bonuses Clinical CEUs Online LinkedIn Learning Extensive health, dental, and lifestyle benefits that come with being part of the renowned Dartmouth Health system Locations: Upper Valley (Surrounding Area) Dartmouth Health Home Care covers more than 70 towns delivering superior nursing, rehabilitation, hospice, and personal care services with proven effectiveness, integrity, and compassion. Our only goal is to help the people in our communities. When you join the Dartmouth Health Home Care, you’ll become part of a dedicated team delivering outstanding home health and hospice services that enrich the lives of the people we serve. We would love to meet you and tell you more about this engaging and fulfilling part of our healthcare delivery system. Our Hiring Managers can explain the different roles, our service area, the unique aspects of home and hospice care, and the many benefits we can offer your career and personal life. Responsibilities The RN Case Manager at the direction of the Clinical Manager, screens, evaluates, re-evaluates and treats patients referred by a licensed provider. Coordinates and communicates treatment activities with health care team members and the patient. Works closely with the interdisciplinary team to ensure high-quality patient care. Develops a care plan in collaboration with the patient's physician, the patient, and their family, or the primary caregivers upon admission. Periodically reviews the patient care plan and recertifies the patient care plan as appropriate. Coordinate the patient's care plan through interdisciplinary communication and case conferences, as appropriate. Advise other disciplines of discharges in a timely manner. Provide ongoing assessment of the patient's clinical, functional, and emotional status to identify problems and/or progress toward desired goals. Communicate significant changes to the patient's physician and DHHC colleagues. Document evaluations, treatment goals, and objectives. Teach the patient and caregiver self-care techniques as appropriate. Provide medication, diet, and other instructions as ordered by the provider and utilizes opportunities for health counseling with patients and caregivers. Provides clinical oversight of LPNs and LNAs in the home. This job description is not meant to be exhaustive and may be modified as needed. Employees may be assigned other related duties to meet organizational needs. Qualifications Must be a licensed Registered Nurse in Vermont and New Hampshire or hold a compact license. Graduate of an accredited school of nursing One year of experience as an RN in a home health care setting is preferred Required Licensure/Certifications Must hold at least one active unencumbered RN license in either unencumbered VT or NH at the time of hire. Employees must have active unencumbered RN licenses in both VT and NH within 30 days of their hire date. Valid driver’s license with a clean driving record Current car insurance, which meets minimum standards BLS within 90 days of hire
RN ER Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department (ED)

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. ROTATING SHIFTS: 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, 7p to 7a Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date. AVADE Workplace Violence Prevention Training within one year of hire date Moderate Sedation Training within one year of hire date. Trauma Nurse Core Course within one year of hire date.
RN Outpatient Manager/Supervisor Outpatient Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) Supervisor - Primary Care

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Clinical Nurse Supervisor - Primary Care & General Internal Medicine Clinics 40 hours per week Responsible for patient flow and overall day to day operations that impact the care unit or department. Provides direct oversight of care to support patient and staff needs. Serves as a role model and leader to uphold institutional priorities, policies and practices. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Collaborates and assist with operations by functioning as the first line supervisor to staff. Acts as a resource to staff to provide direct assistance or connect with appropriate resources. Participates in performance management of staff members to including coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate. Works with the staff to facilitate patient flow and to optimize clinical capacity. Determines when and how to flex staff schedules to provide clinical coverage. Facilitates timely throughput to optimize clinical capacity within the organization. Performs service recovery to promote patient and employee retention. Responds to staff and patient/family needs. Addresses conflicts as they may arise. Assists/mediates discussions to maintain smooth operations. Participates in institutional Quality and Patient Safety improvement initiatives, committees and projects. Develops, plans, and coordinates the implementation and evaluation of orientation for new staff. Collaborates with the rest of the leadership team to assess and evaluate the clinical competence of department staff. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing program required. Minimum of Bachelor’s Degree of Nursing (BSN) at time of hire. 2 years of progressive responsibility within designated setting. Must obtain and maintain clinical competencies within assigned unit. Excellent written, verbal, and computer skills required. Demonstrates abilities with problem solving, leadership, communication, fiscal responsibility, and teamwork. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Current Basic Life Support (BLS) required.
RN Infusion Manager/Supervisor Outpatient Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) Supervisor - Medical Infusion

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Medical Infusion Clinic 40 hours per week, Monday-Friday Responsible for patient flow and overall day to day operations that impact the care unit or department. Provides direct oversight of care to support patient and staff needs. Serves as a role model and leader to uphold institutional priorities, policies and practices. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Collaborates and assist with operations by functioning as the first line supervisor to staff. Acts as a resource to staff to provide direct assistance or connect with appropriate resources. Participates in performance management of staff members to including coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate. Works with the staff to facilitate patient flow and to optimize clinical capacity. Determines when and how to flex staff schedules to provide clinical coverage. Facilitates timely throughput to optimize clinical capacity within the organization. Performs service recovery to promote patient and employee retention. Responds to staff and patient/family needs. Addresses conflicts as they may arise. Assists/mediates discussions to maintain smooth operations. Participates in institutional Quality and Patient Safety improvement initiatives, committees and projects. Develops, plans, and coordinates the implementation and evaluation of orientation for new staff. Collaborates with the rest of the leadership team to assess and evaluate the clinical competence of department staff. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Minimum of Bachelor’s Degree of Nursing (BSN) at time of hire. 2 years of progressive responsibility within an acute care setting required. Specialty certification preferred. Must obtain and maintain clinical competencies within assigned unit. Excellent written, verbal and computer skills required. Demonstrated abilities with problem solving, leadership, communication, fiscal responsibility and teamwork. Ability to work effectively in groups of employees and with patients and patient families is essential. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) upon hire; must maintain BLS. Advanced Cardiac Life Support (ACLS) upon hire.