Nursing Jobs in New Hampshire (NH)

Elliot Health System Stratham, NH

Medical Assistant - Orthopaedics Stratham - Full Time New Practice Opening Late Fall

Come work at the best place to give and receive care! Job Description: *Primary Location is Stratham but expect to train/cover for low census Hooksett and Manchester Locations* Position Summary Assists providers in the administration of patient care in assigned clinical areas. Assists with patient examinations, procedures, diagnostic studies, treatment, and dressing changes. Performs general administrative duties in accordance with JCAHO, CLIA, NCQA and government standards, as well as company policies and procedures. Key Responsibilities Performs visit chart preparation activities based on the daily scheduled appointments including diagnostic test results, emergency/urgent care reports, discharge summaries and consult/PCP reports are located in the medical record and accessible to the provider. Performs rooming activities for provider visits according to the documented rooming criteria including chief complaint, allergies, vital signs, medication list review, tobacco history, LMP, health maintenance overrides and documentation in a timely and accurate manner. Obtains and documents age and/or condition-specific measurements accurately including vital signs, height, weight, head circumference, peak flow, and pulse oximetry. Conducts and documents hearing, vision, respiratory and ECG testing. Performs and documents specific screening based on condition/need including depression and asthma. Obtains, documents and processes specimens using the appropriate collection process and equipment. Performs and documents point of care testing accurately. Performs venipuncture procedures (as needed) and processes specimens as outlined in policies and procedures. Administers medications and immunizations including oral, nasal, injectable, rectal and topical routes as appropriate. Processes medication prescription refills per guidelines using telephonic, electronic or print methods. Handles prior authorization processes for medications and/or procedures and documents appropriately. Manages clinical supplies and medication sample areas to ensure that stock is current, stored appropriately, labeled and par levels maintained. Education/Experience/Licensure MA I Education: HS Diploma or GED required and One of the following: Graduate from an accredited MA Program. Graduate from an MA Training Program with externship. 1 year of relevant healthcare experience with formal training (LNA, EMT, Combat Medic). 1 year prior experience as a Medical Assistant. Experience: 1 year of relevant healthcare exp. (can include externship), 1 -2 years exp. in a clinical ambulatory care setting preferred. Certification/Licensure: Must possess BLS authorization upon 90 days of employment and maintain during employment. CMA, RMA or CCMA preferred. MA II Education: HS Diploma or GED required and One of the following: Graduate from an accredited MA Program. Graduate from an MA Training Program with externship. At least 3 years’ experience as a Medical Assistant. Experience: 1 year of relevant healthcare exp. (can include externship), 1 -2 years exp. in a clinical ambulatory care setting preferred. Experience: At least 3 years’ experience as a Medical Assistant. Certification/Licensure: CMA, RMA or CCMA required. Must possess BLS authorization upon 90 days of employment and maintain during employment What Elliot Health System Has to Offer Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term disability, long-term disability, and life insurance coverage Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan And more ! Work Shift: Days SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

LNA

PCU

Night Shift LNA for Progressive Care Unit

$21.55 - $29.68 / hour

Job Summary: Summary Renders nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff, RNs and LPNs, and pursuant to objectives and policies of the hospital. Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Practices according to the ANA guidelines of care as adopted by the Nursing Division. Adheres to the Nurse Practice Act of NH. Performs various patient care activities and related services necessary in caring for the personal needs and comfort of patients. Documents all care provided to the patient in the Electronic Health Record. Such as Vital Signs, Intake, Output, Mobility, pain, and skin abnormalities. As well as important information related to interactions with the patient and/or visitors. Reports any unusual or changes in patient condition to the primary RN and/or charge RN Completes bedside shift hand-off report routinely and independently. Answers call lights to determine patients’ needs in a timely manner. Understands and demonstrates initiatives for improved response times to our patient’s needs such as NO PASS ZONE. Performs bladder scans, EKG’s, CPM’s, assists with cold therapy and other appropriate medical procedures upon completion of appropriate competencies. Bathes patients daily and assists with personal hygiene to increase their comfort and wellbeing. Encourages and assists all patients daily with routine ambulation and mobility, unless otherwise ordered by the attending provider or instructions by the primary RN, and documents activity in the Electronic Health Record. Serves and collects food trays, assists with intake for patients requiring help, and provides between–meal nourishment. Collects samples for testing i.e., urine and fecal occult. Assists with specialty beds and mattresses Assists with skin and wound care under the direction of a nurse. Expresses interest in the patient and their progress, assuring patient needs are met. Uses judgment in providing information based on the situation and is sensitive to individual and organizational concerns. Demonstrates effective verbal and non-verbal communication technique. Provides a secure and safe environment for behavioral health patients after completing appropriate competencies for one to one, constant observation, and continuous Visual remote monitoring. Performs continuous visual monitoring of patients, initiated by the primary RN, upon completion of assigned competencies related to equipment and role responsibilities. Explains any nursing care given to involve the patient in their care. Demonstrates willingness to rotate among various shifts or departments to adjust staffing to meet patient care needs. Assists with performing in the Hospital Unit Coordinator role as necessary to meet the needs of the unit. Prepares equipment and assists other nursing staff during treatments and examination of patients. Uses equipment/safety protocols and policies in providing care and transport to patients. Demonstrates understanding of the fall prevention measures for all patients assessed by the RN as high fall risk. Communicates with the RN and provides report to on coming LNA any concerns. Utilizes AIDET when interacting with patients and assists with providing hourly rounding to all patients. Completes all assigned annual competencies by due dates. Maintains adequate patient care hours for licensure. Maintains current license and certifications required at all times. Avoids use of unauthorized overtime. Manages ETO (Earned Time Off) per policy Other duties as consistent with this role. Job Requirements Job Knowledge and Skills Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience High School Graduate or GED preferred Current Hampshire LNA license required BLS/CPR AED Certification required An equivalent combination of education and experience which provides proficiency in the areas of responsibility listed above may be substituted for the above education and experience requirements. Working Conditions/Physical Demands Must possess the physical and mental abilities to perform the tasks normally associated with this position that involves a combination of sitting, standing, walking, bending, stooping, and reaching. Lifting/carrying frequently up to 35 pounds, and occasionally up to 50 pounds. Some stress related to high level of responsibility for quality care. Americans with Disabilities Statement Must be able to perform all essential functions of this position with reasonable accommodation if disabled. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Covenant Health reserves the right to modify position duties at any time, to reflect process improvements and business necessity. Standard of Business Conduct Every St Joseph Hospital employee is required to abide by the Standards of Conduct and to report any activity that appears to violate the Standards of Conduct. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $21.55 - $29.68 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

ICU

REGISTERED NURSE-CRITICAL CARE

$36.86 - $50.76 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

PCU

Day Shift RN for PCU

$36.86 - $50.76 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

ICU

Day Baylor Critical Care RN

Elliot Health System Manchester, NH

$36.86 - $50.76 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital Compliant in completion of all unit specific competencies and requirements required to care for critically ill patients within the department during orientation period onboarding and annually as assigned. Involved in quality improvement planning and processes for the area of practice Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner within the electronic health record (EHR), including Vital Signs, assessments, care plans, and information related to any change in condition. Knowledge and understanding of responsibilities during down-time Responds quickly to all patient monitoring alarms Provides emotional support for patients and families during difficult situations Collect specimens as ordered and in the order required per policy, labeling and sending to the lab in a timely manner Engages and participates in unit or organizational committees and councils. Ability to analyze patient assessments and data, communicate findings, document and implement actions timely and accurately Pursues personal growth and development through continuous learning opportunities within and outside of the organization. Seeks feedback and accepts constructive criticism regarding practice and takes actions as appropriate. Practice reflects knowledge of current practice standards (ANA, NH Nurse Practice Act, Specialty standards). Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Implements resources and initiatives that are in place or in process to improve patient safety. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Completes hourly rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients Identifies and assists in correction of patient care safety issues. Builds respectful relationships through early and pro-active identification of concerns, compliments, or suggestions Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties. Works collaboratively with Providers to complete assessments and perform bedside procedures. Displays professional, positive perspective, including when faced with difficult circumstances Seeks opportunities to assist all team members Actively participates in unit-based shared governance and with the philosophy of the unit and the organization. Appropriately delegates aspects of care and unit activities to other nursing personnel Provides support and mentors new nurses and other disciplines withing the department through preceptorship and other methods as requested by the department leadership. Participates in Peer Review maintaining confidentiality. Participates in DNV survey readiness. Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same. Follows organizational HIPAA compliance policy. Demonstrates fiscal responsibility through complete and accurate timekeeping, as well as patient supply utilization. Avoiding unauthorized use of overtime and managing ETO per policy. Participates in annual evaluation 360 process as requested. Provides quality care by remaining up-to-date on Nurse Sensitive Indicators. Responds to emergency situations per department/role requirements such as Code Blue and rapid response team. Other duties as consistent with this role. Emergency Department, additional responsibilities include: Triages patients and determines priority of care (ESI level) based on physical, psychological, and social needs including factors influencing patient flow through the system. Implement protocol orders associated with approved chief complaints. Performs focused assessment related to chief complaints in a timely manner according to established triage guidelines Reassess arrived patients after initial triage to ensure no change in condition. Provides quality care for patients presenting with acute illness and/or trauma requiring emergent/urgent attention and able to recognize potential life-threatening conditions for early intervention Initiates corrective action as appropriate when information from monitoring equipment shows adverse symptomology or patients demonstrate adverse clinical symptoms For admitted/boarding patients, complete required documentation per policy Engages in initiatives aimed at improving patient throughput Cardiac Cath and Angiography Lab additional responsibilities include: Ability to learn complex technologies effectively Experience with complex/critical care medication infusions, including titration management Enhanced knowledge of anatomy and physiology, especially cardiac Experience with emergency cardiac interventions Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly. Demonstrates clinical expertise in creating and maintaining a sterile field. Plans and provides equipment and supplies based on procedure and physician needs. Participates in on-call assignments and demonstrates flexibility to cover staffing as needed. Ability to be within 30-minute radius when on call. Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures. Maintains safe working environment to include radiation safety/appropriate personal protection attire. Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal. Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed. Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion. Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation. NIHSS certification preferred or obtained prior to completion of orientation Certification in Specialty preferred Call shifts required for Cath Lab and Stress Lab. CPI training preferred or obtained within 6 months of hire. CPI advanced training for the ED and ICU within 6 months of hire. Education and Experience Current New Hampshire RN license required Graduate of an approved Nursing program strongly preferred 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab ASN required, BSN preferred BLS required ACLS Preferred for all critical care RN roles (excluding the Operating Room and Pre-Admission testing and is required prior to completion of orientation) PALS Preferred – Required prior to completion of orientation for Urgent Care, and PACU Required prior to assuming care for critically ill pediatric patient for Emergency Department (may have ENPC in place of PALs) TNCC – Preferred – required within 18 months of hire for the Emergency Department TCAR – Preferred – required within 1 year of hire for the ICU and PACU. Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Membership in a professional organization preferred. Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $36.86 - $50.76 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Registered Nurse Ambulatory - Primary Care Float Pool - Per Diem

Come work at the best place to give and receive care! Job Description: Practices are open M - F 8 am - 5 pm Delivers care to patients and families with needs ranging from basic to complex utilizing the nursing process. Creates a therapeutic and caring environment for patient and families. Practices in a manner consistent with the Elliot Hospital Interprofessional Practice model; the ANA’s Social Policy Statement, Scope and Standards of Practice, and the Nursing Code of Ethics; and relevant specialty standards of practice. Key Responsibilities Embraces and promotes change to support optimal patient outcomes and an effective professional practice environment. Involves patient/family in goal setting and planning and communicates that plan of care to patient and family for input; and to colleagues to ensure seamless care across shifts and settings. Utilizes current evidence and relevant national/specialty standards to guide practice and/or performance and identifies areas for improvement. Demonstrates competent clinical practice utilizing clinical decision making and critical thinking skills. Education/Experience/Licensure Education: Graduate of an accredited school of nursing. Bachelor's of Science in Nursing preferred. Licensure: New Hampshire Registered Nurse or Compact State Registered Nurse License. Technical Certification: Ability to obtain BLS qualification during orientation period and maintain during employment. ACLS preferred. What Elliot Health System Has to Offer Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term disability, long-term disability, and life insurance coverage Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan And more ! Work Shift: 8a-5p SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Registered Nurse (RN) - Emergency Department Psych Unit

Dartmouth Hitchcock Medical Center Lebanon, NH

Overview Our Behavioral Health Emergency Department unit consists of a 6 beds supporting high risk mental health patients during a critical psychiatric event. Our care team’s priority is to provide therapeutic nursing care in a safe and controlled environment to stabilize their illness while developing a healthy care plan. As the primary nurse, you will work with our crisis team, the psychiatric and emergency physician/nursing team, care managers and security staff. An effective candidate will have a passion for critical care psychiatric nursing, empathy, and demonstrate a compassionate approach, high level of emotional intelligence and be diligent in their work environment to provide one on one support for patient needs. This is a FT (3x12hr shifts) rotating position. The 12hr shift rotation is between 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, and 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 AVADE Workplace Violence Prevention Training within one year of hire date.

Registered Nurse

Cedar Healthcare Center Portsmouth, NH

$35.10 - $48.34 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital and carries out orders placed by provider responsible for the patient’s medical care. Provides comprehensive clinical documentation including care plans each shift Seeks feedback regarding practice and takes actions as appropriate. Communicates patient information appropriate for continuity and safe care through Bedside shift report, Multidisciplinary rounds, and Hourly Rounding (AIDET) Compliant in achieving unit specific competencies and requirements Completes all net learning modules within timeframe identified. Helps to promote a culture of well-being (ex. decreasing alarm fatigue). Promotes a positive culture/atmosphere within the department each shift. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Identifies and assists in correction of patient care safety issues. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Participates in Daily unit-based safety Huddles Knowledge and understanding of the organization's over-all strategic plan Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Actively participates in quality initiatives and performance improvement to improve patient outcomes. Collaborates with nurses in other department/units to draw upon expertise in other clinical areas/specialties Seeks opportunities to assist all team members Develops and implements performance goals based on self-assessment and performance feedback Assures patient education materials are culturally competent Serves as preceptor for new nurses Participates in DNV survey readiness. Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel. Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer feedback process of annual reviews. Participates in the employee engagement survey Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages use of ETO (Earned Time Off) per policy Completes dysrhythmia course prior to completion of orientation. Required for all telemetry-based departments. Maintains current nursing licensure and certifications, required for the department Other duties as consistent with this role. *For Occupational Health: Enter orders for labs, x rays, EKGs or other testing as per protocol. Access providers in basket to follow up on labs and tests ordered per protocol. Document point of care tests after completion of testing. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Basic Life Support certification required Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

LNA

Per Diem

1 day ago

Nursing Assistant (LNA or MNA) Per Diem (PRN) at Skilled Nursing Facility

$21 - $26 / hour

Now Under New Management! Join Our Team at Cedar Healthcare Center – Licensed Nursing Assistant (LNA) Cedar Healthcare Center, a senior living and rehabilitation community in Portsmouth, NH, is seeking a dependable and compassionate Licensed Nursing Assistant (LNA) to join our team. We are currently hiring for Per Diem / PRN positions — offering true flexibility. Work when it fits your schedule! Position : Licensed Nursing Assistant (LNA) / Medication Nursing Assistant (MNA) Schedule : Per Diem/PRN – Flexible Scheduling (Work Your Own Hours!) Location : Portsmouth, NH Pay Range : $21.00 - $26 (varying based on license and years of experience) What You’ll Do : Provide direct care to residents in accordance with care plans Assist with activities of daily living (bathing, dressing, toileting, grooming, feeding) Monitor and report changes in resident condition to nursing staff Support mealtime setup, feeding assistance, and intake documentation Assist with admissions, transfers, and discharges Follow infection control and safety protocols Maintain accurate documentation and flow sheets What We’re Looking For : Current, valid LNA or CNA license in the state of New Hampshire CPR/BLS certification preferred Strong communication skills and a team-oriented mindset Ability to work independently and stay organized Long-term care experience preferred, but new grads welcome! Why Join Cedar Healthcare Center? Flexible scheduling — pick up shifts that work for you Opportunity to work across different shifts Supportive team environment Competitive pay Great option for those balancing school, family, or another job If you're looking for flexibility, competitive pay, and a team that values compassionate, high-quality care, we’d love to connect with you. Cedar Healthcare Center is an Equal Opportunity Employer.

Nurse Navigator - Mammography

Dartmouth Hitchcock Medical Center Lebanon, NH

Overview This is a unique opportunity to serve as the dedicated Nurse Navigator for the Diagnostic Mammography team, guiding patients through one of the most important moments in their healthcare journey. You’ll partner with patients after an abnormal finding, providing education, support, and compassionate care as they move through diagnostic testing and next steps. In this highly relationship-centered role, you’ll meet with patients before procedures, answer questions, coordinate care, facilitate the consent process, and work alongside physicians and technicians to ensure each patient feels informed and supported. While the position is primarily focused on patient navigation and education, there will also be opportunities to start IVs for contrast-enhanced imaging. Beyond the role itself, you’ll be joining a close-knit, collaborative team that genuinely enjoys working together and is committed to providing exceptional patient care. The schedule is primarily M-F, 7:30a-5p, to ensure patients receive the support they deserve. If you’re looking for a position where you can build meaningful relationships, make a lasting difference during a vulnerable time in patients’ lives, and be part of a supportive, mission-driven team, this is an exceptional opportunity. Goals: Provide clinical as well as emotional support to the diagnostic and screening breast patient; to be readily available for concerns/questions throughout the imaging diagnostic process; to work closely with the radiologists in accumulating results and conveying results to the patient—in person and/or on the telephone. Consult with patients needing immediate diagnostic work-up Provide support for required MQSA and ACR Accreditation audits under the guidelines of the Lead Interpreting Physician and in support of breast imaging excellence. Develop a close working relationship with the DH-Breast Imaging Center Staff-Radiologists, Technologists, Coordinators/Technologist Aides, Schedulers Form collaborative working relationship with the Comprehensive Breast Program staff-referring providers/ breast specialists/breast surgeons and their support staff. Share responsibility for the integrated approach to breast cancer patient care which coordinates care from the departments of radiology, surgery, oncology, pathology, and radiation oncology Establish and actively engage in collaborative involvement and leadership in DH local and regional community (DH north and DH south) through events sponsored by the Comprehensive Breast Program. Radiology Breast Imaging Center and/or Norris Cotton Cancer Center (NCCC) including but not limited to Community Health Fairs/planned Marketing events and patient Education forums and collaboration in the development of written education materials as coordinated through NCCC and DH Public Affairs and Marketing and the Department of Radiology Image Right Image Safe initiative (IRIS) Responsibilities At the direction of the Director, Breast Imaging Center Work with the radiologists to determine recommendations to patients following biopsies and contact patients directly to share or discuss biopsy results. Includes check on patient’s breast condition. Assist patients with the scheduling of appointments for follow-up visits for breast imaging (short interval follow-up) and or follow-up with surgeon. Make phone calls to patients instructing them of the need for additional imaging procedures that must be performed to clarify interpretation. Exercise and utilize the utmost sensitivity when responding or interacting with the patient; maintain focus at all times on clinical/emotional needs while demonstrating excellent communication and organizational ability. Assist with biopsy procedures as directed by the Breast Imaging Center Director. Work with radiologists, technologists, and tech aides to prepare patient for biopsy, provide care during biopsy, and provide post-biopsy care. Perform assessment on patient presenting with breast problem; discuss with radiologist and work with technologists in getting necessary procedures performed. Ensure that all follow up data is entered for mammography audits and EQUIP program as well as needed or desired for quality assurance and quality control. Includes but not limited to audits required by MQSA, ACR, or other local, state, or national regulatory bodies. Orient, familiarize and utilize all aspects related to the Mammography Quality Standards Act (MQSA) requirements ; American College of Radiology(ACR) Breast Imaging Reporting and Data System (BI-RADS®); ACR accreditation for a Breast Imaging Center of Excellence (now ACR Designated Comprehensive Breast Imaging Program); Radiology Information System/Mammography module reporting functions/requirements; Picture Archival Communication System (PACS);Electronic Medical Record ( e-DH) Assist in the preparation of cases for weekly Breast Conferences. Participate in the collection and evaluation of data that may contribute to improvements in the quality of care provided in the Department of Radiology. Engage in Quality Improvement Projects in the Breast Imaging Center. Actively participate in outcomes research. Develop, coordinate, educate and ensure safe nursing procedures and processes pertaining to the Breast Care Center services. Communicate and collaborate with other providers and staff involved in the care of patients undergoing diagnostic breast procedures/biopsies and follow-up in order to optimize patient care in all circumstances. Actively supervises nursing activities serves as a resource to other breast specialties in the care and management of the breast patient. Act as a liaison/resource between healthcare providers, the patients and family and financial resource services. Collaborate with staff and colleagues within the Department of Radiology and with other Departments and Sections of the clinical setting to ensure optimal care of all patients. Ensure that the program nursing practices meet professional and regulatory standards and to that end participate in Nursing Services meetings and committees as designated. Provide counseling and education for patients and families as it pertains to their health status or health care. Ensure immediate response to physician and patient telephone calls. Maintain competency by participation in appropriate continuing education activities. Provide flexibility in work schedule to meet center and patient care needs. Provide assistance and support with other duties /other areas as needed. Qualifications RN currently licensed in NH with a minimum of 2 years clinically experience. BSN preferred Experience with Breast Imaging and Breast Cancer patients helpful. Required Licensure/Certifications RN currently licensed in NH

SBHU RN Nights

$35.10 - $48.34 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital and carries out orders placed by provider responsible for the patient’s medical care. Provides comprehensive clinical documentation including care plans each shift Seeks feedback regarding practice and takes actions as appropriate. Communicates patient information appropriate for continuity and safe care through Bedside shift report, Multidisciplinary rounds, and Hourly Rounding (AIDET) Compliant in achieving unit specific competencies and requirements Completes all net learning modules within timeframe identified. Helps to promote a culture of well-being (ex. decreasing alarm fatigue). Promotes a positive culture/atmosphere within the department each shift. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Identifies and assists in correction of patient care safety issues. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Participates in Daily unit-based safety Huddles Knowledge and understanding of the organization's over-all strategic plan Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Actively participates in quality initiatives and performance improvement to improve patient outcomes. Collaborates with nurses in other department/units to draw upon expertise in other clinical areas/specialties Seeks opportunities to assist all team members Develops and implements performance goals based on self-assessment and performance feedback Assures patient education materials are culturally competent Serves as preceptor for new nurses Participates in DNV survey readiness. Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel. Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer feedback process of annual reviews. Participates in the employee engagement survey Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages use of ETO (Earned Time Off) per policy Completes dysrhythmia course prior to completion of orientation. Required for all telemetry-based departments. Maintains current nursing licensure and certifications, required for the department Other duties as consistent with this role. *For Occupational Health: Enter orders for labs, x rays, EKGs or other testing as per protocol. Access providers in basket to follow up on labs and tests ordered per protocol. Document point of care tests after completion of testing. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Basic Life Support certification required Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

Concord Hospital Laconia, NH

Interventional Radiology Registered Nurse

Summary Under the supervision of the Chief Technologist of Interventional Radiology, Manager of Interventional Radiology, and Administrative Director of the Cardiovascular Institute, the Interventional Radiology RN will perform duties necessary to care for patients undergoing interventional radiology procedures at a technical and professional nursing level. The RN will provide pre, intra and post procedural care. Performs a variety of technical procedures that require independent judgment. Assists the performing practitioner with diagnostic angiographic procedures, complex vascular and non-vascular interventional, therapeutic procedures and clinical patient care. Education Graduate from a state accredited school of Nursing. Bachelor's in Nursing preferred. Certification, Registration & Licensure Certification required: BLS upon hire and ACLS within 6 months of hire. Licensure required: Licensed Registered Nurse in State of NH. Experience Minimum of two years critical care experience or three years medical /surgical experience with a strong cardiovascular background. Responsibilities Delivers pre and post procedural care to patients according to hospital policy. Delivers intra procedural care in the role of circulator, scrub, or monitor. Gathers data through history taking and physical assessment and interprets data in order to plan and implement interventions to meet patient care needs. Applies principles of purposeful, organized thinking to make sound clinical judgment/decisions. Teaches the patient and/or significant other(s) about the plan of care. Prepares patients to manage their care after discharge. Administers medications. Demonstrates effective communication to the health care team in providing quality patient care. Adheres to department policy and procedures and practices modality specific safety protocols. Completes hospital, departmental, and professional requirements. Actively engages in departmental, team and committee initiatives. Performs other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. The employee is frequently required to do repetitive motion, hear, perform activities that require fine motor skills, reach, speak, and walk. The employee is occasionally required to bend, climb, kneel, sit, squat, and stand. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, bloodborne pathogens, bodily fluids, moving mechanical parts, and radiation. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals, and variable weather conditions. The noise level in the work environment is usually moderate.

Full-Time Caregiver

SYNERGY HomeCare Bedford, NH

$20 - $25 / hour

Are you seeking a rewarding career that makes a difference in your community? Do you want to work for a company that makes you feel valued and appreciated? Look no further—SYNERGY HomeCare may have the career opportunity you’ve been looking for. Independently owned and operated, SYNERGY HomeCare is an award-winning agency that provides care to people where they are happiest and most comfortable—in their own homes. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? If so, you may be a great fit for our full-time caregiver position. As a full-time caregiver, you will bring the highest quality of home care to people of all ages and abilities. Read on to learn more about the SYNERGY HomeCare difference and about how you can be a part of our purpose-driven team. SYNERGY HomeCare offers: Competitive pay $20-$25 / HR Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching full-time caregivers with nearby clients Employee recognition programs As a full-time caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts Train and Mentor other Caregivers Full-time caregiver benefits include: Health Insurance Mileage reimbursement If you would like to join our outstanding team at SYNERGY HomeCare, apply today!

SBHU RN Day Shift

$35.10 - $48.34 / hour

Job Summary: Essential Duties and Responsibilities Supports and promotes the mission and values of Covenant Health Ministry. Renders professional nursing care to patients within an assigned unit of the hospital and carries out orders placed by provider responsible for the patient’s medical care. Provides comprehensive clinical documentation including care plans each shift Seeks feedback regarding practice and takes actions as appropriate. Communicates patient information appropriate for continuity and safe care through Bedside shift report, Multidisciplinary rounds, and Hourly Rounding (AIDET) Compliant in achieving unit specific competencies and requirements Completes all net learning modules within timeframe identified. Helps to promote a culture of well-being (ex. decreasing alarm fatigue). Promotes a positive culture/atmosphere within the department each shift. Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols Identifies and assists in correction of patient care safety issues. Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices. Assures issues are addressed through appropriate use of the chain of command Participates in Daily unit-based safety Huddles Knowledge and understanding of the organization's over-all strategic plan Remains up to date with unit-based nurse sensitive indicators (such as CAUTI, CLABSI, CDIFF, HAPU, FALLS, HH and VAE). Actively participates in quality initiatives and performance improvement to improve patient outcomes. Collaborates with nurses in other department/units to draw upon expertise in other clinical areas/specialties Seeks opportunities to assist all team members Develops and implements performance goals based on self-assessment and performance feedback Assures patient education materials are culturally competent Serves as preceptor for new nurses Participates in DNV survey readiness. Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization. Assists with solution identification in response to problems and conflicts Effectively delegates aspects of care and unit activities to other nursing personnel. Collaborates in planning, supervising, and instructing other nurses and assistants. Works collaboratively with nursing students and instructors Participates in peer feedback process of annual reviews. Participates in the employee engagement survey Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same Avoids use of unauthorized overtime Manages use of ETO (Earned Time Off) per policy Completes dysrhythmia course prior to completion of orientation. Required for all telemetry-based departments. Maintains current nursing licensure and certifications, required for the department Other duties as consistent with this role. *For Occupational Health: Enter orders for labs, x rays, EKGs or other testing as per protocol. Access providers in basket to follow up on labs and tests ordered per protocol. Document point of care tests after completion of testing. Job Requirements Job Knowledge and Skills Basic Dysrhythmia preferred or obtained prior to completion of orientation Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation Education and Experience Current New Hampshire RN license required Basic Life Support certification required Graduate of an approved Nursing program preferred Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $35.10 - $48.34 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine!

LPN

Langdon Place of Keene Surry, NH

Licensed Practical Nurse (LPN)

$32.50 - $48.40 / hour

Licensed Practical Nurse (LPN) Opportunity at Langdon Place of Keene Job Summary: We are thrilled to announce that Langdon Place of Keene, a 73-apartment Assisted Living community and skilled rehabilitation unit, is seeking dedicated and compassionate Licensed Practical Nurses (LPNs) to join our revitalized team. As an LPN at Langdon Place of Keene, you will have the opportunity to provide exceptional care to our residents while working in a warm and welcoming environment. Shift Availability: Full Time & Part Time Overnight shift: 7:00 P.M or 11:00 P.M. - 7:00 A.M Full and part time Evening shift: 3P.M. - 11:00 P.M. Part Time & Per Diem Weekends What We Offer: Competitive Salary: Modified compensation, attractive pay rates with opportunities for career advancement Shift Differential: Additional compensation for working non-traditional shifts Flexible Scheduling: Various shift options to fit your lifestyle Comprehensive Benefits: Health, dental, and vision insurance, paid time off, and retirement plans Supportive Work Environment: Be part of a team that values your skills and fosters your professional growth New Ownership: Join a refreshed team focused on innovation and excellence in care Responsibilities: Provide high-quality, compassionate care to residents Administer medications and treatments as prescribed by physicians Monitor and document patient conditions, and collaborate with healthcare providers to adjust care plans as needed Assist with daily living activities and support residents’ overall well-being Ensure compliance with all regulatory standards and facility policies Educate residents and their families about health management and care plans Requirements: Valid LPN license in New Hampshire Strong clinical skills and a compassionate approach to patient care Excellent communication and interpersonal skills Ability to work effectively both independently and as part of a team Previous experience in long-term care or a similar setting is preferred but not required Join our team and apply today!

Registered Nurse (RN)

Mineral Springs NH

$44 - $48 / hour

Registered Nurse (RN) Beautiful North Conway | Mineral Springs Join Our New Team + Up to $10,000 SIGN-ON BONUS Through Sept. 30th! Full-Time: $10,000 Sign-On Bonus Part-Time: $5,000 Sign-On Bonus Registered Nurse (RN) Shifts Available: Full Time Day Shift: 11:00 P.M - 7:00 A.M Part Time Weekend We’re not just hiring—we’re investing in YOU from day one. This is a rare opportunity to join a newly revitalized team at Mineral Springs—where it’s truly locals caring for locals —and be part of something special in one of New Hampshire’s most beautiful locations. Compensation & Perks Up to $48/hour (based on shift & experience) $10,000 Sign-On Bonus (Full-Time) / $5,000 (Part-Time) Shift Differentials Comprehensive benefits (health, dental, vision, PTO, retirement) Ongoing training & career growth opportunities Supportive, team-first work environment Registered Nurse (RN) Shifts Available: Full Time Day Shift: 11:00 P.M - 7:00 A.M Part Time Weekend Why North Conway? Live and work in the heart of the stunning White Mountains, with easy access to outdoor adventures, skiing at Cranmore Mountain Resort, and relaxing days at Echo Lake State Park. Plus, enjoy shopping and dining at Settlers Green Outlet Village. It’s more than a job—it’s a lifestyle. About Us At Mineral Springs, now under new ownership, we’re committed to delivering exceptional care in a compassionate, resident-centered environment. Our renewed focus on quality, teamwork, and locals caring for locals sets us apart. Your Role As a Registered Nurse (RN), you will: Oversee patient care and coordinate treatment plans Administer medications and treatments Monitor patient conditions and communicate changes Lead and mentor nursing staff Provide emotional support to residents and families Maintain accurate and confidential documentation Qualifications Current RN license in New Hampshire Experience preferred, but not required Strong clinical, communication, and interpersonal skills Compassionate, detail-oriented, and team-focused Apply Today! Ready to make a real impact—and get rewarded for it? Apply on Indeed or call (603) 356-7294 to join the Mineral Springs team! Mineral Springs is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All offers of employment are subject to background and registry screenings in accordance with state and federal regulations.

LNA

Beth Israel Lahey Health Exeter, NH

3 days ago

EH - Patient Safety Assistant LNA

Exeter Hospital and Core Physicians, part of Beth Israel Lahey Health, proudly serve the beautiful NH seacoast region. Our principal mission is to work together to create healthier communities. What makes us unique is the spirit of our staff, who are team-oriented and focused on providing outstanding patient care experience and quality outcomes for those we are privileged to serve. In addition, we want to ensure that our employees feel well cared for by offering a comprehensive benefits package, ongoing training and growth opportunities, wellness resources, special perks, and more. Our Magnet designation is recognition of our excellent nursing staff and the high-quality, innovative patient care we deliver every day in our community. The Emergency Department at Exeter Hospital cares for a diverse patient population with a wide range of medical needs. With annual volumes of approximately 33,000 patients, the department is one of the busiest in the Seacoast area. In addition to the main Emergency Department, comprised of 21 beds, there is a 6-bed Minor Care area. Provide direct and constant visual observation of patients for their safety under the supervision of a Registered Nurse. Perform LNA responsibilities as required or needed. Requirements High School Diploma or GED NH State Licensed Nursing Assistant (LNA) CPR Certified within 90 days of hire Strong Communication Skills Strong Customer Service Skills 0-6 months experience Major Responsibilities Provide constant observation to patients who are suicidal by means of video monitoring or direct visualization. Alert nurse if there is a change in the patient's behavior or response that the observer is concerned about. Review observation care plan for the patient with the nurse at the beginning and end of shift. May report food and/or liquid intake. Perform duties within the scope of LNA- i.e. vital signs, assistance with ADLs

Langdon Place of Keene Surry, NH

3 days ago

Registered Nurse (RN) Evening positions

$42 - $61.60 / hour

Registered Nurse (RN) Langdon Place of Keene – Keene, NH Are you a compassionate and dedicated Registered Nurse (RN) looking to make a meaningful impact in the lives of others? Join the caring team at Langdon Place of Keene , where your clinical expertise, leadership, and compassion are valued every day. As a **Registered Nurse (RN) **at Langdon Place of Keene, you will have the opportunity to work with a diverse range of residents and provide individualized care that addresses their unique needs and preferences. Available Shifts: • Full and Part-Time Evening Shift: 3 P.M. - 11 P.M. Part Time & Per Diem Weekend shifts available Sign-On Bonus: Full Time - $8,000 , Part Time - $4,000 Compensation: • Competitive hourly rates based on shift and experience • Additional shift differentials available Why You’ll Love Working Here: • Supportive, team-oriented workplace culture • Flexible scheduling and consistent leadership • Professional growth and development opportunities • Resident-centered approach that makes a real difference • Locally managed facility with strong community roots Qualifications: • Current Registered Nurse (RN) license in the state of New Hampshire • Compassionate, dependable, and team-focused • Excellent communication and interpersonal skills • New graduates encouraged to apply Join Our Team Today! Call (603) 357-3902 for an immediate interview. Apply today – walk-ins are always welcome! All offers of employment are subject to required background and registry screenings in accordance with state and federal regulations. Apply today to join our dedicated team of healthcare professionals and make a difference in the lives of others!

RN- Critical Care Stepdown Unit - IMCU

Mass General Brigham Dover, NH

$32.29 - $62.57 / hour

Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Summary Accountable for interpreting the plan of medical care, assessment of patients' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Does this position require Patient Care? Yes Essential Functions -Maintain accurate, detailed reports, and records. -Administer medications to patients and monitor patients for reactions or side effects. -Record patients' medical information and vital signs. -Monitor, record, and report symptoms or changes in patients' conditions. -Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans. -Modify patient treatment plans as indicated by patients' responses and conditions. Qualifications Education Associate's Degree Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Basic Life Support [BLS Certification] - Data Conversion - Various Issuers required Advanced Cardiovascular Life Support [ACLS (AHA)] - American Heart Association (AHA) preferred Neonatal Resuscitation Certification [NRP] - American Academy of Pediatrics (AAP) preferred Pediatric Advanced Life Support Certification [PALS] - Data Conversion - Various Issuers preferred Experience Clinical nursing experience 0-1 year required Knowledge, Skills and Abilities - Familiarity with the principles and skills needed for practical nursing to provide patient care and treatment. - Knowledgeable of the care required by respective age groups for which care is being provided. - Ability to maintain confidentiality and secure sensitive information. - Knowledge of medical terminology. - Excellent verbal and communication skills. - Ability to accurately screen and triage acute patients. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 789 Central Avenue Scheduled Weekly Hours 36 Employee Type Regular Work Shift Rotating (United States of America) Pay Range $32.29 - $62.57/Hourly Grade 6NTEMP At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: 1810 Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Concord Hospital Laconia, NH

5 days ago

Inpatient Registered Nurse Care Manager | Full Time

Summary The Inpatient Nurse Care Manager, in collaboration with the multidisciplinary team is responsible for assessing, planning, implementing, and evaluating patients, incorporating the clinical, psychosocial, and family factors specific to the care and disease management plan. Communicates and manages the transitions of care and assists patient and family to navigate the health care systems. Recognize and intervene to secure resources necessary for the care and safety of the patient and family across the continuum of care. The Inpatient Care Manager will recognize and intervene to secure resources necessary through collaboration with financial payers/insurers for the care and safety of the patient and family across the continuum of care. Education Associates in Nursing degree from an accredited nursing program. Bachelor's degree in Nursing preferred. Certification, Registration & Licensure Licensure required: Current NH RN License. Experience Acute Care Facility experience of 2 years in a clinical specialty or Care Management, Discharge planning, Quality Improvement and Utilization Review. Demonstrates effective interpersonal, organizational and motivational skills. Demonstrates ability to function as a team player. Proficient in written and verbal communication. Responsibilities Provides assessment and evaluation of patient for clinical, psychological and social factors that may contribute to their disease process and may require specific or complex continuing care needs and supportive services. Provides an initial review and concurrent reviews as required for each patient for clinical, psychological and social factors that may contribute to the disease process for determination of appropriateness of status, severity of illness and intensity of treatment. Review of admission history and document in EMR. Interfaces with patient, physicians, nurses, social workers, other hospital departments, community based facilities, services and financial institutions as necessary, to affect changes in the management of cases, monitoring delivery of services and/or to secure the necessary resources. Provides information to third party payers with required documentation of medical necessity. Provides support to the patient and families and provides evaluation and coordination with care planning and patient safety while arranging for transitional care and discharge planning needs. Through utilization review determines if patient is meeting criteria of evidence-based clinical guidelines for appropriate level of care. Identifies the need to execute the appropriate letter when medical necessity is not met and issue letters of patient liability regarding the hospital admission. Bases care management and utilization review actions by applying principles of purposeful, organized thinking to make sound clinical judgment/decisions. Documents measurement and evaluation of financial, clinical, functional and satisfaction outcomes as patient progresses towards desired goals. Evaluates and responds to the learning needs of clients, clinicians and community regarding discharge planning and utilization review. Manages the care and utilization review of simple to complex multi-system patients by using time and resources efficiently. Provides leadership to members of the health care team relative to discharge and care planning. Performs other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. While performing the duties of this job, the employee is regularly required to speak. The employee is frequently required to bend, do fine motor, do repetitive motion, hear, kneel, reach, sit, squat, stand, and walk. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is occasionally exposed to airborne contaminants, airborne pathogens, bloodborne pathogens, bodily fluids, and electrical hazards - shock. The noise level in the work environment is usually moderate.