Nursing Jobs in Tilton, NH

RN Full-time
Concord Hospital

RN | Ortho Unit | Full Time | Days

Concord Hospital Concord, NH
Summary The Registered Nurse (RN) 2 is responsible for assessing, planning, implementing and evaluating nursing care for a group of population specific patients for the department /unit, from simple to complex, with multi-system issues in a safe and therapeutic environment. The RN uses knowledge of the principles of growth and development over the life span, assesses data reflective of the patient's status and interprets information needed to identify each patients requirements relative to his/her age specific needs. The RN engages in caring relationships with patient's, families, and significant others, works collaboratively with other health care workers, and uses sound judgments while performing nursing and medical interventions. The RN adheres to specialty standards and organizational standards, policies, procedures, guidelines and protocols. Reports to the Director and/or Nurse Manager. May participate in supervision of Licensed Nursing Assistants and unlicensed personnel. Education Graduated from an accredited School of Nursing, BSN preferred. Certification, Registration & Licensure Registered Nurse - New Hampshire Board of Nursing ​ Basic Life Support - American Heart Association Experience One year prior clinical nursing experience. Evidence of experience in working effectively and positively with patients, care providers, and the multi-disciplinary team. Evidence of the ability to perform as a member of a team. Responsibilities Bases nursing actions by applying principles of purposeful, organized thinking to make clinical judgment/decisions. Gathers data through history taking and physical assessment and interprets data in order to plan and implement interventions to meet patient care needs. Develops, evaluates and revises patient's plan of care and nursing actions in response to patient's needs. Documents care provided and patient's progress toward attainment of desired outcomes. Directs and supervises others in the performance of delegated nursing activities. Teaches the patient and/or significant other(s) about the plan of care. Prepares patients to manage their care after discharge, transfer or preparation for procedure/test. Manages time and resources to deliver patient care. Administers medications to patients. Provides direct patient care. Leads the health care team. Serves as a Resource Person for assigned shift. Serves as a preceptor for new employees. Performs job specific requirements and 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. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, and walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. 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, blood borne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, and toxic or caustic chemicals. The noise level in the work environment is usually moderate.
LPN Outpatient Outpatient Full-time
Concord Hospital

Practice Registered Nurse/LPN Franklin Primary Care Full time

Concord Hospital Franklin, NH
Summary Reporting to the Clinical Leader or Clinical Manager and under the direction of the practice providers, the Clinical Practice Nurse 1 delivers high quality patient care including assessment, treatment, planning, and care evaluation. The Clinical Practice Nurse 1 uses knowledge of the principles of growth and development over the life span, assesses clinical data reflective of the patient's health status and interprets information needed to identify each patient’s requirements relative to his/her age specific needs. The Clinical Practice Nurse 1 engages in caring relationships with patients, families, and caregivers, works collaboratively with the health care team, and uses sound judgments while performing nursing interventions. Education Minimum requirements: Associate Degree or Diploma in Nursing from an accredited School of Nursing. Certification, Registration & Licensure Licensure required: New Hampshire Board of Nursing license Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers Experience Demonstrated ability to effectively and positively interact with a multi-disciplinary staff, patients, and others. Responsibilities Establishes priorities in organizing daily activities and maintains efficient patient flow. Triages patient phone calls following established guidelines and prescribed format for identifying patient's health problems or concerns, and providing quality patient care. Administers prescribed medications. Provides education to patients in response to identified patient needs. Documents health information, interventions, and outcomes into the patient electronic medical record. Delegates patient care activities using the five rights: right task, person, direction, circumstance, and supervision (ensuring the task has been completed satisfactorily and documentation is complete) and providing feedback to delegatee and manager. Applies principles of purposeful, organized thinking based on the nursing process to make sound clinical judgment and decisions. Completes practice specific clinical skill competencies on an annual basis. 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 do repetitive motion, hear, and speak. The employee is frequently required to bend, do fine motor, reach, sit, stand, and walk. The employee is occasionally required to climb, kneel, smell, and squat. 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 bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, toxic or caustic chemicals. The noise level in the work environment is usually quiet.
LPN Wound Care Full-time
aSure Wound Solutions

Clinical Specialist for Wound Care Supplies RN LPN

aSure Wound Solutions Concord, NH
$75,000 - $85,000 / year
Asure Wound Solutions is seeking a highly skilled and dedicated Clinical Specialist, Wound Care Supplies to join our team. This is a remote position based in the Concord area (you must live in this area) and requires experience working in nursing homes or long-term care facilities as well as a strong background in wound care. The ideal candidate must be comfortable driving distances up to 2 hours away. Starting salary for this position is $75,000/yr Benefits include: travel reimbursement, paid Holidays, PTO, Health benefits Shift: Monday - Friday Wound Care Responsibilities: Provide clinical expertise and support to nursing homes and long-term care facilities in the management of wounds and wound-related conditions Develop and implement wound care plans for residents in collaboration with the interdisciplinary team Educate and train nursing home staff on proper wound care techniques, products and equipment usage Collaborate with healthcare professionals to ensure proper wound care is provided in a timely manner Monitor and document the progress of wounds and adjust wound care plans as needed Maintain current knowledge of best practices in wound care and stay abreast of new developments in the field Wound Care Requirements : Active nursing license At least 3 years of nursing experience in nursing homes or long-term care facilities Wound care certification preferred Strong understanding of wound care principles and practices Excellent communication and interpersonal skills Ability to work independently and as part of a team Strong computer skills and proficient in Microsoft Office Must be comfortable driving distances up to 2 hours away Asure Wound Solutions offers a competitive salary and benefits package for our Clinical Specialists, Wound Care Supplies. If you are a highly motivated individual with a passion for wound care, we encourage you to apply for this exciting opportunity.
NP Hospice Hospice Other
Lake Sunapee VNA

Hospice Care Nurse Practitioner (NP) - Per Diem

Lake Sunapee VNA New London, NH
A Career That Offers More Lake Sunapee VNA and Hospice is seeking an experienced Nurse Practitioner (NP) to join our Hospice program in a per diem capacity to provide direct patient care visits for routine provider visits, symptom management and Hospice Face to Face. On-call rotation required. Who We Are Lake Sunapee Region VNA & Hospice provides home health care and hospice services that help individuals remain safe, healthy, and independent in the comfort of their own homes throughout Grafton, Merrimack, and Sullivan counties in New Hampshire. Who You Are You're a Nurse Practitioner (NP) who values personalized, patient-centered care and meaningful connections with patients and families. Whether you're experienced in home health and hospice or interested in learning more about these specialties, we'd love to connect with you. You Bring: Experience in hospice and/or end of life care, and sympathetic management Strong communication with demonstrated ability to collaborate with an interdisciplinary team Comfortability with educating and guiding patients, families, facilities and community in end-of-life discussions, and decision-making Why Join Us? Meaningful one-on-one patient care Professional autonomy Rewarding work that makes a difference every day Every home visit is an opportunity to improve a patient's quality of life and support them where they are most comfortable—at home. Benefits Include: Earned Time Retirement Account (w/eligibility for employer contributions) Continuing Education Mileage Reimbursement Paid Travel Time Between Clients And Much, Much More Qualifications: Current NH Nurse Practitioner (NP) license Minimum 2 years of health care experience required Hospice, Palliative or end-of-life care experience is preferred Additional requirements include reliable transportation, valid driver’s license, automobile insurance, current physical exam, TB testing, and required vaccinations. Join a team that values compassionate care, professional growth, and work-life balance. Apply today and discover why home health nursing offers more. As a mid-sized, community-based agency, Lake Sunapee Region VNA & Hospice is committed to providing compassionate care and supporting the nurses who make that care possible. Lake Sunapee Region VNA is an Equal Opportunity Employer.
LNA Full-time
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA (4-DAY SCHEDULE)

State of New Hampshire Tilton, NH
$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #42679 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Franciene Clement The New Hampshire Veterans Home has a full-time vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (7:00pm - 7:00am) (Additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Criteria: None Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
RN OR Other
Dartmouth Hitchcock Medical Center

Pre-Admission Testing RN - Operating Room, Per Diem

Dartmouth Hitchcock Medical Center New London, NH
Overview The Pre-Admission Testing Registered Nurse is responsible for ensuring preoperative optimization including patient education for those patients undergoing surgical and endoscopic procedures. The nurse works closely with key stakeholders in coordinating the patients’ perioperative needs. Responsibilities Assessment and Review of Records Monitor patient medical records for preoperative testing results and exercise professional nursing judgement to identify and address barriers to optimization for surgical, diagnostic, invasive, noninvasive and other special procedures. Performs accurate and comprehensive review of clinical factors, past medical history and relevant information. Use effective interviewing skills to perform patient health interviews with surgical and endoscopy patient by collecting and analyzing clinical and psychosocial data, identifying problems and health patterns/trends which may directly affect optimization for surgical/endoscopy procedures. Promote and maintain patient safety by assessing clinical and psychological needs in preparation for the day of surgery/procedure. Clinical Knowledge Utilize clinical knowledge to ensure optimization of patients scheduled for surgery prior to their admission date to prevent surgery cancellations and delays. Utilizes clinical knowledge and established perioperative protocols (surgical and anesthetic) to provide patient with individualized preoperative education. Demonstrates the ability to identify areas of knowledge deficit, and provides additional needed information to the patient. Possess adequate understanding of operative procedure, required patient preparations, and expected post-operative course. Care Coordination/Collaboration/Communication Bring pertinent information obtain during chart review and patient interview to the care team. Alerts the team to pertinent information that would affect patients’ perioperative risk and areas that are a risk for a safe discharge. Demonstrates ability to work both independently and as an effective member of the health care team. Take an active role in strengthening the climate for acceptance of positive change and initiatives that improve patient care outcomes. Provides assistance to the Post Anesthesia Care Unit (PACU) as case load indicates to the level of training. Participates in quality assessment and improvement plan as outlined by the department. Demonstrates effective and proper phone and email etiquette. Communicates with appropriate providers when indicated to ensure patients are optimized for surgical procedure and anesthesia administration. Communicates outstanding preoperative clearance requirements with appropriate members of the surgical team. Complies with hospital and departmental policies, procedures, regulations and standards. Attends and participates in hospital/department meetings. Meets or exceeds the standards of performance as established for employment at New London Hospital Education/Documentation Educate patients about the perioperative process, including but not limited to, patient preparation, day of surgery requirement and discharge planning. Maintain current professional education appropriate to perioperative services. Document in patients’ medical record all relevant data obtained during the health interview and all instructions/education provided. Demonstrate basic computer skills in an Electronic Medical Record. Qualifications 2 years relevant clinical practice Graduate of an accredited school of nursing Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support
RN Full-time
State of New Hampshire

REGISTERED NURSE I-III

State of New Hampshire Tilton, NH
$33.74 - $66.07 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 REGISTERED NURSE I-III Position #41752 $33.74 - $66.07 hourly Direct Care & Nursing Stipend up to $25.00/week Hiring Manager: Kristine Day The New Hampshire Veterans Home has a full-time, 1st shift vacancy for a Registered Nurse I-III. Proposed Schedules Include: 6:45am - 3:15pm shifts Every other weekend (additional $2.00/hour) Make a difference in a Veteran’s Life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: RN I To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home; observes, compiles, and reports information concerning the wellbeing, care, and treatment of residents in order to ensure quality care is provided at all times. RN II To perform general nursing duties in the care and treatment of residents at the New Hampshire Veteran’s Home. Applies professional quality nursing standards of care when treating and making recommendations for residents’ with regards to wellness, healthcare, and treatment plans. RN III To provide care and treatment for residents in a long-term care facility setting, with responsibility for administration of medication, comprehensive medical treatment/care planning, and/or ongoing oversight and training of RNI and II nursing staff in accordance with policies, procedures and nursing standards of practice at the New Hampshire Veteran’s Home. Your Experience Counts Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Minimum Qualifications: RN I Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: Experience is limited to that required for registration. License/Certification: Current license as a Registered Nurse in New Hampshire . RN II Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics, and psychiatric nursing. Experience: One year's experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. License/Certification: Current license as a Registered Nurse in New Hampshire . RN III Education: Bachelor’s degree from a recognized college or university with major study in nursing, human services, psychology, or a related field. Experience: One year of experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. OR Education: Graduation from a recognized nursing program and possession of an Associate’s degree in nursing, human services, psychology, or a related field. Experience: Two years' experience as a registered nurse in a residential, nursing home, long-term care facility, or similar setting. AND License/Certification: Current license as a Registered Nurse in New Hampshire. Current certification in CPR. Must be certified by the American Nurses Association or another nationally recognized certifying entity in psychiatric and mental health nursing, Gerontological nursing, wound care, or a specialty related to long term nursing care. Responsibilities: RN I Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Interacts cooperatively with other nursing staff, health care professionals, and medical/therapeutic disciplines within the facility, in order to meet treatment care plans, health needs, and goals of residents; communicates information to the treatment team or supervisor as necessary. Performs specialized nursing tasks such as exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts supervisor or appropriate personnel if equipment needs to be repaired/replaced. Participates in preparing treatment plans and providing therapeutic activity such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Monitors the activities of the licensed practical nurses or nursing support staff to ensure equality of services rendered. Provides auxiliary nursing personnel with in-service training in the care of patients and participates in the orientation of new staff. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN II Applies nursing process techniques required in the evaluation, care, and implementation of treatment plans for residents, ensuring physical and/or emotional needs are addressed and facility policies and procedures are followed. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system, and modifies treatment plans based on resident’s response, medical changes, and/or doctor’s orders. Coordinates with other health care providers and medical/therapeutic disciplines within the facility to ensure individualized treatment and care plans for residents are being followed. Prepares nursing assessments and implements treatment plans, delegating appropriate aspects of care to auxiliary nursing personnel. Monitors the nursing care of RN I, less-skilled nursing staff, or healthcare personnel; provides in-service training in the care of patients and participates in the orientation of new staff. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Provides assistance with therapeutic activities such as daily living activities, personal hygiene, and addressing resident’s individual care goals. Prepares residents for and assist with examinations or treatments; evaluates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. RN III Applies nursing process techniques in the care, evaluation, and treatment of residents with a variety of diagnoses; ensures that physical and/or emotional needs are addressed and facility policies and procedures are followed. Works with Nursing Supervisor and meets with care-plan team to develop and implement individualized resident treatment care plans, encompassing medical, wellness, and therapeutic activities as applicable, and delegates appropriate aspects of care to subordinate professional nursing staff and/or auxiliary nursing personnel. Performs specialized nursing tasks such as dispensation/tracking of medications, exchange of oxygen tanks, preparation and verification of medicine and pharmacy orders, and observing that medical equipment is appropriately functioning; alerts Nurse Coordinator or appropriate personnel if equipment needs to be repaired/replaced. Prepares residents for and assist with examinations or treatments; evaluates resident’s condition and notifies doctor, medical, or therapy personnel when necessary. Monitors resident outcomes or effectiveness of care and treatment regimes, and communicates complex information to the care planning team, Nurse Coordinator, Director of Nursing, or appropriate personnel. Writes annual nursing assessments and monthly summaries, mentors and oversees less skilled nursing staff and participates in new employee orientation as well as NH Veteran’s Home Nursing Policy and Procedure meetings. Observes, records, and reports signs, symptoms and progress of residents’ medical treatment and care plans utilizing the facility’s documentation system and makes recommendations concerning changes or modifications of treatment as needed to appropriate medical personnel. Ensures compliance with established department policies and procedures by maintaining competency in Cardio Pulmonary Resuscitation (CPR) techniques. DISCLAIMER STATEMENT: The supplemental job description lists typical examples of work and is not intended to include every job duty and responsibility specific to a position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information contact Kristine Day, Nursing Coordinator, at kristine.a.day@nhvh.nh.gov or (603) 527-4879. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
RN PACU Other
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - PACU, Per Diem

Dartmouth Hitchcock Medical Center New London, NH
Overview Utilizes the nursing process in caring for all patients, to include: assessing symptoms, planning interventions, implementing treatment plans, evaluating responses to interventions, and revising plan based on overall effectiveness. Demonstrates the skills necessary to provide age appropriate care to the population served. Adheres to the established practices standards and procedure at New London Hosptial, in the administration of all medications. Makes knowledgeable decision in consideration of the facts and the disease/surgical condition Provides education to patients and caregivers based on assessment of learning needs. Creates and monitors patient environment to ensure it is safe and free from hazards. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors. Performs duties to meet the department needs to prepare patients during their time of care in surgical services. Responsibilities Pre-Operative Duties Manage patient's admission process to NLH surgical services Collaborate with anesthesia/surgeon to provide comprehensive admission care of the patient. Assess and document the status of patients' health per current ASPAN guidelines and hospital standards. Identify and report patient abnormalities to anesthesia/surgeon Ensure accuracy of patient, procedure and surgeon prior to surgical procedure. Work in conjunction with all appropriate team members to provide comprehensive care. Execute pre-procedure orders and document interventions. Assist anesthesia providers with pre-procedure interventions, document per current ASPAN guidelines and hospital standards. Oversee the work of the departments LNA. Collaborate with team members to ensure chart completeness prior to patients' surgical procedure. Post-Procedure Duties Demonstrates competence in phase 1 and phase 2 care of all post anesthesia needs of patients. Assess and documents patient condition per current ASPAN standards and hospital guidelines. Identify physical symptoms and changes and takes appropriate action in a timely manner. Reassess and documents patients response to interventions per current ASPAN standards and hospital guidelines. Demonstrates knowledge of medications and IV fluids and their correct administration, based on age and clinical condition of the patient. Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias, collaborates with appropriate team members and intervenes as appropriate. Perform interventions in cases of post procedure emergencies Assess and document patient status post radiology procedure, execute physician orders, and provide post procedure instructions in conjunction with radiology staff. Qualifications Graduate of an accredited school of nursing 2 years relevant clinical practice (preferred critical care experience or PACU experience) Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support • (BLS) Basic Life Support
RN Correctional Full-time
State of New Hampshire

REGISTERED NURSE II-III SYSC

State of New Hampshire NH
$36.51 - $58.06 / hour
State of New Hampshire Job Posting Department of Health and Human Services Division for Children, Youth, and Families Sununu Youth Services Center- Manchester, NH REGISTERED NURSE II-III #11724 2nd Shift: 2:30-12:30 Monday -Thursday The starting pay range for this position is: Registered Nurse II- $36.51-$48.89 Registered Nurse III- $42.97-$58.06 Direct Care- $20 week, 2nd Shift Differential- $4.00/hour, and weekend differential $2.00/hour See total compensation information at the bottom of announcement. The State of New Hampshire, Department of Health and Human Services, Division for Children, Youth, & Families has a full time vacancy for Registered Nurse I-III. Summary: SYSC Registered Nurse II- Performs general or specialized nursing duties under the direction of the SYSC Nursing Coordinator in the care and treatment of SYSC residents; utilizes the nursing process to perform the duties of staff nurse in terms of administration of medication and medical treatment, comprehensive treatment planning with multi-disciplinary treatment team. Upholds the vision and mission of the agency through utilizing the Practice Model theories, beliefs and principles in daily practice SYSC Registered Nurse III To provide care and treatment to a variety of SYSC residents. Responsible for administration of medication, comprehensive medical treatment planning and can assist the SYSC Nurse Coordinator with supervision and training of SYSC nursing staff. The RN III utilizes the Nursing Process to manage resident's presenting behavior and assist in meeting immediate and long-term needs for help. Practice within standards of the department, center, and regulatory agencies. Upholds the vision and mission of the agency through utilizing the Practice Model theories, beliefs and principles in daily practice YOUR EXPERIENCE COUNTS : Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. MINIMUM QUALIFICATIONS: Registered Nurse II- Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience in medical, surgical, obstetrics, pediatrics and psychiatric nursing. Experience: One year's experience as a registered nurse in a setting equivalent to the position assigned. License/Certification: Current license as a Registered Nurse in New Hampshire SYSC SYSC Registered Nurse III- Education: Graduation from a recognized nursing program with either affiliate or postgraduate courses and clinical experience. Experience: Two years' experience as a registered nurse in a setting similar or equivalent to the position assigned. License/Certification: Current license as a Registered Nurse in New Hampshire. SPECIAL REQUIREMENTS: Must be certified by the American Nurses Association or an organization recognized by the ANA in a specialty that is consistent with the job accountabilities and appropriate to the institution or agency in which the vacancy exists; e.g., Psychiatric and Mental Health Nurse, Gerontological Nurse, Maternal and Child Health Nurse, etc. All nurse certification requirements must be specified on the supplemental job description and approved by the Board of Nursing, in cooperation with the Division of Personnel License/Certification: Current license as a Registered Nurse in New Hampshire. Responsibilities: REGISTERED NURSE II Observes, records and signs symptoms of SYSC residents physical, emotional and mental condition. Applies nursing process techniques in the care and treatment of SYSC residents with physical and/or emotional needs. Interacts cooperatively with other health care providers in meeting the health needs of SYSC residents and communicates information to intradepartmental team. Acts as a professional liaison/consultant on a 24-hour basis in providing a professional resource to SYSC direct care staff to enhance milieu management. Monitors the outcome or effectiveness of the treatment regime as well as medication side effects and for maximum effectiveness of medications dispensed and reports these directly to the SYSC Nursing Coordinator and physicians. Performs medical procedures under the direction of a physician such as specimen collection or performs medical treatments that expose the employee to a potential infectious diseases or life threatening diseases. Admits, transfers and discharges SYSC residents in accordance with policy and procedure. Responsible, for coordinating medical information from and for coordinating follow-up care with outside agencies either verbally or in written form. Responsible for SYSC resident teaching regarding medical testing to be done or in regards to health issues pertinent to the resident or appropriate for the resident’s age. Responsible for coordinating and arranging appointments for medical testing with outside agencies, making arrangements for further testing as required, or obtaining medical appliances or equipment as needed by the resident. Acts as a contributing member of a muli-disciplinary treatment team engaged in the treatment of acute and chronic physical and emotional disturbances at the center or other health care facility. Must perform accountabilities in accordance with established safety policies and procedures. Communicates with SYSC supervisors regarding issues related to workplace safety. Performs specialized nursing techniques such as encountered in the practice of professional duties including psychotherapeutic and medical/surgical practices. Participates in the orientation and possible supervising of new nursing staff. Coordinates and participates in medical rounds with physicians and/or PA, dental clinics, and teen clinic and communicates information to the interdepartmental team. Participates in SYSC resident/family/guardian education to facilitate positive resident outcome. REGISTERED NURSE III Applies nursing process techniques in the care and treatment of SYSC residents with a variety of diagnoses. Acts as a professional liaison/consultant on a 24-hour basis in providing a professional resource to SYSC direct care staff to enhance milieu management. Participates with physicians in evaluating and assessing SYSC resident’s physical or emotional status and coordinates implementation of the medical regimen. Provides staff with general in-service training to teach skills and impart knowledge necessary to performing the duties of direct patient care. Observes, records and reports signs and symptoms of SYSC residents physical, emotional and mental condition. Monitors for medication side effects and for maximum effectiveness of medications dispensed and reports these directly to the SYSC nursing coordinator and physicians. Performs medical procedures under the direction of a physician such as specimen collection or performs medical treatments that expose the employee to potential infectious diseases or life threatening diseases. Admits, transfers and discharges SYSC residents in accordance with policy and procedure. Responsible for coordinating medical information, from and for coordinating follow-up care with outside agencies either verbally or in written form. Responsible for SYSC resident teaching regarding medical testing to be done or in regards to health issues pertinent to the resident or appropriate to the resident’s age. Responsible for coordinating and arranging appointments for medical testing with outside agencies, making arrangements for further testing as required, or obtaining medical appliances or equipment as needed by the resident. Acts as a contributing member of a multi-disciplinary treatment team engaged in the treatment of acute and chronic physical and emotional disturbances at the center or other health care facility. Observes, records and reports signs and symptoms of patient’s physical and mental condition. Must perform accountabilities in accordance with established safety policies and procedures. Monitors the outcome or effectiveness of the treatment regimen and communicates complex information to the intradepartmental team. Performs specialized nursing techniques such as encountered in the practice of professional duties including psychotherapeutic and medical/surgical practices. Participates in the orientation and general in-service training of new nursing staff. Participates in SYSC residents/family/guardian education to facilitate positive resident outcome. Coordinates and participates in medical and psychiatric rounds with physicians, PA, dental clinic and teen clinic and communicates information to the interdepartmental team. Disclaimer Statement : The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that classification. For further information please contact Magdelina Vasquez, Nursing Coordinator, MAGDELINA.Y.VASQUEZ@DHHS.NH.GOV , 603-625-5471 TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
NP Full-time
Concord Hospital

Advanced Practice Provider (APRN/PA-C) – Geriatric Medicine

Concord Hospital Concord, NH
APRN / PA-C – Family Health Center Geriatric Program Concord Hospital Medical Group is seeking an experienced APRN or PA-C to join our Geriatric Program, providing primary care to older adults in their homes and nursing facilities. This unique 4-day work week offers a blend of independence and collaboration, with two days spent caring for patients in their homes and two days providing care in nursing facility. Why You'll Love This Opportunity 4-day work week Meaningful relationships with patients and caregivers Diverse practice setting including home visits and nursing facility Collaborative team Opportunity to work closely with Family Medicine residents Integrated health system with strong specialty support Make a direct impact on some of the community's most vulnerable patients What You'll Do Provide primary care to older adults in their homes and nursing facilities Assess, diagnose, and manage acute and chronic medical conditions Order and interpret diagnostic testing Prescribe and manage medications Educate patients and caregivers on disease management, prevention, and safety Partner with physicians, residents, nurses, and interdisciplinary team members to deliver high-quality care Support Family Medicine residents in the care of geriatric patients Document care and maintain compliance with clinical and regulatory standards Qualifications Master's degree from an accredited APRN or Physician Assistant program Current or eligible New Hampshire APRN or PA-C licensure Current DEA registration Minimum of two years of post-graduate clinical experience in geriatrics, primary care, home-based care, or nursing facility medicine Experience providing care in home-based and/or nursing facility settings strongly preferred Demonstrated interest in caring for older adults with complex medical needs Strong clinical assessment, communication, and interdisciplinary collaboration skills 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. The employee is frequently required to bend, do fine motor, hear, reach, sit, speak, and walk. The employee is occasionally required to do repetitive motion, 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 bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne pathogens, chemotherapeutic agents, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
LNA Med-Surg Part-time
Concord Hospital

LNA | Med/Surg | Per Diem

Concord Hospital Laconia, NH
Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. 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. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. 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. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
LNA Full-time
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA

State of New Hampshire Tilton, NH
$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA Position #41731 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Kris Day The New Hampshire Veterans Home has a full-time, 1st shift vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: 6:45am - 3:15pm shifts Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Kris Day, Nursing Coordinator, at kristine.a.day@nhvh.nh.gov or (603) 527-4879. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
LNA Full-time
Concord Hospital

LNA | Surgical Specialties | Nights | Full Time

Concord Hospital Concord, NH
Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. Employee Benefits Competitive and comprehensive employee benefits and growth opportunities await you when you join our team. Health insurance and dental benefit Available to full-time (30+ hours) and part-time employees (20-29 hours) Wellness programs Life/LTD insurance 403B retirement savings account with employer contribution Tuition reimbursement On-site childcare Complimentary on-site employee fitness center Paid time off Career development Employee Activities Committee Military Program (offering a supportive environment for those serving or who served in the armed services) Streamlined military leave process Enhanced military leave policy Enrichments to benefits and paid-time-off Organizational resources committed to employees and their families Education for employees and managers Recognition of service 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. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. 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. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
LNA Full-time
State of New Hampshire

LICENSED NURSING ASSISTANT I-III / LMNA

State of New Hampshire Tilton, NH
$19.24 - $34.32 / hour
State of New Hampshire Job Posting New Hampshire Veterans Home 139 Winter St, Tilton, NH 03276 LICENSED NURSING ASSISTANT I-III / LMNA (4-DAY SCHEDULE) Position #16770 $19.24 - $34.32 hourly Direct Care up to $10.00/week Hiring Manager: Franciene Clement The New Hampshire Veterans Home has a full-time vacancy for a Licensed Nursing Assistant I-III / LMNA. Proposed Schedule Includes: Two 12-hour shift (7:00pm - 7:00am) (Additional $4.00/hour) Two 8-hour shifts (11:00pm - 7:00am) (additional $7.00/hour) Rotating weekends (additional $2.00/hour) Make a difference in a Veteran’s life! Build a career and a life in the beautiful Lakes Region. Be part of a team committed to providing the best quality of life for NH Veterans with dignity, honor and respect. Learn more about the NH Veterans Home on our website: Welcome | New Hampshire Veterans Home (nh.gov) and view our Facebook page to see the NHVH team working together. The Veterans Home is a NH State Agency providing a total compensation package for full-time employees. See information at the bottom of this posting for details. Summary: LNA I Under the direct supervision of licensed nursing staff, provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. LNA II With direction and oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors new nursing assistants. LNA III With general oversight by licensed nursing staff, independently provides essential support and direct care to residents by assisting with daily living activities, monitoring health conditions, and ensuring a safe, clean, comfortable, and enriching environment. Mentors/instructs new nursing assistants and makes suggestions for care, treatment, and practice/procedural improvements. YOUR EXPERIENCE COUNTS: Each additional year of approved formal education may be substituted for one year of required work experience and/or each additional year of approved work experience may be substituted for one year of required formal education. Other information: LNA I MINIMUM QUALIFICATIONS: Education/Experience: High school diploma or equivalent credential License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Candidates without a high school diploma or equivalent credential, or without a NH Nursing Assistant license, may be considered and hired in 'trainee status' for this position. Individuals hired in ‘trainee status’ will have their responsibilities adjusted as necessary for compliance with facility credentialling. PREFERRED QUALIFICATIONS: Experience in long-term or geriatric care setting or other role involved in the provision of medical care. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: If hired in trainee status, must obtain a NH Nursing Assistant license within 6 months of hire. Candidates may be able to obtain their license through participation in onsite training program. CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☐ Yes ☒ No Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113001BGA01 (Level 1 to Level 2) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-1 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Has one year of experience functioning as a Licensed Nursing Assistant or other practicing medical professional Demonstrates sufficient competency in performance of required tasks to serve as mentor for new nursing assistants Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA II MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 1 year education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least one year of experience as a practicing Licensed Nursing Assistant or other practicing medical professional. Experience in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113002IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant license Assumes responsibility for administering medications Broad Group Level Advancement Available: ☒ Yes ☐ No Criteria: 31113002BGA01 (Level 2 to Level 3) For promotion from the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-2 job title to the 31-1130 Nursing Assistants, Orderlies, and Psychiatric Aides-3 job title as a Residential LNA, the eligibility requirements in Personnel Rule 303.08 Broad Group Level Advancement must be satisfied, as well as the following criteria: Holds five NH Nursing Board Approved competencies Receives a satisfactory performance evaluation within the past 12 months Is up-to-date on all mandatory in-house training Is recommended for promotion by supervisor(s) and approved by the director of nursing LNA III MINIMUM QUALIFICATIONS: Education/Experience: Equivalent combination of 3 years of education and experience after completion of high school License/Certification: NH Nursing Assistant license Driver’s license Other Requirements: Satisfactory completion of five NH Nursing Board Approved competencies May be required to work non-traditional work hours to meet the needs of the facility Must possess physical stamina for prolonged standing and to perform tasks such as lifting, transferring, and transporting residents and materials Trainee Option: Not applicable PREFERRED QUALIFICATIONS: Strong preference for candidates with at least three years of experience as a Licensed Nursing Assistant in a long-term or geriatric care setting. Strong verbal and written communication and interpersonal skills. CPR and First Aid certification. AFTER-HIRE REQUIREMENTS: None CAREER ADVANCEMENT OPPORTUNITIES: In-Band Advancement Available: ☒ Yes ☐ No Criteria: 31113003IBA01 (Medication Certification) For the in-band advancement to be applied, the eligibility requirements in Personnel Rule 303.09 In-Band Advancement must be satisfied, as well as the following criteria: Holds a valid NH Medication Nursing Assistant License Assumes responsibility for administering medications Broad Group Level Advancement Available: ☐ Yes ☒ No DISCLAIMERS: The supplemental job description lists the essential functions of the position and is not intended to include every job duty and responsibility specific to the position. An employee may be required to perform other related duties not listed on the supplemental job description provided that such duties are characteristic of that job title. When applicable, the work of an employee in trainee status in this position shall be overseen by a fully qualified individual. An employee in trainee status shall meet the minimum qualifications within the period of time specified on the SJD, not to exceed one year of being hired into this position. Responsibilities: LNA I DETAILED TASKS (STANDARD): Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Utilizes appropriate equipment and follows established safety protocols to ensure resident’s comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs. Acts in accordance with established care plans; participates in Plan of Care meetings as assigned/needed. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Collects specimens for routine laboratory testing. Reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Reports any shortages. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Prepares residents for appointments and medical team consults. Provides a level of security/support for the resident. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA II DETAILED TASKS (STANDARD): Exercises some independent judgement in providing daily care and resolving minor physical and emotional needs. Assists residents with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Ensures proper dietary intake and adequate hydration and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring residents to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs, while recognizing variations in capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Follows medical orders and acts in accordance with established care plans. Participates in Plan of Care meetings as assigned/needed; presents patient/resident information when applicable. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. May serve as mentor for new nursing assistants providing guidance on established facility/unit responsibilities, policy and procedures to meet the standards of care. Replenishes charts and retrieves, stocks, and distributes medical supplies and personal protective equipment (PPE) as required. Maintains proper inventory and prepares/submits supply orders when necessary. Documents equipment/maintenance issues and repairs needed. Follows infection control protocols and safety procedures. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. LNA III DETAILED TASKS (STANDARD): Mentors and instructs new nursing assistants on facility/unit responsibilities and established policies and procedures to meet the standards of care. Exercises independent judgement to determine and prioritize resident needs. Assists with activities of daily living (ADLs), including getting out of bed, bathing, dressing, grooming, toileting, standing, walking, or exercising. Recommends supplemental assistance to meet ADLs. Ensures proper dietary intake and adequate hydration, and that dietary restrictions and preferences are observed. Supports mobility by helping residents move between beds and wheelchairs, and transferring individuals to special functions, trips, appointments, and other activities within and outside the facility. Communicates resident needs to others when outside own scope of duties. Utilizes appropriate equipment and follows established safety protocols to ensure resident comfort and dignity. Adapts techniques and frequency based on individual needs and preferences and established care plans. Promotes independence in meeting individual needs and demonstrates a keen understanding of each individual’s capabilities and limitations. Performs treatment procedures within the LNA scope of practice. Collaborates with the healthcare team to plan and implement treatment plans to address complex patient/resident needs. Follows medical orders and acts in accordance with established care plans. Makes recommendations for treatments/therapies and changes in care and participates in Plan of Care meetings as needed. Coordinates visits from consulting professional health team members, including dentists, podiatrists, and physical therapists. Assists health team members and provides a level of security/support for the resident. Documents care provided and individual’s behavior/response; maintains accurate records. Monitors and records vital signs such as temperature, blood pressure, and pulse, as well as food/liquid intake and urinary/fecal output. Assists with screening for medical issues and collects specimens for routine laboratory testing. Observes and reports changes in residents’ physical, mental, or emotional condition to a supervisor or more senior nursing staff in a timely manner. Manages inventory, prepares/submits supply orders, and prepares work orders for equipment repairs and maintenance needs. Ensures charts, medical supplies, and personal protective equipment (PPE) are stocked and distributed as required. Follows infection control protocols and safety procedures and recommends practice changes when needed. Maintains cleanliness and hygiene in resident rooms and common areas. Performs daily assigned tasks such as clothing distribution, emptying laundry hampers, and cleaning furniture. Demonstrates empathy and patience in providing care and assistance. Encourages and maintains open communication and positive interactions with residents, families, guardians, and other visitors. Refers questions to appropriate senior staff. Assists with basic social problems and facilitates the adjustment of residents. Guides residents in therapeutic activities to enhance residents’ quality of life and maintain ADL skills. Attends and participates in in-service educational programs as well as organization meetings and committees. Responds to supervision and works cooperatively with others in provision of care and operation of facility. DETAILED TASKS (AGENCY/POSITION-SPECIFIC): May operate a facility vehicle to deliver specimens off-site and/or transport residents to appointments and other activities as needed. Implements safety protocols during interactions, including restraint procedures when necessary. May accompany residents to recreational activities, recreational outings, and appointments. Provides emotional support and companionship to residents. For further information please contact Franciene Clement, Nursing Coordinator, at franciene.r.clement@nhvh.nh.gov or (603) 527-4823. TOTAL COMPENSATION INFORMATION The State of NH total compensation package features an outstanding set of employee benefits, including: HMO or POS Medical and Prescription Drug Benefits: The actual value of State-paid health benefits and the amount of employee health benefit contributions may vary depending on the type of plan selected and the bargaining unit with which a position is associated. See this link for details on State-paid health benefits: https://www.das.nh.gov/hr/benefits.aspx Value of State's share of Employee's Retirement: 12.87% of pay Other Benefits: Dental Plan at minimal cost for employees and their families ($500-$1800 value) Flexible Spending healthcare and childcare reimbursement accounts State defined benefit retirement plan and Deferred Compensation 457(b) plan Work/life balance flexible schedules, paid holidays and generous leave plan $50,000 state-paid life insurance plus additional low-cost group life insurance Incentive-based Wellness Program (ability to earn up to $500) Total Compensation Statement Worksheet: https://www.das.nh.gov/jobsearch/compensation-calculator.aspx Want the specifics? Explore the Benefits of State Employment on our website: https://www.das.nh.gov/hr/documents/BenefitBrochure.pdf https://www.das.nh.gov/hr/index.aspx EOE TDD Access: Relay NH 1-800-735-2964
Surgical Tech OR Full-time
Concord Hospital

Certified Surgical Technologist | Operating Room | Days

Concord Hospital Concord, NH
Summary The Surgical Technologist/Certified Surgical Technologist is an allied health care professional providing surgical care to patients within the operating room under the supervision of perioperative nurses and surgeons. This job works in the main operating room. The Surgical Technologist utilizes AORN's Perioperative Standards and Recommended Practices and AST Standards of Practice as a reference to ensure quality, safety and appropriateness of patient care. Education High school or equivalent (GED). Graduate from an accredited Certificate or Associate Degree program in Surgical Technology. Certification, Registration & Licensure Certification Required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Medical Technician - NH Board of Registration of Medical Technicians National Board of Surgical Technology and Surgical Assisting certification within one year of hire date Experience None required. Responsibilities Plans for surgical procedures by assembling instrumentation, equipment, and necessary supplies. Maintains the integrity of the sterile field by utilizing knowledge of aseptic technique. Prioritizes needs of the surgical team and the department through analysis of the daily schedule and case mix. Assists with maintaining a clean and safe surgical environment. Ensures adherence to Surgical Services Infection Control, Safety and Risk Management Policies, Procedures and Guidelines. Serves as a preceptor for Surgical Technologist students and new employees. Performs job specific requirements and 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. While performing the duties of this job, the employee is regularly required to do repetitive motion, hear, perform activities that require fine motor skills, speak and stand. The employee is frequently required to bend, reach, and walk. The employee is occasionally required to climb, kneel, smell, squat, and sit. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. While performing the duties of this job, the employee is regularly exposed to bloodborne pathogens, and bodily fluids. The employee is frequently exposed to airborne contaminants, moving mechanical parts, non-weather related heat or cold, radiation, electrical hazards - shock and toxic or caustic chemicals. The employee is occasionally exposed to airborne pathogens, chemotherapeutic agents, slippery surfaces, and vibration. The noise level in the work environment is usually moderate.
Surgical Tech Outpatient Full-time
Concord Hospital

Certified Surgical Technologist | Orthopaedic Surgery Center (OSC) | Sign On Bonus Eligible

Concord Hospital Concord, NH
$7,500 sign on bonus for experienced candidates Summary Provides surgical care to patients within the operating room under the supervision of perioperative nurses and/or surgeons. Utilizes AORN standards, recommended practices, and guidelines' as a reference to ensure quality, safety and appropriateness of patient care. Education Graduate from an accredited surgical technologist program. Certification, Registration & Licensure Certification required to obtain: Basic Life Support within 3 months of hire. Medical Technician - NH Board of Registration of Medical Technicians Experience A minimum of 1 year experience as a surgical technologist. Responsibilities Plans for surgical procedures by assembling instrumentation, equipment, and necessary supplies. Maintains the integrity of the sterile field by utilizing knowledge of aseptic technique. Assists surgeon and physician assist (P.A.) with activities at the sterile field. Participates and engages in center activities. Functions as a leader for surgical team. Performs sterilization of equipment. Assists with maintaining a clean and safe surgical environment. Pro-actively plans and participates in requirements for surgical case. Helps to contain supply costs. 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. While performing the duties of this Job, the employee is regularly required to hear, reach, speak, and stand. The employee is frequently required to bend, do repetitive motion, perform activities that require fine motor skills, squat, and walk. The employee is occasionally required to climb, kneel, sit, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. While performing the duties of this Job, the employee is regularly exposed to bloodborne pathogens, bodily fluids. The employee is frequently exposed to airborne pathogens, moving mechanical parts, nonweather related heat or cold, radiation, slippery surfaces, toxic or caustic chemicals. The employee is occasionally exposed to airborne contaminants, electrical hazards - shock, and vibration. The noise level in the work environment is usually moderate.
CMA Outpatient Full-time
Concord Hospital

Medical Assistant/LNA - Concord Dermatology - Full Time - Days, 7-5:30pm, 4-10hr Shifts

Concord Hospital Concord, NH
Summary Reporting to practice leadership and under the direction of the providers, assists in the examination and treatment of patients and has basic skills in treatments and procedures. In addition, may be involved in other areas of medical office support including clerical, environmental and organizational . Education Graduate of an accredited medical assistant program preferred but will accept applicants with healthcare experience (formal medical training program, EMT, LNA, Military Medics, Technicians, etc.). Certification, Registration & Licensure Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers. Medical Assistants are encouraged to obtain certification or registration within the first three years of employment. Experience With completion of an accredited Medical Assistant program, no experience is required. For other candidates at least 1 year of healthcare experience preferred. Responsibilities Follows guidelines and prescribed format for answering the phone and identifies patient's health problem or concern and directs calls per practice guidelines. Interviews patients and measures vital signs. Updates patient's medications and allergy lists. Records information in the EMR. Prepares treatment rooms for examination of patients, including stocking and cleaning. Assists provider by preparing patients for physical examinations and by assisting with procedures. Demonstrates clinical skill in practice. Schedules patient appointments and orders referral per practice specific guidelines. Inventories and orders medical supplies and materials for assigned area of responsibility, removes outdated materials and ensures proper labeling. Uses software (Cerner, GroupWise, etc.) following established protocols for documentation, responding to requests, and initiating appropriate tests and orders. Greets patients and escorts them to exam room. Cleans and prepares instruments for sterilization. Performs job specific requirements and other duties as assigned. 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 hear, and speak. The employee is frequently required to do fine motor, do repetitive motion, and walk. The employee is occasionally required to bend, climb, kneel, reach, sit, smell, 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 blood-borne pathogens, and bodily fluids. The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, and toxic or caustic chemicals. The noise level in the work environment is usually moderate.
RN Full-time
Concord Hospital

Inpatient Registered Nurse Care Manager | Full Time

Concord Hospital Laconia, NH
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.
RN OR Other
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Operating Room, Per Diem

Dartmouth Hitchcock Medical Center New London, NH
Overview The Circulating RN Works collaboratively with Surgical Team to ensure patient safety and positive patient outcomes. Monitor Surgical cases for continued sterility, and support surgical team from outside the sterile field. Thorough and complete intra-operative documentation, as well as case set up and preparation. This specialty works while adhering to AORN standards and practices. Call schedule (after training is complete) for overbook and emergent cases only and at a small critical access hospital with two OR’s and one endoscopy suite. Variable days into evening M-F with no holiday or weekend regular hours. Responsibilities General Clinical Practice Utilizes the nursing process in caring for all patients, to include: assessing symptoms, planning interventions, implementing treatment plans, evaluating responses to interventions, and revising plan based on overall effectiveness. Demonstrates the skills necessary to provide individualized care to the population served. Adheres to the established practice standards and procedures at New London Hospital, regarding the administration of all medications and patient care activities. Makes knowledgeable decisions in consideration of the facts and the disease/surgical condition utilizing critical thinking. Evaluates the patient’s response to the nursing and/or medical regimen and reassesses and revises plan of care, as necessary. Documents care provided using hospital standards. Provides education to patients and families based on assessment of learning needs. Participates in interdisciplinary planning. Creates and monitors patient environment to ensure it is safe and free from hazards. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Assists in minor procedures, as requested. Specialty Clinical Practice OR Circulating Demonstrates competence in the principle and practice of surgical asepsis, surgical hand scrub, appropriate gowning and gloving, nursing responsibilities for conscious sedation according to training, and sterilization, disinfection, preparation, packaging and storing of surgical instruments and supplies. Demonstrates competence the use of special equipment, positioning tables or chairs, electrocautery, insufflation, tourniquet, cameras, warming units, thromboembolic prevention, and microscope. Carries out care according to AORN/ASPAN Recommended Standards of Practice. Advocates for patient throughout the continuum of surgical care and brings up any concerns re: patient safety, positioning needs, surgical attire or sterility of the field. Follows the Standards of Practice established for the Surgical Services Department. Documents surgical events according to facility standards including but not limited to event times, staff members in or out of room, positioning, asepsis and site prep, instrument and supply counts, specimens gathered, implants and explants Cleans environment as training before, during, after cases and at beginning and end of shifts as per AORN guidelines Adheres to surgical attire according to AORN and ensure visitors are following these guidelines. Qualifications Graduate from Accredited nursing program with Associate Degree, BSN preferred. Minimum 1 yr. med/surg. or critical care nursing experience preferred. Previous OR experience a plus. Will train according to AORN guidelines in conjunction with AORN Peri-Op 101 Program modules and a precepting RN. Certificate of completion from AORN Peri-Op 101 program within one year of hire. Ability to utilize electronic medical documentation Critical thinking Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support • (BLS) Basic Life Support • Certified Nurse Operating Room (CNOR)
RN Med-Surg Other
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Med Surg, Per Diem

Dartmouth Hitchcock Medical Center New London, NH
Overview Integrate collaborative care planning for individual patients and implement nursing standards in the processes of care. Responsibilities Utilizes the nursing process in caring for all patients, to include: assessing symptoms, planning interventions, implementing treatment plans, evaluating responses to interventions, and revising plan based on overall effectiveness. Demonstrates the skills necessary to provide age-appropriate care to the population served. Adheres to the established practice standards and procedures at New London Hospital, in the administration of all medications and in-patient care activities. Documents care provided using hospital standards and appropriate nursing notes Provides education to patients and families based on assessment of learning needs. Participates in interdisciplinary discharge planning. Ensures patient environment is safe and free from hazards. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors. Assists in the orientation of new employees to the Medical/Surgical Unit. Participates in required hospital and/or unit competencies Attends staff meetings as required by Clinical Manager Qualifications Graduate of an accredited school of nursing. 1 year of relevant clinical practice Critical thinking skills with the ability to work in a fast-paced environment Ability to collaborate with multiple disciplines in a professional manner Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support within 180 days
RN Outpatient PCU Outpatient Other
Dartmouth Hitchcock Medical Center

Transitional Care Registered Nurse (RN) - Family Medicine, Per Diem

Dartmouth Hitchcock Medical Center New London, NH
Overview As part of the New London Hospital Medical Group, ensures safe and effective patient transitions across the patientcare continuum. As a patient educator, advocate, and patient empowerment facilitator, this position providesinformation to the patient and/or caregiver resulting in effective care transitions, improved self-management skills,and enhanced communications between the patient and the healthcare team. Responsibilities Transitional Care Responsibilities Attends discharge planning meetings. Reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient. Provides information to patients and caregivers about NLH post acute discharge plans. Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout. Advocates on behalf of the patient and the healthcare provider for needed patient resources and services. Provides written communication to the receiving clinician as the patient transitions from one level of care to the next. Contacts the patient’s PCP with each transition of care, providing a summary of the patient’s clinical status. Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status. Maintains excellent documentation of patient encounter records. Enters specified data elements into electronic dashboard with each patient transition or discharge. Develops and maintains plan of care for NLH-based patients. Qualifications Graduate of an accredited School of Nursing 3 to 5 years related experience Case Management certification from accredited organization strongly preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility
CMA Outpatient Outpatient Full-time
Dartmouth Hitchcock Medical Center

Certified Medical Assistant (CMA)- Family Medicine

Dartmouth Hitchcock Medical Center New London, NH
Overview Supports the Physician Practice by providing quality, individualized care according to established standards. Responsibilities General Clinical Practice Utilizes accepted processes of care in interactions with all patients, to include: documenting symptoms and vital signs, and responses to interventions, reporting progress to providers. Collects assessment data and reports to provider or RN, per practice protocol. Demonstrates the skills necessary to provide age appropriate care to the populations served. Adheres to the practice standards and procedures of the Practice in the administration of medications and patient care activities, per practice protocol. Documents care provided using Practice Group standards to include: filing lab results and reporting untoward results to Physician/Practitioner Provides education to patient and families based on assessment of learning needs Assists Physician/Practitioner with procedures as requested and performs simple lab tests in the office Creates and maintains the patient care environment to include: meeting all safety standards, maintaining cleanliness and inventory of supplies and sterility/cleanliness of equipment. Documents care and progress Completes appropriate charging documentation, per practice protocol. Shares responsibility for prescription line, to include calling in refills, per hospital protocol Medical Assistants (MAs) may administer B12 injections, plant PPD tests and administer immunizations as directed by provider. Qualifications Graduate of an accredited school is required. Current state license as appropriate is required. 0-1 year clinical experience Office Practice experience preferred MA/CMA/RMA – Certification/registration or successful completion of clinical and/or pharmacology coursework is required. Required Licensure/Certifications REQUIRED CERTIFICATIONS: • Certified Clinical Medical Assistant (CCMA-NHA) • CPR Certification
LNA Full-time
Concord Hospital

LNA | Skilled & Restorative Care | Full Time | Nights | Franklin, NH

Concord Hospital Franklin, NH
Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. Employee Benefits Competitive and comprehensive employee benefits and growth opportunities await you when you join our team. Health insurance and dental benefit Available to full-time (30+ hours) and part-time employees (20-29 hours) Wellness programs Life/LTD insurance 403B retirement savings account with employer contribution Tuition reimbursement On-site childcare Complimentary on-site employee fitness center Paid time off Career development Employee Activities Committee Military Program (offering a supportive environment for those serving or who served in the armed services) Streamlined military leave process Enhanced military leave policy Enrichments to benefits and paid-time-off Organizational resources committed to employees and their families Education for employees and managers Recognition of service 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. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. 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. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
LNA ER Full-time
Concord Hospital

LNA | Inpatient Emergency Services | Full-Time | Rotating

Concord Hospital Laconia, NH
Summary Under the direction of the Director and/or Nurse Manager, the Licensed Nursing Assistant (LNA) is responsible for providing direct and indirect patient care duties for a group of patients, from simple to complex, for the specialty population on the unit or department, under the guidance and supervision of the registered nurse. Education High school or equivalent (GED) preferred. Required: Proof of LNA Education Certificate and Final Report of Written and Clinical Competency Testing Results (as required by the NH Board of Nursing). Certification, Registration & Licensure Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification, or equivalent course credentialed by American Heart Association. Licensure required: Current New Hampshire State LNA license Experience Evidence of the ability to perform as a member of a team. Responsibilities Performs activities of daily living and personal care needs under the guidance and supervision of the Registered Nurse. Performs technical skills/procedures relating to physical, mental health and social needs of patients under the guidance and supervision of the RN. Documents care provided and reports to the RN observations of patient’s physical, social and mental status and basic patient data collected. Demonstrates adherence to safe patient handling policy. Demonstrates time management skills. Maintains the patient care areas to ensure cleanliness, safety and supplies of material and equipment. Receives delegated work adhering to the five rights of delegation. Performs job specific requirements and other duties as assigned. Serves as a preceptor for new employees. 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. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. 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. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, toxic or caustic chemicals. The noise level in the work environment is usually moderate.
RN ER Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department

Dartmouth Hitchcock Medical Center New London, NH
Overview Integrate emergency care for individual patients and implement nursing standards in the processes of care. Responsibilities Utilizes the nursing process in caring for all patients, to include: assessing symptoms, planning interventions, implementing treatment plans, evaluating responses to interventions, and revising plan based on overall effectiveness. Demonstrates the skills necessary to provide age-appropriate care to the population served. Adheres to the established practice standards and procedures at New London Hospital, in the administration of all medications and in-patient care activities. Documents care provided using hospital standards. Provides education to patients and families based on assessment of learning needs. Follows the Standards of Practice established for the Emergency Services Department. Qualifications Graduate of an accredited school of nursing. Minimum 2 years of clinical practice required. ED experience preferred. Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (ACLS) Advanced Cardiac Life Support • (BLS) Basic Life Support