RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Vascular Access Services

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
RN Manager/Supervisor Full-time
Dartmouth Hitchcock Medical Center

Nurse Manager - Heart and Vascular Administration, Days

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Plans, directs, coordinates and evaluates the operational, fiscal and personnel activities to ensure the provision of high quality, safe patient/family centered care 24 hours a day. Advocates for and allocates available resources to promote efficient, effective, safe and compassionate nursing care. Responsibilities Manages the hiring process to meet anticipated staffing needs. Plans adequate staffing and adjustments in alignment with patient volume and clinical needs. Evaluates and manages the performance of staff members, to include coaching and the performance management processes. Manages the matrix relationships, including but not limited to providing input and feedback to Nurse Educators, Clinical Nurse Specialists, and Clinical Nurse Leaders assigned to the practice area, to ensure clinical competency of staff, quality of patient/family centered care and professional development of clinical staff. Identifies opportunities for best practices and continued improvement and oversees implementation of such practices. Responsible for operationalizing best practices in team care coordination. Proactively accesses safety risks and promotes and models a culture of safety. Manages staff and processes to achieve outcomes and organizational goals in regard to clinical quality, patient safety, and patient experience. Manages to operational budget for the unit. Monitors patient revenues and expenses and operational expenses and provides required reports to administration. Ensures that unit facilities and equipment meet necessary standard and monitors utilization of equipment. Facilitates the work of the Professional Nursing Organization, including facilitating the Practice Area Council. Coaches clinical nurses in professional development and engagement in the Program for Advancing Clinical Excellence (PACE) credentialing program. Assures that Joint Commission and other applicable regulatory standards are met in the clinical area. Assures that evidenced based practice and nursing practice standards are achieved in the clinical area. Assumes accountability for maintaining a safe work environment in alignment with Dartmouth-Hitchcock’s commitment to employee safety and regulatory requirements including but not limited to Occupational Safety and Health Administration (OSHA) and applicable state and federal law. Supports and/or participates in clinical research programs in collaboration with the interprofessional team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) is required. Master’s degree strongly preferred. Supervisory and/or management experience required. 5 years of progressive responsibility within an acute care setting required. Must obtain and maintain clinical competencies within assigned unit. Clinical or professional certification preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility Basic Life Support (BLS) upon hire. Advanced Cardiac Life Support (ACLS) upon hire.
RN ER Part-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department, Part Time

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. This is a PT 2x12hr shifts/week with ROTATING SHIFTS: Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date. AVADE Workplace Violence Prevention Training within one year of hire date Moderate Sedation Training within one year of hire date. Trauma Nurse Core Course within one year of hire date.
RN OR Full-time
Dartmouth Hitchcock Medical Center

Perioperative 101 Program (RN) - O.R. Perioperative Services (August start date)

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Perioperative 101 Program (August start date) Operating Room, Medical Center, Main Campus This position is for the Periop 101 program, a 9-month program for nurses combining Association of peri-Operative Registered Nurses (AORN) approved online didactic learning with clinical skills labs and experiences in the Operating Room. It is a Full-time, benefited position. The Main OR operates 26 operating room suites and is dedicated to providing care for adult and pediatric patients (Thoracic, General, GYN, urology, Plastics, ENT, Eyes, Orthopedics, Cardiac, Vascular, Neuro and Transplant), to include trauma. Typical schedule is 10 hour shifts to include call for Holidays (Note the first 9 weeks will be 8 hour days). The ultimate goal of the Operating Room is to provide the right care in the right place and the right time for our patients who seek our surgical services. The program begins with participation in selected Periop Orientation offerings, which are integrated with Perioperative Nursing content. Upon successful completion of the didactic portion of training, the nurse is paired with a mentor in the circulating role for a designated period of time. Following this, the nurse spends time in each of the surgical specialties offered at Dartmouth-Hitchcock Medical Center before choosing a surgical service in which to specialize their nursing practice. Retention Bonus for commitment of 2 years following completion of training period. (paid in installments) Responsibilities The program starts on August 17, 2026 for New Grads and August 31, 2026 for Experienced nurses. All accepted applicants are required to successfully pass the New Hampshire N-CLEX Exam for RN's prior to their start date. No accepted applicants will be allowed to enroll unless they are licensed as a registered nurse in New Hampshire. Experienced nurses looking to change tracks to the Operating Room should also apply. Participants in this program pay no fee, but they are paid full salary and benefits during this program. This DHMC commitment to the participants in this program is balanced with a commitment from each student to work full-time for two years in the operating room at DHMC upon successful completion of the program. The program is concentrated mainly on the circulator role. The operating room is a physically demanding, high stress environment. Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions is a possibility. Physical requirements include: Full range of body motion including handling and lifting patients, pushing and pulling heavy objects, standing and walking for extensive periods of time, lifting and carrying items weighing up to 50 pounds, corrected vision and hearing to within normal range, manual and finger dexterity, hand and eye coordination, and working irregular hours including call hours. Qualifications •Graduate from an accredited Nursing Program required.•Bachelor of Science Degree in Nursing (BSN) with 1 year of experience.•Associate Degree (ADN) prepared nurses with 2 years' experience. Required Licensure/Certifications •Licensed Registered Nurse in New Hampshire required.•Basic Life Support (BLS) Certificate required upon hire and as applicable, higher level per unit certification requirements as stated on the grid attached to the AHA and Life Support Policy•ACLS Certificate required upon hire in Endoscopy, Tele-ICU, Day Surgery Center at CGP (Manchester), Life Safety and Cardiology-Echocardiography
RN OR Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Operating Room

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 Psych Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Adolescent Med Psychiatric Care Unit, Days

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Academic Medical Center is expanding to meet the needs of pediatric patients in our rural New England region who require inpatient psychiatric care. The Inpatient Adolescent Med Psychiatric Care Unit opened in Spring 2025. We are recruiting Pediatric RNs and Psychiatric RNs with a passion for supporting adolescent patients ages 12 to 17. The successful candidate will be flexible and have a team-oriented approach to care. This is a FT Day shift position with 3x12hr shifts from 7a-7p across all days of the week, including weekends and holidays. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
CMA Outpatient Part-time
Dartmouth Hitchcock Medical Center

Medical Assistant II - Staffing Resource Team, Ambulatory, Part-time

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Medical Assistant II - Part time (20 hours) Staffing Resource Team Ambulatory Regional Float Half time, (20 hours p/wk) Monday – Friday $5.00 differential with SRT float The Staffing Resource Team (SRT) is comprised of part time or full time staff that float through the Dartmouth Hitchcock ambulatory departments, located at DHMC based on our current staffing needs. They provide critical support to departments with current staffing needs Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site. Responsibilities Greets, checks in patients, and notifies appropriate provider. Prepares patient, room and equipment for procedures and exams. Takes and records vital signs. Informs provider of patient vital signs and concerns. Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. Handles patient situations over the phone, schedules appointments and procedures with medical professionals. Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. Register new patients and establishes a medical record. Prepares patient billings. Assists patients by filling out insurance and other forms. Supplies authorized information upon request by third party payors. Instructs patients in preparation for specific procedures. Collects and processes routine laboratory specimen. Operates and maintains clinical equipment. Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. Performs other duties as required or assigned. Qualifications Graduate of an accredited Medical Assistant Program required. Previous experience in office or outpatient ambulatory care setting strongly preferred. Demonstrated strong communication, organizational, and interpersonal skills. Demonstrated ability to work well as a member of a team. Computer skills strongly preferred. Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Required Licensure/Certifications Certified Medical Assistant (CMA) - American Association of Medical Assistants OR Registered Medical Assistant (RMA) - American Medical Technologists OR Certified Clinical Medical Assistant (CCMA) – National Healthcareers Association plus DOL Registered Apprenticeships Certificate of Completion. Current BLS certification required.
CMA Full-time
Dartmouth Hitchcock Medical Center

Medical Assistant II (MA) - Orthopedics

Dartmouth Hitchcock Medical Center Concord, NH
Overview $5,000 Sign on Bonus for eligible new hires. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site. Full-Time, 40 hours/week, M-F 8am-5pm. Responsibilities Greets, checks in patients, and notifies appropriate provider. Prepares patient, room and equipment for procedures and exams. Takes and records vital signs. Informs provider of patient vital signs and concerns. Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. Handles patient situations over the phone, schedules appointments and procedures with medical professionals. Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. Register new patients and establishes a medical record. Prepares patient billings. Assists patients by filling out insurance and other forms. Supplies authorized information upon request by third party payors. Instructs patients in preparation for specific procedures. Collects and processes routine laboratory specimen. Operates and maintains clinical equipment. Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. Performs other duties as required or assigned. Qualifications Graduate of an accredited Medical Assistant Program required. Previous experience in office or outpatient ambulatory care setting strongly preferred. Demonstrated strong communication, organizational, and interpersonal skills. Demonstrated ability to work well as a member of a team. Computer skills strongly preferred. Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Required Licensure/Certifications Certified Medical Assistant (CMA) - American Association of Medical Assistants OR Registered Medical Assistant (RMA) - American Medical Technologists OR Certified Clinical Medical Assistant (CCMA) – National Healthcareers Association plus DOL Registered Apprenticeships Certificate of Completion. Current BLS certification required.
LPN Outpatient Part-time
Dartmouth Hitchcock Medical Center

Licensed Practical Nurse (LPN) - Staffing Resource Team Ambulatory Clinic

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview LPN Staffing Resource Team - System Staffing Office Half-time (20 hours p/week) Days $5.00 shift differential for Staffing Resource Team The Staffing Resource Team (SRT) is comprised of part time or full time staff that float through the Dartmouth Hitchcock ambulatory departments, located at DHMC based on our current staffing needs. They provide critical support to departments with current staffing needs Responsibilities Utilizes the nursing process - assessment, planning, implementation, and evaluation to facilitate continuing health care to individuals, families, and community. Identifies common and recurring nursing needs of the patient. Recognizes the need for and performs routine office procedures and testing. Assists patients to achieve basic health care goals. Identifies patient education needs, providing instruction or referring appropriately. Assists staff in institutional quality improvement measures and office standards of practice. Provides telephone advice to patients per physician specific protocols; refers patients appropriately. Participates in staff meetings. Performs other duties as required or assigned. Qualifications Graduate of an accredited school of practical nursing. Required Licensure/Certifications Licensed Practical Nurse (LPN) in the State of NH required. Basic Life Support (BLS) Certificate required.
CMA Full-time
Dartmouth Hitchcock Medical Center

Medical Assistant II (MA) - Dermatology

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview $5,000 Sign on Bonus for eligible new hires. Responsible for clinical duties such as taking vital signs, giving injections, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, and maintaining examination rooms at an outpatient care site. Full-Time, 32 hours/week. Responsibilities Greets, checks in patients, and notifies appropriate provider. Prepares patient, room and equipment for procedures and exams. Takes and records vital signs. Informs provider of patient vital signs and concerns. Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. Handles patient situations over the phone, schedules appointments and procedures with medical professionals. Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. Register new patients and establishes a medical record. Prepares patient billings. Assists patients by filling out insurance and other forms. Supplies authorized information upon request by third party payors. Instructs patients in preparation for specific procedures. Collects and processes routine laboratory specimen. Operates and maintains clinical equipment. Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. Performs other duties as required or assigned. Qualifications Graduate of an accredited Medical Assistant Program required. Previous experience in office or outpatient ambulatory care setting strongly preferred. Demonstrated strong communication, organizational, and interpersonal skills. Demonstrated ability to work well as a member of a team. Computer skills strongly preferred. Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Required Licensure/Certifications Certified Medical Assistant (CMA) - American Association of Medical Assistants OR Registered Medical Assistant (RMA) - American Medical Technologists OR Certified Clinical Medical Assistant (CCMA) – National Healthcareers Association plus DOL Registered Apprenticeships Certificate of Completion. Current BLS certification required.
RN Part-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Vascular Access Services, Part Time

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
RN Manager/Supervisor Outpatient Full-time
Dartmouth Hitchcock Medical Center

Clinical Nurse Supervisor - Outpatient/Ambulatory - Family Medicine

Dartmouth Hitchcock Medical Center New London, NH
Overview At the direction of the Ambulatory Nurse Director, and in collaboration with the Newport Health Center Practice Manager, provides guidance and leadership for the clinical practice of the staff in the ambulatory settings at Newport Health Center (NHC). Accountable for the quality of nursing care service, in accordance with the NH Nurse Practice Act, hospital policies, and the NH Board of Nursing rules for delegated nursing tasks. Collaborates with Medical Director, providers and Practice Manager to assure development and ongoing competence of the clinical support staff. Works closely with the NLH Primary Care Operations team to build consistent clinical processes across locations. Collaborates with the Ambulatory Nursing Director to assure that system nursing practice goals and expectations are met. Responsibilities Clinical Operations Directly responsible for operational and performance management of RN/LPN, CMA, and other clinical staff in the Newport Health Center (direct reports). Manages Clinical Schedule, Time Away, and Payroll for Direct Reports, and collaborates with Practice Manager to provide consistent appropriate clinical coverage to Newport Health Center Providers. Develops and implements program for the onboarding of new clinical staff. Provides leadership in emergent situations and in those that require activation of the Emergency Activation Plan. Maintains up-to-date working knowledge of emergency preparedness in order to function as a resource to staff. Maintains clinical skills in order to provide direct care as needed. Maintains a presence in the clinical area and is actively engaged in the discussion of clinical care provided to patients. Maintains skills in order to function as a "super user" for the EMR. Participates actively in the review of existing policies and procedures. Develops new policies when appropriate. Collaborates with other health care disciplines/departments to maintain communication and provide an optimal level of patient care. Leadership and Staff Development Role models professional standards of behavior and nursing practice as required through the Nurse Practice Act. Collaborates with the Ambulatory Director to develop the leadership and operational skills of nurses in the ambulatory setting. Actively engages staff in educational activities. Develops and maintains collaborative relationships with leaders throughout the organization. Provides feedback to Director of Ambulatory Nursing and Newport Health Center Practice Manager when assessing and observing practice. May be asked to be an active participant in a performance improvement plan for designated staff (non-direct reports). Works with Director of Ambulatory Nursing and Newport Health Center Practice Manager to promote clinical environments in which staffs participate in ongoing education as well as the use of a wide range of resources available to enhance practice. Actively participates in the Primary Care Operations team to collaborate with New London Hospital (NLH) leadership to standardize clinical and operational processes as indicated. Works closely with NLH Ambulatory Nurse Manager to assure consistency of high-quality clinical care throughout NLH ambulatory sites. Provides clinical consultation and assistance upon request to other patient care areas at NLH and NHC Develops, in collaboration with the Practice Leadership, CNO and nurse leaders, programs and strategies to assure ongoing competency of RN clinical staff. Maintains professional competence through participation in education programs and workshops. Quality Accountable for working with staff to assure Rural Health Center (RHC) survey readiness. Assists and supports Practice Managers in the implementation and evaluation of performance improvement indicators. Functions as a "champion" in designated initiatives by role modeling, serving as an educator, and participating in the evaluation of the initiative. Serves as a resource to clinical staff for specialty-based information and research. Promotes clinical practice based on best evidence. Promotes a culture of patient-centered care. Works effectively with the Patient Experience Program Manager to assure the patient/family experience is of the highest quality. Demonstrates ability to work effectively and collaboratively with physician leaders and colleagues in the departments to assure quality in the provision of patient care. Qualifications BSN preferred Minimum of 3 years of nursing experience Experience in Ambulatory setting preferred Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility
RN Labor and Delivery Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Birthing Pavilion, LDRP, Labor and Delivery

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Birthing Pavilion is a 21-room, 24-bed Labor, Delivery, Recovery and Postpartum (LDRP) unit. We average approximately 1300 deliveries each year. Approximately fifty-five percent of our patients are high-risk and are part of our Maternal Fetal Medicine service. We receive transports from all of New Hampshire, Southern Vermont, and occasionally Maine. We have a robust midwifery service along with a generalist physician service. We provide antepartum care, intrapartum care, postpartum care, normal newborn care, and focus care newborn care. We have a two-bed triage room in which we triage all of our own patients. Our unit includes two operating rooms (ORs) in which everyone is trained in perioperative care, i.e. circulating and scribing in the OR, and Post Anesthesia Care Unit (PACU) services. We collaborate with many units in the organization including the Emergency Department, Intensive Care Unit (ICU), Cardiovascular Critical Care (CVCC), and the Main Operating Room to provide highly specialized care to our pregnant and postpartum patients. The Intensive Care Nursery (ICN or NICU) is next door to us and we have a very close relationship with their team. Schedule consists of 12hr shifts that rotate 7a-7p, 7p-7a across all 7 days. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications - Licensed Registered Nurse with New Hampshire eligibility.- Basic Life Support (BLS) Certificate required upon hire- Fetal Heart Monitoring Intermediate (FHM) or Fetal Heart Monitoring Advanced (FHM-ADV) within 6 months of hire for experienced RN; new grad or internal transfer within one year of hire. Alternatively, Certification in Fetal Monitoring C-EFM accepted in place of FHM certification.- Neonatal Resuscitation Provider (NRP) Certificate required within 6 months of hire date.
RN Mother-Baby Full-time
Dartmouth Hitchcock Medical Center

Lactation Consultant Registered Nurse, Days

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview We are building an expanded Lactation Services team and are seeking a compassionate, skilled Lactation Consultant (IBCLC) to support new parents, newborns, and infants throughout their feeding journey. In this role, you will serve as a trusted educator and facilitator—guiding families in informed decision-making, infant feeding techniques, and self-care during the postpartum period. This position plays a key role in supporting patient-centered, evidence-based care while collaborating closely with our interdisciplinary care teams. Rotating schedule, including weekday shifts and rotating Saturday coverage This is an exciting opportunity to help shape and grow a developing Lactation program while making a meaningful impact on families during a critical stage of care. This is a Part Time Benefited position at 30hrs/week. Shifts are 10hrs and rotating. The rotation includes Weekdays & rotating Saturday coverage. Responsibilities Act as a facilitator in assisting new parents, newborns, infants, and families in matters regarding decision-making, self-care and infant care relative to feeding. Performs assessments on inpatients and outpatients who are referred for individual chest/breastfeeding consultations, teaching, and/or feeding support session(s). Plans, implements and evaluates individual chest/breastfeeding education based on patient assessment and medical plan of care. Teaches patient and significant others about chest/breastfeeding self-management. Documents all aspects of chest/breastfeeding education. Facilitate referral to other health-care professional, community service and support groups as needed. Triage patients, plan/recommend interventions and/or determine immediate need for evaluation. Initiate infant feeding education prenatally for families making feeding choices through accurate information provided in a variety of settings. Work in collaboration with multi-disciplinary team members in teaching parents and their families in the inpatient hospital and outpatient clinic setting and identify lactation needs, formulating and implementing plans using a problem-solving process for special needs parents and infants regarding infant nutrition. Implement standards of care, policies and procedures for infant nutrition. Collaborate on written literature and/or brochures about infant and parent nutrition to be distributed to families and the community. Develop in-services and one-on-one teaching for multi-disciplinary team members relevant to infant nutrition. Serve as a resource person for nurses, physicians and other health care providers within the hospital/clinic and the community. Support in maintaining statistics on the Dartmouth Hitchcock Medical Center chest/breastfeeding population, evaluating, and updating the infant nutrition support services as indicated. Maintain communication based on referral, when indicated for parents/the feeding dyad, with other health care providers. Utilize knowledge of age-related growth and development to individualize the nursing process, functioning in accordance with the nursing philosophy, the standards of care, and the standards of practice, as defined by the New Hampshire Nursing Practice Act, and with respect for the Patient Bill Promote the philosophy, values and goals of the organization and the department, maintaining a functional communication network for the promotion of effective customer service. Demonstrate patience, courtesy and compassion when interacting with patients, visitors, employees and our other customers, maintaining excellent professional rapport. Demonstrate a positive attitude and an ability to work with others in a cooperative effort to ensure customer satisfaction and continuous Quality Improvement. Comply with the department and Medical Center safety and infection control policies and procedures, and with relevant regulatory and legal standards. Participate in all meetings, in-service sessions and required professional development programs and activities in order to maintain IBCLC certification Other duties as assigned. Qualifications Education: Graduate of an accredited nursing program. Experience: Minimum of five years of experience within inpatient care in the OB and/or newborn setting, including parent education experience. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility CLC Certified Lactation Counselor or International Board Certified Lactation Consultant (IBCLC) BLS or ACLS at hire
LPN Med-Surg Full-time
Dartmouth Hitchcock Medical Center

Licensed Practice Nurse (LPN) - Med Surg

Dartmouth Hitchcock Medical Center New London, NH
Overview The Licensed Practical Nurse – Medical/Surgical Unit - is responsible for providing safe, high quality care to general care patients as a team member in an assignment supervised by a Registered Nurse. Demonstrates commitment to patient/family engagement and effective communication. Practices consistently with applicable state nursing practice regulations, applicable NLH policies and procedures. The LPN may administer intravenous medications upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse. Responsibilities Provides and documents nursing care assessments, nursing interventions and patient/family education to stable patients under the supervision of a Registered Nurse in accordance with the patient’s plan of care. Alerts Registered Nurse to any observed change in patient presentation or unexpected assessment findings Reviews assigned patient plan of care and pertinent active orders in the patient electronic medical record prior to providing care. Assists patients with activities of daily living, nutrition and hydration according to orders and goals of care Performs and documents focused nursing assessments of assigned patients, including but not limited to vital signs, assessment of pain, skin and wound assessment, functional status assessment, assessment of drains and ostomies, assessment of fluid balance, assessment of nutritional status Administers oral, topical and inhaled medications. May administer intravenous medications upon successful completion of NH Board of Nursing approved training and with specific delegation by a Registered Nurse. Applies dressings and assistive devices as indicated by assessment or as ordered by the interdisciplinary team, if applicable Reports relevant assessment findings and suggestions to enhance patient care directly to members of the interdisciplinary team in addition to the supervising Registered Nurse Complies with policies, procedures, and area-specific expectations related to maintaining a safe environment of care. Initiates reporting or action when needed to address safety concerns Complies with policies, procedures and area-specific expectations related to medication safety; patient identification; specimen collection and specimen labeling activities; documentation of patient information and patient care activities; as well as dependability, attendance and scheduling Participates in staff meetings, required learning, attestation, competency, and training activities according to area-specific and organizational expectations. Independently monitors email and other communications as necessary to meet these expectations Performs other duties as required or assigned. Qualifications NH Board of Nursing Approved IV Therapy Certification required upon hire or within 6 months. Graduate of an accredited school of practical nursing Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed LPN with NH eligibility
RN Infusion Oncology Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Hematology/Oncology Infusion

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Hematology/Oncology Infusion Clinic Monday through Friday, 36 hours per week (9 hour shifts) We are seeking a compassionate and experienced nurse to join the ambulatory oncology infusion team at Dartmouth Cancer Center. The Oncology RN will provide specialized nursing care to Hematology/Oncology patients undergoing treatment. Duties include administration of chemotherapy, biotherapy and supportive care medications and procedures (ex: transfusions) and patient education. The ideal candidate would have oncology experience with a Chemotherapy/Biotherapy provider card from ONS but will train the right candidate. As our Hematology/Oncology Infusion department continues to grow and expand, we are looking for nurses with an unwavering commitment to professionalism, nursing excellence and teamwork. Our clinic treats patients Monday-Friday, excluding holidays, from 730am to 6pm. Opportunity to cross train to pediatrics available. When you join the DCC team you are not just taking a job, you are making a difference in people's lives. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibilty. Chemotherapy Immunotherapy Certificate (CHIC) within 30 days of hire. Basic Life Support (BLS) Certificate required.
RN Oncology Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Oncology Nurse Navigator, Thoracic

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Dartmouth Cancer Center - Thoracic Oncology Nurse Navigator (RN) 40 hours per week In collaboration with an interdisciplinary team, provides care coordination, education and support to patients, families and caregivers throughout the cancer continuum to ensure high quality care across all care delivery sites. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Assesses patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services and referrals and support services, such as dietitians, providers, social work, and financial services. Identifies potential and realized barriers to care (e.g., transportation, childcare, elder care, housing, language, culture, literacy, role disparity, psychosocial, employment, financial, insurance) and facilitates referrals as appropriate to mitigate barriers. Develops or utilizes appropriate assessment tools to promote a consistent, holistic plan of care. Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care. Provides education to patient, families, and caregivers to the cancer healthcare system, multidisciplinary team member roles and available resources. Participates in the tracing of metrics and patient outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program and report findings to the cancer committee. Assists in the identification of candidates for molecular and/or genetic testing and counseling and facilitates appropriate referrals. Acts as a liaison between the patients, families and caregivers and the providers to optimize patient outcomes. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) required; Master's preferred. Three years of oncology experience in an acute or ambulatory care setting preferred. Strong organizational skills and the ability to prioritize and reprioritize Ability to develop collaborative relationships internally and externally Strong oncology knowledge Basic computer skills Ability to work autonomously Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Oncology Nurse Certification (OCN) required within 365 days of hire. Basic Life Support (BLS) upon hire.
RN Oncology Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Oncology Nurse Navigator, Center for Digestive Health

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Oncology Nurse Navigator - Center for Digestive Health 40 hours per week In collaboration with an interdisciplinary team, provides care coordination, education and support to patients, families and caregivers throughout the cancer continuum to ensure high quality care across all care delivery sites. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; 4 member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Assesses patient needs upon initial encounter and periodically throughout navigation, matching unmet needs with appropriate services and referrals and support services, such as dietitians, providers, social work, and financial services. Identifies potential and realized barriers to care (e.g., transportation, childcare, elder care, housing, language, culture, literacy, role disparity, psychosocial, employment, financial, insurance) and facilitates referrals as appropriate to mitigate barriers. Develops or utilizes appropriate assessment tools to promote a consistent, holistic plan of care. Facilitates timely scheduling of appointments, diagnostic testing, and procedures to expedite the plan of care and to promote continuity of care. Provides education to patient, families, and caregivers to the cancer healthcare system, multidisciplinary team member roles and available resources. Participates in the tracing of metrics and patient outcomes, in collaboration with administration, to document and evaluate outcomes of the navigation program and report findings to the cancer committee. Assists in the identification of candidates for molecular and/or genetic testing and counseling and facilitates appropriate referrals. Acts as a liaison between the patients, families and caregivers and the providers to optimize patient outcomes. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) required; Master's preferred. Three years of oncology experience in an acute or ambulatory care setting preferred. Strong organizational skills and the ability to prioritize and reprioritize Ability to develop collaborative relationships internally and externally Strong oncology knowledge Basic computer skills Ability to work autonomously Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Oncology Nurse Certification (OCN) required within one year of hire. Basic Life Support (BLS) upon hire.
RN Home Health Hospice Full-time
Dartmouth Hitchcock Medical Center

RN Case Manager Hospice - Visiting Nurse and Hospice

Dartmouth Hitchcock Medical Center White River Junction, VT
Overview At the direction of the Clinical Manager, coordinates/manages a case load comprised of Hospice patients. Assesses, plans, implements, coordinates, and evaluates care for each patient/family in conjunction with the hospice interdisciplinary team. Case management includes but is not limited to; comprehensive needs assessments, development of appropriate plan of care, referral to internal and external resources, evaluation of outcomes, and provision of nursing educational, clinical and related services. Supervises the Licensed Nursing Assistants/ Home Health Aides. Responsibilities Provides a full range of professional nursing care to patients in their homes under the medical direction of a licensed physician. Regularly reevaluates patient's nursing needs and informs physician and other personnel of any changes in patient's condition or needs. Initiates the plan of treatment and any necessary revisions. Supervises the Home Health Aides. Teaches nursing care to be given in the home and reviews and explains the patient care plans. Performs initial and subsequent assessments of patient/family physical, emotional, psychosocial, spiritual and cultural needs to ensure and coordinate the delivery of comprehensive, comfort-focused services through the development of the Hospice patient plan of care. Represents VNH in a positive, proactive manner while participating in community education/support/ PR events. Maintains continuity of patient care by planning and exchanging information with IDT members, Department personnel and other health and social agencies as is appropriate. This job description is not meant to be exhaustive and may be modified as needed. Employees may be assigned other related duties to meet organizational needs. Key Performance Indicators: Timeliness of clinician documentation (within 24hours) Meets productivity standards Maintains compliance with HOPE visits Qualifications REQUIRED QUALIFICATIONS Must be a licensed Registered Nurse in Vermont and New Hampshire or hold a compact license. Graduate of an accredited school of nursing PREFERRED QUALIFICATIONS Minimum two years’ general experience in a supervised nursing setting recommended. Hospice/Homecare experience preferred. Certified in Hospice/Palliative Care Nursing desirable. Required Licensure/Certifications Unencumbered RN license in VT and NH or compact.
RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Hematology

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Hematology Clinic 40 hours per week The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire. We have loan repayment up to $20,000. We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home. We offer generous tuition reimbursement. We have a very popular "earned time" plan. We have extensive CEU/Training programs. Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art. Our nurses serve as central figures in the success of our system through our shared governance nursing model. We offer a rigorous, research-focused environment. Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center. Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift. Read more about Dartmouth Health and why YOU should work here. The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
RN OR Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Perioperative Services, Cardiac Specialty team

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Interested in working for one of the top medical centers in New England and in a Level I Trauma Center? How about joining a highly specialized team who care for patients needing cardiac surgery? The OR with 26 spacious high-tech suites may be just what you're looking for. Both inpatient and outpatient procedures are done in these ORs, care is provided to patients of all age's neonate, pediatric, adult and geriatrics. We have numerous opportunities for growth within the cardiac team and as well as openings in our other perioperative nursing teams. You'll be joining a team who both circulate and scrub cardiac cases, participate in minimally invasive valve replacement cases in the cath lab as well as initiate ECMO in our critical care units. While DHMC is situated in a lovely rural area in New Hampshire bordering Vermont, our patients come from throughout New England and beyond. You'd be joining a team of highly trained nurses, certified surgical techs, physicians and associate providers who take pride in providing safe, efficient and effective care to this patient population. The Registered Nurse is a key member of the surgical team who may function in a circulator or scrubbing capacity. Services include ENT, general surgery, orthopedics, plastic surgery, urology, gynecology, ophthalmology, oral surgery, neuro, robotics, vascular, cardiac and thoracic surgery. We offer a periop 101 residency program for new and experienced RN's looking to enter the field of OR nursing. D-H's Professional Nursing Organization has also implemented a robust program to support nursing growth at the bedside through our Program for Advancing Clinical Excellence (PACE). If you can see yourself in this environment, DHMC's Heart and Vascular Center is growing and we invite you to apply or reach out to us for additional information. Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Certified Nurse Operating Room CNOR Certification Preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
LNA Pediatric Full-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - Pediatrics

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Performs various patient care activities and related nonprofessional services necessary in caring for the personal needs and comfort of patients. Assists nursing service personnel with a variety of patient care duties. Possesses direct access to drug products and secure medication locations in order to manage the storage, handling and disposal of medications consistent with the Medication Storage and Handling Policy. Responsibilities Assists with routine patient care activities under the supervision of the Registered Nurse, including, but not be limited to, performing ADL’s, obtaining clinical data, including vital signs, heights and weights, utilizing universal precautions, collecting specimens or performing point of care testing and recording results in medical record, etc. Assists in maintaining a clean and safe work environment by keeping the hallways clear of excess equipment, emptying linen bags when full, etc. Assists visitors and answer telephones. Assists new co-workers in learning the work of the department. Performs other duties as required or assigned. Qualifications High school graduate required. Must demonstrate keyboarding skills and be familiar with computer use. Previous hospital experience preferred. Required Licensure/Certifications Licensed Nursing Assistant in the State of NH required. Basic Life Support (BLS) required upon hire.
RN OR Outpatient Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Outpatient Surgery Center, Operating Room

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Registered Nurse, Operating Room Monday – Friday; 4x10 hour shifts, 6:00am – 6:30pm The Outpatient Surgery Center (OSC) At Dartmouth Hitchcock is a free standing center located on the DHMC Lebanon campus. The OSC operates eight operating room suites and is dedicated to providing care for adult and pediatric patients requiring same-day surgical procedures. The ultimate goal of the OSC is to provide the right care in the right place and the right time for our patients who seek our surgical services. The Registered Nurse is a key member of the surgical team who may function in a circulator or scrubbing capacity. Current services include ENT, orthopedics, plastic surgery, urology, ophthalmology, gynecology, and general surgery. Outpatient Surgery experience preferred and the desire to work as a team member in an efficient, patient centered environment a must. Computer experience preferred as well as the ability to adapt to a rapidly changing environment. The OSC is growing and needs an individual that can function clinically as well as be a part of designing OSC processes for the future The ideal candidate must be a team player, enthusiastic and willing to be flexible to meet case volume needs. 10hr shifts, 7:00AM - 5:30PM The OSC Operating Room RN is directly responsible for performing the roles and responsibilities of the circulating and/or scrub nurse in the operating room. The RN will provide direct patient care in accordance with OSC policies and AORN standards. Responsibilities include but are not limited to: maintaining a safe surgical environment; fiscal stewardship of supplies, materials and resources; continuing education for self and new employees; active involvement in quality and process improvement activities. The OR RN in the OSC is part of a team environment. Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program Bachelor of Science Degree in Nursing (BSN) preferred with at least 1 year of experience. Associate Degree (ADN) prepared nurses with 2 years' Required Licensure/Certifications Licensed Registered Nurse with New Hampshire BLS upon hire. Advanced Life Support (ACLS) required within six months of hire date. Pediatric Advanced Life Support (PALS) preferred, required within six months upon hire
LNA Infusion Oncology Full-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - Dartmouth Cancer Center Hematology/Oncology Infusion

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Hematology/Oncology Infusion Clinic 40 hours per week Performs various patient care activities and related nonprofessional services necessary in caring for the personal needs and comfort of patients. Assists nursing service personnel with a variety of patient care duties. Possesses direct access to drug products and secure medication locations in order to manage the storage, handling and disposal of medications consistent with the Medication Storage and Handling Policy. Responsibilities Assists with routine patient care activities under the supervision of the Registered Nurse, including, but not be limited to, performing ADL’s, obtaining clinical data, including vital signs, heights and weights, utilizing universal precautions, collecting specimens or performing point of care testing and recording results in medical record, etc. Assists in maintaining a clean and safe work environment by keeping the hallways clear of excess equipment, emptying linen bags when full, etc. Assists visitors and answer telephones. Assists new co-workers in learning the work of the department. Performs other duties as required or assigned. Qualifications High school graduate required. Must demonstrate keyboarding skills and be familiar with computer use. Previous hospital experience preferred. Required Licensure/Certifications Licensed Nursing Assistant in the State of NH required. Basic Life Support (BLS) required upon hire.
LNA Infusion Oncology Part-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - Dartmouth Cancer Center Hematology/Oncology Infusion, Part-Time

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Hematology/Oncology Infusion Clinic 20 hours per week Performs various patient care activities and related nonprofessional services necessary in caring for the personal needs and comfort of patients. Assists nursing service personnel with a variety of patient care duties. Possesses direct access to drug products and secure medication locations in order to manage the storage, handling and disposal of medications consistent with the Medication Storage and Handling Policy. Responsibilities Assists with routine patient care activities under the supervision of the Registered Nurse, including, but not be limited to, performing ADL’s, obtaining clinical data, including vital signs, heights and weights, utilizing universal precautions, collecting specimens or performing point of care testing and recording results in medical record, etc. Assists in maintaining a clean and safe work environment by keeping the hallways clear of excess equipment, emptying linen bags when full, etc. Assists visitors and answer telephones. Assists new co-workers in learning the work of the department. Performs other duties as required or assigned. Qualifications High school graduate required. Must demonstrate keyboarding skills and be familiar with computer use. Previous hospital experience preferred. Required Licensure/Certifications Licensed Nursing Assistant in the State of NH required. Basic Life Support (BLS) required upon hire.