RN PACU Other
Dartmouth Hitchcock Medical Center

Pre Op / PACU Registered Nurse (RN)

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 Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Otolaryngology

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Otolaryngology 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 ICU Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Neuro Critical Care, Rotating

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 Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date.
RN OR Outpatient Part-time
Dartmouth Hitchcock Medical Center

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

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Registered Nurse, Operating Room PART-TIME Monday – Friday; 2x10 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
RN PACU Full-time
Dartmouth Hitchcock Medical Center

Pre Op /PACU Registered Nurse (RN) - PACU

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 Outpatient Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Same Day Surgery, Days

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview O.R. Same Day Surgery Full-time, 4 x 10 hour shifts, Monday – Friday ! 6:00am - 8:30pm (staggard start times) Our Same Day Program is a very busy 34-bed unit where patients are efficiently prepared for their surgery or procedures. A typical day we care for 50-70 patients. We also provide post anesthesia recovery care for those patients being discharged home the “same day” as their procedure. On the main unit we serve patients from 15 years through adulthood and in our separate pedi periop program we care for patients 14 and under. Within our department is a regional block program where patients receive sedation by our moderate sedation trained nurses while being administered a preoperative block before going into the OR for most commonly a joint replacement. Preadmission Services that utilize our program include but are not limited to orthopedics, gynecology, plastics, ENT, vascular, urology, radiology, cardiology and thoracic surgery. We are looking for experienced nurses that are team players and want to work in a busy 34 bed Same Day Surgery Program (SDP). Shifts are 10 hours between the hours of 6:00 am and 8:30 pm. Nurses must have current acute care hospital experience. Critical Care experience and IV skills are a plus. Same Day Program consists of an energetic and enthusiastic group of professionals that are engaged in sharing their knowledge of perioperative services! 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.anages 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. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate or ACLS required upon hire
RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse- Hampstead Hospital

Dartmouth Hitchcock Medical Center Hampstead, 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. This position is Night Shift, Full time, reporting to the Young Adult Services Unit. Up to a $15,000 Bonus available! Responsibilities Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care for inpatient and residential high acuity pediatric psychiatry patients. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status and demeanor, taking action to modify the plan of care and maintain a therapeutic milieu or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics and scope of practice regulations 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 in the care of high acuity pediatric psychiatry patients. 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 Other
Dartmouth Hitchcock Medical Center

Case Manager - Registered Nurse (RN) - Per Diem, Float

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Per diem Float position based in Lebanon NH Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities Facilitates the development of a plan of care in collaboration with the patient, family, caregiver and health care team. This is done through early identification and thorough assessment of the patient’s need/preferences and resources available. Determines the appropriate level of care and coordinates the interdisciplinary treatment and plan of care. Facilitates the progression of care by advancing the care plan to achieve desired outcomes. Monitors the progress towards the goals of the plan and alerts the health care team to potential revisions to the plan in response to the changes in the patient needs and condition. Triages telephone calls and responds to patients and families and other members of the healthcare teams questions that are within a registered nurse’s scope of practice. Communicates information to the health care team and those involved in the treatment and patient’s care. Advocates on behalf of patients/families and caregivers for service access and insurance benefits within the constraints of regulations, and for the protection of the patient’s health, safety and rights. Recognizes situations that require referrals to Quality, Risk Management, or Patient and Family Relations and discusses with leadership. Evaluates the options available and balances cost and quality to assure the optimal clinical and financial outcomes. Facilitates progression to appropriate levels of care. Evaluates patient outcomes affected by the care management process for improvement opportunities. Identifies potential for and participates in quality improvement initiatives within the clinical setting or other organizational committees. Works with the clinical research to coordinate care for patients on complex protocols. Performs other duties as required or assigned Qualifications Graduate from an accredited Nursing Program required. Bachelor's degree (or matriculated into a Bachelor's degree program with completion within a period of time agreed upon with the department at the time of hire) with 3 years of clinical experience required. Recent acute care hospital experience preferred. Previous Case Management experience preferred. Desired qualities and behaviors include: collaborative team player with strong communication skills, use of a systems approach in planning, problem solving and decision making, creativity, innovation, risk taking, autonomy, flexibility, receptiveness to change and a commitment to professional growth. Computer skills required. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required.
RN Manager/Supervisor Full-time
Dartmouth Hitchcock Medical Center

Manager Care Management - Registered Nurse

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview This is a full-time position onsite in Lebanon NH Principal manager of case management, to include analysis of cost, length of stay, utilization, and clinical quality. Monitors guidelines for working with insurers to determine cost effectiveness of clinical plans. Responsibilities Develops and updates departmental policies and procedures around clinical care as well as psychological, social and environmental issues. Assists in analyzing statistical/workload data. Provide to staff the data needed for them to make informed decisions to achieve equitable workload distribution. Participates in departmental leadership meetings and on-going evaluation of the quality and scope of Case Management services. Serves as a conduit for communicating strategic and operational information between staff and administration. Keeps the department director informed of significant operational trends, system barriers, and/or developments including all areas of practice, including clinical, psychological, social and environmental. Provides consultation to staff on cases involving difficult practice issues. Provides clinical services to patients and families. Ensures appropriate staffing levels and on-call coverage. Participates in the identification and development of measures of success for the Case Management program. Participates in the evaluation of clinical and financial data/outcomes including patient satisfaction, health and functional status, resource utilization and practice variation. Identifies and recommends opportunities for improvement in the process of care. Participates in unit/service based activities as indicated to promote the development of established matrix relationships. Participates in the clinical development of disease management strategies. Participates in the screening and selection of professional staff. Coordinates orientation of new staff. Organizes and provides educational programs to Case Management staff, other departments and disciplines and medical and other allied health professional students. Facilitates completion of annual performance appraisals for assigned staff and takes action to address performance deficits. Ensures peer to peer coaching and feedback. Performs other duties as required or assigned. Qualifications Master’s degree (or matriculated into a master’s degree program) BSN required. 3 years of case management experience required. Strong leadership, communication, and computer skills desired. CCM, ACM or CMAC preferred. 5 years of supervisory experience preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required.
RN Full-time
Dartmouth Hitchcock Medical Center

Case Manager - Registered Nurse(RN)- Full-time

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview This is a full-time position onsite in Lebanon NH Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities Facilitates the development of a plan of care in collaboration with the patient, family, caregiver and health care team. This is done through early identification and thorough assessment of the patient’s need/preferences and resources available. Determines the appropriate level of care and coordinates the interdisciplinary treatment and plan of care. Facilitates the progression of care by advancing the care plan to achieve desired outcomes. Monitors the progress towards the goals of the plan and alerts the health care team to potential revisions to the plan in response to the changes in the patient needs and condition. Triages telephone calls and responds to patients and families and other members of the healthcare teams questions that are within a registered nurse’s scope of practice. Communicates information to the health care team and those involved in the treatment and patient’s care. Advocates on behalf of patients/families and caregivers for service access and insurance benefits within the constraints of regulations, and for the protection of the patient’s health, safety and rights. Recognizes situations that require referrals to Quality, Risk Management, or Patient and Family Relations and discusses with leadership. Evaluates the options available and balances cost and quality to assure the optimal clinical and financial outcomes. Facilitates progression to appropriate levels of care. Evaluates patient outcomes affected by the care management process for improvement opportunities. Identifies potential for and participates in quality improvement initiatives within the clinical setting or other organizational committees. Works with the clinical research to coordinate care for patients on complex protocols. Performs other duties as required or assigned Qualifications Graduate from an accredited Nursing Program required. Bachelor's degree (or matriculated into a Bachelor's degree program with completion within a period of time agreed upon with the department at the time of hire) with 3 years of clinical experience required. Recent acute care hospital experience preferred. Desired qualities and behaviors include: collaborative team player with strong communication skills, use of a systems approach in planning, problem solving and decision making, creativity, innovation, risk taking, autonomy, flexibility, receptiveness to change and a commitment to professional growth. Computer skills required. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required.
RN Other
Dartmouth Hitchcock Medical Center

Case Manager - Registered Nurse (RN), CHAD/BP/ICN services, Per Diem

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview This position is Per Diem in the CHAD/BP/ICN services Triages, coordinates and facilitates the clinical management for an assigned population. Develops, monitors and reinforces care standards and protocols designed to enhance quality and promote cost-effective utilization of healthcare resources. Responsibilities 1. Facilitates the development of a plan of care in collaboration with the patient, family, caregiver and health care team. This is done through early identification and thorough assessment of the patient’s need/preferences and resources available. Determines the appropriate level of care and coordinates the interdisciplinary treatment and plan of care. 2. Facilitates the progression of care by advancing the care plan to achieve desired outcomes. Monitors the progress towards the goals of the plan and alerts the health care team to potential revisions to the plan in response to the changes in the patient needs and condition. 3. Triages telephone calls and responds to patients and families and other members of the healthcare teams questions that are within a registered nurse’s scope of practice. 4. Communicates information to the health care team and those involved in the treatment and patient’s care. 5. Advocates on behalf of patients/families and caregivers for service access and insurance benefits within the constraints of regulations, and for the protection of the patient’s health, safety and rights. 6. Recognizes situations that require referrals to Quality, Risk Management, or Patient and Family Relations and discusses with leadership. 7. Evaluates the options available and balances cost and quality to assure the optimal clinical and financial outcomes. Facilitates progression to appropriate levels of care. 8. Evaluates patient outcomes affected by the care management process for improvement opportunities. Identifies potential for and participates in quality improvement initiatives within the clinical setting or other organizational committees. 9. Works with the clinical research to coordinate care for patients on complex protocols. 10. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor's degree (or matriculated into a Bachelor's degree program with completion within a period of time agreed upon with the department at the time of hire) with 3 years of clinical experience required. Recent acute care hospital experience preferred. Previous Case Management experience preferred Desired qualities and behaviors include: collaborative team player with strong communication skills, use of a systems approach in planning, problem solving and decision making, creativity, innovation, risk taking, autonomy, flexibility, receptiveness to change and a commitment to professional growth. Computer skills required. Required Licensure/Certifications Licensed Registered Nurse in New Hampshire required. Basic Life Support (BLS) Certificate required.
RN Outpatient Other
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - General Ambulatory Services, Weekends, Remote

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Remote Registered Nurse (RN) – Nurse Triage 16 hours per week Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on , responsible for assessing patient symptoms, determining the appropriate level of care, providing education, and ensuring timely communication with providers. The ideal candidate has strong triage, Med-Surg, and Primary Care experience, is proficient with Epic EMR , and thrives in an independent remote environment. Key Responsibilities Perform telephone triage using established protocols and sound nursing judgment. Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up. Provide patient education, guidance, and reassurance as appropriate. Accurately document all patient encounters in Epic EMR in real time. Escalate urgent or emergent situations per clinic and organizational policies. Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care. Contribute to a culture of safety, quality, and patient satisfaction within the triage team. Qualifications Required: Active, unrestricted RN license (multi-state compact required). Minimum 2-3 years of clinical experience with a strong background in triage, Med-Surg, and/or Primary Care . Proficiency in Epic EMR and remote communication systems. Excellent assessment, critical thinking, and decision-making skills. Strong communication, documentation, and time management abilities. Self-motivated and comfortable working independently in a remote environment. Preferred: Associates degree required; BSN preferred Previous experience in remote triage, nurse advice lines, or outpatient/clinic settings. Schedule & Work Environment Day shifts; Weekends only. Rotating holidays 100% remote position — requires reliable internet and a secure, HIPAA-compliant workspace. **Eligible candidates will reside in one of the following states: Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Kentucky, Maine, Maryland, New Hampshire, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington 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 NH eligibility Basic Life Support (BLS) Certificate required upon hire.
RN Psych Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Psychiatric Care Unit, Nights

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Psychiatric Care Unit is a 24 bed Inpatient and Designated Receiving Facility supporting our region. Our team approach is dynamic with a focus on empowering patients to take charge of their treatment and be able to move forward. With an average stay of 8 days, you will also have the opportunity to support and facilitate patient healing in a therapeutic environment. This is a FT 36hrs/week (3x12hr shifts) Night Shift role 7p-7a. The night rotation is across all 7 days 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
RN Psych Full-time
Dartmouth Hitchcock Medical Center

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

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Academic Medical Center is expanding to meet the needs of our rural New England region's pediatric patients with inpatient psychiatric care needs. The Inpatient Adolescent Med Psychiatric Care Unit opened in Spring 2025. We are recruiting both Pediatric RNs and Psychiatric RNs with passion to support adolescent patients from 12 to 17 years of age. The successful candidate will be flexible and have a team-orientated approach to care. This is a FT Night shift position with 3x12hr shifts from 7p-7a across all nights including weekend 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
RN Psych Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Adolescent Med Psychiatric Care Unit, Part Time, Nights

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Academic Medical Center is expanding to meet the needs of our rural New England region's pediatric patients with inpatient psychiatric care needs. The Inpatient Adolescent Med Psych Care Unit opened in April 2025. We are recruiting both Pediatric RNs and Psychiatric RNs with passion to support adolescent patients from 12 to 17 years of age. The successful candidate will be flexible and have a team-orientated approach to care. This is a Part Time 24hr/week (2x12hr shifts) Night Shift rotating position. The rotation is 7p-7a across all 7 days and includes weekends and holiday nights. 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
RN Psych Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Adult Inpatient Psychiatric Care Unit

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Our Psychiatric Care Unit is a 24 bed Inpatient and Designated Receiving Facility supporting our region. Our team approach is dynamic with a focus on empowering patients to take charge of their treatment and be able to move forward. With an average stay of 8 days, you will also have the opportunity to support and facilitate patient healing in a therapeutic environment. This is a FT (36hrs/week) Rotating Schedule. The shifts will rotate 7a-7p and 7p-7a across weekdays, weekends, overnights, 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
RN OR Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Perioperative Services, Days

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? Registered Nurse / Perioperative Services - Days Monday – Friday, with call requirement (10 hour shifts) 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. 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 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.
RN Educator Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) Diabetes Educator - Endocrinology

Dartmouth Hitchcock Medical Center Concord, NH
Overview Provides education and coordination of care to patients who have been diagnosed with Diabetes. Develops care initiatives to assess and coordinate diabetes care management with the goal of achieving self-management skills related to Diabetes. Full-Time, 40 hours/week, Monday - Friday. Responsibilities Participates in the assessment of patient’s physical, emotional and social needs. In collaboration with the PCP develops and assumes responsibility for care planning. Assists patient with the development of their short and long term goals. Provides diabetes education, interactively and collaboratively with patient and care team. Tracks and ensures appropriate follow up care. Maintains communication with the patient, their family, and the care team to monitor and refine treatment plan. Participates in audits, medical record reviews, surveys and studies. Documents in the EMR (electronic medical record). Utilizes resources to assist with identification of diabetic patients who are in poor control of their diabetes. Identifies gaps in care by utilizing the diabetic registry. Attends and participates in staff meetings, care coordinator meetings, divisional meetings, and weekly case conferences. Serves as an active participant in the Diabetes recognition program. Assists patients in the development of annual goals and the identification of outcomes for continuous quality improvement. Maintains knowledge on new guidelines and medications. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Associate Degree (ADN) prepared nurses with 5 years of clinical nursing experience and experience with diabetes education or counseling (glucose meter) required. Bachelor of Science Degree in Nursing (BSN) preferred. Strong organizational skills, excellent verbal, written and communication skills required. Must possess sound decision-making, time management and negotiating skills. Excellent computer skills are required. Demonstrated ability and interest in the care of individuals with chronic disease. CDE strongly preferred or must complete CDE certification program within 3 years in the position. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility. Basic Life Support (BLS) Certificate required. CDE Certfied Diabetes Educator within three years of hire date.
CMA Outpatient Full-time
Dartmouth Hitchcock Medical Center

Medical Assistant II (MA) - Clinic Support Services

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview $5,000 Sign on Bonus for eligible new hires. Are you an experienced Medical Assistant who takes pride in delivering high-quality, protocol-driven support? Dartmouth Health is seeking a detail-oriented Medical Assistant to join our remote Family Medicine Refill Processing Team. In this role, you will be responsible for managing prescription refill requests across our Family Medicine practices. Your work will be guided by established protocols to ensure safe, consistent, and efficient medication management. Productivity and quality metrics are monitored regularly to ensure accurate and timely completion of work, supporting both patient safety and clinic efficiency. This position is ideal for a self-motivated Medical Assistant who values consistency, precision, and being part of a remote team committed to excellent patient care. current registration with the AMT or certification with the AAMA is required. 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 Current BLS certification required. 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
LNA Full-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - General Internal Medicine

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview The General Internal Medicine (GIM) Clinic provides preventative, acute and chronic care to all adults, 18 years and older. The GIM Clinic is a fast-paced clinic, with over 26,000 visits annually. The General Internal Medicine team is a growing team with highly sought-after clinicians and care team members to support all patients needs. This care team consists of a professional community, working to ensure patient care needs are met: Physicians, Nurse Practitioners, Physician Assistants providers, nurses, social workers, medical assistants (MA), nursing assistants (LNA), Diabetic Educator, Behavioral Health Clinicians, Dietitian, and secretaries. The leadership team is very much relationship based, and promotes teamwork, collaboration, effective communication, safe and quality patient care, and a positive environment for all staff and patients. Together this team strongly encourages staff to work at the top of their license scope, providing personal connection and promoting continuity of care to patients and their loved ones. The clinic provides comprehensive care to patients while open Monday through Friday 0800-1700. This allows for the team to have consistency with their schedule, promote a positive work/life balance, and maximize their time outside of work as well. The role of the Licensed Nursing Assistant (LNA) in the General Internal Medicine Clinic is vital to the care of our patients. The primary responsibility of the LNA is assisting patients with their clinician visits – this means obtaining vital signs, reviewing medication, point of care testing (EKG, urine dip testing, urine pregnancy testing, bladder scanning, and many more), assisting the clinician with procedures in clinic as well as the keeping up with the general functions of the clinic such as cleaning, stocking supplies, and quality and safety reviews. The ideal LNA candidate enjoys a fast-paced environment and a variety in their work while caring for all patients. If you are looking to expand your LNA skillset, support building a strong team and develop as a leader then the General Internal Medicine Clinic might be the right fit for you! Come join the growing team in the General Internal Medicine Clinic, where we strive to care for patients and each other to enhance the experience for all! Responsibilities 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. 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) Certificate required.
RN Outpatient Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - General Ambulatory Services, Evening, Remote

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Remote Registered Nurse (RN) – Nurse Triage Position Summary The RN – Nurse Triage provides high-quality, patient-centered care through telephone triage and clinical assessment. This role is 100% hands-on , responsible for assessing patient symptoms, determining the appropriate level of care, providing education, and ensuring timely communication with providers. The ideal candidate has strong triage, Med-Surg, and Primary Care experience, is proficient with Epic EMR , and thrives in an independent remote environment. Key Responsibilities Perform telephone triage using established protocols and sound nursing judgment. Assess symptoms, prioritize patient needs, and determine appropriate care or follow-up. Provide patient education, guidance, and reassurance as appropriate. Accurately document all patient encounters in Epic EMR in real time. Escalate urgent or emergent situations per clinic and organizational policies. Communicate effectively with on-call providers, clinic teams, and patients to ensure continuity of care. Contribute to a culture of safety, quality, and patient satisfaction within the triage team. Qualifications Required: Active, unrestricted RN license (multi-state compact required). Minimum 2-3 years of clinical experience with a strong background in triage, Med-Surg, and/or Primary Care . Proficiency in Epic EMR and remote communication systems. Excellent assessment, critical thinking, and decision-making skills. Strong communication, documentation, and time management abilities. Self-motivated and comfortable working independently in a remote environment. Preferred: Associates degree required; BSN preferred Previous experience in remote triage, nurse advice lines, or outpatient/clinic settings. Schedule & Work Environment Evening shifts (3pm-11:30pm) 100% remote position — requires reliable internet and a secure, HIPAA-compliant workspace. Rotating weekends and holidays **Eligible candidates will reside in one of the following states: Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Kentucky, Maine, Maryland, New Hampshire, North Carolina, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington 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 NH eligibility Basic Life Support (BLS) Certificate required upon hire.
RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Urology

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Urology Clinic 40 hours per week We are seeking a compassionate and experienced registered nurse to join our team in the Urology Clinic ! The Urology RN will provide specialized nursing care to a variety of adult patients with BPH, urologic cancers, urinary dysfunction, UTI’s, gender reassignment, and many other general urology conditions. This position is primarily procedural based with duties including the administration of chemotherapy, biotherapy and other agents into the bladder; patient education; urethral and suprapubic catheter changes; assisting providers with sterile procedures such as vasectomies and cystoscopies; triage; and injections. We are seeking a well-rounded, clinically strong nurse who can work both independently and in collaboration with the entire urology team. As our Urology 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 from 8 am to 5 pm, excluding holidays. We are flexible and willing to utilize a schedule that works for both you and our team. When you join our 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 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.
LNA Full-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - Pain Clinic-Minor Surgery

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Be Part of Our Collaborative Outpatient Pain Management Team The Center for Pain and Spine is seeking a full-time LNA or MA to join our fast-paced, team-based Interventional Outpatient Pain Clinic . Help support patients living with acute and chronic pain through compassionate, high-quality care. What We’re Looking For: • Organized, professional, and service-oriented • Strong multitasking and communication skills • Flexible, quick learner with attention to detail • Committed to creating a positive patient experience You’ll Work WithA collaborative team of -- Pain physicians, nurse practitioners, residents, fellows, a pain psychologist, registered nurses and licensed nursing assistants. Why You’ll Love This Role • Consistent weekday hours – no weekends or holidays • Supportive team environment • Specialized clinical experience in pain management Ready to grow your skills and make a real impact? Apply now! 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) Certificate required.
LNA Full-time
Dartmouth Hitchcock Medical Center

Licensed Nursing Assistant (LNA) - Otolaryngology

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Otolaryngology Clinic (ENT) 40 hours per week The LNA role in the clinic is to provide specialty care to our patient population and can change depending on the provider(s) and multi-specialty clinics. This position will support 20+ providers, ranging from the surgeons to nurses. Some job duties can include, but are not limited to: rooming patients, collecting vital signs, low-level disinfection, completing medication reconciliation, providing patient education, assisting the providers in clinic procedures (such as scopes, biopsies, ear injections, ear tube placement), and maintaining supply inventory. A strong work ethic and ability to communicate professionally with patients, nurses, physicians, administrative staff, and other departments is vital to success in this position. The LNA must possess the ability to work as a team and communicate well with others. Responsibilities 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. 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) Certificate required.
RN Med-Surg Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Medical Surgical Unit

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Medical/Surgical Inpatient Nurse Careers Dartmouth Hitchcock Medical Center | Lebanon, NH Are you a passionate RN looking to make a real impact in patient care while building a sustainable, rewarding career? Dartmouth Hitchcock Medical Center has exciting opportunities for Registered Nurses on our medical-surgical inpatient units. Whether you are a new graduate, an experienced inpatient nurse, or someone ready for more engaging clinical work and a better schedule, you will find a place to grow here. A Schedule That Supports Your Life Medical Specialties on L1WC is a 53-bed inpatient medicine unit spanning two floors, where nurses work three 12-hour shifts each week. This schedule offers more full days off, greater flexibility, and more time to recharge, travel, or spend time with family and friends. It is a structure that supports work-life balance while keeping your skills sharp and your career moving forward. Challenging, Meaningful Nursing Work This unit cares for medically complex adult patients in a fast-paced, hands-on environment where no two days are the same. Nurses build confidence, sharpen clinical judgment, and expand their scope of practice every shift while caring for patients with conditions such as kidney and liver failure, sepsis, cystic fibrosis, diabetes, cardiac and respiratory illness, complex infections, and post-operative complications. The work is dynamic, collaborative, and deeply meaningful. Why Nurses Choose Medical Specialties Nurses across experience levels thrive here because this unit combines strong support with real clinical depth. You will gain valuable inpatient Med/Surg experience while developing skills that open doors to future opportunities across the hospital. In this role, you will: Work three 12-hour shifts instead of five 8-hour days Build advanced assessment, prioritization, and time management skills Strengthen critical thinking and clinical decision-making Learn to manage IV medications, drips, and complex care plans Collaborate closely with an interdisciplinary care team Comprehensive Training and Team-Based Support You will never be expected to figure things out on your own. Every nurse is paired with a dedicated preceptor throughout orientation to ensure a confident and supported transition. This is a unit that welcomes learners, values questions, and embraces collaboration and shared problem solving. Nurses partner daily with Hospital Medicine physicians and teams such as Respiratory Care, Wound Care, Vascular Access, Infectious Disease, Nephrology, Cardiology, Gastroenterology, and Endocrinology. You will gain exposure to advanced technologies and care modalities, including dialysis, high-flow oxygen, tracheostomies, chest tubes, and medication drips such as insulin and heparin. Responsibilities A Unit and Organization That Invest in You Medical Specialties is a place where nurses grow. The team values adaptability, curiosity, and continuous improvement, and believes everyone plays a role in delivering excellent care. Nurses who succeed here are compassionate, flexible, and eager to expand their skills in a supportive, high-performing environment. Dartmouth Health supports your career with: Competitive nursing pay rates and shift differentials Professional development, mentorship, and tuition reimbursement Loan repayment programs Workforce housing for eligible candidates, including up to three months of free rent A comprehensive benefits package designed to support your wellbeing Qualifications Graduate of an accredited Nursing Program (BSN with 1+ years' experience or ADN with 2+ years' experience). Current RN licensure in New Hampshire. Basic Life Support (BLS) certification required, with additional certifications depending on the unit. Required Licensure/Certifications About Dartmouth Health Dartmouth Hitchcock Medical Center is a nationally recognized academic medical center located in the Upper Valley of New Hampshire, near the White Mountains. Here, quality of life comes in many forms, from rural and suburban housing options to top-rated schools, hundreds of lakes, miles of hiking trails, and some of the best skiing in the country. Our idea of traffic is a short line at the ski lift. As part of Dartmouth Health, an integrated, award-winning health system across New Hampshire and Vermont, you will find the opportunity, training, and support to thrive at every stage of your nursing career. Take the Next Step If you are ready for a better schedule, engaging inpatient nursing work, and a team that truly supports your growth, Medical Specialties at Dartmouth Hitchcock Medical Center could be the right fit.