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Overview Are you looking to advance your knowledge and skills? You will enhance your critical thinking while engaging with clinical professionals – within the coordination center - to support other member hospitals within the Dartmouth-Hitchcock Health system? This is the opportunity for you ! Nurse, Capacity Coordination Center 12 hour shifts, D/N Rotation - Per Diem status As part of a multi-disciplinary team, applies the nursing process to develop a plan using telephone triage and review of the medical record for patients who require urgent/emergent DH consultation, outpatient procedure or transfer as well as transfers between levels of care during patients’ inpatient hospitalization. Capacity Coordination Center Nurses are responsible for providing a high level of customer service in a high stress, fast paced environment while maintaining flexibility and the ability to adapt, improvise and problem solve in rapidly changing conditions. Responsibilities Obtains and documents relevant clinical data to individually assess the needs of each patient to ensure appropriate level of care and proper placement of patients. Acts as a navigator for referring providers in identifying and accessing appropriate DHH services. Manages and coordinates communications between referring and DH providers via telephone and electronic communication methods. Identifies and facilitates patients for redirect and placement to DHH affiliates. In collaboration with the On Call Medical Director determines appropriateness of requests for outside transfers, and identifies patients who are considered high priority such as EMTALA, active cancer care, dialysis, DH readmission, etc. Obtains and communicates to DH providers, relevant medical records and images from referring providers. Arranges and coordinates local, regional and international transfers to DH, for patients who require tertiary care or who have established care at DH. . Works with medical staff to appropriately re-prioritize transfer queue. Communicates and collaborates with DH medical staff to prioritize activities associated with accurate transfer timing, placement needs, and bed assignment. . Coordinates and actively participates in daily capacity huddles with On-Call Medical Director, administration, and designated departmental charge nurses to develop relevant mitigation strategies that maximize safe patient intake and patient care resource needs. Advocates on patient behalf in obtaining access to appropriate DHH services. Directs, coordinates, and updates patient transfer queue. Coordinates and assists in developing transportation plans for Neonatal, Pediatric, and Adult Critical Care patients. Identifies and delegates appropriate tasks to assistive personnel/coordinators. Develops and promotes long-term relationships with house supervisors, charge nurses, referring facilities and providers. Determines and assigns accurate patient admission type following established guidelines and criteria. Collaborates with other to maximize day to day patient and bed flow management. This includes, but is not limited to, preparing for critical care bed meetings, monitoring, interacting with, and ensuring accuracy of electronic patient placement systems data, providing back up for patient placement discussion and decisions. Implements standardized and consistent patient placement processes across all areas of responsibility. Assigns locations/beds for stepdown and critical care patients. Arranges external, and facilitates internal transfers for stepdown and critical care patients. Implements and communicates patient census procedures. Analyzes, synthesizes, and corrects census errors and act as a resource to ensure accurate census and patient charges. Actively engages in the daily implementation of strategic goals. Engages with leadership to develop, maintain, and improve departmental policies, procedures, and workflows. Interprets and supports policies, procedures, and safety standards to facilitate daily operations. Identifies and defines problem areas, making recommendations for improvement. Perform other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) is strongly preferred. 3 years of Critical Care experience strongly preferred. Leadership experience desirable. Previous computer experience required (Word, Windows, and Excel). Proven organizational and multi-tasking abilities along with strong customer service skills that include excellent phone etiquette. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility required. Basic Life Support (BLS) required upon hire.

Medical Assistant II (MA) - OB/GYN

Overview 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. 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.

CNA

Part-time

Nurse Assistant Training Program

Overview Licensed Nurse Assistants are responsible for obtaining and recording patient vital signs, documenting in patient’s electronic medical record, assisting patients with activities of daily living. Assisting the patient care teams. Keeping room/unit clean and providing exceptional patient experience and care in an inpatient setting. Trainees will transition to the LNA role after successfully completing the Nurse Assistant Training and obtaining a State of New Hampshire License for Nurse Assistant. To learn more and apply, please visit Nurse Assistant Training Program - DH Career Institute. Responsibilities Responsibilities: Obtaining vital signs, temperature, pulse, height, weight and blood pressure, intakes and outputs, Documenting in patient’s electronic medical record. Assisting patients with activities of daily living. Assisting the RN – tasks delegated by their direct care RN. Assisting other LNAs with designated assignments. Assisting with discharges/admissions. Keeping room/unit clean. Provide an exceptional patient experience and care in an inpatient setting. Performs other duties as required or assigned. Attributes of a Successful Nurse Assistant are: A strong work ethic through reliability and dependability, time management skills, team work, and communication skills The ability to work under pressure and stress, including the ability to keep composure and think critically Flexibility and adaptability in the ever-changing environment of healthcare

LPN

Licensed Practical Nurse (LPN) - Dermatology-MOHS Surgery

Overview Dermatology-MOHS Surgery Clinic 40 hours per week The Licensed Practical Nurse – Inpatient/Procedural 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 D-H policies and procedures. The LPN-IP/Prcd 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 medical record prior to providing care. Assists assigned 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 to 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 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) for Healthcare Provider certification required.

LNA

Dartmouth Hitchcock Medical Center Keene, NH

Licensed Nursing Assistant (LNA) - Addiction Treatment Center

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. Position is located in our Keene NH Clinic. Full-Time, 40 hours/week. 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.

Supervisor Clinical Nurse (RN) - Post Anesthesia Care Unit, Evening

Overview Supervisor Clinical Nurse (RN) Post Anesthesia Care Unit - PACU, Evening Shift 11am - 9pm Responsible for patient flow and overall day to day operations that impact the care unit or department. Provides direct oversight of care to support patient and staff needs. Serves as a role model and leader to uphold institutional priorities, policies and practices. Responsibilities Collaborates and assist with operations by functioning as the first line supervisor to staff. Acts as a resource to staff to provide direct assistance or connect with appropriate resources. Participates in performance management of staff members to including coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate. Works with the staff to facilitate patient flow and to optimize clinical capacity. Determines when and how to flex staff schedules to provide clinical coverage. Facilitates timely throughput to optimize clinical capacity within the organization. Performs service recovery to promote patient and employee retention. Responds to staff and patient/family needs. Addresses conflicts as they may arise. Assists/mediates discussions to maintain smooth operations. Participates in institutional Quality and Patient Safety improvement initiatives, committees and projects. Develops, plans, and coordinates the implementation and evaluation of orientation for new staff. Collaborates with the rest of the leadership team to assess and evaluate the clinical competence of department staff. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. 2 years of progressive responsibility within an acute care setting required. Specialty certification preferred. Must obtain and maintain clinical competencies within assigned unit. Excellent written, verbal and computer skills required. Demonstrated abilities with problem solving, leadership, communication, fiscal responsibility and teamwork. Ability to work effectively in groups of employees and with patients and patient families is essential. Minimum of Bachelor’s Degree of Nursing (BSN) at time of hire. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) at hire. Advanced Cardiac Life Support (ACLS) within 6 months of hire date.

ICU

Registered Nurse (RN) - Neuro Critical Care Unit, Rotating

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. Oncology Certified Nurse (OCN) within one year of hire date.

Medical Assistant II (MA) - Orthopedics

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. 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.

Outpatient

Dartmouth Hitchcock Medical Center Milford, NH

Registered Nurse (RN) - Family Medicine

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. Full-Time, 40 hours/week. M-F 8am-5pm. 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.

Registered Nurse (RN) - Heart and Vascular L4WA, Rotating

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. Advanced Cardiac Life Support (ACLS) Certificate required within 6 months of hire.

Med-Surg

Registered Nurse (RN) - Medical/Surgical In-house System Float

Overview Registered Nurse, System Float in-house Float - System Staffing Office, Medical/Surgical units Part time or Full time options with rotation to weekend: 12 hour shifts straight Nights OR 12 hour shifts Day/Night rotation Responsibilities Do you live locally in the Upper Valley and like the idea of doing travel nursing but your life or family roots keep you here or the idea of a contract far away from home is not appealing? Do you like working in a variety of clinical settings that challenge you and offer a variety of clinical experiences? If so, the System Staffing Office is now offering full and part time benefitted positions along with their existing per diem float pool positions. In a full or part time position, one would float to all six D-H system hospitals in the clinical settings in which you are skilled and competent. In most cases you would work for several weeks in one location similar to a travel contract, and the next assignment would be at another facility. In this role you will have exposure to and work in the D-H Lebanon Main Campus, and the member hospitals such as Alice Peck Day in Lebanon NH, Valley Regional in Claremont NH, New London Hospital in New London NH, Mount Ascutney in Vermont, and Cheshire Medical Center in Keene NH. If you have your NH nursing license, Vermont is now a compact state so your license is valid there. We are looking for Med Surg, Critical Care and Emergency Department RNs with 2 or more years of experience. Your ability to float offers you premium pay with the benefits of a full or part time employee and the variety of environments of a travel RN while being able to stay close to home. Come and join our new full and part time D-H System wide nursing float pool. 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 and Vermont.- Basic Life Support (BLS) Certificate required upon hire. - ACLS required upon hire

Psych

Registered Nurse (RN) - Emergency Department Psych Unit

Overview Our Behavioral Health Emergency Department unit consists of a 6 beds supporting high risk mental health patients during a critical psychiatric event. Our care team’s priority is to provide therapeutic nursing care in a safe and controlled environment to stabilize their illness while developing a healthy care plan. As the primary nurse, you will work with our crisis team, the psychiatric and emergency physician/nursing team, care managers and security staff. An effective candidate will have a passion for critical care psychiatric nursing, empathy, and demonstrate a compassionate approach, high level of emotional intelligence and be diligent in their work environment to provide one on one support for patient needs. This is a FT (3x12hr shifts) rotating position. The 12hr shift rotation is between 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, and 7p to 7a Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire AVADE Workplace Violence Prevention Training within one year of hire date.

Med-Surg

Other

Registered Nurse (RN) - Med Surg, Per Diem

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

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

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

Other

Registered Nurse (RN) - Operating Room, Per Diem

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)

Certified Medical Assistant (CMA)- Family Medicine

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

Registered Nurse (RN) - Trauma Acute Care Inpatient, Rotation

Overview Registered Nurse, Trauma Acute Care 3x12 hour Night shifts with rotation to weekend This is a 36-bed post-surgical unit that specializes traumatic injury and acute care surgical patients. You will see patients in varying stages of pre and post-surgical care as well as medical co-morbidities. The majority of our focus is our trauma population, so we have a great emphasis on teamwork, open communication and the ability to work in a fast pace environment. Our unit is a great place to work because we pride ourselves on teamwork and a nurturing, friendly environment. We have implemented unit initiatives to improve safety, reliability and team-based patient care 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. 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 in New Hampshire required. Basic Life Support (BLS) Certificate required upon hire.

Med-Surg

Registered Nurse (RN) - Medical/Surgical In-house System Float

Oncology

Registered Nurse (RN) - Oncology Nurse Navigator, Sarcoma/Melanoma

Overview Oncology Nurse Navigator - Sarcoma/Melanoma 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. Nurse Navigation Certification required within two years of hire. Basic Life Support (BLS) upon hire.

Licensed Nursing Assistant (LNA) - Hematology/Oncology Infusion

Overview Hematology/Oncology Infusion Clinic 36 hours per week, Monday-Friday 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.

Oncology

Registered Nurse (RN) - Medical Oncology

Overview Medical Oncology 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 New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire.

Registered Nurse (RN) - Emergency Department

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

Registered Nurse (RN) - Birthing Pavilion (BP)

Dartmouth Hitchcock Medical Center Bennington, VT

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- 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.

APRN Outpatient Clinic, Hematology-Oncology

$126,000 - $140,000 / year

Overview Hematology-Oncology Advanced Practice Provider Southwestern Vermont Medical Center (SVMC), a member hospital of Dartmouth Health, is seeking an experienced Advanced Practice Provider for our Cancer Center in Bennington, VT. The ideal candidate will have at least 1-3 years of experience in a hematology- oncology setting. Responsibilities Engaged provider team who are invested in teamwork and optimal patient outcomes Supportive administration, quality care and a focus on provider and patient satisfaction Salary range $126,000 - $140,000 Incentive compensation may be available in addition to base salary. This position includes a comprehensive benefits package (medical, dental, vision, retirement, paid time off and CME support). A sign-on bonus and relocation stipend may also be available, subject to eligibility. Hospital employed position (Dartmouth Health) Southwestern Vermont Medical Center is an integrated health system and has a proud 100-year history as an innovator in health care delivery. It includes a 99-bed hospital and 25 primary care and specialty practices at locations in the greater Bennington area and nearby New York and Massachusetts. SVMC is located in Bennington, Vermont, just minutes from the Massachusetts border and the cultural hub of Williamstown, MA. The area offers the quintessential New England experience - historic charm, a vibrant arts and culinary scene and access to world-class outdoor recreation including skiing, snowboarding, hiking and kayaking. It's an ideal setting for health care providers seeking purposeful practice with exceptional work-life balance. Qualifications Graduate of an accredited APRN or PA academic program National specialty certification as FNP, WHNP, PNP, ANP or certification through the National Commission on Certification of Physician Assistants (NCCPA) Required Licensure/Certifications Eligible for RN licensure in the State of VT (APRN only) Eligible for APRN or PA licensure in the State of VT Eligible for Federal DEA Registration BLS certification

2 months ago

Registered Nurse (RN) - Senior Drug Diversion Specialist