Southern New Hampshire Health

Southern NH Health System - Registered Nurse (RN) - Operating Room - Part Time (Overnights)

Come work at the best place to give and receive care! ​Job Description: Registered Nurse (RN) - Operating Room - Part Time Wed-Thurs 7p-7a - Overnights O.R. Experience Required! Sign on Bonus with Experience! Who We Are: SNHMC has nine operating room suites, 25 pre-op/PACU bays, and a sterile processing department. Hours are flexible, with 8-, 10-, and 12-hour day shifts available. The OR has a dedicated call team Sunday through Thursday nights beginning at 7PM, making OR call minimal. Services range from elective and non-elective procedures, including neurological, orthopedic, gynecological, urological, bariatric, colorectal, vascular, ENT, general, breast, and plastics. Surgical services are growing and evolving, utilizing the latest technology for the wide variety of procedures we perform. The OR also offers Periop-101 and advancements. About the Job: As a member of the Patient Care Services team, the Operating Room Registered Nurse (OR RN) cares for patients aged 6 months through adulthood who require surgical/invasive interventions under one of the various types of anesthesia. Nursing care is delivered utilizing a patient-centered approach and incorporating the Professional Practice Model. The OR RN provides patient-centered care through teamwork and collaboration to achieve quality patient outcomes. He/She integrates best practices and current evidence-based practices for delivery of optimal health care. The OR RN uses data to improve quality and safety and uses informatics and technology to communicate, manage information, mitigate errors, and support decision making. What You’ll Do: Deliver nursing care by utilizing a patient-centered approach incorporating the Professional Practice Model. Provide patient-centered care through teamwork and collaboration to achieve quality patient outcomes. Integrate best practices and current evidence-based practices for delivery of optimal health care. Utilize data to improve quality and safety. Incorporate informatics and technology to communicate, manage information, mitigate errors, and support decision making. Who You Are: Graduate from an accredited school with an AND Registered Nurse with the state of NH or compact state Maintains professional nursing practice and attends educational conferences to keep abreast of current trends and best practices. Effective written and verbal communication skills. Ability to achieve unit specific competencies by identified time line in Appendix for specific unit. Ability to achieve the following competencies: Within 30 Days: Basic Life Support Within 90 Days: Safe Care & Handling of Surgical Equipment, Decontamination of Surgical Instrumentation, Scrubbing/Gowning/Gloving, Aseptic Technique, Circulating General Cases, Set up of OR Equipment (Microscope (surgical), Surgical light systems, Electrosurgical Units, Lasers, Orthopedic Systems, Specialty Surgery Tables) Within 180 Days: Circulating Specialties (ENT/Plastics/Eyes, Vascular, Orthopedics/Neurological, Gynecological/Genitourinary), Robotics Surgeries Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So Much More! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. #JAL Work Shift: Wed-Thurs 7p-7a SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Southern New Hampshire Health

Southern NH Health System - Registered Nurse First Assist (RNFA) - Operating Room - Per Diem

Come work at the best place to give and receive care! ​Job Description: Registered Nurse – First Assist – Operating Room Per Diem Who We Are: SNHMC has nine operating room suites, 25 pre-op/PACU bays, and a sterile processing department. Hours are flexible, with 8-, 10-, and 12-hour day shifts available. The OR has a dedicated call team Sunday through Thursday nights beginning at 7PM, making OR call minimal. Services range from elective and non-elective procedures, including neurological, orthopedic, gynecological, urological, bariatric, colorectal, vascular, ENT, general, breast, and plastics. Surgical services are growing and evolving, utilizing the latest technology for the wide variety of procedures we perform. The OR also offers Periop-101 and advancements. About the Job: As a member of the Surgical Services team, the RN First Assist (RNFA) is responsible for the delivery of safe, effective, and quality, patient-family centered care in the OR and other areas of perioperative services for all patient populations. The incumbent will function as a RN First Assistant during operative and other invasive procedures and throughout the perioperative continuum in accordance with scope of practice credentials, privileges, experience, education, and competency verification. This role assists the surgical team with the verification process and basic intra-operative procedures and case closure protocol. In addition to the basic RN responsibilities, the RN, FA, will perform advanced tasks including suctioning and irrigation, patient positioning, placing clamps and sutures, cauterizing wounds and vessels and closing wounds. The incumbent will work under the supervision of the surgeon, in collaboration with the RN Circulator and is accountable to the Clinical Nurse Manager and/or Director of Perioperative Services. What You’ll Do: Assist surgical team with verification process, intra-operative procedures, and closure. Review the surgical booking and match procedures to preference cards. Assess patients at intervals in accordance with facility or health care organization policies and procedures. Evaluate surroundings to maintain sterile field. Perform as a team member, participating in time out and pre- and intra-op communications. Participate in preoperative assessment and planning for surgical patients specific to RN First Assist activities including, but not limited to, anatomical exposure and wound closure in collaboration with perioperative team members. Who You Are: Bachelor’s degree in nursing from an accredited school of nursing required Graduate of an accredited Registered Nurse First Assist program required. Current Registered Nurse licensure in the State of New Hampshire required. RN First Assistant Certification (CRNFA) required. Certification Nurse, Operating Room (CNOR) certification required. Current BLS certification required. A minimum of two (2) years as a Registered Nurse required. Knowledge and skills acquired through Reg education and certification. Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So Much More! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. #JAL Work Shift: varied SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Emergency Department, Part Time

Overview Our Emergency Department unit has 43 beds staffed by RN’s, LPN’s, Paramedics, EMT’s, and LNA’s. We are the only Level 1 Trauma Center in the state of NH and work closely with our system affiliates to accept patients requiring critical/neurological/cardiac/obstetrical/medical or trauma care. Our unit sees a large volume of referrals, transfers and trauma consults from outside facilities, and provides services for the local community. We see 31,000 patients annually to include neonates through geriatric populations in various states of health, often times with multiple diseases processes. Our nurses are trained for resuscitation, acute care, outpatient care, trauma care, mental health and are proceduralists delivering bedside moderate sedation. A typical day for a nurse would involve assisting in a fracture reduction for an adult skier injury, caring for a pediatric patient with uncontrolled asthma, managing a homeless victim found unresponsive in the snow in need of resuscitation, and caring for a cardiac arrest or stroke victim. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. PT & FT ROTATING SHIFT POSITIONS AVAILABLE: 7a to 7P, 10a to 10p, 11a to 11p, 1p to 1a, 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 ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date. AVADE Workplace Violence Prevention Training within one year of hire date Moderate Sedation Training within one year of hire date. Trauma Nurse Core Course within one year of hire date.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Behavioral Health Emergency Department (ED), Part Time

Overview Our Behavioral Health Emergency Department - Zone B is made up of 7 beds supporting high risk mental health patients during crisis events. Our highest priority for these patients is safety and delivering a therapeutic environment. You will work with our high acuity Psychiatric, ED and security staff. Our successful candidate with have a passion for psychiatric medicine, empathy, compassionate caring, high level of emotional intelligence and be diligent in their work environment to provide one on one support to patients in need. This is a FT 3x12hr position. The hours rotate between 7a-7p and 7p-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 ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date.
Southern New Hampshire Health

Southern NH Health System - Registered Nurse (RN) - Progressive Care - Per Diem

Come work at the best place to give and receive care! ​Job Description: Who We Are: 6-beds with feature cutting-edge monitoring technology and amenities, ensuring patient comfort and safety during the critical phase of recovery. Ratio 3:1 About the Job: As a member of the Patient Care Services team, the 4-West Progressive Care RN provides comprehensive and compassionate nursing care to adolescent and adult patients requiring enhanced monitoring and support above medical-surgical level but whose condition does not warrant care in the Intensive Care Unit. What You’ll Do: Assess and implements priority-based nursing care and establish goals to meet the patient’s needs. Integrate patient values, best practice, and evidence into patient care. Engage patients and/or families in the care delivery. Function competently within own scope of practice. Utilize a communication style/practice to meet the needs of the team and/or the situation. Who You Are: Graduate from an accredited school of nursing (ASN or BSN) Registered Nurse, licensed in the state of NH 2+ years of progressive care/critical care RN experience preferred 2+ years of RN cardiac telemetry experience required Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. #MRP Work Shift: Varied - Per Diem SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Southern New Hampshire Health

Southern NH Health System - Registered Nurse (RN) - Pre-Op/PACU - Ambulatory Surgery Center - Per Diem

Come work at the best place to give and receive care! ​Job Description: Registered Nurse (Pre-Op/PACU) – Ambulatory Surgery Center Per Diem Who We Are: Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners, and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ locations across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Job: As a member of the Patient Care Services team, and accountable to the RN Mgr Clinical Nurse Manager, the Pre-Op and PACU Registered Nurse cares for and monitors patients (6 months to geriatric) who are recovering from a surgical or invasive procedure that received anesthesia (general, regional or local). The Pre-Op and PACU Registered Nurse will be responsible for providing all aspects of patient care following surgery, including monitoring vital signs, continual reassessment, wound care, management of pain and nasueau, and education to patients and their family about homecare instructions. What You’ll Do: Assess and implement priority-based nursing care and establish goals to meet the patient’s needs. Integrate patient values, best practice, and evidence into patient care. Engage patients and/or families in the care delivery. Function competently within own scope of practice. Utilize a communication style/practice to meet the needs of the team and/or the situation. Collaborate with other disciplines to provide the patient with comprehensive care. Participate in the incorporation of new evidence into practice, promoting a culture of safety in the work area. Identify and participate in quality initiatives in own care settings and organization wide. Apply technology and standardized practices to support patient safety, quality and patient education. Who You Are: Associate Degree in Nursing required. Current New Hampshire licensure as a Registered Nurse required. A minimum of one-two years of medical, surgical or telemetry nursing experience required. Knowledge of professional nursing practice. Ability to make decisions in a fast-paced clinical environment. Ability to achieve unit specific competencies by identified timeline(s) in appendix for specific unit. Within 30 days (As Applicable) : Basic Life Support Within 90 days (As Applicable) : Pre-anesthesia care for patients aged 6 months through adulthood Post-anesthesia care for patients aged 6 months through adulthood with a focus on the management of airway, pain and post-op nausea and vomiting Intravenous Therapy Manage and assist patients receiving commonly used anesthesia techniques (general, regional, local, MAC) Within 180 days (As Applicable) : Pediatric Advanced Life Support Advanced Cardiac Life Support Basic Dysrhythmia Why You’ll Love Us: Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term, long-term disability, life & pet insurance Tuition reimbursement 403(b) Retirement savings plans Continuous earned time accrual & So much more! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. Work Shift: First SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Trauma Acute Care Inpatient, Part-time, Rotating

Overview Registered Nurse - Trauma Acute Care Part-time (24 hours p/week) 2x12 hour shifts - D/N , with rotation to weekends 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. 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 RN with NH eligibility BLS
Dartmouth Hitchcock Medical Center

Nurse (RN) - Capacity Coordination Center, Part-time

Overview Are you looking to advance your knowledge and skills? You will enhance your critical thinking while engaging with clinical professionals – as the command 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 (part-time, 24 hours p/week) 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.
Dartmouth Hitchcock Medical Center

Case Manager - Registered Nurse(RN), Every Weekend - PT 20

Overview THIS POSITION IS EVERY WEEKEND SATURDAY AND SUNDAY (10hr shifts) onsite in Lebanon 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.
Concord Hospital

RN | Telemetry | Per Diem

Summary The Registered Nurse (RN) 2 is responsible for assessing, planning, implementing and evaluating nursing care for a group of population specific patients for the department /unit, from simple to complex, with multi-system issues in a safe and therapeutic environment. The RN uses knowledge of the principles of growth and development over the life span, assesses data reflective of the patient's status and interprets information needed to identify each patients requirements relative to his/her age specific needs. The RN engages in caring relationships with patient's, families, and significant others, works collaboratively with other health care workers, and uses sound judgments while performing nursing and medical interventions. The RN adheres to specialty standards and organizational standards, policies, procedures, guidelines and protocols. Reports to the Director and/or Nurse Manager. May participate in supervision of Licensed Nursing Assistants and unlicensed personnel. Education Graduated from an accredited School of Nursing, BSN preferred. Certification, Registration & Licensure Registered Nurse - New Hampshire Board of Nursing ​ Basic Life Support - American Heart Association Refer to "Management of Mandatory Required Certification, Competencies, Education/Training-Nursing" Policy for department specific certifications. Experience One year prior clinical nursing experience. Evidence of experience in working effectively and positively with patients, care providers, and the multi-disciplinary team. Evidence of the ability to perform as a member of a team. Responsibilities Bases nursing actions by applying principles of purposeful, organized thinking to make clinical judgment/decisions. Gathers data through history taking and physical assessment and interprets data in order to plan and implement interventions to meet patient care needs. Develops, evaluates and revises patient's plan of care and nursing actions in response to patient's needs. Documents care provided and patient's progress toward attainment of desired outcomes. Directs and supervises others in the performance of delegated nursing activities. Teaches the patient and/or significant other(s) about the plan of care. Prepares patients to manage their care after discharge, transfer or preparation for procedure/test. Manages time and resources to deliver patient care. Administers medications to patients. Provides direct patient care. Leads the health care team. Serves as a Resource Person for assigned shift. Serves as a preceptor for new employees. Performs job specific requirements and other duties as assigned. Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. Know Your Rights: Workplace Discrimination is Illegal Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at 603-230-7269. Physical and Work Requirements The physical demands and characteristics of the work environment described here are representative of those that will be encountered by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The Dictionary of Occupational Titles Material Handling Classification is MEDIUM. The employee must regularly lift, carry or push/pull up to 10 pounds, frequently lift, carry or push/pull up to 10 - 25 pounds, and occasionally lift, carry or push/pull up to 20 - 50 pounds. While performing the duties of this Job, the employee is regularly required to do fine motor, hear, speak, and walk. The employee is frequently required to bend, reach, sit, squat, and stand. The employee is occasionally required to climb, do repetitive motion, kneel, and smell. Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision. The employee is frequently exposed to airborne pathogens, blood borne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, chemotherapeutic agents, electrical hazards - shock, moving mechanical parts, non-weather related heat or cold, slippery surfaces, and toxic or caustic chemicals. The noise level in the work environment is usually moderate.
Southern New Hampshire Health

Southern NH Health - Registered Nurse Ambulatory - Anticoagulation Clinic - Per diem

Come work at the best place to give and receive care! ​Job Description: Who We Are: Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center—a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet® designation for nursing excellence—we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ locations across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year. About the Job: Title: Registered Nurse Ambulatory – Anticoagulation Clinic As a Registered Nurse in the Anticoagulation Clinic, you will provide specialized outpatient care to patients receiving anticoagulation therapy. You'll collaborate with providers to monitor and manage anticoagulant medications (e.g., warfarin, DOACs), perform point-of-care INR testing, assess bleeding and clotting risks, and educate patients on medication safety and lifestyle considerations. This role requires strong clinical judgment, patient communication, and a proactive approach to chronic disease management. What You’ll Do: Provide nursing care and education to patients on anticoagulant therapy. Monitor and adjust anticoagulation plans under provider guidance. Perform INR testing and interpret results to ensure safe therapeutic levels. Educate patients on medication adherence, dietary interactions, and symptom monitoring. Communicate with providers regarding dosage adjustments and care plans. Document assessments, interventions, and patient interactions in the EMR. Support quality improvement initiatives and patient safety protocols. Work closely with interdisciplinary teams to ensure continuity of care. Who You Are: Graduate of an accredited nursing program (ASN required, BSN preferred). Licensed RN in NH, MA, or compact state, with current BLS/CPR certification. Prior experience in ambulatory care, anticoagulation management, or chronic care preferred. Strong communication and clinical assessment skills. Comfortable working independently and collaboratively in a fast-paced setting. Knowledge of EMR systems (EPIC preferred) and patient-centered care practices. Why You’ll Love Us: Health, dental, prescription, and vision coverage for full-time & part-time employees Short-term, long-term disability, life & pet insurance Tuition reimbursement & Nursing Student Loan Paydown Program 403(b) Retirement savings plans Continuous earned time accrual & more! Work Shift: days: Per diem only SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Dartmouth Hitchcock Medical Center

Emergency Department Charge Registered Nurse (RN ) - Emergency Department, Part Time

Overview The ED Lead/Triage Nurse is a vital leadership and clinical role responsible for overseeing shift operations in the Emergency Department, ensuring efficient patient flow, safe care delivery, and effective team coordination. This role also involves assessing and prioritizing patients upon arrival through systematic triage, initiating appropriate care pathways, and facilitating communication between healthcare teams. Responsibilities Lead Nurse Responsibilities: Leadership & Oversight Serve as the clinical leader and primary resource for nursing staff during assigned shifts. Coordinate staffing assignments based on patient acuity and unit needs. Manage shift operations, including delegation of tasks and monitoring workflows. Support staff in escalating clinical concerns to providers or leadership as needed. Patient Flow & Throughput Oversee the movement of patients through the ED, from arrival to disposition (admission, transfer, or discharge). Collaborate with bed management, inpatient units, and ancillary departments to optimize patient flow. Address and mitigate bottlenecks or delays in real-time. Resource Management Ensure appropriate availability of supplies, equipment, and staffing resources. Initiate and lead code responses, disaster preparedness actions, and emergency protocols. Communication & Team Support Act as a liaison between ED staff, physicians, other departments, and hospital leadership. Facilitate shift handoff and ensure continuity of care through effective communication. Provide coaching, mentorship, and conflict resolution as needed. Provide coverage for breaks to ensure downtime for our staff. Triage Nurse Responsibilities: Initial Patient Assessment Perform comprehensive triage assessments using standardized triage protocols (e.g., ESI—Emergency Severity Index). Determine the priority level for care based on patient acuity and resource needs. Clinical Decision-Making Identify high-risk patients and initiate life-saving interventions per standing orders or protocols. Communicate critical findings promptly to the care team. Documentation & Data Entry Accurately document triage assessments, vital signs, chief complaints, and other pertinent clinical information in the EHR. Patient Experience & Safety Provide clear instructions and explanations to patients and families regarding wait times, processes, and care expectations. Ensure infection control and safety measures are adhered to in the waiting area and triage spaces. Qualifications Education: Graduate of an accredited Nursing Program (ADN or BSN preferred). Licensure: Current Registered Nurse (RN) license. Certifications: BLS and ACLS upon hire. PALS and AVADE within 6 months of hire. TNCC and NRP within 1 year of hire. ENPC is supported by leadership and optional. Experience: Minimum of 2–3 years Emergency Department nursing experience. Prior leadership or triage experience preferred. Skills: Strong clinical assessment and critical thinking skills. Excellent communication, leadership, and team coordination abilities. Proficiency in electronic medical records (EMR/EHR). Ability to manage multiple priorities in a fast-paced environment. Required Licensure/Certifications REQUIRED LICENSE(S): • Licensed RN with NH eligibility REQUIRED CERTIFICATIONS: • (BLS) Basic Life Support • (ACLS) Advanced Cardiac Life Support
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Short Stay Unit, Rotating - Part time

Overview Interested in working for one of the top medical centers in New England and in a Level I Trauma Center? Clinical Nurse Short Stay Unit Part-time, 12 hour shifts (Day/Night rotation) The Short Stay Unit is a 12 bed observation unit here at Dartmouth-Hitchcock. The average stay is one overnight with the possibility of a second when indicated and we have a 4 to 1 patient to nurse ratio. We care for every adult population here at Dartmouth-Hitchcock with an emphasis on postsurgical care. Our specialty areas include cardiology, urology, oncology, gynecology, orthopedics and much more. This unit provides the new nurse ample opportunities to hone their fundamental nursing skills while utilizing the nursing process to assess, plan, organize, and provide the best possible patient care. This is a fast paced unit that works collaboratively with teamwork at the forefront to prepare patients for a timely and successful discharge to home. Currently this unit opens on Mondays at 7:00 am and closes on Saturdays at 7:00 pm. Responsibilities Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed RN with NH eligibility BLS
Elliot Health System

RN Lactation Consultant - Lactation - Part Time - Must Be IBCLC Certified

Come work at the best place to give and receive care! ​Job Description: Must Be IBCLC Certified RN Lactation Consultant – Maternity Who We Are: Elliot Hospital’s Women's and Children's Services are dedicated to addressing the specific health and wellness needs of women and their children. Our Maternity unit is a 24-26 bed unit averaging 14 mother/baby patients with 55 employees. Patients are high and low risk postpartum mom & babies 35 weeks gestation and above, substance-exposed infants, management of hyperbilirubinemia and hypoglycemia in the newborn, as well as post gynecological surgery. About the Job: The lactation consultant is to provide a comprehensive lactation services to meet the needs of professional providers, antepartum, post-partum lactating women and their families within Elliot Hospital and within the community. What You’ll Do: Collaborates with Women and Children’s health team and families to establish and maintain a team approach to promote successful lactation, consults and reports the needs of lactating families to the healthcare providers, utilizes strategies to support breastfeeding by performing daily lactation rounds on Maternity, NICU, Pediatrics and to other departments within the Elliot Hospital system and assesses, plans, implements and documents an individualized lactation plan to promote consistent patient care Demonstrates expertise in care of mother/infant complex breastfeeding problems and at risk infants, performs follow-up calls with families with breastfeeding problems or at risk, provides telephone support on “Lactation Warm Line” regarding breastfeeding issues, as well as provides outpatients or referral appointments, which includes assessing, planning, implementation, documenting and reevaluates the individualize plan Establishes and maintains protocols, guidelines related to the standards of care for assisting breastfeeding mothers in all areas of the institute; evaluates, maintains, and assist with the use of appropriate breastfeeding aids and equipment; assist in providing on going in-service/education for nursing and medical staff, to enhance the professional development and facilitates successful lactation management; provides a reference and current research data pertaining to breastfeeding for families and healthcare providers as well as provides consultation for the Moms Group and other Elliot services and programs as requested Who You Are: Graduate of an accredited school of nursing (BSN preferred) Current New Hampshire, compact, or multistate licensure as Registered Nurse required Certified through the International Board of Lactation Consultant Examiners required At least three (3) years of clinical experience in an acute healthcare institution Ability to obtain BLS qualification during orientation period and maintain during employment Why You’ll Love Us: Medical, Dental, Vision Benefits starting the 1st of the month following start date Accrued Earned Time 403b with matching (fully vested) and discretionary annual core contributions Tuition Reimbursement up to $4,000/year for full time coded employees over 30 hours/week Nursing Student Loan Paydown Program up to $20,000 Sign on Bonus Eligible Miscellaneous Benefits – Pet Insurance, Legal Services, Vendor Discounts Work Shift: First Shift - 8 or 12hr shifts - Evening Flexibility Required - Must be IBCLC Certified - 24hrs/week SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Mass General Brigham

RN-Observation Unit PT Nights

$31 - $61 / hour
Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Great PT Night RN Opportunity Expand skills knowledge and experience with a variety of patients Collaborative and supportive nursing and provider team Low RN to patient ratios Robust onboarding and orientation process with clinical educator team to ensure success Part time and full time night positions available Opportunity to cross train to the main Emergency Department Magnet recognized hospital Exceptional rates and benefits package Supportive environment and culture that challenges, supports, and provides opportunities Apply today! Job Summary Summary Accountable for interpreting the plan of medical care, assessment of patients' clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. Does this position require Patient Care? Yes Essential Functions -Maintain accurate, detailed reports, and records. -Administer medications to patients and monitor patients for reactions or side effects. -Record patients' medical information and vital signs. -Monitor, record, and report symptoms or changes in patients' conditions. -Consult and coordinate with healthcare team members to assess, plan, implement, or evaluate patient care plans. -Modify patient treatment plans as indicated by patients' responses and conditions. Qualifications Education Associate's Degree Nursing required or Bachelor's Degree Nursing preferred Can this role accept experience in lieu of a degree? No Licenses and Credentials Registered Nurse [RN - State License] - Generic - HR Only required Basic Life Support [BLS Certification] - Data Conversion - Various Issuers required Advanced Cardiovascular Life Support [ACLS (AHA)] - American Heart Association (AHA) preferred Neonatal Resuscitation Certification [NRP] - American Academy of Pediatrics (AAP) preferred Pediatric Advanced Life Support Certification [PALS] - Data Conversion - Various Issuers preferred Experience Clinical nursing experience 0-1 year required Knowledge, Skills and Abilities - Familiarity with the principles and skills needed for practical nursing to provide patient care and treatment. - Knowledgeable of the care required by respective age groups for which care is being provided. - Ability to maintain confidentiality and secure sensitive information. - Knowledge of medical terminology. - Excellent verbal and communication skills. - Ability to accurately screen and triage acute patients. Additional Job Details (if applicable) Physical Requirements Standing Frequently (34-66%) Walking Frequently (34-66%) Sitting Occasionally (3-33%) Lifting Frequently (34-66%) 35lbs+ (w/assisted device) Carrying Frequently (34-66%) 20lbs - 35lbs Pushing Occasionally (3-33%) Pulling Occasionally (3-33%) Climbing Rarely (Less than 2%) Balancing Frequently (34-66%) Stooping Occasionally (3-33%) Kneeling Occasionally (3-33%) Crouching Occasionally (3-33%) Crawling Rarely (Less than 2%) Reaching Frequently (34-66%) Gross Manipulation (Handling) Frequently (34-66%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Onsite Work Location 789 Central Avenue Scheduled Weekly Hours 24 Employee Type Regular Work Shift Night (United States of America) Pay Range $31.66 - $61.35/Hourly Grade 6NTEMP At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Southern New Hampshire Health

Southern NH Health System - Registered Nurse (RN) - Operating Room - Part Time

Come work at the best place to give and receive care! ​Job Description: Registered Nurse (RN) - Operating Room - Part Time Wed-Thurs 7p-7a - Overnights O.R. Experience Required! Sign on Bonus with Experience! Who We Are: SNHMC has nine operating room suites, 25 pre-op/PACU bays, and a sterile processing department. Hours are flexible, with 8-, 10-, and 12-hour day shifts available. The OR has a dedicated call team Sunday through Thursday nights beginning at 7PM, making OR call minimal. Services range from elective and non-elective procedures, including neurological, orthopedic, gynecological, urological, bariatric, colorectal, vascular, ENT, general, breast, and plastics. Surgical services are growing and evolving, utilizing the latest technology for the wide variety of procedures we perform. The OR also offers Periop-101 and advancements. About the Job: As a member of the Patient Care Services team, the Operating Room Registered Nurse (OR RN) cares for patients aged 6 months through adulthood who require surgical/invasive interventions under one of the various types of anesthesia. Nursing care is delivered utilizing a patient-centered approach and incorporating the Professional Practice Model. The OR RN provides patient-centered care through teamwork and collaboration to achieve quality patient outcomes. He/She integrates best practices and current evidence-based practices for delivery of optimal health care. The OR RN uses data to improve quality and safety and uses informatics and technology to communicate, manage information, mitigate errors, and support decision making. What You’ll Do: Deliver nursing care by utilizing a patient-centered approach incorporating the Professional Practice Model. Provide patient-centered care through teamwork and collaboration to achieve quality patient outcomes. Integrate best practices and current evidence-based practices for delivery of optimal health care. Utilize data to improve quality and safety. Incorporate informatics and technology to communicate, manage information, mitigate errors, and support decision making. Who You Are: Graduate from an accredited school with an AND Registered Nurse with the state of NH or compact state Maintains professional nursing practice and attends educational conferences to keep abreast of current trends and best practices. Effective written and verbal communication skills. Ability to achieve unit specific competencies by identified time line in Appendix for specific unit. Ability to achieve the following competencies: Within 30 Days: Basic Life Support Within 90 Days: Safe Care & Handling of Surgical Equipment, Decontamination of Surgical Instrumentation, Scrubbing/Gowning/Gloving, Aseptic Technique, Circulating General Cases, Set up of OR Equipment (Microscope (surgical), Surgical light systems, Electrosurgical Units, Lasers, Orthopedic Systems, Specialty Surgery Tables) Within 180 Days: Circulating Specialties (ENT/Plastics/Eyes, Vascular, Orthopedics/Neurological, Gynecological/Genitourinary), Robotics Surgeries Why You’ll Love Us: Southern NH Medical Center is a 4-time Magnet designated hospital Health, dental, prescription, and vision coverage for full-time & part-time employees Competitive pay Tuition Reimbursement 403(b) Retirement Savings Plan Education & Paid training courses for continued career progression & So much more! We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law. #JAL Work Shift: Wed-Thurs 7p-7a SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Geriatrics, Part-Time

Overview Geriatrics Clinic 24 hours/week; Tuesday-Thursday, 8am-5pm. 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; 4 member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play. Applicants are encouraged to visit our nursing career site to learn more and apply: Please visit: https://dhnursing.org/nursing-careers/ Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law. Responsibilities 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.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Heart and Vascular Unit, Part-Time - 24 hours, 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.
Dartmouth Hitchcock Medical Center

Emergency Department Forensic Nurse, Part Time, Evening (SANE RN)

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. The Clinical Emergency/Forensic nurse will be an expert Emergency Department nurse with an adjunct specialization in forensic nursing. Emergency Nursing is a specialized area of practice that is both independent and collaborative, requiring the continual acquisition and application of a specialized body of knowledge and skills. This demands a broad scope of practice to promptly deliver emergency, urgent, and non-urgent care to patients of all ages and from all cultural backgrounds. Emergency nursing care is episodic, primary, and typically acute, but may be chronic in nature requiring knowledge and skills to care for patients of all ages, acuities, and physical or psychological conditions. Forensic nursing is the practice of nursing when health and legal systems intersect. Forensic nurses provide specialized care for patients who are experiencing acute and long-term health consequences associated with victimization or violence, and/or have unmet evidentiary needs relative to having been victimized or accused of victimization. Forensic nurses are a critical resource for anti-violence efforts. The forensic nurse provides consultation and testimony for civil and criminal proceedings relative to nursing practice, care given, and opinions rendered regarding findings. Forensic nursing care is not separate and distinct from other forms of medical care, but rather specialized and integrated into the overall care needs of individual patients. The forensic nurse provides specialized medical forensic evaluations to patients experiencing violence, abuse and/or acts of crime. Patient populations served will include vulnerable adult and pediatric patients in the field of sexual assault, domestic violence, abuse, neglect, mistreatment, and death investigations. The Emergency/Forensic nurse position will be a collaborative role delivering patient care primarily in the emergency department in conjunction functioning as a forensic nurse providing medical evaluations in the unit or affiliate system hospitals as needed. This is a Part Time, 2 12hr shifts/week position with a 3p-3a schedule. Rotation is across all seven days. On Call requires a minimum 48 hours/month for call which includes one weekend/month Responsibilities Provide forensic nursing care in a trauma informed manner. Responsible for collaborating with the medical team and ensuring a Medical Screening Exam has or will be completed. Provides medical care simultaneously, while providing the associated forensic needs of the patient specific to each patient population. Provides medical forensic evaluation options of care specific to the patient population seen to include gathering the history of the violence and performing a comprehensive physical assessment. If evidence collection is completed as part of the medical forensic evaluation, the nurse examiner will adhere and apply forensic nursing care in conformity with the State of New Hampshire Acute Care of the Sexual Assault Patient standards. Collaborate and facilitate advocacy services to appropriate patient populations. Perform and document the comprehensive medical forensic evaluation; including documentation of detailed injuries with support of photography/videography with consent of the patient and if required parent/guardian. Maintains chain of custody for each piece of evidence collection when completed. Coordinates care of agencies involved and coordinates referrals appropriate to each patient medical and/or mental health follow up care. Will facilitate mandatory reporting as required by law to reporting agencies when needed. Provides testimony as a fact witness when subpoenaed and coordinates with attorneys during the judicial process. Maintains open communication with Risk Management during judicial process proceedings. Collaborate with team members to continue to grow the program internally and externally creating partnerships with community partners. This position will be open/eligible to additional on call hours requiring a one-hour response time. Emergency Nurse 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. Will engage in educational activities and team meetings. Performs other duties as required or assigned. Qualifications Graduate from an accredited nursing program required. Associate’s degree in nursing required. Bachelor’s degree in nursing preferred. Completion of SANE training from an approved IAFN program and have a history of two years of acute care nursing experience. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility required. Basic Life Support (BLS) Certificate required ACLS certification within six months of hire date. PALS certification within six months of hire date. Trauma Nurse Core Course (TNCC) within one year of hire date.
Dartmouth Hitchcock Medical Center

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

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.
Beth Israel Lahey Health

Registered Nurse Clinical Research Lead

Competitive salary with NEW market-adjusted rates! Responsible for the implementation and conduct of clinical trials with investigational anti‑cancer agents, in collaboration with Physician. Oversight of program development, operational conduct, research account accounting, and adherence to FDA and other research related regulatory guidelines. Requirements 3 to 5 years of direct experience BSN RN license ‑ NH or other Compact State Clinical Research Certification Responsibilities Collaborates with attending physicians and principal investigators to identify appropriate clinical trials for conduct and recruit eligible patients. Collaborates with Cancer Center nursing staff to provide nursing care to patients receiving therapy on a clinical research trial. Assures nursing staff understands how to administer investigational agents per protocol specifications. Assists Principal Investigators (PI) in the process of assuring adequate informed consent. Coordinate study enrollment, protocol treatment and follow up care for patients participating in clinical trials. Assures that blood sampling and specimen preparation is obtained per protocol specifications and monitors results. Ensures that drug dosing and sample collection times are followed and recorded. Oversees scheduling of patient laboratory and radiologic assessments, admissions and clinic visits. Documents all aspects of study and therapy in the patient electronic medical record and any other required database. In collaboration with nursing and medical staff, assess patients for complications related to therapy. Communicates observations/findings to enrolling MD, study sponsor, and in the medical record. Provides in‑service training and serves as a resource to other clinical personnel including physicians, nurse practitioners, nurses, pharmacists and allied health professionals. Provides patient teaching about research in general, their specific clinical trial and treatment they will be receiving, HIPAA regulations and any other information related to clinical trials. Communicates with referring and affiliated physicians to ensure documentation of clinical findings throughout the clinical trial. Establishes and maintains database of prospective/current patients on clinical trials. Establishes mechanisms to ensure complete and accurate data collection and documentation. Prepares and participates in clinical trials audits and reviews. Attends tumor board, IRB, multidisciplinary clinics and participates in quarterly Cancer Committee. Prepares and submits clinical trial information for IRB submission and presents to IRB with PI. Gives required updates and summary. Collaborate with department leaders and PI's to support and achieve research department objectives, develop strategic planning goals and identify operational process improvements. Ensure study compliance by understanding, developing and applying all relevant SOP's. Maintains NCI RCR investigator registrations and other relative research compliance documentation. Facilitates trial contracting and budget negotiations with study sponsors. Fiscal responsibilities include process of both vendor and site payments, as well as billing of Account Receivables following contractual agreements.
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Behavioral Health Emergency Department (ED), Part Time

Overview Our Behavioral Health Emergency Department - Zone B is made up of 7 beds supporting high risk mental health patients during crisis events. Our highest priority for these patients is safety and delivering a therapeutic environment. You will work with our high acuity Psychiatric, ED and security staff. Our successful candidate with have a passion for psychiatric medicine, empathy, compassionate caring, high level of emotional intelligence and be diligent in their work environment to provide one on one support to patients in need. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) Certificate required upon hire ACLS Certificate required within 6 months of hire date. PALS Certificate required within 6 months of hire date.
Dartmouth Hitchcock Medical Center

Case Manager - Registered Nurse(RN), Every Weekend

Overview THIS POSITION IS EVERY WEEKEND SATURDAY AND SUNDAY (10hr shifts) onsite in Lebanon 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.