RN Pediatric Other
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Child Development

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Child Development 8 hours per week Pediatric Specialties is seeking an experienced RN to join our Child Development team. The patient population could include but is not limited to children with autism, developmental delays, behavior disorders, sleep disturbances, ADD/ADHD, and trisomy. In addition to phone triage responsibilities, there is also the opportunity to liaison with school/IEP meetings. This clinic is open Monday through Friday, 8am-5pm, with this position being just 8 hours per week. No nights, weekends, or holidays. Responsibilities The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Practitioner Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. Actively seeks feedback and acts to improve performance. Engages in the governance of practice. Leader/Decision Maker Manages interpersonal relationships for self and with others. Mentors colleagues for the advancement of nursing practice and the profession. Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. Prioritizes and organizes time to optimize patient outcomes. Scientist Actively seeks out the most current evidence and standards and applies and translates to daily practice. Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. Transferor Communicates effectively in a variety of formats in all areas of practice. Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor of Science Degree in Nursing (BSN) preferred. Required Licensure/Certifications Licensed Registered Nurse with NH eligibility Basic Life Support (BLS) Certificate required upon hire.
RN Full-time
Dartmouth Hitchcock Medical Center

Care Manager (RN) - Capacity Coordination Center

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Care Manager, RN - Capacity Coordination Center 4 x 10 hour shifts Days, with every other Weekend As part of a multi-disciplinary team, applies nursing knowledge and processes to facilitate patient transfers for inpatient hospitalization, between levels of care during inpatient hospitalization, and post-acute care discharge coordination. Processes require review of the medical record, extensive collaboration with hospital providers, and transportation teams using electronic and telephone communication. 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 Dartmouth Health services. Manages and coordinates communications between DH providers and other facilities via telephone and electronic communication methods. Identifies patients and facilitates redirect and placement to DH system members. Monitors referrals to system members and collaborates with local decision makers to identify barriers and resources required to support system transfers. In collaboration with the UM/AMD determines appropriateness of requests for inpatient transfers from outside of the DH system. In collaboration with DHMC and DH system care management acts as a conduit to communication to address barriers to post-acute care transfers 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. Directs, coordinates, and updates patient transfer queue. In collaboration with the care team formulates and implements a care management plan that addresses patient/family needs, issues, resources and care goals; determining the choices available to individual patients 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 system member nurse leaders to get the right patient, in the right bed, for the right care level. Identifies and delegates appropriate tasks to assistive personnel/coordinators. Develops and promotes long-term relationships with referring facilities and providers. Determines and assigns accurate patient admission type following established guidelines and criteria. 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. 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 Care Management experience strongly preferred. Previous computer experience required (EPIC, CarePort, Word, Windows, and Excel). Proven organizational and multi-tasking abilities along with strong customer service skills that include excellent phone and email/electronic communication etiquette. Required Licensure/Certifications Licensed Registered Nurse in New Hampshire required. Basic Life Support (BLS) Certificate required.
RN ICU Full-time
Dartmouth Hitchcock Medical Center

Supv Clinical Nurse (CNS) - Tele-ICU, Rotating

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview Manages patient assignments and flow within inpatient care unit. Provides oversight of direct patient care to support patient and staff needs. Serves as a lead, clinical resource, role model, and extension of management to uphold institutional priorities, policies and practices. Responsibilities Assigns staff to patients per current unit workload. Considers pod acuity, staff experience and competency, learning needs and patient acuity/complexity when considering shift assignments. Participates in performance management of staff members to include coaching, preparation of performance evaluations, and the performance management process. Initiates disciplinary action as appropriate. Addresses conflicts as they may arise. Assists/mediates to maintain smooth operations of the unit. Involves unit leadership or House Supervisor as appropriate. Facilitates timely admissions and discharges to optimize clinical capacity. Performs other duties as required or assigned. Qualifications Graduate from an accredited Nursing Program required. Bachelor’s Degree (e.g. BSN, BA, BS) at time of hire, or degree expected within 36 months of hire. 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. Required Licensure/Certifications Licensed Registered Nurse with New Hampshire eligibility. Basic Life Support (BLS) upon hire.
RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN) - Intermediate Special Care Unit, Rotating

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

Registered Nurse (RN) - Admissions, Pediatric Psychiatric Care

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

Case Manager - Registered Nurse(RN), Every Weekend

Dartmouth Hitchcock Medical Center Lebanon, NH
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.
RN Full-time
Dartmouth Hitchcock Medical Center

Registered Nurse (RN), HVC Research

Dartmouth Hitchcock Medical Center Lebanon, NH
Overview The Clinical Research Nurse I performs a variety of clinical and non-clinical tasks associated with conducting clinical research, and within the scope of licensure. Working closely with research participants and their families, they provide care, education and support throughout the trial. Under the supervision of the PI or their designee, this position collaborates with research and non-research staff, maintaining involvement throughout the clinical trial process. The role of the Clinical Research Nurse I is introductory, with assignments provided at a task level, and focused on less complex clinical research trials and processes. Responsibilities Research Operations Provide patient care to inpatients and outpatients receiving investigational therapy Screen and recruit potential research participants and assist with verification of inclusion and exclusion criteria for eligibility purposes Assist with educating patients and families regarding investigational therapy in collaboration with the medical team Ensure that patients are scheduled for all study assessments as required per research protocol Assist with the preparation and administration of all medications required per research protocol, including investigational and standard of care agents Assist with the evaluation and management of research patients for drug and/or disease-related toxicities and symptoms Ethics & Participant Safety: Adhere to and maintain Good Clinical Practice (GCP)/Human Subjects Protection (HSP) practices and required training Articulate the rationale for individual protocols Serve as a resource to ensure staff and patients recognize the difference between routine clinical care management and care management of clinical research participants Data and Informatics Utilize electronic systems, technologies, and software necessary for study operations Accurately document study visit assessments for data collection And assist with data entry as needed Assist with the development of, data collection documents and instruments Adhere to required processes, policies, and systems protocols to ensure data security Leadership and Professionalism Follow professional guidelines and code of ethics related to the conduct of clinical research. Site and Study Management Assist in the initiation, management, and completion of clinical trials and research studies. Perform other duties as assigned, such as supporting regulatory affairs Communication and Team Collaborate with and educates healthcare professionals regarding investigational research protocols Ensure research compliance and adherence to protocol guidelines Clinical Skills Ensure a safe, effective, and efficient patient care environment Facilitate and monitor activities related to the delivery of patient care within research Other duties as assigned Qualifications Graduate from an accredited nursing school required. Bachelor of Science in Nursing preferred. Must be obtained within 4 years of hire Previous knowledge of research preferred Minimum of 2 years clinical nursing experience required Excellent interpersonal and communication skills required Excellent attention to detail required Required Licensure/Certifications Licensed RN with NH eligibility Certified Good Clinical Practice (CGCP) within 30 days; Human Subjects Protection (HSP) certification within 30 days BLS