Clinic Registered Nurse jobs at Dartmouth-Hitchcock

Site: Mass General Brigham Health Plan Holding Company, Inc. 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. MGB Health Plan is hiring two RN Transitions of Care Coordinators! Team: Whole HealthCare Duals Mass General Brigham Health Plan Hybrid: Required to travel in the community Primarily serves enrollees in the One Care and Senior Care Options (SCO) programs. Onsite to assess member patient following member (MGB hospital and facility or nursing home) Working with interdisciplinary team and liaison with all facilities. Assists with discharge planning before member goes back into community. Job Summary The Opportunity Mass General Brigham is hiring two Transitions of Care Coordinators to work as part of an interdisciplinary care team dedicated to supporting enrollees and their families in navigating the healthcare system through effective planning and coordination of care transitions. This role will primarily serve enrollees in the One Care and Senior Care Options (SCO) programs. The Transitions of Care Coordinator is a Registered Nurse who acts as the primary liaison for each enrollee throughout transitions between care settings. This role involves close collaboration with the enrollee's Interdisciplinary Care Team (ICT) Lead to facilitate discharge planning to appropriate settings and oversee transition processes, engaging the ICT-including the Long-Term Services Coordinator (LTSC) and Geriatric Support Services Coordinator (GSSC) as needed. The coordinator conducts assessments of post-discharge and post-transition needs, presents suitable options to enrollees and their caregivers, develops individualized care plans, and ensures thorough documentation of all assessment updates. This position is integral to reducing hospital readmissions, improving continuity of care, and providing essential support to enrollees and their families at critical points in their healthcare journey. This position requires a hybrid work model, including practice-based responsibilities, remote work, and facility or community visits as needed. The population of focus will primarily include enrollees residing in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. This position's responsibilities and caseload may be adjusted based on enrollee enrollment trends. Qualifications What You'll Do * Collaborates regularly with the Interdisciplinary Care Team (ICT) to review inpatient cases, recommend discharge plans, and support individualized, enrollee-centered care plans. * Conducts comprehensive assessments of enrollees and families to evaluate physical, psychosocial, behavioral, and environmental needs, identifying barriers and service requirements for successful care transitions. * Develops and implements discharge plans, including medication management, follow-up appointments, and referrals to post-acute services such as home health, hospice, and rehabilitation. * Coordinates and facilitates safe, timely transitions across care settings by partnering with healthcare facilities, providers, and community-based organizations. * Participates in family and case management meetings to support care coordination, address barriers, and align care goals. * Identifies and arranges essential support services like food security programs, home care, and visiting nurse services to ensure continuity of care. * Educates enrollees and families on diagnoses, care plans, medications, and community resources to promote informed decision-making and self-management post-discharge. * Ensures timely, accurate communication with ICT, maintains regular status updates, documents care interventions using electronic medical records, and complies with regulatory policies. * Manages a panel of admitted enrollees, conducts utilization reviews for inpatient and skilled nursing services, ensures adherence to Dual Special Needs Plan (DSNP) regulations, conducts facility/community visits, and performs additional duties as assigned. Qualifications to be considered * Associate's Degree Nursing required * Bachelor's Degree Nursing preferred * Certified Case Management Preferred * Can this role consider or accept experience in lieu of a degree? No * Registered Nurse [RN - MA State License] * Basic Life Support [BLS Certification] * Case management, utilization review, or discharge planning experience 2-3 years preferred * Minimum of 3-5 years' experience in health plan or community case management * Valid Driver's License and reliable transportation * Experience with community case management, Transitions of Care, and/or Medicare and Medicaid preferred * Bilingual highly preferred: Bilingual; Spanish, Portuguese, French, and/or Chinese Skills for Success * Demonstrates competency with multiple healthcare computer platforms (EPIC experience a plus) and the ability to work effectively in complex, fast-paced medical environments across multiple practice locations. * Experienced in working with individuals with complex medical, behavioral, and social needs, utilizing knowledge of healthcare and community services to assist enrollees effectively. * Strong communication, interpersonal, and relationship-building skills to engage enrollees, interdisciplinary teams, providers, and staff, promoting Population Health initiatives with excellent oral, written, and telephonic abilities. * Exhibits critical thinking, problem-solving skills, and autonomy in decision-making, while effectively managing routine work, triaging, and reprioritizing as needed with strong organizational skills. * Comfortable with change and adaptable, demonstrating flexibility to pivot and engage in continuous process improvement activities. * Works independently yet contributes to a collaborative team environment, balancing autonomy with teamwork to support organizational goals. * Active RN license, in good standing with meeting all continued education requirements Additional Job Details (if applicable) Working Model Required * M-F Eastern Business Hours required 830a-5pm ET * Onsite Practice-based, remote work and enrollee in-person home and community visits * Weekly multiple days in field needed, will vary * Reliable transportation and valid driver's license required * Must be local, ideally in Eastern, MA. Community capable with autonomy to build own schedule to accommodate member's needs. With flexibility required based on member needs * Must be flexible for training, field work and business needs, this can very per week in person, as well as telephonic or virtual assessments are possible. * Field work may be increased as the program launches * Remote working days require stable, quiet, secure, compliant working station using MGB provided equipment and Teams Video access Our goal will be to geographically align employees, this depends on residence, and can vary based on business needs, member enrollment and team staffing. Employee must accommodate the hybrid work model, including practice-based, remote work and enrollee in-person home and community visits. The population will primarily include enrollees residing in Essex, Middlesex, Suffolk, Norfolk, Plymouth, Bristol, Dukes, and Nantucket counties. The responsibilities and caseload may be adjusted based on enrollee enrollment trends. Remote Type Hybrid Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $58,656.00 - $142,448.80/Annual Grade 98TEMP 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: Mass General Brigham Health Plan Holding Company, Inc. 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 **************. 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.

Reporting directly to the Clinical Manager of Cardiac Associates, this individual will coordinate and supervise the overall function of the Arrhythmia Clinic at Concord Hospital. This will require working collaboratively with administration, physicians, nurses, and ancillary personnel. The Clinic Coordinator facilitates coordination of care and communication with each patient, and partners with physicians in development of treatment plans. He/She will communicate with the multidisciplinary health care team and ensure regulatory requirements are met. The Clinic Coordinator will provide community and physician education on the Arrhythmia Clinic. This position will also collect and aggregate clinical data, and maintain required registries. Education Bachelor of Science in Nursing (BSN) required, MSN preferred. Certification, Registration, and Licensure Certification required: BLS, Licensure required: Licensed to practice Nursing in the State of New Hampshire. Experience Effective interpersonal, organizational and motivational skills required with ability to function as a team player, and proficiency in written and verbal communication. General knowledge of medical office operations, including scheduling, registration, electronic medical records, patient flow, billing, coding, charge capture, referrals, authorizations, payor guidelines, compliance, credentials, privileges, regulatory agencies, and DNV standards. Minimum three years Cardiac nursing experience required. Responsibilities Clinical oversight and management of the Arrhythmia Program and Clinic, with strong emphasis on operations, implementation, and development. Coordinates the continuum of arrhythmia patient throughput. Provides outreach education regarding Arrhythmia Clinic to community, referring offices, hospital and office staff. Manages Regulatory data and Fiscal Resources for the Arrhythmia Program. Oversees and manages compliance and Watchman registry, including all data reporting, joint decision making documentation. Participates actively in quality improvement efforts. Works independently and within a team on special, nonrecurring and ongoing projects. Coordinates multiple aspects of projects, events, and other complex activities. 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 ************. 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 hear and speak. The employee is frequently required to do repetitive motion, perform activities that require fine motor skills, sit, stand, and walk. The employee is occasionally required to bend, kneel, reach, smell, and squat. 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, bloodborne 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, toxic or caustic chemicals, and variable weather conditions. The noise level in the work environment is usually moderate.

DO YOU LOVE TEACHING? The New Hampshire Dartmouth Family Medicine Residency (NHDFMR) is seeking an experienced, board-certified Osteopathic Physician Preceptor (per diem) to teach in a community family medicine residency. NHDFMR is celebrating 30 years as an innovative program developing clinically excellent physicians who model a team-based approach to care and complexity. Our mission is to teach residents and care for all patients, including underserved populations in our region. Concord Hospital is a three-hospital system in Concord, Laconia, and Franklin with a mission to meet the health needs of individuals in the communities we serve. Concord Hospital Medical Group (CHMG), part of Concord Hospital, includes 560+ employed providers representing 40 subspecialties in over 50 locations across Central New Hampshire. Requirements • BE/BC Family Medicine Physician • NH Professional Licensure • DEA Certificate 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 ************. Physical Demands and Work Environment Requirements The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. The employee is regularly required to hear and speak. The employee is frequently required to walk, sit, do repetitive motion and perform activities that require fine motor skills. The employee is occasionally required to bend, climb, reach, drive, smell, squat and stand. 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, bloodborne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, radiation, chemotherapeutic agents, toxic or caustic chemicals, electrical hazards-shock, non-weather related heat or cold, variable weather conditions, moving mechanical parts and slippery surfaces. The noise level in the work environment is usually moderate.

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

Registered Nurse - Tele TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking a highly attentive and skilled Registered Nurse - Tele to care for patients requiring continuous cardiac monitoring and intermediate-level medical attention. The Tele RN plays a critical role in detecting subtle changes in patients' conditions and coordinating care in a telemetry unit. Job Responsibilities Provide direct nursing care to patients requiring telemetry monitoring for cardiac and medical conditions. Continuously assess cardiac rhythms and alert physicians to significant changes or arrhythmias. Administer medications, monitor IVs, and manage treatments per provider orders. Interpret telemetry strips and collaborate with telemetry techs and the care team for appropriate interventions. Educate patients and families on conditions, medications, and discharge instructions. Document all nursing assessments, interventions, and responses accurately in the EHR. Promote patient safety and follow evidence-based clinical protocols. Qualifications Active RN license in good standing. Associate's or Bachelor's degree in Nursing (BSN preferred). Minimum 1 year of telemetry or cardiac nursing experience preferred. Current BLS and ACLS certifications required. Proficient in reading EKGs and recognizing common cardiac arrhythmias. Strong communication and clinical decision-making skills. Benefits Competitive pay and comprehensive benefits package. Access to advanced telemetry monitoring equipment and clinical resources. Health, dental, and vision insurance options. Supportive team environment and interdisciplinary collaboration. Continuing education and cardiac specialty training opportunities. If you are a proactive and vigilant Telemetry RN ready to make an impact in patient monitoring and cardiac care, apply today to join TLC Nursing Associates.

Reporting to the Practice Administrator or Clinical Manager and under the direction of the practice providers, the Clinical Practice Nurse 1 delivers high quality patient care including assessment, treatment, planning, and care evaluation. The Clinical Practice Nurse 1 uses knowledge of the principles of growth and development over the life span, assesses clinical data reflective of the patient's health status and interprets information needed to identify each patient's requirements relative to his/her age specific needs. The Clinical Practice Nurse 1 engages in caring relationships with patients, families, and caregivers, works collaboratively with the health care team, and uses sound judgments while performing nursing interventions. Education Minimum requirements: Associate Degree or Diploma in Nursing from an accredited School of Nursing. Certification, Registration & Licensure Licensure required: New Hampshire Board of Nursing license Certification required: Current American Heart Association Basic Life Support for Healthcare Providers certification or Red Cross CPR/AED for Professional Rescuers and Health Care Providers Experience Demonstrated ability to effectively and positively interact with a multi-disciplinary staff, patients, and others. Responsibilities Establishes priorities in organizing daily activities and maintains efficient patient flow. Triages patient phone calls following established guidelines and prescribed format for identifying patient's health problems or concerns, and providing quality patient care. Administers prescribed medications. Provides education to patients in response to identified patient needs. Documents health information, interventions, and outcomes into the patient electronic medical record. Delegates patient care activities using the five rights: right task, person, direction, circumstance, and supervision (ensuring the task has been completed satisfactorily and documentation is complete) and providing feedback to delegatee and manager. Applies principles of purposeful, organized thinking based on the nursing process to make sound clinical judgment and decisions. Completes practice specific clinical skill competencies on an annual basis. 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 ************. 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 LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds. While performing the duties of this Job, the employee is regularly required to do repetitive motion, hear, and speak. The employee is frequently required to bend, do fine motor, reach, sit, stand, and walk. The employee is occasionally required to climb, kneel, smell, and squat. 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 bloodborne pathogens, bodily fluids. The employee is occasionally exposed to airborne pathogens, electrical hazards - shock, toxic or caustic chemicals. The noise level in the work environment is usually quiet.

Registered Nurse (RN) - Emergency Room TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking an experienced and compassionate Registered Nurse (RN) to join our Emergency Room team. The RN will provide high-quality, rapid assessment and treatment to patients in critical or life-threatening situations while working in a fast-paced, team-oriented environment. Job Responsibilities Assess, triage, and prioritize incoming patients based on acuity and presenting symptoms. Deliver direct patient care including medication administration, IV therapy, wound care, and emergency interventions. Monitor patient condition and respond quickly to changes in status or emergencies. Collaborate with emergency physicians and healthcare professionals to develop and implement care plans. Educate patients and families on procedures, diagnoses, and follow-up care. Accurately document all assessments, interventions, and patient responses in a timely manner. Ensure compliance with hospital policies, safety protocols, and infection control standards. Support patient flow, bed turnover, and coordination with ancillary departments. Qualifications Active RN license in the state of practice. Associate or Bachelor of Science in Nursing (ASN or BSN) from an accredited nursing program. Minimum 1-2 years of recent Emergency Room or critical care experience preferred. BLS and ACLS certifications required; PALS and TNCC preferred. Strong critical thinking, clinical assessment, and decision-making skills. Excellent communication and ability to remain calm under pressure. Benefits Competitive salary and weekly direct deposit. Comprehensive medical, dental, and vision insurance. 24/7 support from a dedicated clinical and administrative team. Continuing education and professional development opportunities. Dynamic and supportive ER work environment. If you're a dedicated and capable Emergency Room Registered Nurse committed to delivering urgent, lifesaving care, apply today and become part of the TLC Nursing Associates team.

Registered Nurse (RN) - Labor & Delivery (L&D) TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking a compassionate and experienced Registered Nurse (RN) to join our Labor & Delivery (L&D) team. This role is vital in providing care for expectant mothers throughout the labor, delivery, and immediate postpartum phases. Job Responsibilities Monitor mothers and babies during labor to assess vital signs, contractions, and fetal well-being. Assist obstetricians and midwives during labor, delivery, and cesarean sections. Administer medications and monitor patient response, including epidurals and oxytocin. Provide physical and emotional support to patients and their families during childbirth. Document patient progress and medical interventions accurately and timely. Educate new mothers on breastfeeding, newborn care, and postpartum recovery. Ensure safety and adherence to infection control, hospital protocols, and regulatory requirements. Qualifications Current and unrestricted RN license in the applicable state. Minimum of 1-2 years of Labor & Delivery nursing experience required. BLS and ACLS certifications required; NRP and fetal monitoring certification preferred. Proficient in monitoring labor progression and managing high-risk pregnancies. Strong communication, critical thinking, and decision-making skills. Compassionate approach and ability to remain calm in high-pressure situations. Benefits Competitive salary and comprehensive benefits package. Medical, dental, and vision insurance coverage. Paid time off and 401(k) retirement savings plan. Ongoing training and continuing education opportunities. Supportive work environment and 24/7 clinical support. If you're a passionate Labor & Delivery RN looking to provide exceptional care to mothers and newborns, apply today and become part of TLC Nursing Associates, Inc..

Provide care for patients utilizing fetal and maternal monitoring equipment. Manage the patient's pain including epidural and patient-controlled analgesia administration. Assist physician during delivery, treatment, examination, and surgical procedures. Monitor, record and communicate patient condition as appropriate utilizing computerized documentation systems. Provide patient and family education on labor, pain, and newborn care.

Registered Nurse - Stepdown TLC Nursing Associates, Inc. TLC Nursing Associates, Inc. is seeking a competent and compassionate Registered Nurse - Stepdown to provide care to patients who are transitioning from intensive care but still require close monitoring. The Stepdown RN plays a critical role in patient recovery, ensuring continuity of care between ICU and general med-surg units. Job Responsibilities Monitor and assess patients with complex or evolving health conditions, often requiring telemetry or continuous observation. Administer medications, IV fluids, blood products, and other treatments as prescribed. Interpret cardiac rhythms and respond appropriately to clinical changes. Collaborate with physicians, specialists, and allied health professionals to coordinate comprehensive care. Document all assessments, interventions, and outcomes accurately in the electronic health record (EHR). Educate patients and families about disease processes, discharge plans, and home care instructions. Provide emotional support and maintain a calm, therapeutic environment during transitions in care. Qualifications Active RN license in good standing. Associate's or Bachelor's degree in Nursing (BSN preferred). Minimum 1-2 years of experience in stepdown, telemetry, ICU, or med-surg nursing. Current BLS and ACLS certifications required. Strong clinical judgment and familiarity with high-acuity patient care. Proficient in telemetry monitoring and emergency response protocols. Benefits Competitive salary and full benefits package. Access to advanced monitoring tools and equipment. Health, dental, and vision insurance coverage. Supportive team environment and interdisciplinary collaboration. Continuing education and professional growth opportunities. If you are a motivated and capable Stepdown RN dedicated to bridging critical and acute care, apply now to join TLC Nursing Associates.

Responsible for the delivery of direct patient care using the nursing process and as defined by the healthcare facility in their unit specific job description. Requirements: -Graduate of an RN program -Previous work experience as an RN -Current unrestricted RN license in the state Workplace conditions: -Frequent lifting, bending, and reaching -May require lifting to 80 pounds (using proper techniques) -May require standing and walking 2-5 hours at a time -May have exposure to chemicals, radiation, infectious diseases/waste and/or blood borne pathogens

The Registered Nurse (RN) in the Emergency Room (ER) provides critical care to patients in urgent or emergent conditions. The RN in the ER works in a fast-paced, high-pressure environment, delivering immediate care to patients suffering from injuries, illnesses, or trauma. They assess, triage, and treat patients in collaboration with physicians, nurse practitioners, and other healthcare professionals, ensuring the best outcomes in a dynamic setting. Key Responsibilities: Triage and Patient Assessment: Perform initial assessments of patients presenting in the ER, including triaging based on the severity of their condition. Evaluate patient history, conduct physical assessments, and identify urgent health issues to prioritize care. Collect patient vital signs (blood pressure, temperature, pulse, respiration) and other relevant data to determine immediate care needs. Emergency Care and Treatment: Administer medications, fluids, and treatments as prescribed, including intravenous (IV) fluids, antibiotics, pain management, and other emergency medications. Perform wound care, splinting, suturing, and other interventions as needed for trauma or injury patients. Provide emergency life-saving interventions, including CPR, advanced cardiac life support (ACLS), and trauma care. Assist in resuscitation efforts, including managing ventilators, intubation, and defibrillation when necessary. Collaboration with Medical Team: Work closely with physicians, nurse practitioners, and other team members to develop and implement patient care plans. Assist with diagnostic testing, such as lab work, imaging (X-rays, CT scans), and electrocardiograms (ECGs), based on patient needs. Communicate clearly and efficiently with the healthcare team, updating them on changes in patient status and discussing care options. Monitoring and Documentation: Continuously monitor patients' conditions, noting changes in vital signs, mental status, and symptoms. Document all patient assessments, treatments, and outcomes accurately in the electronic health record (EHR). Ensure compliance with legal, regulatory, and hospital standards for patient care and documentation. Patient and Family Communication: Provide clear explanations to patients and their families about diagnoses, procedures, and treatment plans. Offer emotional support to patients and families experiencing stress or anxiety due to medical emergencies. Advocate for patients' needs and coordinate care with other departments to ensure timely interventions. Infection Control and Safety: Follow strict infection control protocols, including appropriate use of personal protective equipment (PPE) to prevent the spread of infectious diseases. Ensure the ER environment remains safe and sterile for both patients and staff. Respond to potential biohazardous situations with proper precautions and protocols. Crisis Management: Handle a wide range of patient emergencies, from minor injuries to life-threatening conditions, using critical thinking and rapid decision-making skills. Manage high-stress situations effectively, staying calm while providing life-saving interventions. Prioritize care based on patient acuity and available resources, ensuring efficient use of ER staff and equipment. Patient Discharge and Follow-Up: Provide discharge instructions and explain the next steps in care, including medication instructions, follow-up appointments, or referrals. Educate patients on preventive measures and care after discharge, especially in cases of trauma or chronic conditions. Teamwork and Mentorship: Collaborate with emergency room staff, including physicians, nurses, support staff, and paramedics, to ensure coordinated patient care. Act as a mentor or preceptor for new nurses, students, and less experienced staff members, providing guidance and support in emergency care procedures.

Minimum 2 years of experience required. Provides basic medical support to children. Check in child patients, evaluating their symptoms and checking their vital signs. Complete diagnostic tests. Administer medications or minor procedures. Create a treatment plan or coordinate follow-up medical care. Educate family members on treatment options.

A Pediatric Nurse will diagnose and treat medical conditions in adolescents and children, and they may administer minor procedures as required. They also provide education to family members by answering questions and providing follow-up information as needed.

The Registered Nurse (RN) in the Cardiovascular Operating Room (CVOR) provides specialized nursing care to patients undergoing cardiovascular surgeries. The RN works closely with the surgical team, including cardiothoracic surgeons, anesthesiologists, surgical technologists, and other healthcare professionals, to ensure safe, effective, and compassionate care before, during, and after cardiac procedures. This role requires expertise in cardiovascular anatomy, surgical interventions, and high-acuity care in the operating room setting. Key Responsibilities: Preoperative Patient Preparation: Assess patients prior to surgery by reviewing medical histories, allergies, and current medications. Prepare patients physically and emotionally for surgery, explaining procedures and answering questions. Ensure all preoperative orders are completed, including labs, imaging, and medications, as prescribed by the surgical team. Verify patient identity, surgical site, and procedure using a surgical checklist to ensure patient safety. Assist with positioning patients on the operating table to ensure optimal access and comfort during the procedure. Intraoperative Nursing Care: Assist with the setup of the sterile field and ensure all surgical instruments and equipment are ready for use. Monitor the patient's vital signs, including heart rate, blood pressure, oxygen levels, and blood gases during surgery. Administer medications (e.g., anesthetics, analgesics) and fluids as directed by the anesthesiologist or surgeon. Assist the surgical team during complex cardiovascular procedures, such as coronary artery bypass grafting (CABG), valve repair/replacement, or other heart surgeries. Ensure the maintenance of a sterile environment, adhering to infection control practices and using sterile techniques during the procedure. Respond promptly to any changes in the patient's condition, including complications such as arrhythmias or bleeding. Monitoring and Documentation: Document patient status, interventions, and changes in condition in the electronic health record (EHR) according to hospital policies. Record intraoperative events, including medications, blood products, and surgical team interventions. Monitor and document patient responses to anesthesia, medications, and surgical interventions, and report any concerns to the surgical team. Postoperative Care: Assist with the transfer of the patient from the operating room to the recovery unit or intensive care unit (ICU), ensuring stable vitals and ongoing monitoring. Monitor the patient for signs of complications post-surgery, such as bleeding, infection, or arrhythmias, and take immediate action if needed. Provide postoperative education to patients and families, including information on recovery, wound care, and activity restrictions. Administer pain management and other medications as prescribed to promote comfort and recovery. Collaboration and Communication: Communicate effectively with the surgical team, including surgeons, anesthesiologists, and surgical technologists, to ensure coordinated care. Collaborate with the preoperative and postoperative care teams to ensure continuity of care and address any patient concerns. Participate in surgical briefings and debriefings to discuss patient care, procedure outcomes, and any improvements needed for future surgeries. Emergency Response and Crisis Management: Be prepared to manage critical situations, such as life-threatening arrhythmias, cardiac arrest, or excessive bleeding, during surgery. Use advanced cardiovascular life support (ACLS) protocols and other emergency measures to stabilize patients when needed. Work collaboratively with the surgical and anesthesia teams to handle unexpected complications quickly and efficiently. Sterilization and Equipment Maintenance: Ensure all cardiovascular surgical instruments and equipment are sterilized, functioning, and properly maintained. Troubleshoot and resolve equipment malfunctions quickly to minimize delays in surgery. Ensure compliance with hospital policies and industry standards for infection control, including maintaining sterile technique and using proper PPE. Patient Advocacy and Support: Advocate for patient safety and comfort before, during, and after surgery, ensuring the patient's well-being is the top priority. Provide emotional support to patients and families, answering questions and offering reassurance about the surgery process and expected outcomes. Professional Development: Stay current with the latest research, techniques, and best practices in cardiovascular nursing and surgery. Participate in continuing education opportunities, including certifications and training specific to cardiovascular care (e.g., CNOR, CCRN, or Cardiac Surgery Nurse certification). Collaborate with colleagues to enhance the CVOR department's practices and improve patient outcomes.

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. Employee Benefits Competitive and comprehensive employee benefits and growth opportunities await you when you join our team. Health insurance and dental benefit Available to full-time (30+ hours) and part-time employees (20-29 hours) Wellness programs Life/LTD insurance 403B retirement savings account with employer contribution Tuition reimbursement On-site childcare Complimentary on-site employee fitness center Paid time off Career development Employee Activities Committee Military Program (offering a supportive environment for those serving or who served in the armed services) Streamlined military leave process Enhanced military leave policy Enrichments to benefits and paid-time-off Organizational resources committed to employees and their families Education for employees and managers Recognition of service 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 ************. 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.

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 ************. 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.

Estimated Gross Weekly Pay: $0.00 About Alliance Services: Alliance services, Inc. wants you on our team! As a nurse-founded, nurse-owned, minority-owned travel-nurse agency, it is our first priroity to ensure that we offer top pay and an outstanding employee experience from start to finish. Making sure that you receive the most generous pay package possible, and a career-enhancing clinical experience at the destination of your choice. Our dedicated recruiters are committed to providing excellent service to you and foster a greater sense of belonging as not just an employee, but as a valued member of our extended family. Industry Leading Benefits: Weekly pay via direct deposit and accessible payroll support 401k with 100% matching Monthly reimbursement for health insurance Maximum non-tax stipends available including lodging, meals and incidentals 24/7 On-call support

Pediatric Hematology/Oncology Infusion Clinic - Per Diem Tuesday-Friday, Days 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) with 1 year of experience. * Associate Degree (ADN) prepared nurses with 2 years' experience. Required Licensure/Certifications * Licensed Registered Nurse with New Hampshire eligibility. * Bachelor of Science Degree in Nursing (BSN) preferred. * BLS required upon hire.