Northern Counties Health Care jobs

Director of Quality and Compliance- The Director of Quality and Compliance is responsible for leading the development, implementation, and oversight of programs that ensure clinical excellence and regulatory compliance across the organization. This role plays a critical part in promoting safe, effective, and equitable care through performance improvement strategies, accreditation preparedness, and risk management. Working closely with senior leadership and clinical teams, the director ensures that all policies align with federal, state, and HRSA guidelines while driving continuous quality improvement initiatives. Supervisory Responsibilities: This position has direct supervisory responsibilities. Essential Job Functions/Responsibilities: CORE FUNCTIONS Providing coordination, guidance, and support to practices and providers in developing and implementing quality initiatives that improve patient care. Providing project management support to ensure that initiatives involving people, processes, and technology are well-executed and aligned with organizational goals. Supporting the organization's compliance with federal and state regulations and maintaining NCHC's status as a Federally Qualified Health Center. Supporting external quality programs, including PCMH, Meaningful Use, and Vermont State initiatives. Collaborating with internal teams (providers, staff) and external stakeholders to drive improvement and maintain regulatory standards. QUALITY INITIATIVES RESPONSIBILITES Coordinates the implementation, monitoring, and revision of the organization's Quality Improvement (QI) program. Supports staff in meeting regulatory accreditation and organizational compliance goals. Works with Information Systems staff to organize, compile, and report QI data to identify trends, set priorities, and recommend improvements. Reports findings to clinical directors and committees such as Utilization Review, Infection Control, and Risk Management. Organizes and/or conducts training to improve data quality and enhance patient care. Co-chairs and coordinates the activities of the Primary Care Quality Improvement Committee. Supports staff in efforts to enhance efficiency and quality of services across the organization. Assists with NCHC's FTCA deeming process to ensure ongoing provider coverage. Performs other duties as assigned. COMPLIANCE OFFICER RESPONSIBILITIES The Compliance Officer oversees all aspects of the organization's compliance program and is authorized to investigate suspected illegal or unethical conduct. Oversees the development and implementation of the Compliance Program. Directs initiatives to improve service quality and reduce fraud or abuse through audits, communication, and policy development. Updates the Compliance Program based on changes in law, standards, or organizational needs. Coordinates and leads compliance training for board members, staff, contractors, and representatives. Ensures HR verifies all individuals and applicants against the OIG and GSA exclusion lists. Investigates allegations of misconduct, implements corrective actions, and monitors outcomes. Claims Coordination Serves as the Claims Coordinator, managing all aspects of claims related to malpractice or litigation, including: Investigations, legal holds, and documentation. Coordination with legal counsel, staff, and external agencies. Timely processing and reporting of claims-related activities. Tracking claims trends and reporting to leadership and the Board. Reports regularly to the Senior Leadership Team and Board of Directors on compliance program activities. RISK MANAGEMENT RESPONSIBLITIES Serves as the Risk Manager under the direction of the Medical Director: Oversees and coordinates daily risk management activities. Participates in annual Risk Management training. Collects and reports Unusual Occurrences to leadership and the Board. Leads quarterly risk and QI/QA assessments. Annually reviews and updates the Risk Management Plan. Provides an Annual Risk Report and regular updates to the Board and Senior Leadership Team. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: BS in Nursing, Public Health, Healthcare Administration, Business, or a related field is required. An associate degree combined with extensive relevant experience in nursing, quality, and/or compliance may be considered in lieu of a bachelor's degree. Management experience in healthcare required, including training, supervision, personnel evaluation, and project management responsibilities. Must have a strong understanding, appreciation, and commitment to comprehensive community-based primary health care, including health care reform and quality initiatives. Must be effective in collaboration and communication with all staff. Demonstrated project management skills, including the ability to meet deadlines, deliver results, make quality decisions, take responsibility for outcomes, and adapt to changing conditions while adding value beyond the scope of the position. Ability to solve problems collaboratively with staff. Ability to advocate for NCHC while interfacing with outside professional organizations. Self-motivated and able to work independently. Demonstrates initiative, sound professional judgment, and the ability to work well with others. Excellent written and verbal communication skills required. Must maintain a high level of confidentiality. Proficient in computer applications including word processing, spreadsheets, databases, department-specific software, and email. Requires prolonged sitting, some bending, stooping, and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. Proficient in written and verbal communication. Computer proficiency, including email, spreadsheets, word processing, and EMRs High level of confidentiality required Physically able to lift up to 50 pounds and stand/walk for extended periods Manual dexterity and hand-eye coordination required Exposure to bodily fluids and communicable diseases expected May require occasional lifting up to 25 pounds. This is an exempt, full-time leadership position offering the opportunity to make a meaningful impact on healthcare quality and compliance in Vermont's Northeast Kingdom.

The Information Systems Support Specialist is responsible for troubleshooting hardware and software issues, managing ticketing systems, and ensuring timely resolution of end-user concerns across multiple departments. The Information Systems Support Specialist plays a key role in maintaining smooth technology operations and delivering responsive customer service. Strong diagnostic skills, attention to detail, and the ability to prioritize requests in a fast-paced environment are essential to success in this role. Essential Job Functions/Responsibilities: • Contributes to the maintenance of all computer hardware and software systems used by NCHC. • Keeps apprised of new technology that would benefit the organization. • Installs hardware and software. • Troubleshoots and resolves IS related problems. • Performs necessary preventive maintenance to all systems. • As a member of the IT Team, provides 24/7 support to the servers to ensure continuous uptime and application availability. • Configures new computers on the network as needed. • Acts as primary Help Desk agent. • Provides formal and informal training to staff, including security training, troubleshooting tips, and software applications. • Understands networks and the major operating systems. • Updates job knowledge by participating in educational opportunities, reading professional publications, maintaining personal networks, and participating in professional organizations. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: • Associate's Degree in Computer Science or equivalent background experience. • At least two years of experience in computer systems development, design, and management, preferably with PC-based systems. • At least one year of experience with LAN/WAN technologies. • Must be self-directed, organized, and able to communicate effectively with staff and outside vendors. • Must have extensive experience in computer skills including, but not limited to, email functions, spreadsheets, document processing, and Electronic Medical Records. • Must maintain a high level of confidentiality. • Must have a basic understanding of LAN/WAN technologies. • Requires prolonged sitting, some bending, stooping, and stretching. • Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. • Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. • May require occasional lifting up to 25 pounds. • Each employee is responsible for conducting themselves in an ethical manner and reporting possible violations to the appropriate channels. This position is located in Saint Johnsbury, Vermont with some travel to additional Northern Counties locations across the Northeast Kingdom. Why Join Us? At Northern Counties Health Care, we are deeply rooted in community and committed to delivering compassionate, patient-centered care. We offer a supportive environment, opportunities for continued growth, and a competitive benefits package including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time.

The Behavioral Health Specialist provides short-term counseling, crisis intervention, and behavioral health assessments within an integrated primary care setting. They collaborate closely with medical providers, coordinate care with community resources, and offer education to patients, families, and staff. The role involves documenting in electronic medical records, making appropriate referrals, and participating in care teams and quality improvement efforts. Strong organizational, communication, and clinical skills are essential, along with the ability to manage multiple priorities under pressure. Supervisory Responsibilities: This position has no supervisory responsibilities. Essential Job Functions/Responsibilities: * Provides short term counseling for patients with Behavioral Health needs. * Orients patients to Behavioral Health Program. * Clinically assesses patients for appropriateness of behavioral health services. Establishes a psychiatric diagnosis. * Works with patients (and Primary Care Provider, if indicated) to establish and obtain treatment goals. Monitors follow-up. * Provides crisis intervention services to patients experiencing acute emotional distress. * Contacts may be face to face or by phone. * Contacts may include patients who are experiencing chronic pain/addiction issues. * Consults with medical providers and other professionals on patient treatment and/or services. * Communication with primary care providers, external psychiatrists, community therapists, community mental health centers, treatment facilities or other community resources. * Provides behavioral health education. * Instructs patients and families on management of behavioral health issues. * Provides patients and families with educational materials for behavioral health issues that are both paper and web based. * Educates staff on behavioral health issues. * Provides referral of patients * Identifies patient needs that may require referral to outside community services. * May refer patient to primary care provider for intervention and/or follow-up. * Assists in referral of patients to outside agencies, community therapists, psychiatrists and/or community resources. * Meets regularly with administrative staff, nursing and medical providers to identify, assess and support patient behavioral health needs. * Completes all EMR and other documentation as required; daily, weekly and monthly. * Records results of assessment and treatment goals through a progress note using behavioral health templates. * Uses messaging system/review bins for provider and/or nursing communications. * Documents patient contacts through EMR notes. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: Education * Master's Degree Social Work preferred, but will consider Master's in a related, license eligible field. * Licensure as a licensed mental health provider, or ability to obtain licensure is required. Experience * At least one year of experience actively working with patients in the field. * Prior counseling experience, knowledge of DSM V-5.0 and knowledge of primary care behavioral health needs preferred. * Must provide continued proof of Professional Development as required by State professional licensure board. Knowledge and Ability * Ability to provide triage, assessment crisis management and short term counseling interventions in an integrated primary care/behavioral health model. * Must maintain a high level of confidentiality. * Strong organizational skills are essential, as well as the ability to multi-task, respond to shifting priorities, and to work well under pressure while meeting all required deadlines. * Ability to work independently while demonstrating the skill to work positively within the framework of a team. * Must have proficiency in computer skills including, but not limited to email functions, spreadsheets, document processing and Electronic Medical Records. Typical Physical Demands * Requires prolonged sitting, some bending, stooping and stretching. * Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. * Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. * May require occasional lifting up to 25 pounds.

This is a hybrid role, with in-office time being required two days a week at our St. Johnsbury location. The Revenue Cycle Associate ensures timely and accurate claims processing, revenue cycle management, and compliance with insurance guidelines and coding standards. They possess deep knowledge of medical and dental procedures, coding systems, and payer requirements, alongside strong communication skills. Acting as a bridge between clinical staff, front office, and payers, the Revenue Cycle Associate plays a key role in optimizing reimbursement, resolving billing issues, and supporting the financial health of the practices. Essential Job Functions/Responsibilities: Payment posting (EFT and paper monies) Claim recoups and adjustments through dental billing system(s). Working denials, appealing claims as necessary. Credit balance reporting Resolves issues related to checks payable to the provider and incorrect addresses Adding, removing and invalidating codes on claim level as needed Updating/maintaining fee schedule (Slide Table) Entering and maintaining insurances Batching and sending patient statements out monthly Sending collections reports- working directly with collection agency to maintain accurate debt and recovery transactions. Insurance and patient aging audits Assists co-workers with questions and issues as they arise Performs other related tasks as required or assigned by the Revenue Cycle Manager The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: Must have a high school diploma or GED. 2-3 years of experience in a revenue cycle position Background in healthcare billing procedures, preferably in a dental, FQHC and/or Home Health and Hospice Must maintain a high standard of performance and a high level of confidentiality. Must maintain open communication with staff members to ensure smooth business operations. Must have proficiency in computer skills including, but not limited to, email functions, spreadsheets, document processing, and Electronic Medical Records. Requires prolonged sitting, some bending, stooping, and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. May occasionally lift and carry items weighing up to 25 pounds. Why Join Us? At Northern Counties Health Care, we are deeply rooted in community and committed to delivering compassionate, patient-centered care. We offer a supportive environment, opportunities for continued growth, and a competitive benefits package including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time.

Dental Receptionists greet patients, manage appointments, help maintain patient records, all while providing excellent customer service and contributing to a positive patient experience. They are the first point of contact for patients and play an important role in the smooth operation of the dental clinic. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Job Functions/Responsibilities: Reception Receive patients in a courteous and friendly manner; answer questions regarding the health center's dental program and services. Answer incoming phone calls, perform initial triage, and forward calls to the appropriate staff member; take messages as appropriate. Coordinate the processing of patients with members of the dental staff. Appointment Scheduling Responsible for sending out New Patient Packets to patients. Schedule patient appointments as per health center scheduling policies and procedures. Assist patients and dental staff in the scheduling of referral appointments. Notification letters to patients you have not shown for scheduled appointments. Clerical Register patients and update computerized registration information as necessary. Prepare dental records for new patients; update records for return patients. Process requests for dental records to and from other offices. May perform some typing and photocopying as necessary. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: High School diploma or GED. Experience as a receptionist preferred, especially in a dental or healthcare setting. One year of experience in a dental practice setting (preferred). Ability to communicate effectively with patients of all ages. Proficient in computer skills, including EMR, email, spreadsheets, and document processing (preferred). Must maintain a high level of confidentiality. Physically able to assist patients, stand/walk for long periods, lift up to 25 lbs. Must conduct oneself ethically and report any possible violations.

Job DescriptionJoin our dedicated team as a Maternal Child Health Supervisor and make a lasting impact on families in our community. In this leadership role, you'll guide and support a passionate team of nurses and care providers, ensuring high-quality, compassionate care for mothers, infants, and children. You'll have the opportunity to shape programs, mentor staff, and collaborate with community partners to promote healthy beginnings and strong family foundations. If you are a skilled clinician and inspiring leader with a heart for maternal and child health, we invite you to bring your expertise and vision to our mission of helping every family thrive. Job Summary: The Maternal Child Health Supervisor is responsible for ensuring that Maternal Child Health care and services are delivered, coordinated and managed appropriately. The Maternal Child Health Supervisor is responsible for the supervision of Maternal Child Health nurses. Essential Job Functions/Responsibilities: • Responsible for direct supervision of Maternal Child Health Nurse Home Visitors, including reviewing and approving daily activity records, making supervisory visits and performing yearly evaluations. • Supports Maternal Child Health Nurse Home Visitors in the effective delivery of services, case management and professional development. • Actively creates an environment of open two-way communication. Provides on-going coaching to staff to ensure compliance with accepted standards of practice. Proactively takes action to address deficiencies in practice in a timely manner. Fosters professional, respectful relationships through coaching, supervision, active listening, giving and receiving feedback, etc. • Checks daily referrals, assigns cases to staff, and schedules client visits in accordance with state and federal regulations, and agency policies and procedures. • Reviews and evaluates client cases by reviewing the services provided by Maternal Child Health Nurse Home Visitors through conference and record review. Discusses and verifies impressions, instructs and guides Maternal Child Health Nurse Home Visitors to promote more effective performance and delivery of quality services, and is available at all times during operating hours to assist Maternal Child Health Nurse Home Visitors as appropriate. • Reviews patient's clinical diagnosis, medications, procedures and clinical course. • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. • Pro-actively advocates for client care issues to ensure that overall quality and type of care is sensitive to each specific patient/family's needs. • Assists in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals. Assists in the orientation of new organization personnel. • Assists in the planning, implementation and evaluation of in-service and continuing education programs. • Assists in the formulation, revision, implementation, and evaluation of policies and procedures, as well as strategic goals and objectives. • Actively evaluates staff productivity levels and takes action to ensure that staff meets Agency productivity requirements. Through the coaching process, assists staff with in achieving productivity. • Tracks program activities and prepares reports for all programs in accordance with program requirements. Actively ensures that all programs are operating within expected (or changing) guidelines. Takes action to ensure staff is informed of changes as needed. • Serves on a variety of committees in support of clinical and Agency initiatives and operations. Presents a positive and enthusiastic persona when serving. • Analyzes a wide range of operational data and produces reports, including, but not limited to, productivity, time and travel trends, visit trends, etc. Takes action and initiative to ensure that information is accurate. Makes recommendations to Home Care Director on findings in a timely manner. • Actively and positively participates in a variety of agency initiatives including, but not limited to, Management Team meetings, strategic planning, etc. • Proactively develops orientation agendas, including but not limited to, documentation, preceptor pairings, staff development schedules, etc. Keeps in contact with new employee and preceptor to ensure that staff is developing in an appropriate manner. Provides Human Resources department with on-going performance documentation in accordance with department policies and procedures • Complies with accepted professional standards and principles. • Participates in public relation and community activities that promote the agency's role as an effective member of the health care delivery system. • Promotes customer service with all organization personnel. • Performs other duties and activities as delegated. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: • Registered nurse currently licensed in the State of Vermont. • Two years of management or supervisory experience in a healthcare setting, preferably home care. BSN preferred. • Complies with accepted professional standards and practice. • Complies with and maintains current CPR certification. • Demonstrates excellent observation, verbal, and written communication skills. • Knowledge of state and federal home care and hospice regulations. • Requires knowledge of potential exposure to communicable diseases and bodily fluids. • Requires working under stress in emergency situations during irregular hours. • Requires full range of body motion including handling and lifting clients, manual and finger dexterity, and eyehand coordination. • Requires standing and walking for prolonged periods of time. • May occasionally be in a position to lift and/or carry an item weighing up to 50 pounds. • Requires normal visual acuity and hearing. • Must possess a valid driver's license and a reliable vehicle. #ZR

Ready to Smile While You Work? 😁Do you love people, teamwork, and the feeling of making someone's day brighter? Join our dental family as a Dental Assistant , where every day is an opportunity to bring comfort, confidence, and care to our patients. From the first “hello” to the final polish, you'll be part of a supportive team that values laughter, learning, and a whole lot of smiles. If you're detail-oriented, compassionate, and looking for a place where your work truly makes a difference (and where floss puns are fully encouraged), this could be the perfect fit for you! Job Summary: Dental assistants provide essential support to dentists, ensuring smooth patient flow and effective dental care delivery. They assist with patient preparation, chair-side support during procedures, sterilization of instruments, and maintaining a clean, organized environment. Additionally, they may handle administrative tasks such as appointment scheduling and record-keeping, contributing to the overall efficiency of the dental clinic. Essential Job Functions/Responsibilities: PATIENT CARE Assist the Dentist during procedures. Seat and discharge patients. Assure patient comfort and prepare set-ups. Prepare solutions. Takes x-rays and impressions. Assist the Dental Hygienist as necessary. Construct and seat/ cement temporaries. Pour dental models and construct mouth guards and fluoride trays. RECORDS Document clinical activities and relevant patient care information in dental records as per dental practice and health center protocols. INFECTION CONTROL Clean and sterilize instruments The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: • High School diploma or GED. • Provider level CPR/BLS certification (preferred). • Completion of certificated Dental Radiography course (preferred). • One year of experience in a dental practice setting (preferred). • Ability to communicate effectively with patients of all ages. • Proficient in computer skills, including EMR, email, spreadsheets, and document processing (preferred). • Must maintain a high level of confidentiality. • Physically able to assist patients, stand/walk for long periods, lift up to 25 lbs. • Must be able to work under stress and around bodily fluids. • Must conduct oneself ethically and report any possible violations.

Medical Director of Primary Care Northern Counties Health Care is seeking a dynamic and experienced Medical Director to lead our Primary Care team in Saint Johnsbury, VT. This key leadership role provides strategic oversight, mentorship, and operational guidance to our clinical staff, working closely with senior leadership to support our mission of delivering high-quality, patient-centered care. Responsibilities: Serve as a liaison between medical staff and senior leadership, participating in regular leadership meetings and initiatives. Oversee provider performance reviews, credentialing, privileging, and peer review processes. Lead provider meetings, offer mentoring and clinical education, and support onboarding of new clinical staff. Guide primary care operations, including workflow improvements, new program development, and productivity monitoring. Collaborate with finance, billing, and operations teams to review financial statements and address provider billing or coding concerns. Provide clinical leadership in informatics and quality, supporting EHR enhancements, quality initiatives, and compliance. Serve as clinical advisor to the Board of Directors and offer input on organizational policy and strategy. Deliver direct patient care intermittently or as outlined in the employment agreement. Supervise the Assistant Medical Director and Clinical Lead to Quality, and support collaboration across hospital and community partners. Qualifications: Education: Medical Degree (MD/DO), Nurse Practitioner Degree (MSN/DNP), or Physician Assistant Degree (PA-C); board certified and licensed in the State of Vermont; valid DEA license. Experience: Minimum of five years clinical experience required. Skills: Strong leadership, organizational, and communication skills; knowledge of healthcare regulations (FQHC, ACOs), clinical quality, compliance, and informatics. Ability to build and support multidisciplinary teams. Why Join Us? At Northern Counties Health Care, we believe in compassionate leadership, community-centered service, and empowering our staff to drive meaningful change. We offer a collaborative environment, strong support from a seasoned leadership team, and a competitive benefits package including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time. If you're a skilled clinical leader passionate about improving health outcomes in a rural setting, we encourage you to apply. Position Type: Exempt Schedule Type: Full Time Pay Grade: 39 Range: $53.31 - $119.65 Starting pay will be determined based on experience and relevant credentials

Northern Counties Health Care is seeking a compassionate and experienced Physician to join our dedicated team at Saint Johnsbury Community Health Center. This full-time role offers the opportunity to provide high-quality care to a diverse rural population as part of a collaborative, mission-driven team. Responsibilities: * Deliver comprehensive primary care, emphasizing health promotion, continuity, and disease prevention. * Maintain detailed and accurate medical records through EMR, including assessments, treatment plans, and follow-up care. * Order and interpret diagnostic tests in alignment with clinic protocols. * Provide after-hours on-call coverage and hospital rounds as part of a shared schedule. * Refer patients to appropriate specialists and ensure continuity of care through collaboration and follow-up. * Assist in the development of clinic schedules, recruitment, and in-service activities. * Participate in community outreach, education events, and professional development. * Supervise and support Mid-Level Practitioners, including record co-signing and clinical mentorship. * Contribute to quality assurance, continuous improvement, and organizational compliance initiatives. Qualifications: * Education: Graduate of an accredited medical school with completion of a Family Practice, Internal Medicine, or Med/Peds residency. Board Certified or Board Eligible. Licensed in Vermont with active DEA license. * Experience: Prior experience in primary care preferred; experience in community-based care and working with Mid-Level Practitioners is a plus. * Skills: Strong clinical, communication, and team collaboration skills. Ability to adapt to a fast-paced, community-centered environment. * Physical Demands: Must be able to lift up to 50 lbs, work under pressure in emergency situations, and stand/walk for prolonged periods. Why Join Us? At Northern Counties Health Care, we are deeply rooted in community and committed to delivering compassionate, patient-centered care. We offer a supportive environment, opportunities for continued growth, and a competitive benefits package including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time. If you're passionate about rural health and making a meaningful impact, we encourage you to apply. Position Type: Exempt Schedule Type: Full Time Pay Grade: 39 Range: $104.69 - $119.65 Starting pay will be determined based on experience and relevant credentials

Are you a compassionate and skilled Speech Therapist looking to make a meaningful impact? Join our dedicated home health team and bring your expertise directly to patients where they feel most comfortable-at home. You'll play a vital role in helping individuals and building trusted relationships that truly change lives. We offer flexible scheduling, a supportive interdisciplinary team, and the opportunity to work autonomously while still feeling connected. Job Summary: The Speech Therapist is responsible for implementation of standards of care for speech-language pathology services and for adherence to all conditions in the Service Agreement. Essential Job Functions/Responsibilities: * Conducts appropriate evaluations, assesses home environment (as appropriate), and identifies equipment needs relative to speech/language function. * Identifies functional speech defects and establishes a plan of care to improve patient's function. * Administers speech therapy program utilizing specialized therapeutic technique and/or equipment. * Recommends communication devices/aids as indicated. * Confers with referring physician and other organization personnel to ensure coordinated and comprehensive care contributes to the total plan of care. * As appropriate, participates in case conferences, in-services and other meetings required to ensure coordinated and comprehensive care. * Prepares and submits documentation per organization policy. * Maintains clinical competency in speech-language pathology practice and theory. * Identifies patient and family/caregiver needs for other services and refers as appropriate. * Instructs patient, family/caregiver and other Organization health care personnel in the patient's treatment regime as indicated. * May supervise home health aide in procedures directly related to the speech-language therapy plan of care. * Performs other duties as required to facilitate the delivery of speech-language pathology services. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: * Possesses a master's or doctoral degree in speech-language pathology (SLP), and is licensed as a speech language pathologist by the State of Vermont * Two years of appropriate experience as a Speech-Language Pathology, community/home health experience is preferred. * Possesses and maintains current CPR certification. * Complies with acceptable professional standards and practice. * Excellent observation, verbal and written communication skills, problem solving skills. * Prolonged or considerable walking or standing. Able to lift, position or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling or crouching. Visual acuity and hearing to perform required nursing skills. * May occasionally be in a position to lift and/or carry an item weighing up to 50 pounds. * Licensed driver with automobile that is in good working order and insured in accordance with the organization requirements. #ZR

The Health Center Practice Manager oversees the daily operations of a health center, ensuring efficient and high-quality patient care, while also managing staff, budgets, and compliance with regulations. Supervisory Responsibilities: This position has supervisory oversight for a number of roles including medical receptionists, medical assistants and nursing staff. Essential Job Functions/Responsibilities: Management * Maintain communication and collaboration between administrative staff and Senior Leadership * Participate in the problem solving and decision making processes for the management of day-to-day health center operations. * Represent the Health Center and NCHC to the public, serving as coordinator and liaison for resolution of health center * administrative issues and problems. Supervision * Supervise and conduct performance evaluations at least annually direct reports. Provide input as appropriate for evaluation of other staff. * Coordinate administrative staffing, assignments and activities. * Recruit, hire (with approval of Director of FQHC Operations), orient, and train supervised staff; participate in orientation of other staff as appropriate. Systems Maintain oversight, management, working knowledge, and coordination of the following systems: * Patient Registration - collection and accurate entry of patient demographic and billing data * Appointment Scheduling - maximizing efficiency and productivity while meeting the clinical needs of patients * Medical Records - accurate and timely filing of patient information; compliance with NCHC and regulatory guidelines for medical records; compliance with NCHC and regulatory guidelines for release of records. * Referrals - with appropriate clinical staff, maintain compliance with protocols for scheduling and tracking referrals. Other * With collaboration with the Director of FQHC Operations, develop and manage annual health center budgets. * Purchasing - Oversee and manage health center purchase of all supplies and equipment, process invoices. Ensure accurate and timely submission of relevant paperwork to NCHC for payment processing. * Payroll - Oversee the accurate and timely completion and submission of all health center staff time sheets. * Maintenance-In coordination with NCHC Facilities team, monitor and maintain the safety and maintenance schedules of medical equipment and lab materials. * Act as mentor to and for clinical and non-clinical staff. Encourages and participates in continual professional development and encourages staff to do the same. * Works to improve clinical practice that benefits the patient, as well as the organizational mission. Participates in Quality Assurance & Performance Improvement projects that improve patient outcomes and organizational efficiencies. Quality Assurance * Participate in the development, implementation, audit, and continuous evaluation and improvement of protocols, services and programs provided by the health center. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: Education: Associate degree in Business or Health related field. (comparable experience in lieu of education will be considered). Experience: Minimum three years of administrative experience in a medical office setting, including one year supervisory experience. Experience with computer systems required; experience with computerized medical patient registration and billing systems preferred. This Practice Manager role will require an active license with experience in a clinical setting as an MA, RN, or LPN to support clinical operations. Knowledge and Ability: * Excellent management and communication skills (verbal and written). * Ability to work within and foster development of a team model of operations. * Ability to maintain positive and constructive interactions in working with the public and with staff at all levels of the organization. * Skilled in the management and analysis of financial, operational, and statistical data. * Able to work independently. * Skilled in handling multiple tasks and priorities. * Effective problem solving skills. * Must maintain a high level of confidentiality. * Must have proficiency in computer skills including, but not limited to email functions, spreadsheets, document processing and Electronic Medical Records. Typical Physical Demands: * Requires prolonged sitting, some bending, stooping and stretching. * Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. * Requires normal range of hearing and eyesight to record, prepare and communicate appropriately. * May require occasional lifting up to 50 lbs.

Join a team where your skills make a difference every day! We're looking for a Medical Assistant who brings compassion, efficiency, and a positive attitude to every patient interaction. In this vital role, you'll support our providers by delivering hands-on care, coordinating patient flow, and ensuring each visit runs smoothly-from check-in to follow-up. Our nonprofit health center values teamwork, professional growth, and a supportive culture that puts both patients and staff first. If you're ready to be part of something meaningful in healthcare, we'd love to meet you! Job Summary: The Medical Assistant is administratively responsible to the Nurse Manager and works under the daily direction and clinical orders of the provider staff. Medical Assistants provide a wide range of clinical and administrative support to healthcare providers in a community-based setting. They play a crucial role in ensuring efficient and patient-centered care, from patient intake and vital signs to assisting with procedures and maintaining medical records. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Job Functions/Responsibilities: * Clinical Functions * Patient care * Maintains patient, staff confidentiality according to Northern Counties Health Care policy and state and federal law. * Review charts prior to patient's scheduled appointment to assure that all requested lab work and diagnostic procedures have been completed and that reports have been returned and accessible to the provider. * Obtains and records patient vital signs, height, weight and reason for visit. Performs vision screening and test for color blindness, includes patient education materials as necessary. * Directs patients to exam rooms; assists in preparing patients for examination * Assists providers with patient examinations and procedures * Interacts with patients regarding clinical complaints for effective and immediate response and resolution. Refers any patient complaint to Nurse Manager/ Practice Manager for resolution. * Carries out appointments for patients requiring blood pressure checks, throat cultures as prescribed by the provider * Recognizes emergency situations, seeks assistance and intervenes appropriately * Documents care actions and patient responses in the electronic medical record, * Organizes and prioritizes care with minimal assistance. * Maintains patient education literature for distribution. * Specimen collection * Performs venipuncture following successful training * Performs capillary stick, collects urine specimens, performs testing for occult blood in stool. Handles all specimens using Standard Precautions, infection control and hazardous waste removal practices, may perform PT/INR finger stick. * Completes lab forms through Computerized Physician Order Entry. Processes laboratory samples and ships to reference labs * Diagnostic testing * Performs EKGs, pulmonary function tests * Administrative Functions * Participates in quality assurance activities and all training seminars. * Orders all medical supplies, verifies shipments, resolves backorders and initiates returns, as appropriate. * Ensures adequate supply of clean linens. * Perform quality checks on all office clinical machines. Reports equipment malfunction to the Practice Manager. * Assists nursing in quality control of medications by checking expired medications. * Fundamental Procedures * Sets up for patient exam, instrument trays for procedures, including sterile procedures. * Cleans, wraps and sterilizes instruments. Takes wrapped instruments to sterile processing as appropriate within the practice. Cleans and monitors the sterilization equipment. * Keeps nursing area, lab area, medical storage area, patient exam rooms stocked, clean and orderly. * Performs similar or related duties as requested. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: * High school diploma or equivalent required * Basic Life Support for Health Care Providers certification required upon employment and must be maintained * Minimum one-year experience in a community health center, medical office, or similar setting preferred * Certification from an approved course of medical assistant or nursing assistant study preferred * Familiarity with public health and community health issues * Effective verbal and written communication skills appropriate to diverse patient populations * Ability to work collaboratively in a team setting with staff at all organizational levels * Skilled in multitasking, handling interruptions, and managing unexpected situations * Basic medical office lab test competency required * Computer literacy required, including Microsoft Word, internet/intranet, EMR systems, and keyboarding * Working knowledge of ICD-9/10 and CPT coding preferred * Knowledge of and adherence to Standard Precautions * Ability to maintain confidentiality * Physically able to lift up to 50 pounds, stand/walk for long periods, and respond to emergency situations * Exposure to bodily fluids and communicable diseases possible; must be able to work under stress and irregular hours when needed Why Join Us? At Northern Counties Health Care, we value integrity, compassion, and excellence in patient care. We offer a supportive work environment, professional growth opportunities, and a competitive benefits package, including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time. If you are a dedicated Medical Assistant who thrives in a structured and collaborative setting, we encourage you to apply. Starting pay will be determined based on experience and relevant credentials

This position is referred internally as the M.O.U.D. (Medications for Opioid Use Disorder) Clinical Care Coordinator. The Clinical Care Coordinator for MOUD (Medications for Opioid Use Disorder) is responsible for managing care delivery and support services for patients receiving medication-assisted treatment for opioid use disorder. This role facilitates patient engagement, coordinates appointments and follow-ups, ensures adherence to evidence-based protocols, and assists in navigating barriers to treatment such as housing, transportation, or insurance issues. The coordinator collaborates closely with prescribers, behavioral health teams, case managers, and external partners to promote continuity of care, harm reduction, and long-term recovery. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Job Functions/Responsibilities: * Provides patient-centered, basic, short-term case management for medically and/or socially complex patients as below: * Meets with patients for face-to-face and/or telephone contacts in order to facilitate success with self-management goals. * Assesses patient for goals of care and barriers to care. * Follows up with patients and pharmacies to be sure patients are filling and taking their medications as prescribed. * Tracks and follows up on referrals to diagnostic testing, specialists, and health education (diabetes educators, dietitians, asthma educators, etc.), and to behavioral health specialists or other behavioral health providers. * Proactively follows up with Health Center patients who have received inpatient or Emergency Department services at local hospitals, in accordance with Health Center protocols. This involves ensuring a seamless transition of care by coordinating with hospital staff, scheduling follow-up appointments, and addressing any additional needs the patients may have. * Connects patients to support services as needed both externally and internally as a Health and Wellness resource. * Reminds patients of appointments and collects information prior to appointments. * Follows up with providers and patients to schedule patients for medical care per Health Center protocols. * Provides patient/ family education and instruction on issues of health maintenance and management of chronic conditions, provides patients/ families with educational materials for self-management in a manner most appropriate to their learning. * Coordinates patient care with external disease management and/or care management organizations. * Is an active member of the Community Health Team (CHT), helping to coordinate care for people with complex or chronic conditions. * Works closely with Department of Vermont Health Access (DVHA) for patients who are served by both the Health Center and DVHA. * Performs outreach and care management duties for patients who are considered high risk or very high risk by the Accountable Care Organization. * Interacts and collaborates with multiple agencies to formulate and document shared care plans with and for patients. * Facilitates team based care by being a bridge between the patient, the practice and the community. This may include coordinating and facilitating Care-Team Meetings. * Actively participates in Patient-Centered Medical Home Survey processes. * Assists in defining site-level protocol to identify patients who may benefit from care management based on criteria such as: * Behavioral health conditions. * High cost/high utilization. * Poorly controlled or complex conditions. * Social determinants of health. * Referrals by outside organizations (e.g., insurers, health system, ACO), practice staff, patient/family/caregiver. * Provides care management services as described in sections A-B above. * For patients identified for care management, consistently uses patient information and collaborates with patients/families/caregivers to develop a documented care plan that addresses barriers and incorporates patient preferences and lifestyle goals documented in the patient's chart. * Participates in Health Center panel management and Population Health Initiatives * Assists in identifying and providing outreach to patients who are due or overdue for appointments, lab tests, eye examinations, chronic condition procedures, etc. per health center protocol. * Reviews panel reports regularly. * Works with the Quality Team and IT department to ensure accuracy of data. * Is an active member of the Health Center Quality Improvement (QI) and Leadership teams at the practice level, and is included in treatment planning for patients. * Meets regularly with the Clinical Practice Manager to prioritize care coordination needs for the practice. * Uses clinical, operational and demographic data and information to identify areas for improvement. * Assists in monitoring office processes to identify areas for improvement; recommends areas for improvement to the Health Center QI and Leadership teams, and assists in monitoring improvement initiatives within the office. * Provides information to the Health Center about resources, collaborative, educational opportunities and initiatives that support the Health Center. * Completes all EMR and other documentation as required. * It is expected that you will meet the productivity standards that are set forth by your Supervisor and/or NCHC Division protocols. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: * Registered Nurse or Licensed Clinical Social Worker preferred. Will consider LPN or Master's in a healthcare-related field such as MSW. Provider level CPR/BLS required. * At least two years of experience in a health care or human services related field. * Experience in a primary care office and in designing and implementing healthcare quality improvement initiatives preferred. * Must maintain a high level of confidentiality. * Must have proficiency in computer skills including, but not limited to, email functions, spreadsheets, document processing, and Electronic Medical Records. * Must have the ability to multitask, respond to shifting priorities, and work well under pressure while meeting all required deadlines. * Ability to work independently while demonstrating the skill to work positively within the framework of a team. * Requires prolonged sitting, some bending, stooping, and stretching. * Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. * Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. * May require occasional lifting up to 25 pounds. * Each employee is responsible for conducting themselves in an ethical manner and reporting possible violations through the appropriate channels. * Employees must be careful in both words and conduct to avoid placing or appearing to place pressure on subordinates or coworkers that could cause them to violate these standards of conduct or to deviate from accepted norms of ethical business practice. * Each employee is required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations.

The Medical Receptionist is responsible for a variety of tasks related to patient care and administrative support. They greet patients, manage appointments, handle patient records, and facilitate communication between patients and healthcare providers. Their role is crucial for ensuring a smooth and efficient patient experience while also supporting the overall operations of the clinic. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Job Functions/Responsibilities: Reception * Receive patients in a courteous and friendly manner; answer questions regarding the health center's programs and services. * Answer incoming phone calls, perform initial triage, and forward calls to the appropriate staff member; take messages as appropriate. * Coordinate the processing of patients with nursing and provider staffs. Appointment Scheduling * Schedule patient appointment as per health center scheduling policies and procedures. * Assist patients and clinical staff in the scheduling of referral appointment Clerical * Register patients and update computerized registration information as necessary. * Print encounter forms for patient visits. * Prepare medical records for new patients; update records for return patients. * Process request for medical records to and from other offices. * May perform some typing and photocopying as necessary. * Participate in clerical support of audits and quality assurance activities as requested. Quality Assurance * Participate in the development, implementation, audit, and continuous evaluation and improvement of protocols, services and programs provided by the health center. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: * High School Diploma or GED. * One year of receptionist experience (preferred). * Able to communicate effectively with patients. * Able to maintain confidentiality. * Proficient in basic computers skills (email, spreadsheets, document processing). * Physically able to perform job duties (e.g., sit for long periods, lift up to 25 lbs., use office equipment). * Conduct self ethically.

This is a hybrid role, with in-office time being required two days a week at our St. Johnsbury location. The Revenue Cycle Associate assists with overseeing financial aspects of our clinics, ensuring accurate billing, efficient claims processing, and timely collections. They assist with the revenue cycle, from patient registration to final payment, and work to optimize revenue, minimize financial losses, and maintain compliance with regulations. Supervisory Responsibilities: This position has no supervisory responsibilities. Essential Job Functions/Responsibilities: Review Electronic Health Record payment postings and work with additional vendors to correct issues Review accounts receivable Work with Billing vendor and payers on billing questions Assist patients with account questions Work with providers and site operations on coding-related issues or missing information Create collections list and send to collections company Other duties as assigned The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: Bachelor's Degree preferred but not required Two to three years of experience in a revenue cycle position Coding experience preferred Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. May require occasional lifting up to 25 pounds. Standards of Conduct Each employee is responsible for conducting themselves in an ethical manner, and reporting possible violations through the appropriate channels. Employees must be careful in both words and conduct to avoid placing or appearing to place pressure on subordinates or coworkers that could cause them to violate these standards of conduct or to deviate from accepted norms of ethical business practice. Why Join Us? At Northern Counties Health Care, we are deeply rooted in community and committed to delivering compassionate, patient-centered care. We offer a supportive environment, opportunities for continued growth, and a competitive benefits package including Health, Dental, Vision, LTD, Life, 403b, and generous Earned Time.

Job Description The Behavioral Health Specialist provides short-term counseling, crisis intervention, and behavioral health assessments within an integrated primary care setting. They collaborate closely with medical providers, coordinate care with community resources, and offer education to patients, families, and staff. The role involves documenting in electronic medical records, making appropriate referrals, and participating in care teams and quality improvement efforts. Strong organizational, communication, and clinical skills are essential, along with the ability to manage multiple priorities under pressure. Supervisory Responsibilities: This position has no supervisory responsibilities. Essential Job Functions/Responsibilities: Provides short term counseling for patients with Behavioral Health needs. Orients patients to Behavioral Health Program. Clinically assesses patients for appropriateness of behavioral health services. Establishes a psychiatric diagnosis. Works with patients (and Primary Care Provider, if indicated) to establish and obtain treatment goals. Monitors follow-up. Provides crisis intervention services to patients experiencing acute emotional distress. Contacts may be face to face or by phone. Contacts may include patients who are experiencing chronic pain/addiction issues. Consults with medical providers and other professionals on patient treatment and/or services. Communication with primary care providers, external psychiatrists, community therapists, community mental health centers, treatment facilities or other community resources. Provides behavioral health education. Instructs patients and families on management of behavioral health issues. Provides patients and families with educational materials for behavioral health issues that are both paper and web based. Educates staff on behavioral health issues. Provides referral of patients Identifies patient needs that may require referral to outside community services. May refer patient to primary care provider for intervention and/or follow-up. Assists in referral of patients to outside agencies, community therapists, psychiatrists and/or community resources. Meets regularly with administrative staff, nursing and medical providers to identify, assess and support patient behavioral health needs. Completes all EMR and other documentation as required; daily, weekly and monthly. Records results of assessment and treatment goals through a progress note using behavioral health templates. Uses messaging system/review bins for provider and/or nursing communications. Documents patient contacts through EMR notes. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: Education Master's Degree Social Work preferred, but will consider Master's in a related, license eligible field. Licensure as a licensed mental health provider, or ability to obtain licensure is required. Experience At least one year of experience actively working with patients in the field. Prior counseling experience, knowledge of DSM V-5.0 and knowledge of primary care behavioral health needs preferred. Must provide continued proof of Professional Development as required by State professional licensure board. Knowledge and Ability Ability to provide triage, assessment crisis management and short term counseling interventions in an integrated primary care/behavioral health model. Must maintain a high level of confidentiality. Strong organizational skills are essential, as well as the ability to multi-task, respond to shifting priorities, and to work well under pressure while meeting all required deadlines. Ability to work independently while demonstrating the skill to work positively within the framework of a team. Must have proficiency in computer skills including, but not limited to email functions, spreadsheets, document processing and Electronic Medical Records. Typical Physical Demands Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriately. May require occasional lifting up to 25 pounds.

The Health Center RN provides comprehensive primary care to diverse patient populations. They offer a range of services, including preventative care, chronic disease management, and health education, with a strong emphasis on patient-centered care. Their responsibilities include patient assessment, care coordination, medication administration, and health education, all within a collaborative team environment. This position is part-time at our Northern Express Care - St Johnsbury location for approximately 22+ hours per week with the potential to become full time in the future. Supervisory Responsibilities: This position has no direct supervisory responsibilities. Essential Job Functions/Responsibilities: A. PATIENT CARE * Triage * Screen patient telephone calls for providers. * Perform clinical assessments, utilizing knowledge of disease process and treatment. * Assist office staff in triaging call-in and walk-in appointments. * Coordinate with office staff in monitoring and adjusting scheduling and workload of providers to insure the smooth flow of patients. * When requested by Nurse Manager, carryout standing orders for medication refills, ordering tests, and routine health maintenance services per Health Center protocols. * Intake * Interview patients for health history and clinical information updates. * Conduct nursing assessments and preliminary patient work-ups. * Take patient vital signs (temperature, pulse, respiration, blood pressure, etc.). * Treatment and Procedures * Apply and change dressings/bandages. * Administer IM, SQ, intradermal, and inhaled medications and vaccines. * Administer allergy injections, as per local site protocols. * Perform catheterization per provider orders and within the scope of health center protocols. * Conduct vision screening. * Conduct audiometry screening. * Perform EKG's (if provided on site). * Assist in suturing procedures. * Other procedures as per health center protocols, for example starting IV's, and responding to Code Blue/defib needs. * Health Education/Teaching * Instruct patients about treatment regimens (medication, diet, activity, etc.). * Provide education and instruction on issues of health maintenance. * Participate in the development and implementation of community health education initiatives (screening clinics, public information forums, etc.). B. LABORATORY * Testing * Perform laboratory tests as per health center protocols. * Record tests and results in appropriate EMR. * Phlebotomy * Draw and prepare specimens for in-house or outside laboratory testing. C. PHARMACEUTICALS * Dispensing * Dispense pharmaceuticals as per provider orders and in accordance with health center, NCHC, Vermont, and Federal guidelines. * Monitor inventory levels and outdates of on-site pharmaceutical supplies. D. RECORDS * Medical Records * Document nursing activities and relevant patient care information in medical records as per health center protocols. * Tracking Systems * Record and maintain records and statistics (e.g. immunizations, perinatal data, etc.) as per protocols or request. E. INFECTION CONTROL * Instrument Sterilization * Clean and sterilize instruments. * General office infection control. F. QUALITY ASSURANCE * Participate in the development, implementation, audit, and continuous evaluation and improvement of protocols, services and programs provided by the health center. G. OTHER * It is expected that you will meet the productivity standards that are set forth by your Supervisor and/or NCHC Division protocols. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: * Graduate of an accredited RN program * Licensed in the State of Vermont * Provider-level CPR/BLS required * ACLS and PALS required at some sites * Minimum one-year experience in a community health center, medical office, or similar setting * Familiarity with public health and community health issues * Knowledge of disease processes and treatments * Knowledge of medications and their effects/side effects * Effective communication skills with patients of all ages * Ability to work collaboratively in a team environment * Skilled in multitasking and managing priorities * Strong problem-solving abilities * Able to perform basic medical office lab tests * Proficient in written and verbal communication * Computer proficiency, including email, spreadsheets, word processing, and EMRs * High level of confidentiality required * Physically able to lift up to 50 pounds and stand/walk for extended periods * Manual dexterity and hand-eye coordination required * Exposure to bodily fluids and communicable diseases expected * Must be able to work under stress and in emergency situations during irregular hours

Join our mission-driven team as a Physician at our Federally Qualified Health Center (FQHC) in beautiful Island Pond, Vermont, and make a meaningful difference in the lives of the patients and communities we serve. In this role, you'll provide high-quality, compassionate care to individuals and families-often those who face barriers to healthcare-while working in a supportive, collaborative environment. As part of our team, you'll enjoy a flexible schedule, competitive salary, comprehensive benefits, and eligibility for federal loan repayment programs. Here, your work matters every day, and your skills will help create healthier futures for our community. Responsibilities: Provide comprehensive primary care, including health promotion, disease prevention, and treatment of acute and chronic conditions. Document patient care in a problem-oriented medical record. Order and interpret diagnostic tests in alignment with clinic protocols. Collaborate with other healthcare professionals, including mid-level practitioners. Participate in a rotating schedule for after-hours on-call coverage. Contribute to the development and implementation of community health education initiatives. Provide day-to-day supervision and guidance to mid-level practitioners. Qualifications: Graduate of an accredited medical school with completion of a residency program in Family Practice, Internal Medicine, or a combined Internal Medicine/Pediatrics track. Board certified or eligible and licensed to practice in Vermont. Experience in a primary care or community health setting is preferred. DEA license appropriate for scope of practice. Why Join Northern Counties Health Care? At NCHC, we strive to be the best healthcare employer in Vermont. Joining our team means: Collaborating with passionate colleagues committed to quality, compassion, and innovation. Working within Vermont's first Federally Qualified Health Center system, with integrated services that address social determinants of health. Access to flexible work schedules to maintain a healthy work/life balance. Enjoying professional growth opportunities in a supportive environment. Benefits: Competitive salary and benefits package, including health, dental, vision, LTD, life insurance, 403(b), and generous earned time. The chance to work in a region known for its natural beauty, vibrant communities, and unparalleled recreational opportunities. About the Location: Island Pond, nestled in Vermont's Northeast Kingdom, offers stunning natural scenery and endless outdoor activities, including hiking, skiing, mountain biking, and kayaking. The area boasts a strong sense of community and an enviable quality of life. Position Type: Exempt Schedule Type: Full Time Pay Grade: 39 Range: $104.69 - $119.65 Starting pay will be determined based on experience and relevant credentials

Lead with compassion, inspire with excellence. Caledonia Home Health and Hospice is seeking a passionate and experienced Clinical Manager to oversee our dedicated home health and hospice team. In this pivotal role, you'll guide and support our clinicians, ensuring the highest quality of care is delivered with dignity, empathy, and respect in the comfort of our patients' homes. You'll have the opportunity to shape care delivery, mentor staff, and make a lasting impact on the lives of patients, families, and the community we serve. If you're a dynamic leader with a heart for service and a drive for clinical excellence, join us and help make every moment matter. Job Summary: The Home Health and Hospice Clinical Manager is responsible for ensuring that home care and hospice patient care and services are delivered, coordinated and managed appropriately. The Clinical Manager is responsible for the supervision of home care and hospice clinical teams including nurses and therapists. Supervisory Responsibilities: This position has direct supervisory responsibilities. Essential Job Functions/Responsibilities: • Responsible for direct supervision of nurses and therapists including reviewing and approving daily activity records, making supervisory visits, and performing yearly evaluations. • Supports all home care and hospice nurses and therapists in the effective delivery of services, case management, and professional development. • Reviews and evaluates each client case by reviewing the services provided by clinicians through conferences and record reviews. Discusses and verifies impressions, instructs and guides clinicians to promote more effective performance and delivery of quality home care services, and is available at all times during operating hours to assist clinicians as appropriate. • Reviews patient's clinical diagnosis, medications, procedures, and clinical course. • Assists clinicians in establishing immediate and long-term therapeutic goals, in setting priorities, and in developing plan of care. • Attends case conference meetings with organization personnel to facilitate coordination of care. • Conducts record reviews and communicates findings and recommendations to the Assistant Director of Home Care & Hospice and appropriate organization personnel. • Assists in the screening and interviewing process of new organization personnel and makes recommendations for employment of individuals. Assists in the orientation of new organization personnel. • Assists in the planning, implementation, and evaluation of in-service and continuing education programs. • Assists in the formulation, revision, implementation, and evaluation of policies and procedures, as well as strategic goals and objectives. • Complies with accepted professional standards and principles. • Participates in public relations and community activities that promote the agency's role as an effective member of the health care delivery system. • Promotes customer service with all organization personnel. The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description. Position Qualifications: • Registered nurse currently licensed in the State of Vermont. • Two years of management or supervisory experience in a healthcare setting, preferably in home care. BSN preferred. • Complies with accepted professional standards and practice. • Complies with and maintains current CPR certification. • Demonstrates excellent observation, verbal, and written communication skills. • Knowledge of state and federal home care and hospice regulations. • Requires knowledge of potential exposure to communicable diseases and bodily fluids. • Requires working under stress in emergency situations during irregular hours. • Requires full range of body motion including handling and lifting clients, manual and finger dexterity, and eyehand coordination. • Requires standing and walking for prolonged periods of time. • May occasionally be in a position to lift and/or carry an item weighing up to 50 pounds. • Requires normal visual acuity and hearing. • Must possess a valid driver's license and a reliable vehicle. #ZR