Advanced Practice Provider (APRN or PA)

General Internal Medicine Outpatient Clinic

Dartmouth-Hitchcock Medical Center- Lebanon, NH

The section of General Internal Medicine of Dartmouth-Hitchcock Medical Center in Lebanon, NH is seeking an outpatient Advanced Practice Provider (APP; APRN or PA) looking to practice at the top of their license in a collaborative and supportive environment. This is an excellent opportunity for the right candidate to join our robust and growing Internal Medicine APP/MD team who share a commitment to clinical and academic excellence, and exceptional patient experiences.

As an APP in General Internal Medicine, you will provide expert primary care across the spectrum of adult internal medicine, from care of acute issues to health promotion and disease prevention, and continuity care of chronic conditions. You will be responsible for the primary care of a panel of patients and will have a faculty academic appointment in the Geisel School of Medicine. You will have many opportunities for academic involvement and learning including teaching, mentorship and preceptorship, weekly conferences, monthly staff and team meetings, and hospital grand rounds.

The ideal candidate is a motivated and self-directed team player who is enthusiastic, compassionate, and committed to evidence-based practice, lifelong learning and teaching/mentorship.

This position reports to the APRN Outpatient Clinic Lead and Section Chief in General Internal Medicine, and is a full-time weekday shift, salaried, benefited position with no call, and no weekend or holiday responsibility.

What Dartmouth Health has to offer you:

• Inclusive and collegial multidisciplinary team
• Excellent work-life balance in a highly desirable community
• Robust on-boarding program and mentorship
• APP representation in clinic and hospital leadership
• Independent practice for both APRNs and PAs in the State of NH
• Academic faculty appointment with the Geisel School of Medicine
• Teaching role with APP and medical students, and APP fellows
• Opportunities for preceptorship, mentorship, scholarly work, and teaching
• Retirement (up to 6% match)
• Dedicated CME funds and time off
• Comprehensive benefits package including health, dental, vision and malpractice insurance, life and disability, loan repayment, and relocation bonus

Dartmouth Health is an academic health system serving patients across northern New England, providing the only Level I trauma center in New Hampshire, as well as the Dartmouth Cancer Center and the Children’s Hospital at Dartmouth-Hitchcock in Lebanon.

What New Hampshire has to offer you:

• Four seasons for both outdoor and indoor lifestyles
• Easy access to major cities and airports
• Proximity to mountains and hiking trails
• Easy driving distance to the seacoast
• No sales tax or income tax

Lebanon and the neighboring town of Hanover, which is home to Dartmouth College, are located in the “Upper Valley,” which straddles the Connecticut River and includes towns in western New Hampshire and eastern Vermont. This region boasts excellent local schools, a myriad of cultural opportunities (through Dartmouth College, the Lebanon Opera House, and the Northern Stage in White River Junction, Vermont), and an abundance of recreational activities. Amenities of urban areas in Boston, Burlington (Vermont), and Montreal (Quebec, Canada) are all within a few hours’ drive. This beautiful area has been consistently ranked as one of the best places in the US to live and work.

• APRN licensure in the States of New Hampshire (prior to hire) and Vermont (within 6 months of hire) with a Master’s of Nursing from an accredited program, or eligible for licensure

OR

• Current (or eligible) certification to practice as a Physician’s Assistant in the State of New Hampshire (prior to hire) and Vermont (within 6 months of hire) with a degree from an accredited PA program.

• National specialty certification as FNP, AGPCNP, or certification through the National Commission on Certification of Physicians Assistants (NCCPA)
• Eligible for Federal DEA Registration
• BLS certification
• Minimum 3 years primary care experience
• Excellent interpersonal skills with the ability to communicate effectively both verbally and in writing
• Strong clinical judgment and commitment to patient-centered care

Preferred

• Doctorate degree
• Minimum 5 years primary care experience

• Obtain comprehensive or focused history and physical examination
• Determine, order and interpret appropriate screening and diagnostic studies and tests.
• Obtain informed consent for treatment diagnostic and therapeutic procedures and studies.
• Develop and implement treatment plans based on relevant findings.
• Prescribe medications, treatments and medical devices in accordance within scope of practice and applicable rules and regulations.
• Initiate referrals to other providers as necessary.
• Initiate admission/discharge of patients (APPs do not have admitting privileges).
• Provide consultation to patients in accordance within scope of practice.
• Complete appropriate documentation.
• Provide patient and family-centered care.
• Provide education and counseling regarding the management of acute and chronic illnesses and injuries.  Encourage behavioral change and assist with self-management skills to improve overall health, within scope of practice.
• Demonstrate advocacy that insure the patient’s right to privacy, confidentiality and informed consent.
• Serve as a preceptor/mentor for new Advanced Practice Providers (APP), APP students and medical students, and APP fellows.
• Maintain current licensure and certification as an APRN or PA and DEA registration.
• Attend continuing education programs to ensure ongoing professional growth and development.
• Perform other duties as required or assigned.
• Abide by the Dartmouth-Hitchcock Bylaws for the Professional Staff and Code of Conduct.