APRN or PA (FT) Outpatient Clinic – Same Day Access/In-Basket Clinician

Dartmouth-Hitchcock Health • Lebanon, NH

3d • Onsite

About The Position

The General Internal Medicine (GIM) Section at Dartmouth-Hitchcock Medical Center in Lebanon, NH, seeks an experienced Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to serve as a Primary Care Access & Coverage APP. This unique role focuses on in-basket management and same-day/sick visits, enhancing clinical access for established patients and providing coverage for clinicians during absences. Unlike a traditional primary care position, this role does not involve managing an independent continuity panel. The APP will be a dedicated member of the care team, bridging patient communication and acute clinical care to ensure timely and seamless patient care. This position includes a faculty academic appointment in the Geisel School of Medicine with opportunities for academic involvement, teaching, mentorship, preceptorship, weekly conferences, monthly staff and team meetings, and hospital grand rounds. The ideal candidate is motivated, self-directed, highly collaborative, enthusiastic, compassionate, and committed to evidence-based practice, lifelong learning, and teaching/mentorship. This position is structured to be sustainable, team-based, and professionally rewarding, requiring the APP to be on-site for direct patient care, supporting same-day access, collaborating with care teams, and contributing to daily practice operations. This role is intended for experienced primary care APPs who enjoy broad clinical practice and team-based care but do not wish to maintain an independent continuity panel; new APP graduates will not be considered. The position reports to the APRN Outpatient Clinic Lead and Section Chief in General Internal Medicine. It is a full-time weekday shift, salaried, benefited position with no call, weekend, or holiday responsibility.

Requirements

• 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 in a team environment

Nice To Haves

• Doctorate degree
• Minimum 5 years primary care experience
• Experience managing primary care in-baskets, results review, and care coordination.
• Experience working in a robust ambulatory practice.

Responsibilities

• Provide in-basket coverage for physicians and APPs during vacations, leave, and other absences, managing patient messages, laboratory and imaging results, medication refill requests, and care coordination needs.
• Collaborate closely with physicians, APPs, APP fellows, nurses, medical assistants, and administrative staff to ensure high-quality, efficient patient care.
• Provide same-day visits for established primary care patients, including history taking, physical examination, diagnosis and management of conditions.
• Obtain focused history and physical examination during same-day visits for established primary care patients, including history taking, physical examination, diagnosis and management of conditions.
• Determine, order and interpret appropriate 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).
• Complete appropriate documentation.
• Be on-site and available to the clinical team to assist in addressing urgent patient needs.
• 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.
• 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.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level