Dartmouth-Hitchcock Health

Role Description The Clinical Nurse is an engaged and credentialed member of the Professional Nursing Organization and is responsible for autonomous practice directed by the professional tenets of practitioner, leader/decision maker, scientist, and transferor. The Clinical Nurse is responsible for utilizing the nursing process to provide evidence-based care and to continuously monitor and evaluate practice to ensure safe passage of patients that is in the best interest of populations served. Responsibilities - Practitioner - Utilizes the nursing process to assess, diagnose, identify outcomes, plan, implement and evaluate an individualized plan of care. - Utilizes critical thinking and the nursing process to anticipate and recognize changes in patient status, taking action to modify the plan of care or to elevate to the care team as necessary. - Practices in accordance with the ANA Code of Ethics to advocate for patients, uphold their autonomy in decision-making, ensure informed consent and assist patients in families in expressing self-determination. - Actively seeks feedback and acts to improve performance. - Engages in the governance of practice. - Leader/Decision Maker - Manages interpersonal relationships for self and with others. - Mentors colleagues for the advancement of nursing practice and the profession. - Assumes authority and accountability for the nursing care of patients while appropriately delegating elements of care to others members of the care delivery team in accordance with laws, regulations and policies and procedures. - Prioritizes and organizes time to optimize patient outcomes. - Scientist - Actively seeks out the most current evidence and standards and applies and translates to daily practice. - Role models a culture of inquiry, developing new knowledge by contributing to research, quality improvement, and evidence-based practice at the local level. - Transferor - Communicates effectively in a variety of formats in all areas of practice. - Actively partners with others to effect change that produces positive outcomes through the exchange of knowledge. - Precepts the student nurse, nurse extern, nurse resident, experienced clinical nurse and other members of the healthcare team. - Performs other duties as required or assigned. Qualifications - Graduate from an accredited Nursing Program required. - Bachelor of Science Degree in Nursing (BSN) preferred. Requirements - Licensed Registered Nurse with NH eligibility. - Basic Life Support (BLS) Certificate required upon hire. Benefits - Loan repayment up to $20,000. - Relocation Assistance and a Housing Coordinator to assist in finding a home. - Generous tuition reimbursement. - Popular "earned time" plan. - Extensive CEU/Training programs. - State-of-the-art 8,000 ft Patient Safety and Training Simulation Center. - Shared governance nursing model. - Rigorous, research-focused environment. - Accredited provider of continuing nursing education by the American Nurses Credentialing Center.

Role Description Responsible for the day-to-day business transactions with assigned suppliers to ensure end user’s timely access to the appropriate supplies, services and equipment. Duties will include purchasing and managing orders for material within established policies and procedures. Buyer will be responsible for managing transactions by exception, including but not limited to: - Product shortages - Recall notification - Substitutions - Return of defective or obsolete items Responsibilities - Customer Fulfillment - Works with specific Service Line Team or Category Management to anticipate and fulfill customer requirements. - Acts as a Supply Chain Liaison with customer regarding requests for new products or services, or complaints associated with defective items and develops corrective action plans. - Facilitates product or equipment evaluations, conversions and staff training in conjunction with CQVA (Clinical Quality Value Analysis). - Participates on project teams and attends meetings as assigned. - Assists Analytics staff to develop and maintain product catalogs as assigned. - Manages e-Procurement module for D-H and educates end users on e-Procurement, troubleshoots errors, maintains product catalog, and communicates changes to shopping guides. - Order Management - Purchases supplies, services and equipment in a timely manner within D-H’s established policies and procedures, including signature authority. - Monitors shipments to ensure goods arrive on time, in accordance with specifications. - Works with Accounts Payable to implement payment process, monitors and resolves any supplier payment issues. - Exception Management - Works with suppliers to expeditiously avoid or resolve disruptions to product supply or services or any situations where quality does not meet customer expectations (defective). - Works with suppliers and Strategic Sourcing Specialists when appropriate to establish pre-approved product substitutions for high volume and/or critical commodities. - Makes recommendations to leadership team regarding opportunities to reduce overall life cycle costs or when suppliers are not performing in accordance with contractual terms, including performance guarantees. - Assists Accounts Payable to promptly resolve payment disputes, invoice discrepancies. - Utilizes management reports to reduce waste and track individual performance (e.g. Open Order Report; A/P discrepancies, etc.) as directed. - Data/File Management - Works with Analytic staff, Sourcing / Contracting staff and suppliers to ensure accurate information is maintained in appropriate electronic files and databases including, but not limited to product attributes (e.g. descriptions, packaging) in the Enterprise Resource Planning System (PeopleSoft). - Responsible for linking contract index number to products or services tracked in the PeopleSoft item file. - Requests and secures applicable Safety Data Sheets (SDS) for hazardous materials when applicable. - Facilitates the acquisition of product related information from suppliers such as product pictures, attribute information, certifications (e.g. Ecologo™, Greenseal™), equipment specifications sheets, etc. when necessary. - Corporate Strategies - Actively promotes environmentally preferred / sustainable products and services when cost effective. Supports corporate “green” projects as identified by CQVA. - Works with sourcing staff to identify diversity suppliers and identify such suppliers in PeopleSoft for accurate reporting of spend with diversity suppliers. - Responsible for engaging suppliers to use validated, cost-effective order management and payment technologies to streamline or automate business processes. Maximize the use of applicable EDI transaction sets and the use of e-Payables. - Assists Supply Chain leadership in the procurement of products for trials, product conversions, or emergent product fulfilment. - Other - Performs other duties as required or assigned. Qualifications - Three (3) years of work related experience required. - Bachelor’s degree in related field of study preferred. - Excellent interpersonal skills and self-motivation required. - Proficiency with Microsoft Word and Excel. - Ability to work effectively in groups, build consensus and communicate effectively with all levels of personnel within our healthcare system and with suppliers necessary. - Demonstrated proficiency with D-H’s Enterprise Resource Planning System (PeopleSoft) will be required within three (3) months of employment. - Understanding of group purchasing organization’s functions. - APICS, CMRP or similar purchasing certification preferred. - Pursues excellence, creativity, and innovation. - Promotes and supports constructive change. - Ability to travel as required. Required Licensure/Certifications - None

Role Description The Physician is responsible for supervising and providing necessary and desirable medical care within the Physician’s specialty to Dartmouth-Hitchcock patients, consistent with the policies and procedures of DHC, the facility at which care is rendered, and the directions of the Service Line Leader or his/her designee. If the Physician’s specialty is such that call coverage is required, it is expected that the Physician will rotate call coverage with those physicians and allied health professionals in his or her specialty (as applicable) so that each provider, including the Physician, has a comparable amount of on call time during nights, weekends, and holidays for providing coverage outside of standard business hours. Parties expect that while on call, physician shall remain in close proximity as directed by department chair or designee. In addition to the Physician’s clinical responsibilities, the Physician will spend sufficient and reasonable time on administrative and record-keeping matters pertaining to the Physician’s medical practice. Responsibilities - Provide clinical and related administrative services and actively participate in and contribute to DHC’s academic endeavors. - Abide by the Dartmouth Health Bylaws for the Professional Staff and Code of Conduct. - Review records and detailed medical history from patient(s). - Determine appropriate diagnosis (diagnoses) and treatment plan(s). - Determine and order appropriate screening and diagnostic tests and studies. - Obtain informed consent for treatment diagnostic and therapeutic procedures and studies. - Interpret and evaluate test and study results. - Prescribe medications, treatments, and medical devices in accordance within specialty scope of practice and applicable rules and regulations. - Initiate referrals to other providers as necessary. - Initiate admission/discharge of patients, if applicable. - Provide consultation, 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 specialty scope of practice. - Complete appropriate documentation in a timely manner. - Provide patient and family-centered care. - Insure the patient’s right to privacy, confidentiality and informed consent. - Supervise APP’s as directed. - Participate in continuing medical education (CME). - Participate in quality and patient safety initiatives. - Participate in academic responsibilities assigned by the Department Chair or designee, to include, but are not limited to: - Leading small group resident conferences - Training of Residents - Teaching medical and other health professional students - Participating in clinical trials or other sponsored research - Any other Geisel obligations (if any) - Perform other duties as assigned. Qualifications - Advanced clinical degree (MD or DO) - Post graduate training in residency program - Current New Hampshire Medical License - Current or eligible for ABMS Board Certification (to be obtained within 5 years) - Active hospital staff membership

Role Description Under the supervision of a licensed Pharmacist performs routine and specialized technical and clerical duties for drug distribution to patients. This is a Full Time, 40hr per week, benefitted position. Responsibilities - Answers Phones. - Prepares prescription and non-prescription medication and/or devices. - Stocks and replenishes stock locations and automated dispensing machines (ADMs) and/or robots (example: shelves, carousels, Parata). - May assist with orienting and training pharmacy department staff. - Communicates supply issues, problems or discrepancies to the appropriate personnel. - Assists in revising policy and procedure. - Delivers meds to beds or patient care area. - Inpatient Only: Prepares or compounds non-sterile, non-antineoplastic drug products in accordance with USP chapter <795> under supervision of a licensed Pharmacist. - Maintains the hardware and software of the department's multiple computer systems. - Outpatient Only: Electronically processes prescription orders and prepares prescriptions for verification by a pharmacist. - Take verbal orders from providers, runs registers, performs production and data entry production. - Processes third party claims. - Performs other duties as required or assigned. Qualifications - Associates degree in a health or related field, (with 1 year of pharmacy experience) or the equivalent in education and experience preferred. - Ability to work in a fast paced environment with accuracy. - Ability to multitask and attention to detail. - Ability to maintain composure under stressful situations. Requirements - Registered Pharmacy Technician with the NH Board of Pharmacy required. - Certified Pharmacy Technician (CPhT) certification required. - BLS Certification required within 30 days of hire for Pharmacy Technicians in the Retail or Specialty Pharmacy if required to administer immunizations. Benefits - $5,000 Sign On/Retention Bonus for external candidates only. - Medical Insurance: Two medical plans available through Anthem BC/BS with employer contribution of 4% of biweekly pay. - Retirement: Employee contributions are vested immediately with a biweekly matching contribution of 50% on up to 4% of pay saved. - Paid Time Off: Accrued per pay period based on hours worked, including six paid holidays. - Shift Differential: 10% evening, 20% night, and 15% weekend shift differentials when applicable. - Tuition Reimbursement: Up to $3,000 per year. - Dental and Vision insurance available.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you an experienced Medical Assistant who takes pride in delivering high-quality, protocol-driven support? Dartmouth Health is seeking a detail-oriented Medical Assistant to join our remote Family Medicine Refill Processing Team. In this role, you will be responsible for managing prescription refill requests across our Family Medicine practices. Your work will be guided by established protocols to ensure safe, consistent, and efficient medication management. Productivity and quality metrics are monitored regularly to ensure accurate and timely completion of work, supporting both patient safety and clinic efficiency. This position is ideal for a self-motivated Medical Assistant who values consistency, precision, and being part of a remote team committed to excellent patient care. Full-Time, M-F 8am-5pm Responsibilities - Greets, checks in patients, and notifies appropriate provider. - Prepares patient, room and equipment for procedures and exams. - Takes and records vital signs. Informs provider of patient vital signs and concerns. - Recognizes and treats emergency patients as a priority, assists with patient examinations and treatments. - Handles patient situations over the phone, schedules appointments and procedures with medical professionals. - Understands limitations in dealing with patients over the phone, and involves nursing staff and providers. - Registers new patients and establishes a medical record. - Prepares patient billings. - Assists patients by filling out insurance and other forms. - Supplies authorized information upon request by third party payors. - Instructs patients in preparation for specific procedures. - Collects and processes routine laboratory specimens. - Operates and maintains clinical equipment. - Maintains and uses aseptic technique including sterilization, disinfection and disposal of contaminated material. - Cleans, wraps and autoclaves instruments. Cares for supplies and equipment. - Performs other duties as required or assigned. Qualifications - Graduate of an accredited Medical Assistant Program required. - Previous experience in office or outpatient ambulatory care setting strongly preferred. - Demonstrated strong communication, organizational, and interpersonal skills. - Demonstrated ability to work well as a member of a team. - Computer skills strongly preferred. - Must be willing and able to participate in evening, weekend, and holiday coverage according to needs of the department. Requirements - Current BLS certification required. - Certified Medical Assistant (CMA) - American Association of Medical Assistants OR Registered Medical Assistant (RMA) - American Medical Technologists OR Certified Clinical Medical Assistant (CCMA) – National Healthcareers Association plus DOL Registered Apprenticeships Certificate of Completion.

Overview Actively engages in clinical and technological decisions that directly impact patient lives, while competently servicing our clients. Serves as multiple facilities, masters multiple pharmacy information systems, and serves as trusted advisors to the clinicians whom they serve. Uses specialized software and communications platforms that create a vibrant community of connected professionals. This is a Full Time, 40hr per week, benefitted position. Day shift Dartmouth is the best where it matters most! DH Offers You: Employees hired to work at least 0.50 FTE (20 hours per week) and their eligible dependents may participate in Dartmouth Health benefit plans on the employee’s first day of employment. Medical Insurance: Two medical plans available through Anthem BC/BS: Employees also receive a base employer contribution of 4% of biweekly pay plus a High Deductible Health Plan (HDHP) that is matched with a Health Savings Account and a PPO Plan that features higher premiums balanced by copays and lower deductibles. Retirement: Employee contributions are vested immediately. Biweekly matching contribution of 50% on up to 4% of pay saved—for a maximum match of 2% of pay. Paid Time Off: Paid time off is accrued per pay period based on hours worked. This includes six paid holidays. Shift Differential:10% evening, 20% night, and 15% weekend shift differentials when applicable. Tuition Reimbursement: Up to $3,000 per year. Dental Vision Responsibilities - Utilizes remote order entry and order verification. - Therapeutic drug monitoring and management. - Medication verification and drug utilization review. - Pharmacy consults and recommendations- collaborating with specialty pharmacists as needed. - Serves as a consultation resource to medical and nursing staff. - Exercises sound professional judgment in assuming responsibility for the medication use process and for patient outcomes, following pre-established policies, procedures, and protocols. - Approves medication for dispensing to patients at contracted hospitals per physician request. Interpret and evaluate medication orders and transcribe to computerized patient medication profiles. Maintains accurate and complete medication profiles. - Ensures safe, appropriate, cost effective medication therapies for patients. - Monitors medication therapy by assessment of: - Therapeutic appropriateness of the regimen (e.g. indication for use, drug selection, dosage). - Therapeutic duplication of the regimen. - Appropriateness of the route and method of administration. - Patient compliance with the regimen. - Medication/medication, medication/food, medication/laboratory test, and medication/disease interactions. - Clinical and laboratory data to evaluate the efficacy of therapy and to anticipate toxicity and adverse effects. - Physical signs and clinical symptoms relevant to therapy. - Reads, extracts, and interprets information in patient charts accurately. - Detects and reports suspected adverse drug reactions accurately and in a timely manner. - Sustains the formulary by minimizing non-formulary procurements, utilizing therapeutic substitution protocols, P&T committee approved drug use criteria; and promoting rational drug therapy selection. - Provides clinical consultation and clarification to practitioners. Suggests appropriate, cost, effective therapeutic alternatives to medical staff, as needed. - Provides accurate, adequate, and timely drug information to the professional staff. - Assists in discharge planning when requested. Counsels patient/families concerning proper drug administration, potential drug side effects and precautions, and discharge medication orders. Helps locate medication supplies not generally available. - Documents all clinical activities and interventions accurately and completely. - Participates in the quality improvement and medication use review activities of the department. - Participates in the development and presentation of orientation, education, and training programs for the pharmacy, medical, nursing and other staff members. - As relevant, oversees and directs Pharmacy support personnel. Verifies the daily activities of Pharmacy Technicians. Provides input into support personnel performance reviews, as applicable. - Maintains competence required to perform assigned job functions. - Reviews current literature and other materials pertinent to the practice of pharmacy. - Attends staff meetings, educational, and training programs as appropriate. - Participates in assigned committees (e.g. Pharmacy and Therapeutics). - Responds to poison calls, as required. Provides clinical information regarding the treatment of overdoses and accidental ingestion. - Performs other duties as required or assigned. Qualifications - Graduate of an ACPE-accredited School of Pharmacy with a Bachelor's of Science in Pharmacy; Pharm D degree preferred. - 5 Years or more professional pharmacy experience required. - Must have at least 3 years of clinical hospital inpatient pharmacy experience, health system experience preferred. - Must be able to work independently with minimal direct supervision, to set priorities, make critical decisions, respond quickly to emergency requests, handle frequent interruptions, and adapt to changes in workload. - Maintains customer-service focus to achieve excellent working relationship with the remote contracted facilities. - Good written and verbal communication skills are essential. - Must be currently licensed to practice in the state of NH, and be willing to seek license reciprocity in multiple states. - If working from home, must have high-speed internet access and a HIPAA compliant dedicated workspace. Required Licensure/Certifications - Must be currently licensed to practice in the state of NH.

Dartmouth Health is seeking an experienced healthcare attorney to serve as an Associate General Counsel for the system in the area of Provider Contracting. This is an exciting opportunity for a healthcare regulatory lawyer who has enjoyed previous in-house experience in the hospital or health system environment and wishes to grow in a large, academic setting. Oversee all contract drafting and review for employed physicians and providers within the system Conduct appropriate regulatory analyses for provider compensation arrangements and financial relationships Protect the institutional interests of Dartmouth Health