APP - NP or PA/APP-Primary Care

Full-time permanent General Surgeon needed to join a dedicated team in northern New Hampshire. Provide comprehensive general surgery services in a rural, community setting. Opportunity to collaborate with a supportive medical group and expand the scope of surgical services in the region. Enjoy a fulfilling career in a dynamic, friendly, and creative community offering a variety of outdoor activities and community events.

Position Type: Full-time (4.0 or 4.5 days/week)

Responsibilities:

·         Provide office-based general surgery services to both new and established patients of all ages.

·         Conduct initial consultations for common general surgery concerns.

·         Perform minor procedures.

·         Educate and counsel patients and their families on surgical procedures and post-operative care.

·         Order diagnostic tests as necessary.

·         Refer patients to related specialties within the hospital system or tertiary care centers when appropriate.

·         Communicate effectively with primary care physicians regarding patient care plans.

·         Utilize the support of a medical assistant for clinical tasks.

·         Perform both open and laparoscopic surgical procedures.

·         Conduct endoscopic procedures as needed.

Diagnoses and Conditions:

·         Address a broad range of diagnoses commonly encountered in a rural, community setting, including but not limited to:

·         Hernias (inguinal and umbilical)

·         GERD and related symptoms

·         Rectal bleeding

·         Gallbladder disease

·         Colon polyps or screening for colon cancer

·         Hemorrhoids

·         Sebaceous cyst

·         Dysphagia

·         Breast conditions

·         Diverticulitis

·         Skin lesions (including cancers)

Schedule and Availability:

·         Monday: Office

·         Tuesday: Operating Room

·         Wednesday: Office

·         Thursday: Office

·         Friday: Office (half day) or off*

·         On-call coverage approximately 10 days per month, including one weekend per month.

·         Appointment durations vary (15 minutes for established patients, 30 minutes for new patients, 30 to 45 minutes for office-based procedures).

Qualifications:

·         Board certification in General Surgery.

·         Native or bilingual proficiency in English.

·         Preferably 2-5 years of prior experience in general surgery and endoscopy.

·         Comfortable with the rural nature of practice/hospital.

·         Ability to work collaboratively in a small hospital setting with limited general surgery colleagues.

·         Willingness to provide a broad scope of surgical services typical of a rural, community surgeon.

·         Ability to adapt and expand clinical services to complement the existing surgical team.

Benefits:

·         Competitive base salary ($419,993 for 0.89 FTE) plus wRVU compensation.

·         Additional benefits include vacation time, sick days, holidays, CME funds, and retirement plans.

·         Commencement bonus and relocation funds/reimbursement available.

·         Comprehensive insurance coverage including health, dental, vision, and disability.

·         Professional liability coverage with tail provided.

·         Opportunity to work in a non-profit healthcare system recognized for its patient-centered culture and high-quality care delivery.

Irresistible Job Opportunity: Medical Director for Critical Access Hospital in New Hampshire

Arc Health invites applications from board-certified Primary Care Physicians for an exceptional permanent role as Medical Director at a Critical Access Hospital, nestled in the scenic White Mountains and the Great North Woods of New Hampshire. Renowned for its patient-centered culture, this hospital is committed to delivering high-quality, accessible, and integrated healthcare with courtesy and respect.

Ideal Candidates:

• Committed to rural, Tribal, and underserved healthcare
• Compassionate, mission-driven social medicine practitioners
• Interested in joining a dynamic and potentially disruptive social healthcare enterprise
• Completed a US residency program

Practice Highlights:

• 8 hours/week in Administration, 29 hours/week clinical, 3 hours/week clinical admin
• Manage 20-24 patients/day
• Community call (including local nursing home patients) TBD, likely 1:4
• EMR: Meditech Expanse, Dragon dictation
• Support from an RN Team leader and designated MA

Benefits:

• Competitive compensation, including productivity, and comprehensive benefits package
• Sign-On Bonus: +$20-25k (Generous for the right match)
• Relocation Assistance: $10k
• Retention Bonus: +$20k for years 2 and 3
• 6-month housing assistance bonuses
• Student Loan Repayment application assistance

Requirements:

• Board-Certified MD/DO
• Minimum of 5 years in practice in outpatient primary care

About the Location:

• No state income taxes, affordable real estate, and small schools
• Ideal for outdoor enthusiasts seeking a quiet, friendly, close-knit community with stargazing, bird-watching, and fresh clean air
• Enjoy four incredible seasons with various outdoor activities, including hiking, biking, kayaking, golf, fishing, and skiing
• Largest employer in the region, serving a dynamic, friendly, and creative community in a gorgeous northeast rural area
• Hospital staff reflects the community's spirit, with employees celebrating long-term service milestones, including several hitting their 40th work anniversary

Seize this opportunity to lead and make a lasting impact in a picturesque New Hampshire community. Apply now and become an integral part of the hospital's commitment to excellence in healthcare.

Irresistible Job Opportunity at Arc Health - Primary Care Physician for Critical Access Hospital

Arc Health is actively seeking a board-certified Primary Care Physician for an exciting opportunity at a Critical Access Hospital situated in the picturesque White Mountains and the Great North Woods of New Hampshire. Known for its robust patient-centered culture, the hospital is dedicated to delivering high-quality, accessible, and integrated healthcare with courtesy and respect. Leadership opportunities abound.

Practice Highlights:

• Monday - Friday schedule, 8 am - 5 pm
• Manage 20-24 patients per day
• Community call (including local nursing home patients) TBD, likely 1:4
• EMR: Meditech Expanse, Dragon dictation
• Support from an RN Team leader and designated MA

Benefits:

• Competitive compensation, including productivity, and a comprehensive benefits package
• Sign-On Bonus: +$20-25k (Generous for the right match)
• Relocation Assistance: $10k
• Retention Bonus: +$20k for years 2 and 3
• 6-month housing assistance bonuses
• Student Loan Repayment application assistance

Requirements:

• Board-Certified MD/DO
• Minimum of 5 years in practice in outpatient primary care
• NH Medical License or ability to obtain
• NH DEA or ability to obtain

About the Location:

• No state income taxes, affordable real estate, and small schools
• Ideal for outdoor enthusiasts seeking a quiet, friendly, close-knit community with stargazing, bird-watching, and fresh clean air
• Enjoy four incredible seasons with various outdoor activities, including hiking, biking, kayaking, golf, fishing, and skiing
• NCH, as the largest employer in the region, serves a dynamic, friendly, and creative community in a gorgeous northeast rural area
• Hospital staff reflects the community's spirit, with employees celebrating long-term service milestones, including several hitting their 40th work anniversary

Don't miss this extraordinary opportunity to contribute to a thriving healthcare community. Apply now and be part of Arc Health's commitment to excellence and compassionate patient care.

Irresistible Job Opportunity: Pain APRN in the northern most county in New Hampshire

Arc Health is actively seeking a Full-time (4 day/week) pain APRN (not CRNA) to join a highly functional pain management team in Berlin and Colebrook, NH, addressing the increasing clinical demands for services. This role involves providing office-based pain management services to new and established adult patients. Services include medication management, certification for medical cannabis, education/counseling, monitoring of medication compliance via PDPM and urine drug screens, minor procedures, and referral to CRNA colleagues for interventions or other specialized services.

• Practice Highlights:
  

• Minor procedures, including trigger point injections, joint injections, occipital blocks, cold ablation (Iovera), and Botox for headaches or chronic pain. Ultrasound guidance may be used for selected procedures, and training will be provided if necessary.
• Opportunity to provide Medication Assisted Treatment (MAT) with X waiver (not required).
• Infrequent consultation for inpatients and ED patients in rotation with team members.
• FTE: 0.8 to 1.0 (preference for 0.8 to start)
• Weekly Schedule: 4 days per week (off on Thursday), 8 am to noon and 1 pm to 5 pm (8 hours of clinical time/day).
• Appointment durations will allow for orientation to facilities and EMR initially and will be adjusted over time to match standards for all pain providers.
• EMR: Meditech Expanse
• Typical productivity: 12 to 20 patients per day (based on a mix of new and established patients, procedures, etc.)

Call Requirements:

• Shared phone call from home; no need to come to the hospital.
• In rotation with other APRN’s and CRNA’s, typically 1 week every 4 weeks.
• Participation in call rotation begins after the new APRN is fully trained and practicing independently (e.g., 2 to 6 months).

Requirements:

• Board Certified
• NH license and DEA - unrestricted
• BLS and ACLS

Join this team and be part of a progressive healthcare environment that prioritizes patient well-being and professional growth. Apply now for this unparalleled opportunity at Arc Health.

Exciting Opportunity: Sleep Medicine APRN

Arc Health is seeking a full-time Sleep Medicine APRN to join a renowned sleep medicine physician in northern New Hampshire.

Practice Highlights:

• Providing office-based sleep services for patients aged 5 and above.
• Management of positive airway pressure therapy, medication, and diagnostic tests.
• Collaboration with the sleep medicine team and occasional inpatient consultations.
• Administrative time provided.

Requirements:

• Experience preferred; new graduates considered with at least 5 years of RN experience.
• Eagerness to learn sleep medicine principles, diagnostics, and patient counseling.

Training/Orientation:

• Individualized education spanning approximately 8 weeks full-time.
• Observation of the sleep medicine physician's practice, time with specialists, and a mix of in-person and online courses.

Location:

• 3 care locations within an hour of each other in beautiful northern NH
• Northern New Hampshire offers an excellent quality of life with diverse outdoor activities.
• Dynamic communities, low cost of living, and no income or sales tax.

Join Arc Health in making a difference in rural healthcare. Apply now for this rewarding opportunity.

Arc Health is seeking a full-time (4 day or 5 day/week) Neurologist to join a high functioning team in northern New Hampshire. Provides office-based general neurology services to new and established patients (age 16+), including medication management, education and counseling of patients and families, ordering diagnostic tests, referral to related other specialties (e.g., cardiology, orthopedics, pain management, pulmonology, sleep medicine) locally, referral to subspecialty neurologists at tertiary care centers, and communication with PCP’s.  +$300k base plus+++ loads of benefits!

Most commonly diagnoses encountered are:

·         Migraine

·         Memory loss

·         Essential tremor

·         Parkinson’s disease

·         Cognitive impairment

·         Dizziness

·         Epilepsy

·         Multiple sclerosis

·         Polyneuropathy

·         Headache

Experience required

·         Selected new graduates from residency or fellowship training may be eligible.

·         H1-B and J-1 visa candidates will be considered if excellent communication skills.

·         Prefer candidates have prior experience (at least 2-5 years) in broad spectrum of general neurology.

·         Prior experience in a small hospital or CAH desired.

·         Must be comfortable with rural nature of practice/hospital, only one neurology colleague, solo coverage, and facility’s complement of specialists and diagnostic testing capacity.

·         Special clinical interests/expertise to complement those of current neurologist and expand scope of services to our region. For example, clinical interests/expertise in one or more of the following: headaches, movement disorders, multiple sclerosis, extrapyramidal syndrome, stroke, epilepsy, dementia, and EEG’s.

·         Ability to interpret EEG studies desirable but not required.

·         Does not need ability to perform or interpret NCS/EMG studies. Based on current provider’s expertise in this area and capacity to perform and interpret more NCS/EMG’s as ordered by a second neurologist, AVH would prefer new neurologist does not have/need to utilize such skills.

·         Ability to perform Botox injections desirable but not required.

·         Team oriented, collaborative, and patient focused. High level of customer service (patient satisfaction) is expected.

 Additional job information

·         EMR: Meditech Expanse

·         Appointment durations would begin at 40-60 minutes to allow for orientation to site and its EMR. At an appropriate time (usually 2-4 weeks), appointment durations would be reduced to match standards for neurologists, i.e., 20 minutes for established patients and 60 minutes for new patients.

·         Typical productivity (based on usual mix of new and established patients) will be 12 to 16 patients per day. In general, 2 to 4 new patients per day.

·         Time for interpretation of diagnostic tests (e.g., EEG) is provided. However, administrative time is generally not provided at the specialty practice.

·         Locations of care/schedule (specific days of week to be determined by facility at time of negotiation of physician employment agreement or commencement of employment, based on available space and operational needs at each site). Generally, sites are about an hour apart and would require travel 1-2 days per week on average.

Benefits

Vacation, Sick Days, Paid Holidays, 2 wks CME and funds, Commencement bonus, citizenship bonus, productivity bonus eligible, relocation, health, dental, vision, short and long-term disability, retirement and professional coverage with tail

About the area

The area offers four incredible seasons to enjoy various outdoor activities, including hiking, biking, kayaking, golf, fishing, and skiing, along with a number of community activity offerings.

Arc Health is seeking a ABEM or ABFM with Emergency Medicine experience for January 4, January 26, February 15 and February 22 at a NH Critical Access Hospital in Berlin, NH. Ideal candidates must be: 

• Committed to rural, Tribal, and underserved healthcare 
• Compassionate, mission-driven social medicine practitioners 
• Interested in joining a dynamic and potentially disruptive social healthcare enterprise 
• Completed a US residency program 
• Not had a lapse in practice > 6 months leading up to assignment 
• Candidates within driving distance preferred

Practice Description 

• Provide care for patients of all ages in an ED with 9 beds: 6 private rooms, 1 exam with 2 bays (curtains) for minor surgery, and 1 trauma room. 
• Annual volume 8,200 patients (less during COVID-19 pandemic). 
• Volume of patients per day ranges from 15 to 40; average 22-23 patients. 
• Approximately 16% of patients are admitted, and 2.3% are transferred to a higher level of care. Payer mix over last 3 years has been 33.8% Medicare, 23.1% Medicaid, 37.6% commercial, and 5.5% self-pay/other. Recent age distribution (12/21 to 3/22) was 6.5% birth to age 5, 8.7% age 6-17, 58.2% age 18-64, 15.9% age 65-79, and 10.7% age 80+.  
• Solo coverage for 24-hour shifts. APP support from 12p-8p. 
• Assistance from on-duty hospitalist in times of high census or acuity. 

Requirements: 

• ABEM or ABFM with Emergency Medicine experience
• Experience of at least 3 years in a rural setting 
• Background Check with Fingerprinting 
• American Heart Association BLS and ACLS 

About the location 

• Situated in the Great North Woods Region in New Hampshire, North Country Healthcare is a non-profit affiliation of four medical facilities, employing hundreds of talented professionals. 
• The hospitals are each Critical Access Hospitals (CAH).  
• Northern New Hampshire offers an amazing quality of life with four incredible seasons to enjoy outdoor activities or indoor hobbies. 

Arc Health is seeking a full-time Permanent Emergency Medicine boarded or board-eligible physician (for 6 solo shifts per month) to join an established EM group at a northern NH Critical Access Hospital. Ideal candidates must be: 

• Committed to rural, Tribal, and underserved healthcare 
• Compassionate, mission-driven social medicine practitioners 
• Interested in joining a dynamic and potentially disruptive social healthcare enterprise 
• Completed a US residency program 
• Not had a lapse in practice > 6 months leading up to assignment 
•  Perm candidates.  

Practice Description 

• Provide care for patients of all ages in an ED with 9 beds: 6 private rooms, 1 exam with 2 bays (curtains) for minor surgery, and 1 trauma room. 
• Annual volume 8,200 patients (less during COVID-19 pandemic). 
• Volume of patients per day ranges from 15 to 40; average 22-23 patients. 
• Approximately 16% of patients are admitted, and 2.3% are transferred to a higher level of care. Payer mix over last 3 years has been 33.8% Medicare, 23.1% Medicaid, 37.6% commercial, and 5.5% self-pay/other. Recent age distribution (12/21 to 3/22) was 6.5% birth to age 5, 8.7% age 6-17, 58.2% age 18-64, 15.9% age 65-79, and 10.7% age 80+. 
• Facility is preparing to apply for designation as a level 3 trauma center in late 2022/early 2023. 
• Solo coverage for 24-hour shifts. No advance practice provider support. 
• Assistance from on-duty hospitalist in times of high census or acuity. 

Requirements: 

• Board Certified in EM 
• Background Check with Fingerprinting 
• BLS and ACLS 

About the location 

• Situated in the Great North Woods Region in New Hampshire, North Country Healthcare is a non-profit affiliation of four medical facilities, employing hundreds of talented professionals. 
• The hospitals are each Critical Access Hospitals (CAH).  
• Northern New Hampshire offers an amazing quality of life with four incredible seasons to enjoy outdoor activities or indoor hobbies.