North Country Healthcare·Lancaster, New Hampshire
Provides high-quality nursing care to adult and pediatric patients in an outpatient setting, including performing clinical procedures and administering vaccines. Coordinates clinic operations, manages patient communications, and provides specialized education on chronic disease and anticoagulation therapy.
Adhering to System Values, Service Excellence, and Standards of Behavior, the Ambulatory Clinic Office Registered Nurse provides safe, high-quality nursing care to adult and pediatric patients in an outpatient setting. This role applies the nursing process to assess patient needs, perform patient-care-related tasks, administer ordered injections and vaccines, perform and monitor anticoagulation-related testing, provide patient education within a nurse’s scope of service, and coordinate follow-up care in collaboration with providers and the interdisciplinary care team. The nurse ensures accurate documentation, supports adherence to established protocols and standards of practice, and promotes a patient-centered environment focused on safety, quality, and continuity of care
• Current Registered Nurse (RN) license in the state of New Hampshire and Vermont required.
• Understanding of CPT, ICD-10 and HCPCS coding and its relationship to billing preferred
1. Assesses, monitors, and documents each patient’s clinical status, nursing interventions, education, and follow-up needs in the electronic medical record. 2. Coordinates daily operations of the Ambulatory Nurse Clinic, including workflow, schedule preparation, resource needs, and communication priorities. 3. Manages patient communications, including phone calls, voicemail, and clinical messages, to ensure timely response and continuity of care. 4. Performs ordered clinical procedures within nursing scope of practice, including injections, wound care, blood pressure checks, ear irrigation, and outpatient EKGs. 5. Coordinates referrals, specialty services, IV medication arrangements, pre-operative orders, and related patient care activities according to established protocols. 6. Provides patient education and counseling on medications, chronic disease management, insulin use, blood pressure control, injections, vaccines, and anticoagulation therapy. 7. Performs, reviews, and documents PT/INR testing and collaborates with providers to support safe and effective anticoagulation management. 8. Educates patients receiving anticoagulation therapy on dosing instructions, diet considerations, medication interactions, bleeding precautions, and follow-up requirements. 9. Monitors INR results across care settings and coordinates timely follow-up, confirmatory testing, and outreach for patients overdue for testing or appointments. 10. Manages Warfarin refill requests and evaluates medication adherence, including pill counts, discrepancy documentation, and escalation of concerns as appropriate. 11. Prepares and administers allergy immunotherapy injections in accordance with provider orders, patient verification requirements, monitoring standards, and documentation protocols. 12. Prepares and administers adult and pediatric vaccines according to standing orders and clinical guidelines, including screening, education, monitoring, and documentation. 13. Provides triage support for anticoagulation, medication management, injection-related concerns, and other outpatient nursing needs, coordinating follow-up care as indicated. 14. Supports telemedicine clinic operations by coordinating scheduling, laboratory needs, patient preparation, visit communication, and clinical support during appointments. 15. Maintains clinic readiness and program quality through inventory management, anticoagulation record oversight, monthly reporting, billing coordination, infection control practices, safety protocols, team participation, and quality improvement activities. 16. Performs additional duties as assigned.
North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job-related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.
North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre-employment testing should contact NCHRecruiting@northcountryhealth.org.
Requires an Associate of Science in Nursing (ASN) and current RN licensure in New Hampshire and Vermont. Must hold BLS certification and possess proficiency in electronic medical records systems.
Market context
In New Hampshire, nursing roles typically draw steady demand from hospitals, long-term care, and outpatient settings, especially for candidates who already hold a state RN license and an accredited ASN or BSN. These positions can be competitive because employers often look for immediate readiness in core clinical skills such as IV therapy and timely Basic Life Support completion. Review the AI-summarized requirements and benefits here to quickly compare fit, then confirm your license status and be ready to highlight relevant bedside experience in your application.