Nurse Practitioner / APRN

ACHS: Where Healthcare Careers Thrive!

At Ammonoosuc Community Health Services (ACHS), we’re more than just a healthcare provider—we’re dedicated professionals committed to improving the lives of our patients and strengthening our communities. We have been delivering compassionate, affordable care to Northern New Hampshire since 1975. When you join ACHS, you’re stepping into a collaborative environment where your contributions are valued, your professional growth is supported, and your impact is profound. If you're passionate about community health and want to be part of a team where healthcare careers truly thrive, we want to hear from you!

Position Overview

The Nurse Practitioner provides medical care and treatment for patients in the clinic facilities and/or associated nursing homes. The scope of practice is determined by the New Hampshire Board of Nursing and the training and expertise of the individual practitioner.

Key Responsibilities

· Obtains full and accurate patient histories and performs physical examinations

· Orders and interprets appropriate diagnostic and screening tests

· Formulates diagnoses and appropriate plans of care

· Complete and sign all documentation in an accurate and timely manner

· When necessary and appropriate, uses physician consultation to assist with diagnosis and/or management

· Collaborates with other health care professionals as needed to prepare a comprehensive plan of care

· Prescribes or recommends medications or other forms of treatment such as physical therapy, inhalation therapy, or other therapeutic interventions

· Refers patients to specialists, if necessary

· Documents pertinent information, including patient histories and physical examinations, assessments, interventions, and plans

· Regularly uses computer/EMR in clinical management of patients as well as intra-office communication and other office related activities

· Demonstrates the knowledge and skills, including the principles of growth and development over the lifespan, necessary to provide care appropriate for each patient’s age specific needs such as those for infant, adolescent, and geriatric patients

· Must complete work within scope of practice for current licensure or certification

· Other duties, hours, and ACHS site placement may be assigned