Nurse Practitioner / APRN
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, call expectations, weekend coverage and time off.
Job Description
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!
Requirements
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
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 2+ years of experience
Key Skills
Family Medicine — Nurse Practitioner Career Context
Of the 50 active Family Medicine listings this role was benchmarked against, 38% are remote, 54% have no call, 74% require no weekends.
The cost-of-living index for New Hampshire is 104.2 (US average = 100; BEA Regional Price Parities (2024)). 60.5% of New Hampshire clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Work-life score | 7.2 / 10 · above average in family medicine (np) | ranked against 2,567 Family Medicine (NP) listingslisting-based score, 0–10 |
| Listed pay | not listed | Family Medicine median $138k (middle half $129k–$159k)290 comparable listings, Nov 2026 |
| Cost of living | New Hampshire index 104.2 | US average = 100BEA Regional Price Parities (2024) |
| Family Medicine listings in New Hampshire | 12 active | 2,622 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 38% remote · 54% no call · 74% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | US Nurse Practitioner listings: 20% state a sign-on bonus (median $10k) · 8% offer loan repayment1,000 active listings, Nov 2026 |
| Family Medicine hiring demand | #2 of 19 specialties | postings stay open a median 34 days · 23% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 1,246 postings, 1,426 closed |
| New Family Medicine listings | 1,843 in the last 30 days | 1,355 the 30 days before (+36%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Family Medicine pay trend | +2.3% vs prior quarter | —through Oct 2026 |
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Nurse Practitioner / APRN at Ammonoosuc Community Health Services a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the Above average in Family Medicine (NP) — ranked against 2,567 active Family Medicine (NP) listings on WeekdayDoc.
Location & Logistics
New Hampshire has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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