Nurse Practitioner / APRN

Nurse PractitionerFull-Time Full Practice Authority

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.

Posted 6mo ago

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

Patient history takingDiagnostic testingTreatment planningClinical documentationElectronic medical recordsMedication prescriptionPatient referralCollaborative careGeriatric carePediatric careAdolescent careHealth assessmentIntervention planning

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).

How many Family Medicine jobs are remote?
MeasureThis jobMarket
Work-life score7.2 / 10 · above average in family medicine (np)ranked against 2,567 Family Medicine (NP) listingslisting-based score, 0–10
Listed paynot listedFamily Medicine median $138k (middle half $129k–$159k)290 comparable listings, Nov 2026
Cost of livingNew Hampshire index 104.2US average = 100BEA Regional Price Parities (2024)
Family Medicine listings in New Hampshire12 active2,622 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 54% no call · 74% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS 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 specialtiespostings 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 listings1,843 in the last 30 days1,355 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
Sources: WeekdayDoc live listing index (2,567 Family Medicine (NP) listings), BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

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.

Top Nurse Practitioner Jobs

35 matches · ranked by pay

Salary Distribution

30 jobs
9
<$140k
7
$140k-160k
9
$160k-180k
3
$180k-200k
2
$200k+

Annual compensation range

Benefits & Perks

25 jobs
401k / retirement match
92%
CME allowance
44%
Sign-on bonus
28%
Loan repayment
24%
Relocation assistance
12%

Share of similar jobs offering each benefit

#1

Advanced Registered Nurse Practitioner APP Kidney Transplant

University of Washington · Seattle, Washington

$139k-$211k
#2

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

Ageless Mens Health · Memphis, Tennessee

$210k
#3

Nurse Practitioner

$145k-$185k
#4

Nurse Practitioner / Physician Assistant

$135k-$183k
+ 33 more · ranked by pay

Work-life snapshot

median 6.4this job 7.2
Better work-life than 60% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,567 comparable listings. Shaded area = the share scoring below this one.

  • On-site
Ammonoosuc Community Health Services logo

About Ammonoosuc Community Health Services

Hospitals and Health Care
LITTLETON, New Hampshire
11-50 employees