Monadnock Community Hospital logo
Monadnock Community Hospital
Peterborough, New Hampshire

Pain Management Nurse Practitioner / Physician Assistant - Full-Time

Nurse PractitionerNo callFull-Time Full Practice Authority

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 7mo ago

Job Description

Monadnock Orthopedic Associates, a trusted practice with over 25 years of service, is seeking a dedicated, patient-centered Nurse Practitioner (APRN) or Physician Assistant (PA-C) to join our outpatient Pain Management and Physical Medicine & Rehabilitation (PM&R) team.

If you have a passion for spine, musculoskeletal, and pain management care, this is your opportunity to make a meaningful impact in a collaborative, dynamic environment.

What You’ll Do

  • Conduct comprehensive patient evaluations and develop multi-modality treatment plans.
  • Manage medications and provide ongoing patient follow-up.
  • Utilize EMR systems effectively and maintain strong clinical documentation.
  • Collaborate closely with experienced physicians in a combined PM&R / Orthopedic department.

Why Join Us?

  • Competitive Compensation based on experience.
  • Generous Benefits Package including a robust retirement plan.
  • Access to minimally invasive procedures, on-site ultrasound, and fluoroscopic-guided interventions at the adjacent hospital.
  • Work in a well-established, respected practice serving the community for over two decades.
  • Enjoy life in Southern New Hampshire’s Monadnock Region—excellent schools, vibrant arts and culture, and year-round outdoor recreation.
  • Comprehensive orientation / onboarding.

Qualifications

  • Master’s degree or higher.
  • Completion of an accredited NP or PA program.
  • Active New Hampshire ARNP or PA license and current DEA number (required prior to start).
  • Minimum of 1-year clinical experience preferred (new grads considered).
  • Experience in Pain Management or related specialty is a plus.
  • Must be insurable under MCH professional liability coverage.

About Our Benefits

Amazing people deserve amazing benefits.

We strive to employ and retain the most highly qualified individuals by providing equitable wages and benefits, promoting from within, and supporting the continuing education efforts of our staff.

You will be valued and rewarded for the work you do here with excellent pay and outstanding benefits. At MCH, you’ll find great opportunities for career advancement as well as personal and professional growth.

Full-time Employees Enjoy

  • Health insurance
  • Dental insurance
  • Vision coverage
  • Flexible spending accounts
  • Life insurance
  • Short and long-term disability insurance
  • Accident and Critical Illness insurance
  • Identity theft insurance
  • Retirement savings plan
  • Lifestyle spending account
  • Free membership to local gym
  • Generous paid time off plans
  • Opportunities for professional development and training
  • Positive work environment with a supportive team and opportunities for growth
  • Scholarship Opportunities
  • Tuition reimbursement
  • Caring for Coworkers
  • Nursing Loan Assistance
  • Childcare Subsidy

or click the Apply button above

About Monadnock Community Hospital

Reach new heights at Monadnock Community Hospital.

MCH is a critical access hospital in beautiful, historic Peterborough, New Hampshire.

For 100 years, we have provided outstanding care to our communities, earning a reputation for excellence that has made us one of New Hampshire’s most successful and beloved small hospitals.

Join a culture of Compassion, Collaboration, Honesty, and Respect!

Our employees are the heart and soul of Monadnock Community Hospital.

In every department and at every level, MCH employees go above and beyond to deliver an exceptional patient experience in an atmosphere that is healthy, friendly, respectful, and personally fulfilling.

About the Monadnock Region

A great place to live, work, and play.

One of the best things about working at Monadnock Community Hospital is that you get to live in a community that offers an amazing quality of life.

The state of New Hampshire consistently ranks in the Top Ten of all American states for its overall quality of life. Towns are small and friendly here, crime is low, schools are good, and the air and water are clean.

Balance meaningful work with a great life.

Here in the Monadnock Region, you can enjoy a standard of living that is hard to match anywhere. Let’s start with our mountain for which we are named.

Around the 3,165 foot Mount Monadnock with 100-mile views are forests, woods, lakes, and protected rivers providing abundant opportunities for hiking, biking, kayaking, fishing, cross-country skiing – you name it!

And if you’re into the arts, the region also offers a lively arts scene, with galleries, theatres, and concert venues.

  • New England community spirit
  • Family-friendly
  • Arts and culture
  • All-season outdoor recreation
  • Just 1.5 hours to Boston

Ready to take the next step in your career?

Apply today and become part of a team that values collaboration, innovation, and exceptional patient care.

Our small hospital is committed to diversity, inclusion, and equal opportunity employment. We welcome applications from individuals of all backgrounds and abilities. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.

Key Responsibilities

The role involves conducting comprehensive patient evaluations and developing multi-modality treatment plans within a Pain Management and PM&R team. Responsibilities also include managing medications, providing ongoing patient follow-up, and effectively utilizing EMR systems.

Qualifications

Education
Master's degree (postgraduate degree)

Certifications

DEA License

Key Skills

Treatment PlanningMedication ManagementSpine CareMusculoskeletal CarePhysical Medicine and RehabilitationOrthopedicsUltrasound Utilization

Pain Medicine — Nurse Practitioner Career Context

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).

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 26% are remote, 60% have no call, 80% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pain Management Nurse Practitioner / Physician Assistant - Full-Time at Monadnock Community Hospital a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Nurse Practitioner roles — ranked against 14,245 active Nurse Practitioner roles listings on WeekdayDoc. Contributing factors include no on-call duties.

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

37 matches · ranked by pay

Salary Distribution27 jobs

3
<$120k
7
$120k-145k
12
$145k-170k
5
$170k-195k

Annual compensation range

Benefits & Perks23 jobs

401k / retirement match
74% this job
CME allowance
48% this job
Sign-on bonus
39%
Loan repayment
22% this job
Relocation assistance
17%

Share of similar jobs offering each benefit

#1

Psychiatric Nurse Practitioner (PMHNP-BC)Contract

Mindify Wellness And Care · Pennsauken, New Jersey

$40-$90/hr
#2

FNP needed for interim coverage - Dec - MarchContract

Georgia Medical Staffing · Glen Allen, Virginia

$90 per hour
#3

Primary Care PA-C or ARNP

$113k-$184k
#4

Nurse Practitioner - Pediatric Urologic Surgery

$97k-$175k
+ 35 more · ranked by pay

Work-life snapshot

median 6.4this job 6.4
Better work-life than 50% of Pain Medicine (NP) listings

Listing-based score, 0–10, across 103 comparable listings. Shaded area = the share scoring below this one.

  • No call

Living in Peterborough

Typical 3-bedroom home value
$466k
Median resident rent
$1,515/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
105.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Manchester-Nashua, NH metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Monadnock Community Hospital logo

About Monadnock Community Hospital

Hospitals and Health Care
Peterborough, New Hampshire
201-500 employees

Benefits & Perks

Health insurance
Dental insurance
Vision coverage
Flexible spending accounts
Life insurance
Short and long-term disability insurance
Accident and Critical Illness insurance
Identity theft insurance