Dartmouth-Hitchcock Health logo
Dartmouth-Hitchcock Health
Keene, New Hampshire

Orthopedic NP or PA

Nurse PractitionerIncludes callIncludes weekendsFull-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, nights and shift pattern and time off.

Posted 44m ago · Verified live

Job Description

Dartmouth Health Cheshire Medical Center is seeking a highly motivated Physician Assistant/Associate or Nurse Practitioner to join their Orthopedics Department in Keene, NH. The APP will be involved in all aspects of orthopedic patient care.

Overview

  • Position is a mix of outpatient clinic time, inpatient rounding, and OR time
  • Fast-paced, collegial setting
  • Work closely with orthopedic surgeons, APPs, athletic trainers, and flow staff
  • Flow staff are highly trained in the musculoskeletal system and help provide flow, history, education, and other services to help optimize the clinic and help the team provide top-notch, quality patient care.
  • Flexible work week with 36 hours of clinic time and 4 hours of admin time per week
  • Weekday and weekend call component is 1:8 at full staff

Benefits Include

  • Up to 6% for retirement
  • 4 weeks of PTO plus 5 CME days per year
  • Up to $10,000 in education loan support
  • Relocation assistance
  • $10,000 signing bonus

Requirements

  • Ability to obtain/maintain PA or APRN license in New Hampshire
  • CPR certification
  • ACLS certification (can obtain within the first year of employment)
  • National specialty certification as RNFA or certification through the National Commission on Certification of Physician Assistants (NCCPA)
  • To learn more, contact Heidi Krape, Physician & Provider Recruiter, at Heidi.N.Krape@Hitchcock.org.

Why Work at Cheshire Medical Center?

Cheshire Medical Center, a member of the world-class Dartmouth Health system, advances the health and wellness of the communities throughout the Monadnock Region through a combination of outstanding, compassionate care and exceptional service. From primary care and over 160 inpatient beds, to a broad range of specialties, we’re large enough to serve our community while maintaining a personal touch.

  • Four-star quality rating from CMS for high-quality, safe, patient-centered care
  • Accredited as an ACS Surgical Quality Partner
  • Gold Seal of Approval from The Joint Commission

Our CEO, Joseph Perras, MD, was named to Becker’s Hospital Review’s 2026 ranking of rural hospital CEOs to know.

About Keene, NH

Tucked into the scenic Connecticut River Valley, Keene is a welcoming community with something for everyone. From locally loved restaurants and lively entertainment to engaging museums and exceptional art, there’s always something to explore. Home to Keene State College, the town has a vibrant, energetic feel while still maintaining a warm, family-friendly atmosphere.

Outdoor enthusiasts will find endless opportunities to enjoy nature, with nearby trails, lakes, ponds, and mountains just waiting to be discovered. The area also celebrates a strong sense of community through sustainable agriculture, year-round festivals, unique shops, antique markets, breweries, cafés, and cozy coffee spots.

Key Responsibilities

The Advanced Practice Provider will manage orthopedic patient care through a combination of outpatient clinic visits, inpatient rounding, and operating room assistance. They will work collaboratively with orthopedic surgeons and support staff to optimize clinical flow and provide high-quality patient services.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Outpatient clinic managementMusculoskeletal system assessmentPatient educationClinical documentationCollaboration with surgeonsCall coverage

Orthopedic Surgery — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 30% are remote, 58% have no call, 68% require no weekends.

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

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).

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

33 matches · ranked by pay

Salary Distribution30 jobs · 29 employers

5
<$125k
6
$125k-150k
15
$150k-175k
4
$175k-200k

Annual compensation range

Benefits & Perks23 jobs

401k / retirement match
87% this job
CME allowance
57% this job
Sign-on bonus
48% this job
Loan repayment
17% this job
Relocation assistance
13% this job

Share of similar jobs offering each benefit

#1

FNP needed for interim coverage - Dec - MarchContract

Georgia Medical Staffing · Glen Allen, Virginia

$90 per hour
#2

Telehealth Nurse PractitionerContract

Urrly · Los Angeles, California

$156k-$187k
#3

Post-Acute Nurse Practitioner or Physician Assistant – Weekend / Part-Time (Full-Time Track Available)

$130k-$185k
#4

Psych Nurse Practitioner or Physician Assistant

$160k-$185k
+ 31 more · ranked by pay

Work-life snapshot

median 5.1this job 4.8
Better work-life than 50% of Orthopedic Surgery (NP) listings

Listing-based score, 0–10, across 128 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends

Living in Keene

Typical 3-bedroom home value
$361k
Typical market rent
$1,812/mo
Residents’ average commute
17 min
State income tax
None
Sources & methodology

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

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

Dartmouth-Hitchcock Health logo

About Dartmouth-Hitchcock Health

Hospitals and Health Care
Lebanon, New Hampshire
1,001-5,000 employees

Benefits & Perks

Up to 6% retirement
4 weeks PTO
5 CME days per year
Up to $10,000 education loan support
Relocation assistance
$10,000 signing bonus