Align Med logo
Align Med
Rochester, New Hampshire

Nurse Practitioner

Nurse PractitionerNo callNo weekendsFull-Time Full Practice Authority

Listed compensation

$112k-$131k

The week · per this posting · weekdays assumed

Ask the employer about nights and shift pattern and time off.

Posted 7m ago · Verified live

Job Description

Sub-Acute, Long-Term Care is a sector of healthcare exploding with potential and work-life balance flexibility (no on call or weekends)!

We are seeking a Full Time (40 hours per week) provider for Birch Healthcare Center located in Rochester, NH. This position can be filled by a nurse practitioner or physician assistant. New grads are welcome to apply.

The base salary range for this position is $112,320 - $131,040 / year, in addition to our no-cap incentive compensation bonus program.

AlignMed Partners is a national medical group dedicated to improving health outcomes among residents of skilled nursing and senior living facilities.

Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported by a clinical leadership team with a decades-long track record of excellence in post-acute and long-term care. At AlignMed, we believe in a better quality of life for all.

Our mission is to elevate healthcare outcomes for our patients, providers, and partners. In living out our mission, we embrace the following pillars in our day-to-day operations.

Responsibilities

The Advanced Practice Provider reports directly to the Director of Clinical Practice and/or the Area Clinical Practice Manager. The Advanced Practice Provider collaborates on-site with the Center Leadership Team for center specific goals and priorities. The Advanced Practice Provider collaborates with the Medical Director and/or Attending Physician for patient specific medical care.

The Advanced Practice Provider provides primary and urgent care services to nursing center residents in collaboration with the other medical providers in the center. The Advanced Practice Provider works collaboratively with Center Leadership to achieve AlignMed Partners mission of improving the lives we touch through the delivery of high quality health care and everyday compassion.

Qualifications

The Advanced Practice Provider must be a graduate from an accredited School of Nursing program, licensed as a registered nurse, certified as a Nurse Practitioner by being a nursing graduate from an accredited Nurse Practitioner Program with a Master's Degree in Nursing and have a concentration and specialty track of Older Adult and/or Family Nurse Practitioner (FNP).

Will consider other concentrations/specialty tracks based on experience and business need. The Physician Assistant must be a graduate from a program accredited by the ARC-PA and take the PA National Certifying Exam (PANCE) to use the PAC designation. PA state licensure required. NCCPA certification required.

A minimum of two years experience working with adult or geriatric population is preferred.

In states where practice allows; APRN with an unrestricted professional license and DEA, for each state in which they practice. PA with an unrestricted professional license and DEA for each state in which they practice.

Benefits

*Comprehensive 90-day training program and continued support

*New and recent graduate mentorship and clinical education program

*Opportunities for advancement: career ladder, clinical lead, and specializations in wound or palliative care services

*Free subscription to UpToDate and Center to Advance Palliative Care (CAPC)

*Access to Nabla, an ambient AI assistant designed to help clinicians streamline clinical documentation by generating comprehensive clinical notes in seconds

Benefits

*Yearly average of thirteen thousand per year in bonus through our no-cap Incentive Compensation Program (for providers working 40 hours per week)

*Relocation bonus for eligible candidates. Eligibility will be determined by distance, experience, and priority

*Health, Dental, and Vision plans

*100% employer-paid ArmadaCare Plan: supplemental plan which provides reimbursement for many out-of-pocket medical, wellness, and pharmacy expenses, with an eight thousand max reimbursement for designated expenses and tiered pharmacy reimbursements for single and family plans

*Paid Time Off, 6 Paid Holidays, Paid Sick Time, Bereavement Leave

*Continuing Medical Education time off and reimbursement allotments

*Reimbursement for licensing renewal costs and 100% paid for Malpractice Insurance

*401(k) plan and company-paid group life insurance

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service. Eligibility for full-time benefits requires a minimum of 30 hours per week. Certain benefits, including Health plans, are not available to part-time employees working between 16 and 29 hours per week

Posted Salary Range

USD $112,320.00 - USD $131,040.00 /Yr.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Primary careGeriatric carePatient assessmentMedical care planningWound care

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner at Align Med a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Geriatrics (NP) — ranked against 560 active Geriatrics (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Geriatrics — Nurse Practitioner Career Context

Align Med ranks #10 of 11 employers hiring Nurse Practitioner on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 78/100, 102 active listings.

Of the 40 active Geriatrics listings this role was benchmarked against, 30% are remote, 63% have no call, 78% require no weekends.

Geriatrics by the numbers
MeasureThis jobMarket
Work-life score7.2 / 10 · top 25% in geriatrics (np)ranked against 560 Geriatrics (NP) listingslisting-based score, 0–10
Listed pay$112k–$131kGeriatrics median $139k (middle half $129k–$160k)286 comparable listings, Oct 2026
Cost-of-living adjusted pay~$117k in purchasing powerNew Hampshire index 104.2 (US = 100)BEA Regional Price Parities (2024)
Geriatrics listings in New Hampshire11 active563 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 30% remote · 63% no call · 78% no weekends40 benchmarked listings
Sign-on & loan repaymentsign-on bonusUS Nurse Practitioner listings: 18% state a sign-on bonus (median $10k) · 8% offer loan repayment1,000 active listings, Oct 2026
Geriatrics pay trend−2.3% vs prior quarter—through Sep 2026
Align Medsilver tier, 78/100 · #10 of 11 for payTop Employers work-life index102 active listings
Sources: WeekdayDoc live listing index (560 Geriatrics (NP) listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

New Hampshire has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$122k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.

Top Nurse Practitioner Jobs

27 matches · ranked by pay

Salary Distribution

27 jobs · 21 employers
9
<$150k
11
$150k-175k
3
$175k-200k
2
$200k-225k
2
$225k+

Annual compensation range

Benefits & Perks

23 jobs · 21 employers
401k / retirement match
91% this job
CME allowance
48% this job
Sign-on bonus
30% this job
Relocation assistance
13% this job
Loan repayment
9%

Share of similar jobs offering each benefit

#1

Psychiatric Nurse Practitioner (PMHNP)

LifeStance Health · Kirkwood, Missouri

$205k-$230k
#2

Psychiatric Mental Health Nurse Practitioner (PMH-NP / CRNP)

Advocare · Cherry Hill, New Jersey

$225k
#3

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

$210k
#4

Psychiatric Mental Health Nurse Practitioner (PMHNP) - 2+ Experience Required

From $202k
+ 25 more · ranked by pay

Work-life snapshot

median 6.3this job 7.2
Better work-life than 80% of Geriatrics (NP) listings

Listing-based score, 0–10, across 560 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • On-site
Align Med logo

About Align Med

Medical Equipment Manufacturing
Irvine, California
11-50 employees

Benefits & Perks

Comprehensive 90-day training program
New graduate mentorship
Career advancement opportunities
Free UpToDate subscription
Nabla AI documentation assistant
Yearly average of $13,000 in bonus
Relocation bonus
Health, Dental, and Vision plans

Living in Rochester

Typical 3-bedroom home value
$440k≈ 3.9× annual pay
Typical market rent
$1,820/mo≈ 19% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
108.3
State income tax
None
Sources & methodology

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

BEA 2024 · Boston-Cambridge-Newton, MA-NH metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.