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

APRN or PA (FT) General Internal Medicine Outpatient Clinic

Nurse Practitioner 8.0 Work-LifeNo callNo weekendsNo nightsFull-Time Full Practice Authority

Compensation

Pay not disclosed

Listing transparency4 of 6 stated

Ask the employer about the pay range and the work setting.

Employment & setting
Full-Time
Call expectations
No call
Weekends
No weekends
Posted 1mo ago

Job Description

Overview

  • Advanced Practice Provider (APRN or PA)
  • General Internal Medicine Outpatient Clinic
  • Dartmouth-Hitchcock Medical Center- Lebanon, NH

The section of General Internal Medicine of Dartmouth-Hitchcock Medical Center in Lebanon, NH is seeking an outpatient Advanced Practice Provider (APP; APRN or PA) looking to practice at the top of their license in a collaborative and supportive environment. This is an excellent opportunity for the right candidate to join our robust and growing Internal Medicine APP/MD team who share a commitment to clinical and academic excellence, and exceptional patient experiences.

As an APP in General Internal Medicine, you will provide expert primary care across the spectrum of adult internal medicine, from care of acute issues to health promotion and disease prevention, and continuity care of chronic conditions. You will be responsible for the primary care of a panel of patients and will have a faculty academic appointment in the Geisel School of Medicine. You will have many opportunities for academic involvement and learning including teaching, mentorship and preceptorship, weekly conferences, monthly staff and team meetings, and hospital grand rounds.

The ideal candidate is a motivated and self-directed team player who is enthusiastic, compassionate, and committed to evidence-based practice, lifelong learning and teaching/mentorship.

This position reports to the APRN Outpatient Clinic Lead and Section Chief in General Internal Medicine, and is a full-time weekday shift, salaried, benefited position with no call, and no weekend or holiday responsibility.

What Dartmouth Health has to offer you

  • Inclusive and collegial multidisciplinary team
  • Excellent work-life balance in a highly desirable community
  • Robust on-boarding program and mentorship
  • APP representation in clinic and hospital leadership
  • Independent practice for both APRNs and PAs in the State of NH
  • Academic faculty appointment with the Geisel School of Medicine
  • Teaching role with APP and medical students, and APP fellows
  • Opportunities for preceptorship, mentorship, scholarly work, and teaching
  • Retirement (up to 6% match)
  • Dedicated CME funds and time off

Comprehensive benefits package including health, dental, vision and malpractice insurance, life and disability, loan repayment, and relocation bonus

Dartmouth Health is an academic health system serving patients across northern New England, providing the only Level I trauma center in New Hampshire, as well as the Norris Cotton Cancer Center and the Children’s Hospital at Dartmouth-Hitchcock in Lebanon.

What New Hampshire has to offer you

  • Four seasons for both outdoor and indoor lifestyles
  • Easy access to major cities and airports
  • Proximity to mountains and hiking trails
  • Easy driving distance to the seacoast
  • No sales tax or income tax

Lebanon and the neighboring town of Hanover, which is home to Dartmouth College, are located in the “Upper Valley,” which straddles the Connecticut River and includes towns in western New Hampshire and eastern Vermont. This region boasts excellent local schools, a myriad of cultural opportunities (through Dartmouth College, the Lebanon Opera House, and the Northern Stage in White River Junction, Vermont), and an abundance of recreational activities. Amenities of urban areas in Boston, Burlington (Vermont), and Montreal (Quebec, Canada) are all within a few hours’ drive. This beautiful area has been consistently ranked as one of the best places in the US to live and work.

Qualifications

APRN licensure in the States of New Hampshire (prior to hire) and Vermont (within 6 months of hire) with a Master’s of Nursing from an accredited program, or eligible for licensure

OR

Current (or eligible) certification to practice as a Physician’s Assistant in the State of New Hampshire (prior to hire) and Vermont (within 6 months of hire) with a degree from an accredited PA program.

National specialty certification as FNP, AGPCNP, or certification through the National Commission on Certification of Physicians Assistants (NCCPA)

  • Eligible for Federal DEA Registration
  • BLS certification
  • Minimum 3 years primary care experience
  • Excellent interpersonal skills with the ability to communicate effectively both verbally and in writing
  • Strong clinical judgment and commitment to patient-centered care
  • Preferred
  • Doctorate degree
  • Minimum 5 years primary care experience

Responsibilities

  • Obtain comprehensive or focused history and physical examination
  • Determine, order and interpret appropriate screening and diagnostic studies and tests.
  • Obtain informed consent for treatment diagnostic and therapeutic procedures and studies.
  • Develop and implement treatment plans based on relevant findings.

Prescribe medications, treatments and medical devices in accordance within scope of practice and applicable rules and regulations.

  • Initiate referrals to other providers as necessary.
  • Initiate admission/discharge of patients (APPs do not have admitting privileges).
  • Provide consultation to patients in accordance within scope of practice.
  • Complete appropriate documentation.
  • Provide patient and family-centered care.

Provide education and counseling regarding the management of acute and chronic illnesses and injuries. Encourage behavioral change and assist with self-management skills to improve overall health, within scope of practice.

Demonstrate advocacy that insure the patient’s right to privacy, confidentiality and informed consent.

Serve as a preceptor/mentor for new Advanced Practice Providers (APP), APP students and medical students, and APP fellows.

  • Maintain current licensure and certification as an APRN or PA and DEA registration.
  • Attend continuing education programs to ensure ongoing professional growth and development.
  • Perform other duties as required or assigned.
  • Abide by the Dartmouth-Hitchcock Bylaws for the Professional Staff and Code of Conduct.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Chronic Disease ManagementMedical DocumentationInterpersonal Communication

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates APRN or PA (FT) General Internal Medicine Outpatient Clinic at Dartmouth-Hitchcock Health a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 25% in Internal Medicine (NP) — ranked against 175 active Internal Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.

Internal Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 32% are remote, 56% have no call, 64% require no weekends.

Nurse Practitioner pay on WeekdayDoc is up 2.2% vs. the prior quarter (through Aug 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.

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Salary Distribution33 jobs · 29 employers

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9
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8
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2
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Annual compensation range

Benefits & Perks24 jobs

401k / retirement match
83% this job
CME allowance
67% this job
Sign-on bonus
46%
Relocation assistance
21% this job
Loan repayment
17% this job

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Work-life snapshot

8.0/ 10
Listing-based score

Top 25% in Internal Medicine (NP)

A signal to investigate—not a guarantee about the workplace.

  • No call
  • No weekends
  • No nights

Living in Lebanon

Typical 3-bedroom home value
$495k
Typical market rent
$2,589/mo
Residents’ average commute
14 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

Retirement up to 6% match
CME funds and time off
Health insurance
Dental
Vision
Malpractice insurance
Life and disability
Loan repayment