General Internal Medicine (GIM) and Primary Care

40 hours per week

Are you a strategic, collaborative, and forward-thinking nursing leader looking to make a broad impact in an academic outpatient setting? We are seeking an experienced and motivated Ambulatory Nurse Manager to lead clinical operations across four primary care locations, based in Lebanon NH, serving approximately 50,000 patients.

In this key leadership role, you will oversee a multidisciplinary team of Registered Nurses, Licensed Practical Nurses, Medical Assistants, Licensed Nursing Assistants, and Patient Care Assistants. Supported by Nursing Supervisors and Medical Assistant Supervisors, you will focus on strategic leadership, team development, and operational excellence—while fostering a high-performance environment that prioritizes safety, efficiency, compassion, and team engagement.

You will operate within a triad leadership model—partnering closely with Medical Directors and Practice Managers—to align clinical operations with organizational strategy and advance patient-centered care. Additionally, you will collaborate with a Clinical Nurse Leader to lead quality and process improvement efforts, and with a Nursing Educator to support staff onboarding, continuing education, and competency development.

If you're ready to lead with purpose, empower clinical teams, and help shape the future of primary care in an innovative academic health system—we encourage you to apply and be part of something meaningful.

These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in New Hampshire.

• We have loan repayment up to $20,000.
• We offer Relocation Assistance and a Housing Coordinator to take on the burden of finding a home.
• We offer generous tuition reimbursement.
• We have a very popular "earned time" plan.
• We have extensive CEU/Training programs.
• Our 8,000 ft Patient Safety and Training Simulation Center is state-of-the-art.
• Our nurses serve as central figures in the success of our system through our shared governance nursing model.
• We offer a rigorous, research-focused environment.
• Dartmouth Hitchcock's Nursing Continuing Education Council is accredited as a provider of continuing nursing. education by the American Nurses Credentialing Center.

Why are we so unique? We are a nationally recognized Academic Medical Center set right in the middle of the White Mountains of New Hampshire. We recognize that “quality of life” means different things to different people, but we are very confident you will love it here as we have beautiful, rural and suburban housing options, world-class primary, secondary, and graduate schools, hundreds of lakes, thousands of miles of hiking trails and some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by yourself. Our idea of traffic in the “Upper Valley” of New Hampshire is a line on the ski mountain at the chair lift.

Read more about Dartmouth Health and why YOU should work here.

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. With no income or sales tax, this beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth Hitchcock Medical Center in Lebanon, NH, the system includes the NCI-designated Dartmouth Cancer Center, Dartmouth Health Children’s; 4 member hospitals, and 30 Dartmouth Hitchcock ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities - both career and personal - truly make New Hampshire the ideal place to work and play.

Applicants are encouraged to visit our nursing career site to learn more and apply:

Please visit:  https://dhnursing.org/nursing-careers/

Dartmouth Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

Administers an assigned nursing program or organizational unit with responsibility for planning, selecting, and/or devising the methods and policies/procedures to be used and for directing nursing supervisors and/or other personnel in the accomplishment of designated goals. Negotiates interdepartmental resources, communicates and plans with managers of staff in other departments to ensure effective level of service to the unit/program.

1. Plans adequate staffing and adjustments based on patient needs and staff skill mix.
2. Evaluates performance of staff members, including coaching and performance management processes.
3. Manages the hiring process.
4. Maintains and supports evidence based practices in the clinical area. Assures compliance with national standards and initiatives, e.g., National Patient Safety Goals and The Joint Commission. Promotes individual/peer and departmental accountability to the organization’s Mission, Vision, and Goals.
5. Develops the budget for personnel and non-personnel expenses. Makes unit based decisions to promote stewardship of resources. Encourages and supports process improvements which promote fiscal responsibility.
6. Assumes responsibility for patient flow processes. Strategizes to improve efficiency and eliminate barriers that impact patient and family centered care.
7. Performs other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) with 2 years of clinical experience and demonstrated leadership ability required.
• Masters of Science Degree in Nursing (MSN) preferred.
• Certification in a specialty preferred.

• Licensed Registered Nurse with New Hampshire eligibilty.
• Basic Life Support (BLS) Certificate required.