Job Description

We are seeking a motivated and compassionate Nurse Practitioner or Physician Assistant to join our multidisciplinary Cystic Fibrosis (CF) program. This full-time role offers the opportunity to care for a complex and unique patient population within a collaborative, team-based environment focused on high-quality, evidence-based care.

The APP will play a key role in the longitudinal management of adult patients with cystic fibrosis. This will be primarily in clinic, as well as providing a bridge between outpatient and inpatient teams when patients are admitted. The position emphasizes continuity of care, patient and family education, and close collaboration with pulmonologists and an established CF care team.

Key Responsibilities

• Provide comprehensive care for patients with cystic fibrosis, including assessment, diagnosis, treatment planning, and follow-up
• Attend multidisciplinary CF clinic in Lebanon and Manchester
  • Manchester clinics are approximately 2 times per month
• Triage sick calls and see add-on patients when needed
• Help manage disease progression and acute exacerbations in collaboration with CF pulmonologists
• Diagnose and screen for CF complications such as diabetes, bone disease, liver disease, etc., and develop a plan of care based on clinical practice guidelines
• Prescribe and monitor medications, including eligibility and safety monitoring for CFTR modulators
• Collaborate with a multidisciplinary team including nursing, respiratory therapy, nutrition, pharmacy, social work, and behavioral health
• Assist in the management of inpatient care
• Educate patients and families on disease management, medications, airway clearance techniques, and lifestyle considerations
• Participate in quality improvement initiatives, patient education efforts, and CF program development
• Attend regional and national Cystic Fibrosis conferences along with the team
• Maintain accurate and timely medical documentation
• May support other adult pulmonology programs as well.

Qualifications

• Graduate of an accredited Nurse Practitioner or Physician Assistant program and NCCPA certification (PA) or national NP certification
• Ability to obtain/maintain licensure in New Hampshire and Vermont
• Prior experience in pulmonology, cystic fibrosis, or complex chronic disease management preferred (new graduates with strong interest will be considered)
• Strong clinical judgment, communication skills, and commitment to patient-centered care
• Interest in working within a specialized, team-based care model

Why Join Our Program

• Established and comprehensive cystic fibrosis program
• Supportive, collaborative multidisciplinary team
• Opportunity to develop expertise in a highly specialized field
• Dedicated training through the Cystic Fibrosis Foundation with protected & supported training time for education in clinical practice and quality improvement via application to the LEAPP program
• Mentorship connections with APPs from regional and national CF centers
• Commitment to professional development and continuing education

Dartmouth Hitchcock Medical Center, the academic medical center for the Dartmouth Health system, is home to a breadth of clinical specialties, clinics, programs, facilities, and leading-edge research initiatives. As a source of hope and healing for our region, we are committed to delivering world-class care to everyone who enters our doors through a personalized approach that ensures every patient, family, and staff member is heard and respected.

DHMC’s clinical excellence is exemplified by our expertise across a broad range of specialties and sub-specialties, and a growing body of clinical research that translates into superlative patient care and positive outcomes. Our highly collaborative culture engages physician-researchers across the Medical Center, who integrate their research activities with a holistic care model that engages families in every aspect of diagnosis, treatment, and recovery. As an organization with deep roots in the Upper Valley community, we work to promote better health and health equity for all through a combination of support services, community partnerships, and population health programs that reflect the unique demographics and spirit of our region.

On our Lebanon campus—and in our work throughout the Dartmouth Health system—we make a solemn promise to advocate for our patients, promote effective collaboration among our colleagues, advance healthcare delivery through groundbreaking research, and help those we serve to lead brighter and healthier lives.