Job Description


Seeking a Full-time (4 day/week) pain APRN (not CRNA) to join a high-functioning pain management team at AVH and UCVH to help meet increase clinical demands for services.

  • AVH in Berlin - Monday, Wednesday, Friday
  • UCVH in Colebrook - Tuesday



Job Summary:

Provides office-based pain management services to new and established patients (adults) including:

  • medication management
  • certification for medical cannabis
  • education/counseling
  • monitoring of medication compliance via PDPM and urine drug screens
  • minor procedures
  • referral to CRNA colleagues for interventions (e.g., epidural steroid injections at various spinal levels, radiofrequency ablation, facet blocks, SI injections, intercoastal blocks) or other services (e.g., ketamine or lidocaine infusions).

Minor procedures may include:

  • trigger point injections
  • joint injections
  • occipital blocks
  • cold ablation (Iovera) 
  • Botox for headaches or chronic pain. 

May use ultrasound guidance for selected procedures. (If a candidate is not currently skilled/competent in such procedures, AVH colleagues will precept/train over time. Likely would become fully oriented and comfortable with office management of patients first, then devote time to learning procedures.) May provide Medication Assisted Treatment (MAT) with X waiver. (Such service is not required.) Infrequently provides consultation for inpatients and ED patients (in rotation with team members).

Shared phone call from home; do not need to come to hospital.  In rotation with AVH-based APRN’s and CRNA’s, so typically 1 week every 4 weeks.  Participation in call rotation would not commence until new APRN is fully trained and practicing independently (e.g., 2 to 6 months at AVH)

EMR: Meditech Expanse

Essential Qualifications: Candidates should have at least 2 years of prior experience in a broad spectrum of pain management services. If not experienced in pain management, candidates should have at least 3 years of prior experience in primary care, orthopedics, or related specialty.  



About AVH:

The major strength of Androscoggin Valley Hospital (AVH) is found in its wide network of specialists who provide care throughout Coos and portions of Carroll County, NH. With wide-ranging specialties including, but not limited to, Audiology, Urology, Ear, Nose, Throat/Allergy, OB/GYN, Orthopaedic Surgery and Sports Medicine, and General Surgery, a number of our providers travel to multiple North Country locations, providing a seamless and convenient patient experience. A 25-bed critical access hospital, AVH also offers state-of-the-art Imaging technology: Mammography, CT Scan, Ultrasound, and MRI all received Gold Seal Accreditation by the American College of Radiology. AVH proudly offers a full complement of Physical Therapy services (Inpatient, Outpatient, and off-site) as well as Occupational Therapy (Inpatient and Outpatient.) The close relationship that AVH enjoys with Coos County Family Health Services yields multiple off-site Laboratory locations within their primary care clinics. Named a Top 100 Critical Access Hospital by iVantage numerous times, the providers, nurses, staff, and volunteers work tirelessly to personify the Hospital’s Mission to Deliver the Best Healthcare Experience to Every Patient, Every Day.



About North Country Healthcare (NCH):

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve.

North Country Healthcare is an equal-opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to the Human Resources department at the affiliate to which you are applying.


Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

Apply Online