Job Description

Employment Status: Full-Time

Job Summary

Seeking a full-time Emergency Medicine Physician to join an established EM group at a northern NH Critical Access Hospital.  Provides and directs medical care to patients presenting to the Emergency Department (ED) and responds to in-house medical emergencies. This position is required to work six (6) twenty-four (24) hours shifts clinically. 

Must be comfortable with rural nature of ED/hospital.  APP support during designated hours, rest of shift is solo coverage, with a limited number of specialists on call.

There may be opportunity, if mutually agreeable, to work additional shifts at different locations within North Country Healthcare.

Essential Qualifications:  

Graduate from an accredited medical college with an unrestricted New Hampshire Medical License and a successfully completed residency in emergency medicine. Is Boarded in Emergency Medicine or is Boarded within five years of hire. Board Certified in Family Medicine with significant experience will be strongly considered.  Prefer EM physician with at least 3 years of experience, including some in a small hospital or CAH.  American Heart Association BLS, ACLS, PALS, NRP, and ATLS are required.


  • Provide care for patients of all ages in an ED with 9 beds: 6 private rooms, 1 exam with 2 bays (curtains) for minor surgery, and 1 trauma room.
  • Annual volume 8,200 patients (less during COVID-19 pandemic).
  • Volume of patients per day ranges from 15 to 40; average 22-23 patients.
  • Approximately 16% of patients are admitted, and 2.3% are transferred to a higher level of care. Payer mix over last 3 years has been 33.8% Medicare, 23.1% Medicaid, 37.6% commercial, and 5.5% self-pay/other. Recent age distribution (12/21 to 3/22) was 6.5% birth to age 5, 8.7% age 6-17, 58.2% age 18-64, 15.9% age 65-79, and 10.7% age 80+.
  • Facility is preparing to apply for designation as a level 3 trauma center in late 2022/early 2023.
  • Solo coverage for 24-hour shifts. No advance practice provider support.
  • Assistance from on-duty hospitalist in times of high census or acuity.



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

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