Nurse Practitioner​/Physician Assistant, Palliative Care

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Wentworth-Douglass Hospital is a not-for-profit health care organization in Dover, New Hampshire, with a 110-year history of compassionate care and innovation. Serving the community since 1906, it is made up of 3,000 employees, including 500+ registered nurses and more than 480 physicians and advanced practitioners, dedicated to the health, safety, and well‑being of the residents and visitors to the Seacoast area of New Hampshire and Southern Maine.

Our award-winning Supportive & Palliative Care team addresses both the physical symptoms and the stress and worry that accompany a serious illness for both the patients and their families and loved ones. Many adults living with illnesses such as cancer, heart disease, lung disease, kidney failure, dementia, among others, experience physical symptoms and emotional distress related to their diseases. Unlike hospice care, patients do not need to have a terminal diagnosis to be referred for palliative care services.

Many patients experience shorter hospital stays, less pain and improved overall well‑being, and the research backs this up.

Palliative Care provides patients with relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep and many other symptoms. It also helps patients deal with the side effects of the medical treatments they’re receiving with the goal of improving overall quality of life. In addition to symptom management, our team also supports patients with the following:

• Advanced care planning: guidance with difficult treatment decisions, help with navigating the health care system, assistance with advanced directives
• Strong physical, emotional and spiritual support throughout all stages of illness
• Supportive counseling: clear and compassionate communication with doctors and family members
• Coordination of care with various community services

A team‑based approach is central to palliative care, including doctors, nurse practitioners and nurse coordinators who specialize in palliative care, social workers, chaplains, nutritionists, counselors and others. Our team meets with patients and families during their hospital stays, in the Mass General Cancer Center at Wentworth‑Douglass Hospital, in our outpatient clinic, and via virtual visits.

Location:

789 Central Avenue, Dover, New Hampshire 03820. The Nurse Practitioner will provide coverage for our full‑time NPs during planned vacations, sick time, and as they fulfill various continuing education requirements, ideally between the hours of 8:00 am to 4:00 pm, Monday‑Friday. As true partners to our physicians, our NPs work autonomously to the top of their education/certification while also functioning as part of the collaborative team.

The Nurse Practitioner (NP) is a licensed provider. The NP is responsible for the assessment and management of various populations of patients, medical and/or surgical, including diagnostic and therapeutic interventions, development of appropriate plans of care and ongoing evaluation. May also perform additional duties, such as precepting a small group of learners.

• Provides direct care, counseling, and teaching to a designated patient population in the ambulatory, inpatient, operative, and/or procedural setting.
• Performs complete histories and physical examinations.
• Orders, interprets, and evaluates appropriate laboratory and diagnostic tests.
• Develops appropriate plans of care and follow‑up based on the outcomes of diagnostic, laboratory, and physical examination findings.
• Orders medications and writes prescriptions according to…