Pain Management Nurse Practitioner

Pain Management Nurse Practitioner – Outpatient Specialty Practice (North Country Healthcare / AVH)

Job Type:Full-time (0.8–1.0 FTE)

Schedule:4–5 days per week, daytime clinic hours

Location:Berlin, NH (primary), Colebrook, NH (weekly outreach), plus potential North Conway outreach

Role:Advanced Practice Provider (APRN – not CRNA)

Compensation:$155,000 Competitive Base Salary, Good Citizenship Bonus opportunity, and Productivity Incentives

Androscoggin Valley Hospital (AVH), a proud member of North Country Healthcare, is seeking a compassionate and experienced Pain Management Nurse Practitioner to join our growing multidisciplinary Pain Management team. This role supports expanding community need and offers the opportunity to make a meaningful difference in the lives of adults experiencing chronic and complex pain conditions.

Working within a collaborative specialty practice, you will provide comprehensive, whole-person pain care
, including medication management, counseling and education, outpatient minor procedures, and referral coordination with interventional pain colleagues. This is an outstanding opportunity for a mission-driven NP who values patient relationships, interdisciplinary teamwork, and high-quality evidence-based pain care in a supportive rural healthcare setting.

• Provide outpatient pain management services to adult patients, including assessment, diagnosis, treatment planning, and longitudinal care
• Manage controlled and non-controlled medications responsibly, including PDMP review and urine testing when appropriate
• Educate and counsel patients and families on pain management strategies and expectations
• Perform minor office-based procedures such as:
  • Trigger point injections
  • Joint injections
  • Occipital nerve blocks
  • Botox for headaches and selected pain conditions
  • Cold ablation (Iovera)
• Refer eligible patients for interventional procedures performed by CRNA colleagues (e.g., epidural steroid injections, ablation, facet or SI injections)
• Provide certification for medical cannabis when appropriate
• Participate in occasional inpatient/ED consults (rotation-based)
• Maintain accurate documentation in Meditech Expanse EMR
• Collaborate closely with CRNAs, specialty leadership, and primary care teams
• Deliver compassionate, patient-centered care aligned with AVH values

• 0.8–1.0 FTE (4–5 days per week)
• Typical clinic schedule: 8 am – 5 pm (lunch 12 –
  1)
• Locations:
  • AVH (Berlin): 3+ days weekly
  • Upper Connecticut Valley Hospital (Colebrook): 1 day weekly
  • North Conway outreach: expanding
• Shared home-based call rotation (phone only; no onsite requirement; additional compensation)
• Typical patient volume 12–20 per day
• Procedure training and mentorship provided as needed

• $155,000 base salary (experienced providers; 1.0 FTE)
• $15,000 Commencement bonus
• Additional compensation for shared call availability
• Good Citizenship Bonus opportunity up to $10,000 annually
• wRVU productivity incentive
• 8 weeks combined vacation, sick, and CME time annually (prorated by FTE)
• CME funds up to $4,500 annually (FTE-based)
• Comprehensive medical, dental, vision, disability & life insurance
• Professional liability coverage with tail
• Retirement plans including 403(b) & 457(b) with employer contribution
• Relocation assistance available
• Educational loan reimbursement
• Public Service Loan Forgiveness (PSLF) eligible organization
• Mileage reimbursement for outreach travel
• Supportive, mission-driven culture with strong leadership

• Board Certified Licensed Nurse Practitioner (APRN) — not a CRNA role
• Active or eligible New Hampshire APRN license
• Minimum 2+ years’ experience in pain management strongly preferred
• Experience performing minor procedures preferred
• Commitment to compassionate, non-judgmental pain care
• Strong communication & teamwork skills
• Aligned with rural community-based care values

You’ll join an integrated Pain Management service line serving northern New Hampshire communities as part of North Country Healthcare
, the region’s largest healthcare network. Providers enjoy meaningful patient relationships, clinical variety, supportive leadership, and the…