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Outpatient Clinic

Aya Healthcare

Rn Resource Nurse, Advanced Primary Care

Southern New Hampshire Health has been a cornerstone of the region since 1893, delivering high-quality, compassionate care close to home. Anchored by Southern New Hampshire Medical Center, a 188-bed, DNV-accredited hospital in downtown Nashua with a Level III-N trauma center, Level II Special Care Nursery, and Magnet designation for nursing excellence, we offer a full spectrum of services from primary care to advanced diagnostics and specialized treatments. Our medical staff includes over 500 providers from Foundation Medical Partners and local practices. Foundation Medical Partners, our multi-specialty group, spans 70+ practices across southern New Hampshire and northern Massachusetts, providing coordinated, patient-centered care to thousands each year.

The RN Resource Nurse, Advanced Primary Care is a dynamic clinical leader within the ambulatory setting, blending direct patient care, care coordination, team coaching, and population health management. This role supports high-quality, evidence-based care for patients attributed to primary care provider panels while fostering a culture of safety, collaboration, and continuous improvement.

Provide comprehensive RN care, including assessments, care planning, interventions, and evaluations across in-person, telephonic, and telehealth encounters.

Deliver chronic disease self-management education for conditions such as diabetes, CHF, COPD, asthma, hypertension, and depression.

Coordinate care across the continuum—hospital discharges, specialty referrals, community resources, and pre-visit planning.

Track and support complex patients to improve transitions of care and reduce readmissions.

Serve as a liaison to internal teams and external community partners.

Precept new clinical staff and support onboarding, coaching, and professional development.

Promote evidence-based practice, safety, and quality improvement initiatives.

Monitor clinical quality metrics and recommend improvements.

Facilitate care team huddles and collaborate with interdisciplinary partners.

Maintain required licensure, certifications, and ongoing competencies.

Support organizational initiatives including value-based care, population health, and EMR optimization.

A licensed RN (NH or NLC) with at least 2 years of nursing experience, including 1 year in primary care. Skilled in chronic disease management, ambulatory care workflows, and EMR use (Epic preferred). A strong communicator with excellent organizational and time-management abilities. A collaborative team player who can coach, mentor, and model best practices. Adaptable, resilient, and comfortable leading change in a fast-paced clinical environment. Experienced in care coordination or clinical leadership (preferred but not required).

Health, dental, prescription, and vision coverage for full-time & part-time employees. Short-term, long-term disability, life & pet insurance. Tuition reimbursement & Nursing Student Loan Paydown Program. 403(b) retirement savings plans. Continuous earned time accrual & more!

Vacancy posted 2 days ago
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