Cardiac Surgery APP – Inpatient/OR First-Assist

Dartmouth-Hitchcock Medical Center; Lebanon (NH); On-site; USD 180,000 - 240,000; Full time

Benefits offered by this job

Relocation bonus

CME allowance

Student loan repayment

Job summary

Dartmouth Hitchcock Medical Center in Lebanon, NH, seeks an experienced Advanced Practice Provider for the Cardiac Surgery section. You will coordinate care across the full continuum—from clinic and inpatient consultations to surgery and post‑op follow‑up—and rotate as a first‑assist in the OR.

RNFA certification and vein harvesting experience are required. The role offers a mix of OR time, ICU coverage, and on‑call duties, with opportunities for research and potential academic affiliation with

Qualifications

• BLS and ACLS certification
• Current (or eligible) certification to practice as a PA or APRN in NH
• Successful completion of an approved PA/APRN program.
• Specialty certification as RNFA or certification through the NCCPA
• First‑assist, cardiac, and vein harvesting experience required. ICU experience preferred.

Responsibilities

• Provide and coordinate care for cardiac surgery patients across the continuum from clinic to post‑op follow‑up.
• Rotate in the ICU/Floor and operating room as a first‑assist for cardiac procedures.
• Opportunity for research involvement and potential faculty appointment through Geisel School of Medicine.

Skills

Vein harvesting

Cardiac surgery first‑assist

ICU experience

RNFA certification

Education

PA/APRN program completion

NH licensure eligibility

Job description

Cardiac Surgery APP - Inpatient/OR First-Assist

Dartmouth Hitchcock Medical Center

Cardiac Surgery Advanced Practice Provider
Dartmouth Hitchcock Medical Center – Lebanon, NH

Dartmouth Health is pleased to announce an experienced Advanced Practice Provider in the Section of Cardiac Surgery. Come explore an opportunity to live and work in the most beautiful part of our country for a program that values your professional fulfillment with a balance between work and life outside the hospital. The successful candidate will provide and coordinate care and education of patients and families across the full continuum of cardiac surgery: from clinic or inpatient consultation, through surgery and post‑op hospital stay, to outpatient follow‑up.

We are seeking an APP who would rotate in the ICU/Floor/and operating room. The opportunity to act as first assistant for Cardiac operations is available to experienced surgical PAs or APRNs with RNFA certification. OR first assist will include a full range of coronary, complex valve, aortic, and minimally invasive procedures, as well as endoscopic and open vein harvesting.

In addition, there are ample opportunities to be involved in research. A faculty appointment through Geisel School of Medicine at Dartmouth will be requested.

Position Highlights:

• Spend approximately 40-50% time in the OR as a first‑assist. Vein harvesting and Cardiac surgery 1 st assist experience REQUIRED
• Work rotating day shifts in the ICU/Floor covering the cardiac surgery inpatient service and evaluating new consults.
• Schedule is 7 days in a 2 week period
• Minimal need for clinic coverage
• Night and weekend coverage of post‑op patient management at an average of 4 shifts per month
• OR call is 1:6 on nights, weekends, and holidays; call is taken from home
• Be part of a team that recently scored an A+ for cardiac care by Money Magazine and on the Becker’s Hospital Review’s Top 100 Hospitals and Health Systems with Great Heart Programs for 2025.

We offer:

• Onboarding program and mentorship
• Competitive salary – additional pay for OR call and night/weekend coverage
• Excellent work‑life balance
• Cohesive and collegial team with most of the APPs on staff 10 years and up
• Quality OR experience as no surgical residents on service
• Our program is in the process of expanding, and we have several opportunities for career growth, including minimally invasive and robotic procedures, endoscopic radial artery harvesting, complex advanced HF management, research in our state‑of‑the‑art pig lab, and leadership roles for the APP Residency Program.
• Comprehensive benefits package to include health, dental, vision, and malpractice insurance, up to 6% employer retirement match, CME allowance, student loan repayment, and relocation bonus

Requirements:

• BLS and ACLS certification
• Current (or eligible) certification to practice as a PA or APRN in NH
• Successful completion of an approved PA/APRN program.
• Specialty certification as RNFA or certification through the National Commission on Certification of Physician Assistants (NCCPA)
• First‑assist, cardiac, and vein harvesting experience required. ICU experience preferred.

The Dartmouth Health system stretches over New Hampshire and Vermont and offers the quintessential New England experience. This beautiful area combines history, industry, and business and has been ranked consistently as one of the best places in the US to live and work. Anchored by the academic Dartmouth‑Hitchcock Medical Center in Lebanon, NH. The system includes the NCI‑designated Norris Cotton Cancer Center, the Dartmouth Health Children’s Hospital, and the acclaimed Dartmouth Institute, with four affiliated hospitals and multiple Dartmouth Health ambulatory clinics across the region. With destinations like Boston, New York, the seacoast, and ski country within driving distance, the opportunities — both career and personal — truly make New Hampshire the ideal place to work and play.

Dartmouth Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

Dartmouth Hitchcock Medical Center and Clinics

One Medical Center Drive
Lebanon, NH 03756

Dartmouth Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.

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