Nurse Practitioner

Anpex Health; Nashua (NH); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Monthly bonus opportunities

Strong work-life balance

Supportive, team-oriented culture

Growth in palliative and primary care

Job summary

Anpex Health in Nashua, NH is seeking a Nurse Practitioner to deliver primary and palliative care in a patient-centered setting. You will focus on symptom management, advance care planning, and coordinating care with an interdisciplinary team.

The role emphasizes goals-of-care discussions, documentation of directives, and transitions of care to improve quality of life for patients with complex illnesses. Palliative training is provided.

Qualifications

• Master’s (MSN) or Doctorate (DNP) Nurse Practitioner program completion
• Experience in primary care, geriatrics, or post-acute care preferred
• Palliative care training and certification provided

Responsibilities

• Provide primary and palliative care services, focusing on symptom management and quality of life
• Lead and document goals-of-care discussions, including advance care planning
• Facilitate completion and updates of advance directives and POLST/DNR orders
• Manage pain and non-pain symptoms using pharmacologic and non-pharmacologic approaches
• Review vitals and labs and escalate to attending physician as needed
• Evaluate and manage new admissions aligning treatment with patient goals
• Collaborate with the interdisciplinary team weekly to review status and plans
• Identify patients for palliative or hospice referral and facilitate transitions of care
• Support care transitions with emphasis on continuity, comfort, and patient-centered goals
• Provide education and emotional support to patients and families

Skills

Symptom management

Advance care planning

Care coordination

Palliative care

Interdisciplinary teamwork

Patient education

Education

Master’s (MSN) or Doctorate (DNP) Nurse Practitioner program completion

Experience in primary care, geriatrics, or post-acute care preferred

Palliative care training and certification provided

Job description

Monthly Bonus Opportunity | Excellent Work-Life Balance

Position: Nurse Practitioner – Palliative & Primary Care

Join Anpex Health and be part of a mission-driven team delivering high-quality, patient-centered care in a collaborative environment.

Essential Functions

• Provide primary and palliative care services, focusing on symptom management, quality of life, and goal-concordant care

• Conduct comprehensive history and physical exams for patients with complex acute, chronic, and serious illnesses

• Lead and document goals-of-care discussions, including advance care planning and code status conversations

• Facilitate completion and updates of advance directives, POLST/DNR orders, and end-of-life care preferences

• Manage pain and non-pain symptoms (e.g., dyspnea, agitation, nausea, anxiety, depression) using pharmacologic and non-pharmacologic approaches

• Review abnormal vitals and laboratory findings and implement appropriate interventions or elevate to the attending physician as needed

• Evaluate and manage new admissions, ensuring alignment of treatment plans with patient goals and prognosis

• Participate in readmission reviews, identifying opportunities to improve symptom control and prevent avoidable hospitalizations

• Collaborate with the interdisciplinary team (IDT) weekly to review patient status, prognosis, and care plans

• Identify patients appropriate for palliative or hospice referral and facilitate timely transitions of care

• Support care transitions (admissions, transfers, discharges) with emphasis on continuity, comfort, and patient-centered goals

• Provide education and emotional support to patients and families regarding disease trajectory, prognosis, and end-of-life expectations

• Collaborate with multidisciplinary teams including nursing, social work, chaplaincy, and therapy services

• Monitor effectiveness of interventions and adjust care plans to maintain comfort, dignity, and physiologic stability

• Serve as a clinical resource to facility staff on palliative care principles, symptom management, and end-of-life care

Education & Experience

• Master’s (MSN) or Doctorate (DNP) Nurse Practitioner program completion

• Experience in primary care, geriatrics, or post-acute care preferred, but not required

• Palliative care training and certification provided

Physical Requirements

• Standing/walking: 1/3–2/3 of the time

• Hand use (fine motor): >2/3

• Reaching: >1/3

• Stooping/kneeling: 1/3–2/3

• Talking/hearing: 1/2–2/3

• Lifting:

  • Up to 10 lbs: >2/3

  • Up to 25 lbs: 1/3–2/3

  • Up to 50 lbs: <1/3

Why Join Anpex Health?

• Monthly bonus opportunities

• Strong work-life balance

• Supportive, team-oriented culture

• Opportunity to grow in palliative and primary care specialization

Equal Employment Opportunity Statement

Anpex Health is committed to providing equal employment opportunities to all employees and applicants. We do not discriminate on the basis of race, color, religion, national origin, citizenship status, gender, gender identity, age, disability, marital status, partnership status, sexual orientation, ethnicity, or veteran status in any aspect of employment, including recruitment, hiring, compensation, promotion, or termination.