Registered Nurse - Med Surg 4W Per diem Day

Beth Israel Lahey Health; Exeter (NH); On-site; USD 48,000 - 87,000; Full time

Benefits offered by this job

Magnet‑recognized facility

Free onsite parking

Competitive pay and benefits from day

Career growth opportunities

Seacoast location near Boston/Portland

Job summary

Exeter Hospital, part of Beth Israel Lahey Health, is recruiting an experienced registered nurse to provide high‑quality patient care on the Seacoast. You will perform comprehensive assessments, administer medications, mentor colleagues, and coordinate plans across shifts in a Magnet‑recognized environment.

The role requires NH RN license or compact state license, BCLS, ACLS, and BSN is strongly preferred. This is an on‑site position with opportunities for growth and professional development in

Qualifications

• NH RN license or compact state license.
• BCLS certified or within 30 days of hire; BSN strongly preferred.
• ACLS certified or within 1 year of hire.
• Adheres to hospital policies, ANA standards of practice, and nursing code of ethics; ensures safe, timely and accurate medication and IV administration and documentation.
• Mentoring/new employee precepts; delivers education and supports professional development.
• Delegates tasks appropriate to licensure and experience; monitors completion.
• Performs comprehensive patient assessments at admission and ongoing.
• Plans, prioritizes, and coordinates care across shifts and teams.
• Documents accurately and uses information systems for care planning.
• Maintains ongoing professional growth and participates in education programs.

Responsibilities

• Provide patient‑centered nursing care and clinical assessments.
• Mentor and precept new staff; lead learning activities and case presentations.
• Ensure safe medication administration and accurate documentation.
• Collaborate with the multidisciplinary team for patient care planning.
• Support discharge planning and family education to improve outcomes.

Skills

RN licensure

BCLS

ACLS

Mentoring

Delegation

Assessment

Prioritization

Planning

Evaluation

Education

Professional growth

Education

BSN degree

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Exeter Hospital, part of Beth Israel Lahey Health, is a nationally recognized, non‑profit community hospital serving the Seacoast region since 1896. With more than 1,400 employees and 370 affiliated physicians, we provide advanced, patient‑centered care across a wide range of specialties. Our collaborative culture empowers team members to grow, contribute, and make a meaningful impact every day.

Why Join Us?

• Magnet®-recognized for nursing excellence and quality care
• Competitive pay and comprehensive benefits starting on day one
• Career growth and development opportunities across Beth Israel Lahey Health
• Free onsite parking
• Supportive, team‑oriented work environment
• Advanced technology and state‑of‑the‑art facilities
• Scenic Seacoast location with easy access to Boston and Portland

Requirements

Job Description

• RN license - N.H. state or any other compact state.
• BCLS certified or within 30 days of hire; BSN strongly preferred
• ACLS certified or within 1 year of hire
• Practice Standards - Adheres to hospital policies, ANA standards of practice, and nursing code of ethics. - Ensures safe, timely and accurate medication and IV administration and transcription. - Successfully uses information technology. - Documentation is accurate, timely, concise, and legible and adheres to departmental policy. - Integrates policies and/or national practice guidelines into patient care planning to achieve desired patient care outcomes. - Is an expert resource for content development of clinical practice (and therefore policy/procedure review or development).
• Mentoring/Teaching - Precepts new employees - sets goals and assists the new employee in meeting those goals. - Facilitates and encourages an environment for critical thinking. - Makes 1-2 formal presentations (case study, new equipment in service, or education program) to peers at least annually. - Assists in meeting the learning and professional development needs of others.
• Delegation - Understands team members' roles and delegates tasks and responsibilities appropriate to the licensure, education, and experience of the staff. - Assigns personnel appropriately; understands when follow‑up is needed. - Monitors and evaluates appropriate utilization of staff during assigned shift.
• Assessment - Performs a physical assessment and elicits comprehensive patient history on admission appropriate to the setting and patient's condition utilizing accepted practice and documentation standards. - Performs systematic, ongoing assessments as patient condition and unit standards warrant. - Uses appropriate evidence‑based assessment techniques and instruments in collecting pertinent data.
• Prioritization/Organization - Prioritizes established patient care problems and needs. - Makes clinical decisions independently, collaboratively, manages one's own assignment. - Manages own assignment while balancing efficiency and cost. - Recognizes own limitations and seeks collaboration/assistance when needed. - Modifies plans and re‑prioritizes work quickly to handle the unexpected. - Manages multiple demands in prioritizing the patient care needs of an entire unit/dept. -Adapts routine protocols and resources to demonstrate effective clinical decision making, in situations that are less than predictable.
• Planning/Implementation - Communicates effectively during any patient hand‑off. - Identifies and anticipates patient care needs and initiates the plan of care based upon actual or potential health risks or problems to attain mutually agreed upon outcomes. - Identifies patient priorities and discharge planning needs by utilizing assessment, 'best practice' standards, multidisciplinary team and patient input.
• Evaluation - Evaluates and modifies the effectiveness of the plan of care based on mutually agreed upon outcomes and patient feedback
• Patient/Family Education - Identifies patient education needs and collaborates with other health care professionals to provide appropriate learning opportunities. - Documents patient education, interventions and patient's response in a clear and concise manner. - Develop formal patient education materials independently. - Develops/participates in community education programs or screenings.
• Professional Growth and Development - Seeks formal education to maintain and advance clinical and professional skills and knowledge. - Seeks assignments that challenge and stretch their ability. - Anticipates the need for and acquires new skills/training. - Able to work in more than one specialty area/unit/environment. - Is an active member of a professional organization and shares organizational information with their home department. - Maintains certification in specialty area.

Pay Range

$35.00 - $63.15

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled