NP/ PA - Neonatal ICU - WDH

Massachusetts General Hospital
United States, New Hampshire, Dover
700 Central Avenue (Show on map)
Sep 04, 2025
Wentworth-Douglass Hospital is a community hospital located in Dover, New Hampshire, about 70 miles north of Boston and is a part of Mass General Brigham network. WDH Women & Children's Center currently has over 1700 deliveries per year and offers complete family-focused care, making it the delivery destination for the New Hampshire Seacoast. The centerpiece of the WDH Newborn Program is a 12-bed Level IIB Special Care Nursery, offering care to infants born at 32 weeks of gestation and higher. WDH's close medical and nursing collaboration with the Mass General Brigham Academic Medical Centers ensures the most advanced approach to infant care. The qualified candidate will be joining a dynamic group of advanced practice practitioners and physicians, led by a neonatologist medical director. Newborn and Pediatric services at WDH are supported by MGH pediatric subspecialties, including pediatric cardiology, pulmonary, endocrinology and gastroenterology. Delivery Room Services The APP will provide delivery room (DR) coverage at WDH. DR coverage responsibilities include attending high risk deliveries upon request, providing neonatal resuscitation, evaluating newborns in the delivery room and newborn nurseries. The APP will provide all necessary in-house and outpatient prenatal neonatology consultations requested by obstetric staff. The APP will work collaboratively with a supervising physician who will generally not be on-site. In addition, the program will be supported with the 24/7 availability from neonatologists based in the MGH Neonatal Intensive Care Unit. Newborn Nursery The APP will manage infants in the Newborn Nursery as a primary provider in collaboration with supervising physician. This involves daily rounding, daily comprehensive assessments, review of patient data, and development of plans for all infants. Diagnoses are varied and include those infants who are experiencing delayed transition, mild respiratory distress, hypoglycemic infants, late preterm infants, convalescing preterm infants, and infants born to mothers with substance use disorder. Responsible for daily care, coordinating and planning discharge home, supporting and updating families, and conducting family meetings. Level IIB NICU The APP will manage infants in the Level IIB NICU as a primary provider. This involves daily rounding with a multidisciplinary team, daily comprehensive assessments, review of patient data, and development of plans for a caseload of infants. Diagnoses are varied and include those infants who are delivered at 32 weeks or greater, need CPAP or short-term ventilation, late preterm infants, convalescing preterm infants, and ESC infants. Responsible for daily care, coordinating and planning discharge home, supporting and updating families, conducting family meetings. PRINCIPAL DUTIES AND RESPONSIBILITIES Manages the health care of patients within Newborn Services through advanced health assessment, diagnosis, intervention, and evaluation in a collaborative practice agreement with a physician. Develops treatment plans, orders and interprets laboratory and diagnostic tests, treats patients with acute problems including illnesses and minor injuries following a predetermined protocol in a collaborative practice agreement with a physician. Coordinates the care of select patient populations to ensure promotion of health and wellness through education of patients and families, coordination of services and placing referrals. Coordinates patient transfers and admissions within Newborn Services. Participates in professional development and lifelong learning, including participation in medical education and training. Participates in continuing education, quality improvement initiatives, clinical outcome evaluation and monitoring as well as medical and nursing research. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED Maintains competency in procedures necessary to care for neonates including: intubation, surfactant administration, ventilator management, needle thoracostomy, chest tube placement, umbilical line placement, PIV insertion, PICC insertion and arterial line placement Strong communication and collaboration skills Strong organizational and project management skills; ability to set priorities Identifies own learning needs and develops a plan to meet them Adheres to annual retraining requirements Writes prescriptions in accordance with patients' needs and regulatory and practice guidelines Requirements include an Advanced Practice Degree (Nurse Practitioner or Physician Assistant) with prior neonatal experience and certification. Applicants must be eligible for medical licensure in the State of New Hampshire and be appropriately board certified/eligible. The General Hospital Corporation is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.