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Island Rn Jobs in Keene, NH (NOW HIRING)

Island Rn information

What is the difference between Island Rn vs Emergency Room Nurse?

AspectIsland RnEmergency Room Nurse
CertificationsRN license, Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS)RN license, BLS, ACLS, Trauma Nursing Certification (TNCC) often preferred
Work EnvironmentRemote or island healthcare settings, clinics, small hospitalsHigh-pressure hospital ER, urban or suburban emergency departments
Employer & IndustryHospitals, clinics, remote healthcare providers in island regionsHospitals, trauma centers, urgent care facilities

Island Rns typically work in remote or island healthcare settings, focusing on general patient care in smaller facilities. Emergency Room Nurses work in fast-paced hospital ERs, handling trauma and urgent cases. Both roles require RN licensure and similar certifications, but their work environments and daily responsibilities differ significantly.

What are some unique challenges nurses face when working on an island, and how can they prepare for them?

Island RNs often encounter challenges such as limited access to specialized medical resources, the need to handle a wider variety of cases, and occasional isolation from larger healthcare networks. To prepare, it's important to develop strong clinical assessment skills, adaptability, and the ability to work independently or in small teams. Building solid relationships with local healthcare providers and staying updated through remote continuing education can also help overcome these challenges and ensure high-quality patient care.

What are the key skills and qualifications needed to thrive as an Island Registered Nurse (Island RN), and why are they important?

To thrive as an Island RN, you need strong clinical and emergency care skills, a nursing degree, active RN licensure, and experience working independently in remote or rural settings. Familiarity with telemedicine systems, emergency medical equipment, and electronic health records is often required. Excellent problem-solving, adaptability, and communication skills are crucial for handling diverse patient needs and limited resources. These abilities ensure effective patient care, quick decision-making, and optimal health outcomes in isolated healthcare environments.

What is an Island RN?

An Island RN is a Registered Nurse who works on an island, often in remote or rural healthcare settings. These nurses provide comprehensive care to residents and visitors, frequently managing a wide range of medical needs due to limited local resources. Island RNs may work independently or as part of a small team, handling emergency care, routine check-ups, and patient education. They play a critical role in ensuring the health and safety of island communities, often adapting to unique challenges such as transportation delays or supply shortages.
What cities near Keene, NH are hiring for Island Rn jobs? Cities near Keene, NH with the most Island Rn job openings:
Registered Nurse Manager

Registered Nurse Manager

Seven Hills Foundation

Greenfield, NH • On-site

$87K - $102K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Seven Hills Foundation rating

6.8

Company rating: 6.8 out of 10

Based on 35 frontline employees who took The Breakroom Quiz

51st of 238 rated social care providers


Job description

Registered Nurse Manager (RN)
Seven Hills Foundation, Crotched Mountain School
$10,000 Sign-On Bonus

Greenfield, New Hampshire | $87,000 – $102,000 annually

This is not your typical nursing job... and that’s exactly why you’ll love it.

Imagine your new role as the RN Manager at Crotched Mountain School...you will walk into a place where energy fills the air — sometimes loud, sometimes unpredictable, often beautifully chaotic. You will hear laughter, vocalizations, music, and moments of frustration all woven together. You will support youth who may not speak with words, but who communicate in ways that will challenge you, teach you, and ultimately change you.

You will care for students with complex neurodevelopmental disabilities — individuals with intellectual and developmental differences, co-existing psychiatric needs and medical conditions.

Some days will test your skills. Many days will open your mind. Every day will matter. And through it all, you will be part of something extraordinary.

Where You’ll Be...

You will work on a breathtaking campus in New Hampshire’s Monadnock region — where hiking trails, lakes, and wide-open spaces meet a one-of-a-kind therapeutic school environment. You will see students learning not just in classrooms, but in pools, on trails, in sensory spaces, and in moments of connection that don’t show up in textbooks.

Over the past three years, Seven Hills has been revitalizing this historic program: expanding services, welcoming new students, and building a passionate team of clinicians, educators, and caregivers who make extraordinary things possible for youth with neurodevelopmental disabilities.

What You Will Do...

  • Deliver hands-on, highly skilled nursing care to students and staff — responding to real-time needs from illness and injury to ongoing complex medical conditions.
  • Perform clinical tasks like assessments and blood draws.
  • Step in where needed, ensuring no student goes without care.
  • Connect the dots between medical care, education, and residential life.
  • Collaborate with physicians, attend appointments, and help guide treatment plans.
  • Guide and support a nursing team, helping them grow in skill and confidence.
  • Train staff, oversee medication protocols, and be a trusted resource across the program.
  • Ensure documentation is accurate and timely.
  • Create a safe, compliant, and supportive environment where both staff and students can succeed.
  • And most importantly, you will treat every individual with dignity, respect, and compassion — even in the most challenging moments.

Who You Are...

You will bring both skill and resilience to this role. You understand that meaningful work isn’t always easy — and that’s what makes it meaningful.

  • You hold an RN license in New Hampshire
  • Have experience leading or supervising others
  • Have worked with individuals with disabilities (or are eager to)
  • Are calm in the storm, steady under pressure, and compassionate at your core
  • Are comfortable supporting youth ages 5–22 with varying neurodevelopmental disabilities, including those who may express themselves through challenging behaviors

What You Will Gain...

You will gain more than a paycheck — you will gain purpose.

  • $10,000 sign-on bonus
  • Comprehensive health, dental, and vision insurance through BCBS
  • Retirement plan with generous employer match (25-33% based on tenure)
  • Paid time off (3 weeks), sick time (10 days), and personal days (3 days)
  • 11 paid holidays
  • Paid training, tuition support, and student loan assistance
  • Non-profit employer - eligibility for Public Service Loan Forgiveness (PSLF)
  • A wide range of additional benefits (such as legal and pet insurance, EAP, discount program, and more)

The Part No Job Description Can Fully Capture...

  • You will celebrate victories that others might overlook — a moment of eye contact, a successful transition, a calm day after many hard ones.
  • You will build trust with students who may not trust easily.
  • You will go home every day knowing your work matters.

Ready to see what’s possible?

This is more than just a job. At Crotched Mountain School, you will be part of a unique program that provides 1:1 therapeutic education for those that cannot be supported in a traditional public school environment. This is their place to shine, and this is your place to be a part of that.

Apply now — and start making a difference that lasts.

Company Description

Since 1953, Seven Hills Foundation has had a history of caring for people who have the ability to thrive when given the support, respect, and dignity that all human beings deserve. The basic principle of serving others is the cornerstone of the foundation upon which Seven Hills is built. Seven Hills Foundation now stands as one of the most dynamic and comprehensive non-profit health and human services in the country. With over 190 locations in Massachusetts, Rhode Island, New Hampshire, and eight countries abroad, Seven Hills is the premier provider of comprehensive support for people with significant life challenges.
Our professional staff is passionate about our work that helps people.
SEE the possibilities, BELIEVE in themselves, and ACHIEVE their dreams.

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