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Registered Nurse (RN) . Emergency Dept. Per-Diem

Cheshire Medical Center
Keene, NH Per Diem
POSTED ON 12/13/2025 CLOSED ON 2/10/2026

What are the responsibilities and job description for the Registered Nurse (RN) . Emergency Dept. Per-Diem position at Cheshire Medical Center?

Cheshire Medical Center’s small but mighty Emergency Department features many of the perks of a larger regional hospital, but serves the local community with compassion and quality care. The facility includes 21 beds, a four-bed behavioral health pod, a private OB specialty room, two trauma/resuscitation bays, and the use of telemedicine to consult with other specialists in neurology and emergency medicine. You will experience interdisciplinary teamwork and comradery in this well-equipped ED, as you work side by side with other nurses, techs, health unit coordinators, providers, and associate providers. You will perform as a member of the healthcare team to apply the nursing process when making nursing judgments and decisions specific to assessment, planning, implementation/delivery, and evaluation of patient care, and documenting relevant data and care processes.

Cheshire’s ED serves a diverse population of patients from this rural community, from newborn to end of life, including students from Keene State College. You can expect scheduling flexibility and a self-schedule format, working 12-hour shifts starting at 7am and 7pm, or swing shifts starting at 11am and 3pm—including every other or every third weekend. The average nurse-to-patient ratio is 5-to-1, with smaller ratios with higher patient acuity.

Qualifications: Must be a currently licensed Registered Nurse in the State of New Hampshire with a minimum of one year nursing experience preferred. Current certification in BCLS is required. Excellent assessment, communication, interpersonal, and organizational/ time management skills are vital. Must demonstrate the ability to work well as a member of a team and respond calmly and effectively in a fast-paced environment and during a crisis and/or emergency. Computer skills required.

This ED is an excellent place to gain diverse experiences and training for professional development, with a clinical educator, case studies, and chart reviews performed between leadership and staff. You will also find free online training resources including quality improvement through the Value Institute Learning Center at Dartmouth Hitchcock Health. You can access valuable certifications for CEN (Certified Emergency Nurse), TCRN (Trauma Certified Registered Nurse), ENPC (Emergency Nurses Pediatric Course), and TNCC (Trauma Nurse Core Curriculum), and stay involved with other available educational resources through the shared governance model.


Minimum: $39.29
Maximum: $55.35

As the largest private employer in the state of New Hampshire, Dartmouth Health provides employees of Cheshire Medical Center with an impressive array of benefits.

Close to everything and something for everyone!

  • No sales or state income tax in NH
  • Keene is a vibrant college town
  • A half-hour drive to Vermont and Massachusetts
  • An easy two-hour drive to Boston
  • Only four hours to Montreal, Canada
  • You can easily catch the train from Brattleboro, VT to Penn Station, NYC
  • An easy drive to the White Mountains of New Hampshire, the Green Mountains of Vermont, or the seacoast of Maine, New Hampshire, and the beaches of Massachusetts.

About Cheshire Medical Center in Keene, NH

Cheshire Medical Center, a member of the world-class Dartmouth Health system, advances the health and wellness of the communities throughout the Monadnock Region through a combination of outstanding care and exceptional service. On our Keene campus, our team delivers an impressive range of clinical services that reflect the needs of the individuals and communities we serve. Being part of the Dartmouth Health family enables us to provide services that far exceed those of a typical rural hospital, including extensive programs in primary care, cancer care, cardiology, orthopedics, and public health.

Please view our benefits offerings at cheshiremed.org/careers/benefits.



  • Area of Interest: Nursing;
  • Work Status: Variable days/evenings/nights. Required at minimum to work 24 hours per four-week schedule.;
  • Employment Type: Per Diem;
  • Job ID: 16128


Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.


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Salary : $39 - $55

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