Join an established orthopedic practice in Littleton, NH as a full‑time Physician Assistant or Nurse Practitioner with orthopedic experience and proficiency in trigger point injections. You will provide comprehensive musculoskeletal care in a collaborative setting within a 25‑bed critical access hospital that serves as one of the region's largest facilities and offers multiple specialty services. Key responsibilities Evaluate patients and review histories to diagnose orthopedic conditions (fractures, sprains, arthritis, etc.). Order and interpret diagnostic studies (x‑ray, MRI, labs) and incorporate findings into care plans. Develop and manage treatment plans, including medications, physical therapy, injections, and referrals for surgery when appropriate. Perform office‑based and procedural interventions and assist with operative cases (arthroscopy, fracture management, joint procedures) as defined by scope of practice and supervision guidelines. Prescribe and monitor rehabilitation regimens and educate patients on injury prevention and musculoskeletal health. Coordinate care with surgeons, physical and occupational therapists, and other team members. Maintain accurate medical records and communicate effectively with patients, families, and providers. Qualifications Current and valid Physician Assistant or Nurse Practitioner license. New Hampshire state license and DEA registration required. Demonstrated experience in orthopedics and competency with trigger point injections. Compensation & benefits Salary range: $110,000-$130,000. Medical, dental, vision, disability coverage. Retirement plans (403(b) and 457(b)), relocation allowance, loan repayment options. Paid time off, CME time and support. Community & facility Our 25‑bed access hospital is a major regional resource, providing services and specialties that are unique to the area. Littleton, NH, in the scenic White Mountains, offers a historic Main Street, abundant year‑round outdoor recreation (hiking, skiing, fishing, golf, snowmobiling), tax‑free shopping, no state income tax, and strong local schools. Convenient to I‑93 for easy access to Boston and Montreal, Littleton was named one of the top 10 small towns in America. To apply or learn more, please contact us for details on the position and facility.