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Physician Assistant – Urology

Down East Community Hospital · Machias, ME

Posted October 5, 2026

DECH Medical Building (Reid Emery) · 229 Main St, Machias, ME, US, 04654

We are seeking a Physician Assistant (PA) to join our Urology team. In this role, you will work closely with the Urologist and care team to provide high-quality, patient-centered care. You’ll play a vital role in diagnosing, treating, and supporting patients with a variety of urologic conditions while contributing to a collaborative and supportive clinical environment.

Key Responsibilities

  • Perform comprehensive patient assessments, including medical histories, physical exams, and diagnostic evaluations
  • Assist in diagnosing and treating urologic conditions such as kidney stones, urinary tract infections, incontinence, erectile dysfunction, and prostate disorders
  • Perform or assist with urologic procedures, including cystoscopies, catheter placements/replacements, bladder scans, and urodynamic studies
  • Provide preoperative and postoperative care, including patient education and follow-up
  • Document patient care through progress notes, orders, and prescriptions in the electronic medical record (EMR)
  • Collaborate with physicians and healthcare team members to coordinate care plans
  • Educate patients and families on diagnoses, treatments, medications, and ongoing care
  • Respond to patient inquiries and manage follow-up communications, including secure messaging platforms
  • Participate in departmental and hospital-wide quality improvement initiatives
  • Ensure compliance with hospital policies and all applicable state, federal, and CMS regulations
  • Maintain strict patient confidentiality in accordance with privacy standards
  • Demonstrate commitment to the organization’s mission, vision, and service excellence standards
  • Stay informed through meetings, communications, and policy updates
  • Adhere to all safety protocols and procedures
  • DECH and CCH are equal opportunity employers.

Qualifications

  • Current State of Maine Physician Assistant license
  • Graduate of an accredited Physician Assistant program
  • Active and valid DEA license
  • Strong attention to detail and excellent communication skills
  • Commitment to teamwork and delivering compassionate patient care
  • Willing to train strong candidates with a minimum of 3 years’ practical experience

Compensation

  • Base Salary $175,000 annually
  • Sign on Bonus eligible $25,000
  • Medical Loan reimbursement
  • Relocation reimbursement

Benefits

  • Comprehensive health, dental, and vision insurance
  • Generous paid time off and paid holidays
  • Retirement plan with employer contribution
  • Continuing Medical Education (CME) allowance and paid CME time
  • Malpractice insurance coverage

Why Join Us?

  • Collaborative, patient-focused work environment
  • Opportunities for professional growth and development
  • Supportive leadership and team culture
  • Commitment to quality care and continuous improvement

Employer

Down East Community Hospital

Down East Community Hospital is a 25-bed critical access hospital in Machias, Maine, offering state-of-the-art technology and specialty services almost unheard of in a small rural hospital. We serve our immediate community in Machias and all of Washington County — Maine's Sunrise County — bordered by New Brunswick to the northeast and the Bay of Fundy.

Founded by a group of dedicated citizens and opened in 1964, DECH has grown into an integral part of the region, providing inpatient and outpatient medical, surgical and emergency services. Alongside primary care — Family Practice, Pediatrics and Obstetrics/Gynecology — we offer Podiatry, Urology, Otolaryngology (ENT), General Surgery including minimally invasive laparoscopic surgery, Orthopedics, Neurology and Pain Medicine. Our Emergency Department was expanded in 2017 to nine private rooms, and our practices serve patients in Machias, East Machias, Jonesport and Milbridge.

Our mission is to improve the health of the people in the Sunrise County by being as passionate, determined and resilient as those we serve, and by balancing exceptional service, financial integrity, current technology, staff satisfaction and collaborative community involvement. We are deeply committed to quality, patient safety and patient satisfaction.

Livability

—
Machias population
$192K
Avg 3-bedroom home
—
Avg high / low
Nearby cities
Ellsworth
46.7 mi
Pop. 8,550
Calais
29.9 mi
Pop. 3,087
Eastport
28.9 mi
Pop. 1,230
Source: US Census Bureau
Annual family budget — Washington County
—
Housing, food, transport, healthcare, childcare & taxes for a typical family
$192K
Avg 3-bedroom home
—
Avg monthly rent
Source: EPI Family Budget Calculator
Source: Zillow
—
Avg high / low
—
Yearly rainfall
—
Sunny days / yr
Source: WeatherAPI.com
Population — ZIP 04654
3,385
Total residents
1,648
Male residents
1,737
Female residents
Age distribution
total
3,385
0-9
306
10-19
628
20-29
262
30-39
406
40-49
314
50-59
472
60-69
499
70-79
245
80+
253
Ethnicity
White
3,105
Black Or African American
43
American Indian Or Alaskan Native
74
Asian
12
Native Hawaiian Or Other Pacific Islander
0
Other
0
Two Or More
151
Source: US Census Bureau
Nearby airports
Portland International Jetport (PWM) 156.39 mi
Hancock County-Bar Harbor Airport (BHB) 44.86 mi
Bangor International Airport (BGR) 61.37 mi
Knox County Regional Airport (RKD) 90.14 mi
Source: FAA database