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Work permits and visas and such are handled very much on a case by case basis. Your best bet is to talk directly to your embassy. Where are you from originally? Have a look at our page on work permits in Italy for some more information.
Hope this helped!
Emma
Since work permits are handled by employers, yes, you will probably need a new Nulla Osta when you change jobs. It will be best to talk to your new employer and go to immigration to find out what you need to do.
Good luck,
Emma