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AR

Registered Nurse Tier 1

Appalachian Regional Healthcare, Inc.·Prestonsburg, Kentucky

Other·On Site·0-2 yrs·Posted 7 days ago
Practice for this role

About the role

The Registered Nurse is responsible for completing patient assessments, formulating and implementing care plans, and administering prescribed treatments. They collaborate with multidisciplinary teams and provide psychological and physical support to patients and their families.

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.

Responsibilities

Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned.

Qualifications

Bachelor's Degree Preferred Associate's Degree Required Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

Requirements

Candidates must have an Associate's degree and a Registered Nurse license, with a Bachelor's degree preferred. Required certifications include BLS and a valid Driver's License, with De-Escalation training required within six months of hire.

  • associate degree
  • bachelor degree
  • Patient Advocacy
  • Care Planning
  • Medication Administration
  • Patient Assessment
  • De-escalation
  • Clinical Supervision
  • Critical Thinking
  • Discharge Planning
  • Health Teaching
  • Intravenous Therapy
  • SBAR Communication
  • Bedside Shift Reporting

Posting details

Employment type
Other
Work arrangement
On Site
Experience
0-2 yrs
Location
Prestonsburg, Kentucky
Posted
Jul 20, 2026
Closes
Jul 20, 2027
Application
Employer website
AR

Hiring organization

Appalachian Regional Healthcare, Inc.

Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro,...

Salary listed on 1 job
IndustryHospitals and Health Care
TypeNonprofit
Size5,001-10,000 employees
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Market context

Kentucky RN roles need adaptable clinicians

In Kentucky, Registered Nurse Tier 1 roles are typically in steady demand across hospitals, clinics, and long-term care settings, especially where teams need nurses who can work across shifting patient needs. These roles are competitive because employers look for an RN with an associate’s degree, BLS at hire, strong collaboration and problem-solving skills, digital literacy, and readiness to complete de-escalation training within six months. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your BLS status and highlight examples of teamwork and electronic charting in your application.

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