Registered Nurse (RN)

Director of Nursing Services Supplemental Staffing

Overview The Director of Nursing Services has direct responsibility for the supplemental staffing team department. Hasoverall accountability for the quality of patient care, the monitoring of performance of the nursing staff, and thedevelopment and management of the budget. Oversees and directs departmental management in theorientation, education, and development of the staff in order to establish the knowledge and skills necessary toprovide care appropriate to the age of the patients served. Contributes to nursing and ARH in support ofphilosophy and objectives and education efforts. Collaborates with physicians, staff, support departments andservice lines to assure excellence in patient care. The Director of Nursing Services works directly with theDirector of Central Staffing and the System CNO to ensure all financial and quality metrics are achieved. Special Instructions This is a remote position. Responsibilities Serves as a liaison between nursing staff, doctors, and healthcare administration. Critical thinking skills: Seeks resources for direction, when necessary. Performs independent problem-solving. Decision-making is logical and deliberate. Performs actions that demonstrate accountability. Exercises safe judgment in decision-making. Develops and implements departmental goals, plans, and standards consistent with the clinical, administrative,legal, and ethical requirements/objectives of the organization. Assists with formulating annual operating and capital budgets for department. Monitors and evaluates departmental budgets and ensures that the department operates in compliance withallocated funding. Coordinates and directs internal/external audits. Reviews/revises policies and procedures on an annual basis in collaboration with ARH leadership to ensureevidence-based care standards are being met. Plans and monitors staffing activities, including hiring, orienting, evaluating performance, disciplinary actions,and continuing education initiatives. Provides resources to assure that new employees receive an adequate, quality orientation and all personnel areprovided with continuing education opportunities commensurate with their position requirements. Assures that licensure and required competency certificates are current for all personnel as appropriate. Acts as a role model for patient satisfaction and quality of care. Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies,including nurse leader rounding, employee rounding, hourly rounds, beside shift report and other initiatives. Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needsand established productivity guidelines. Participates in interdisciplinary committees and workshops as needed to facilitate work of the organization. Effective time management by completion of activities and reports in established time frames. Participation in resource and product reviews and product evaluations as needed.Has formal mechanism in place to ensure ongoing communication with staff and management team.Creates and fosters an environment that encourages professional growth. Integrates evidence-based practicesinto operations and clinical protocols. Works with medical staff to coordinate management of patient care. Investigates and documents unusual or complex situations, never events, concerns, or complaints withcorrective action plan noted. Assures that assigned department(s) are operated in a manner consistent with the approved clinical carestandards, quality assurance program(s), DNV and all regulatory agencies. Leads and maintains performance improvement activities for the department(s). Develops and maintains appropriate working relationships with all internal and external customers. Provides guidance to department clinical staff leaders in operational budgets and variances to goals and takescorrective action as necessary. Demonstrates commitment to professional growth and competence by participating in conferences, courses, andworkshops to upgrade management skills. Actively participates in teaching and education of others. Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, health care professionals, patients and/or family, and the public. • Performs other duties as assigned• Complies with all policies and standards Qualifications Education (experience can be substituted for education) Bachelor's Degree in Nursing RequiredMaster's Degree MSN, MPH, MBA or MHA Preferred Work Experience (education can be substituted for experience) 4-6 years Five (5) years of clinical experience Required1-3 years Minimum of two (2) years of progressive management experience in a healthcare setting. Preferred Knowledge, Skills and Abilities Handles multiple prioritiesIndependent discretion/decision makingMakes decisions under pressureManages anger/fear/hostilityManages stress appropriatelyWorks alone effectivelyWorks in close proximity to others and/or in a distracting environmentWorks with others effectively Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS upon hire RequiredProfessional Nursing Certification Preferred

Enterprise Registered Nurse Supplemental Staffing Team

Overview The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Appalachian Regional Healthcare including those established by the Nurse Practice Act. The primary function of this role, based upon hired tier and float option, is to be available and flexible to float to various departments and/or hospital sites throughout ARH healthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which could include but not limited to same day staffing assignments, more than one assignment location within a single shift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as a member of the Supplemental Staffing Team in cooperation with and under the direction of Director and/or Clinical Nurse Manager or designee. • Supplemental Staffing Team RNs are hired with the understanding they must float based on one of the following staffing models: • Local: Float expectation within a single site based on competency. • Regional: Float expectation within multiple sites within a single region based on competency. • Enterprise: Float expectation within multiple sites across one or more regions that are greater than 75 miles from the RN's home address and accepts assignments that range from 2 to 13 weeks based on competency. Special Instructions Enterprise: Contracts range from 2 to 26 weeks at facilities within an assigned region, with a maximum of 26 weeks allowed at any single location before reassignment within the assigned region.. Responsibilities • In collaboration with providers, clinical care team members, patients and families (as defined by the patient), evaluates, plans, directs and administers patient care. • Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues. • Completes all required documentation accurately and within the required timeframe. • Communicates clinical information with members of the multidisciplinary team. • Possesses knowledge of medications and administers them safely and accurately. • Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel. • Embraces concepts and behaviors that enhance customer satisfaction, employee morale, and improvement in the profession of nursing. • In collaboration with the patient and family, evaluates patient outcomes and revises the patient's plan of care. • Negotiates with the patient, family, and healthcare team members to achieve acceptable resolution of conflicts related to patient care or organizational issues. • Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. • Supports patient and family centered care and promotes that environment within the care provided. • Includes patients and families in the plan of care and provides education and support as needed. • Incorporates the professional practice model into care delivery. • Acts as a patient safety advocate by participating in ongoing quality improvement initiatives within the department. • Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers. Qualifications Education • Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred Minimum Work Experience • Two (2) years of clinical experience required.• Three (3) years of clinical experience preferred. Licenses, Certifications, Registrations Required • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locations Preferred • Professional Nursing Certification

Enterprise Registered Nurse Supplemental Staffing Team

Regional Registered Nurse Supplemental Staffing Team

Overview The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Appalachian Regional Healthcare including those established by the Nurse Practice Act. The primary function of this role, based upon hired tier and float option, is to be available and flexible to float to various departments and/or hospital sites throughout ARH healthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which could include but not limited to same day staffing assignments, more than one assignment location within a singleshift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as amember of the Supplemental Staffing Team in cooperation with and under the direction of Director and/or Clinical Nurse Manager or designee. Essential Job Functions: Supplemental Staffing Team RNs are hired with the understanding they must float based on at least one of the options below:• Local: Float expectation within a single site based on competency• Regional: Float expectation within multiple sites within a single region based on competency• Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN'shome address and accepts assignments that range 2-13 weeks based on competency Special Instructions Regional: Float expectation within multiple sites within a single region based on competency. Responsibilities In collaboration with providers, clinical care team members, patients and families (as defined by the patient) the Registered Nurse is responsible for evaluating, planning, directing and administering care to the patient. Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues. Completes all required documentation accurately and within the required timeframe, as well as communicate clinical information with members of the multidisciplinary team. Possesses knowledge of medications and administers them safely and accurately. Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel. Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing. In collaboration with the patient/family the RN evaluates patient outcomes and revises the patient’s plan of care. Negotiates with the patient/family and health care team members to come to an acceptable resolution of conflicts resulting from patient care or organizational issues. Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents. Is supportive of patient and family centered care, promoting that environment within the care provided. Includes family and patient in plan of care, providing teaching and support where needed. Incorporates the professional practice model into care delivery. Acts as a patient safety advocate by participating in ongoing quality improvement in the department. Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers. Qualifications Education • Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred Minimum Work Experience • Two (2) years of clinical experience required• Three (3) years of clinical experience preferred Licenses, Certifications, Registrations Required • Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locations Preferred • Professional Nursing Certification

Memory Care

Memory Care and Neuroscience Nurse Navigator