Hospital Jobs

Appalachian Regional Healthcare Beckley, WV

Nurse Extern Tier I

Overview The Nurse Extern is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance and direction of a Registered Nurse. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses. Responsibilities • Under the continuous direct on-site supervision of a Registered Nurse, interprets the plan of medical care and provides input on the nursing care plan. • Assists with nursing care activities after being deemed clinically competent by the nursing instructor. • Completes nursing assessment forms with oversight and approval of a Registered Nurse. • Provides personal care including bathing, shampooing, shaving, back rubs, position changes, bed making, meal preparation, feeding patients, and providing ice water. • Answers call lights and bells promptly to determine and meet patient needs. • Collects specimens including stool, urine, sputum, and other samples. • Collects intake and output information and records appropriately. • Collects and records vital signs and obtains pertinent patient information according to hospital policy. • Assists and/or feeds patients, including enteral feedings. • Provides between-meal nourishments, fresh drinking water, and encourages fluid intake when indicated. • Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes and documents appropriately. • Applies ace bandages, elastic stockings, and sequential compression devices. • Inserts catheters and feeding tubes. • Applies restraints and side rails to ensure patient safety. • Observes isolation techniques and provides direct care to patients in isolation. • Assists with ostomy care and patient education. • Sets up orthopedic appliances. • Performs nursing functions requiring skill and judgment under the supervision of a Registered Nurse. • Maintains records and reports necessary patient care information. • Confers periodically with the Registered Nurse regarding nursing activities and patient care matters. • Assists in patient and family education as directed by the Registered Nurse. • Serves as a liaison between the patient and other members of the healthcare team. • Prepares patients for surgery and other therapeutic and diagnostic procedures. • Maintains a safe environment for patient care. • Places IV infusion devices under the direct supervision and immediate bedside presence of the supervising Registered Nurse. • Performs other duties as assigned. Qualifications Education • High school diploma or GED equivalent required. • Enrollment in a Board of Nursing approved Registered Nurse Program required. • Completion of Nursing Fundamentals and/or a basic Medical/Surgical clinical rotation required (may vary by school). Experience • Successful completion of at least one Medical/Surgical clinical rotation in an acute care setting required. • Program duration typically ranges from six (6) to twelve (12) months. Required Skills, Knowledge & Abilities • Current transcripts required. • Copy of skills evaluation demonstrating competency in basic procedures, including: • Taking vital signs. • Providing bed baths. • Feeding patients. • Positioning and turning patients. • Other basic patient care skills. • Two (2) recommendation letters from nursing instructors required. • Ability to provide patient care under the supervision of licensed nursing personnel. • Ability to communicate effectively with patients, families, instructors, and healthcare team members. Licenses & Certifications • Candidate must be enrolled in an accredited Registered Nurse Program. Additional Requirements • Must pass a background check. • Candidates will be scheduled for interviews after completion of all program requirements. • Following acceptance into the program, candidates must successfully complete post-offer screenings, physical examinations, and all organizational requirements for new hires.

Part-time

Legacy Health Gresham, OR

RN Staff Nurse - Surgical Specialties

$54.37 - $81.21 / hour

Overview The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by our health care team. In short, they are the face of wellness at Legacy. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity. Legacy Mount Hood Medical Center is East County’s full-service hospital, always expanding to meet the community’s growing needs and offering an award-winning patient experience delivered with a personal touch. We offer advanced imaging, a modern emergency department, a welcoming family birth center, surgical services, intensive care, cancer care, gastroenterology and more. The position will work 10hr shifts for the Meal/Break Responsibilities Responsible for patient care within an assigned department/unit and participates as a member of the health care team in cooperation with and under the direction of the clinical manager or designee as defined by the relevant Standards and Scope of Practice for the Registered Nurse. The RN Staff Nurse assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Legacy Health System including those for patient assessment and transfer. Qualifications Education: As required by licensure. BSN or degree in progress strongly preferred. BSN may be required for specific assignments; experienced RNs without a BSN may be hired based on clinical experience with approval of the site CNO. Experience: One-year registered nursing experience or completion of either the Legacy Health RN Residency program or a nursing program that is equivalent in content, curriculum and duration. Additional clinical experience requirements may vary dependent upon the specific department in which the position is utilized. Knowledge/Skills: Demonstrated ability of positive interpersonal and communication skills with colleagues, patients, families, physicians and the community. Keyboard skills and ability to navigate electronic systems applicable to job functions. Licensure Current applicable state RN license required. AHA BLS for Healthcare Providers. Pay Range USD $54.37 - USD $81.21 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

RN Staff Nurse Ambulatory Clinic - Pulmonary Critical Care

Legacy Health Portland, OR

$51.78 - $77.34 / hour

Overview Your positive attitude helps put visitors to our ambulatory clinic at ease from the moment they walk in. As a key member of our collaborative care team, you thoughtfully assess each patient’s needs and guide them toward the most appropriate care plan — ensuring the best possible outcomes. In short, you embody Legacy Health’s mission: to make life better for others. If this sounds like you, we invite you to apply for the RN Staff Nurse Ambulatory Clinic role. This position is Monday-Tuesday-Thursday-Friday, 830AM to 5:00PM with Wednesdays off. Responsibilities Provides direct patient care within an assigned department or unit Collaborates as part of the health care team under the direction of the clinical manager or designee Adheres to the Standards and Scope of Practice for Registered Nurses Performs all aspects of the nursing process: Assesses, analyzes, plans, implements, and evaluates patient care Follows established Legacy Health System standards, including Patient assessment protocols & patient transfer procedures Qualifications Education: As required by licensure. BSN or degree in progress strongly preferred. BSN may be required for specific assignments. Experienced RNs without a BSN may be hired based on clinical experience with approval of the site CNO. Experience: One-year registered nursing experience or completion of either the Legacy Health RN Residency program or a nursing residency program that is equivalent in content, curriculum and duration. Additional clinical experience requirements may vary dependent upon the specific department in which the position is utilized. Skills: Demonstrated ability of positive interpersonal and communication skills with colleagues, patients, families, physicians and the community. Keyboard skills and ability to navigate electronic systems applicable to job functions. Licensure Current applicable state RN license required. BLS for Healthcare Providers certification from the American Heart Association required. Pay Range USD $51.78 - USD $77.34 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

LPN Acute Care - Medical/Surgical Unit 25

Legacy Health Portland, OR

$29.89 - $42.74 / hour

Overview LPNs take care of patients that have long term treatment needs. Often, these patients do not have a safe discharge plan to complete the treatment elsewhere and therefore continue to have a bed in the hospital. LPNs could have the opportunity to have hands on experience with wound care and IV antibiotics, among other long term care treatment. LPNs may often work beside acute care RNs but not directly in acute patient care areas. They work in collaboration with a C.N.A., charge RN, unit coordinator and physician. LPN staff with a variety of experience and backgrounds work on this unit. We strive to support learning and continuted education with all staff. Complex discharge units have medically stable but complex patients who are pending a safe discharge plan. The LPN must think critically, be able to problem solve and be ready to learn. Excellent communication with teammates and patients is essential. The ability to maintain compassion for this complex patient population is also essential. Staff on this unit value teamwork. Our physician partners work closely with this team to support in providing the best care posible for our patients. Responsibilities Assessment : Contributes to and communicates age appropriate admission and daily bio/psycho/social assessments. Collects, reports and records objective and subjective data in an accurate and timely manner. Observes the patient's condition or changes in condition. Documents the observations in a timely, legible and concise manner in accordance with written guidelines. Validates patient classification indicator via required documentation. Analysis: Contributes to the establishment of nursing diagnosis and clinical problem identification. Identifies and reports the significant deviations from the norm to the RN, MD and oncoming shift. Planning: Participates in establishing and updating and individualized plan of care in collaboration with RN, patient and family. Provides data and contributes to the identification of priorities. Involves the patient/family in individualizing/modifying the nursing plan of care in collaboration with the RN. Reviews and updates the nursing plan of care to reflect current patient status by the end of the shift. Implementation: Participates in implementing the planned nursing and medical interventions with knowledge and competence in accordance with written standards of practice. Provides care for patients whose conditions are stable or predictable under minimal supervision of the RN or MD. Cares for patients whose conditions are critical and/or fluctuating under direct supervision of the RN or MD. Carries out the planned interventions with knowledge and competence. Uses interpersonal skills that convey a positive and supportive attitude. Determines and communicates patient/family desired level of participation in care. Evaluation: Contributes to the evaluation of the patient's response to interventions and contributes to care plan modifications. Establishes appropriate care priorities based on patient response to treatments and interventions in collaboration with the RN. Communicates patient responses and progress to an RN, during verbal report Qualifications Education: Graduate of an accredited school of nursing. Experience: Clinical experience requirements are dependent upon the specific position. Licensure Licensure/Certification Current applicable state Licensed Practical Nurse (LPN) required. AHA BLS for Healthcare Providers Pay Range USD $29.89 - USD $42.74 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

Appalachian Regional Healthcare Beckley, WV

Registered Nurse

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. Special Instructions RN circulator in the operating room Monday-Friday 7:15am-3:45pm with call 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 Education • Associate's Degree in Nursing required. • Bachelor's Degree preferred. Experience • Up to one (1) year of experience preferred. Required Skills, Knowledge & Abilities • Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation, and procedures. • Prepares for each assigned case by ensuring the room is properly prepared and equipped, required documentation is present in the medical record, and the patient is properly identified. • Prepares the patient for operative procedures by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing the operative site. • Accompanies the patient to the recovery room and may provide nursing care in the recovery room as required. • Monitors operative procedures by documenting proper patient positioning, breaks in sterile technique, instrument, needle and sponge counts, preservation and labeling of specimens, administration of drugs and blood products, and critical incidents occurring during operative procedures. • Functions as a member of the surgical team by assisting with gowning and gloving, procuring medications, blood and supplies, coordinating support from other departments, and properly processing operative specimens. • Maintains a safe and productive work environment through cleaning, maintenance, and re-supply activities. • Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. • Must be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. • Completion of Operating Room competencies in areas and roles in which the nurse will function. Licenses & Certifications • Registered Nurse (RN) required. • Basic Life Support (BLS) Certification required. • Advanced Cardiac Life Support (ACLS) Certification required. • Pediatric Advanced Life Support (PALS) Certification required. • De-Escalation Training required within six (6) months of hire.

CNA

Appalachian Regional Healthcare Beckley, WV

Nursing Assistant

Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities Provides personal care including bath, shampoo, shave, back rub, positions patients, makes beds, prepares patients for meals, feeds patients, and passes ice water. Answers all signal lights and bells promptly to determine and meet patient needs. Collects specimens, stool, urine, sputum, etc. Collects input and output and records appropriately. Collects and records vital signs on patient. Obtain and records pertinent patient information per hospital policy. Assists and/or feeds patients, provides between meal nourishment’s, provides fresh drinking water and encourages fluids when indicated. Assists in progressive ambulation of patients by wheelchair, stretcher, and bed. Administers enemas, douches and inserts rectal tubes and documents appropriately. Applies ace bandages and elastic stockings, fills hot water bottles, ice bags, pads and humidifiers. Cares for Foley catheters and Levine tubes as instructed by nurse. Applies condom drains and scrotal suspensatories, unsterile compresses, and binders. Gives postmortem care and transports body to morgue. Applies restraints and siderails to assure safety of patients. Observes isolation technique and gives direct patient care to patients on isolation. Assists in colostomy care. Sets up Orthopedic appliances. Runs errands, delivers messages, and answers telephone. Maintains a safe environment. Observes for and reports safety hazards, and prepares incident reports. Prepares patients for surgery, x-ray and other therapeutic and diagnostic procedures. Prepares patients for examination and treatment: Remains with patients unless relieved; Performs such duties as providing proper equipment, supplies, and adjusting lights; Cleaning up and restocking of area, including supplies and equipment. Assists in the orientation of the new patient to his surroundings. Assists in maintaining a sanitary and safe environment in service and nursing areas. Participates in team conferences, in-service education programs and staff meetings. Assists other hospital employees as needed, i.e. OR Aide returning patients from the Recovery Room, x-ray, etc. (when indicated). Assists with admissions, transfers, and discharges of patients. Performs other related duties as assigned. Qualifications Education • High School diploma or GED equivalent. • Successful completion of a hospital-approved Nursing Aide Training Program. Required Skills, Knowledge, & Abilities • Three (3) months on-the-job training is required to attain proficiency of performance of assigned duties and responsibilities. • Additional training may be required and given to work in the long-term acute care hospital venue.

Covenant Health Knoxville, TN

PRN RN - TIER 1

Overview Registered Nurse, Step-Down Unit PRN, Night shift Parkwest Overview: Parkwest Medical Center, Covenant Health’s flagship facility in West Knoxville, combines world-class cardiac expertise with the warmth of home in serving a vibrant East Tennessee community. Since 1973, Parkwest has grown into the region’s largest hospital in the area, offering advanced services like an all-digital catheterization lab, comprehensive breast health, emergency, and critical care. It’s consistently ranked among Tennessee's top 10 hospitals by U.S. News & World Report and earns national recognition as a Top 100 Heart Hospital, as well as an “A” safety grade from Leapfrog. As part of Covenant Health, the region’s largest employer, Parkwest Medical Center, marries cutting-edge technology with compassionate, community-centered care, earning accolades for cardiology, stroke, surgical excellence, and patient safety. To learn more about Parkwest Medical Center and our units, visit Covenant Health Parkwest Medical Center Opportunities. Position Summary : Provides professional nursing care within an assigned unit; coordinates care planning with other disciplines. Responsibilities Correlates patient history and support systems within hospital care/nursing home care. Assesses needs of patient and family. Develops and initiates plan of care, involving patient and family. Recommends interventions. Evaluates plan of care. Clinical expertise and knowledge is such that individual can resolve complex patient/management/physician problems without supervision. Demonstrates competence in performing critical skills to include appropriate delivery of care according to the age-specific needs of the population served. Leads process improvement initiatives in their own unit or participate in facility team. Precepts new employees/students or attends formal preceptor workshop and is willing to precept. Reviews clinical performance of preceptee with unit leader or clinical instructor. Provides four contact hours of educational activities, excluding basic patient education. Contributes to development and evaluation of unit orientation program. Supervises LPNs, Nursing Assistants, HUCs, Techs, and sitters. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Minimum of three (3) years professional experience. Licensure Requirement: Must have and maintain Tennessee State RN licensure. CPR required RN license

RN Emergency Department - Sign-on Bonus & Relocation Available!

Northern Arizona Healthcare Flagstaff, AZ

Overview RN - Emergency Department Nights Flagstaff Medical Center Sign on/Relocation opportunities! Overview Registered Nurse in a Level 1 Trauma Center Nursing Experience: Emergency Nursing: 1 year in the emergency department experience (peds or adult). New To Specialty: 1 year as an acute care nurse (critical care preferred) Sign on bonus and relocation assistance available! This role will be based in the mountain region of beautiful Flagstaff, Arizona Flagstaff Medical Center - Level 1 Trauma Center Join our amazing nursing team at our Flagstaff Medical Center location! You’ll love the Southwest. Why not love your career, too! Want to join an exceptional organization? If you value quality, go above and beyond in making patients a priority and want to help cultivate a positive, healthy, work environment, we want to talk to you. We are focused on assembling an outstanding team who will work together to maintain our stellar reputation and build a strong brand for Northern Arizona Healthcare as we expand our services. Here's why: Patient-centered, team-based and collaborative work environment. Shared leadership that respects the input from front line nurses. Work-life balance is a priority with generous PTO. Financial support for specialty certifications Opportunity to grow your skills in triage, pediatrics, and trauma. Highly competitive compensation and benefits Financially stable, growing organization. Northern Arizona Healthcare focuses on our community with 2 Hospitals, Cardiovascular and Orthopedic Spine Institutes, Rehab and Cancer Centers, emergency services, and outpatient care. Our team of more than 3500 employees, including over 200 of the highest quality providers who had their choice of healthcare organizations, chose Northern Arizona Healthcare! Live the Good Life: In our Northern Arizona communities, you'll discover abundant opportunities to enjoy a lifestyle that's comparable to few other places. It is all here, four beautiful seasons, clean air, great neighborhoods and no traffic jams. No matter what you do for fun, recreational opportunities are everywhere -- downhill and cross-country skiing, snowboarding, gorgeous hiking trails, golf, mountain biking, climbing, wine tasting, and fine dining. You will also find it ready-made for families with excellent public and private schools, thriving secondary educational facilities, and cultural breadth and diversity. In addition, wherever you live and work you are well-positioned for weekend getaways in the vibrant cities of Phoenix and Las Vegas. Ensuring the achievement of Northern Arizona Healthcare’s mission, the Registered Nurse is accountable for the coordination of care for patients and their families including direct care, patient and family education and discharge planning. When providing care, Registered Nurses follow the process of assessing, nursing diagnosing, outcome identification, planning, implementing and evaluation as the basis for the delivery of care. The Registered Nurse provides leadership for ancillary personnel by being a team leader, serving as a preceptor, and being an active member of the healthcare team. The nurse practices within the ANA Scope of Practice, the ANA Code of Ethics for Nurses and the standards of their chosen specialty. Responsibilities Responsibilities Patient Care Assesses the needs and conditions of assigned patients by gathering relevant patient health information. Identifies outcomes, develops a plan of care individualized to the patient and/or situation, and implements the identified plan appropriate for the attainment of the expected outcomes. Assesses patient's progress toward the attainment of outcomes and effectively revises/updates diagnoses, outcomes and plans of care as appropriate. Contributes to patient experience by providing safe, high quality & patient centered care (as described above) and by respecting patients privacy, and treating all patients, family members and guests, as well as other associates, with dignity, respect, and compassion. Evaluates patient conditions frequently and adapts plan of care appropriately. Performs aseptic techniques by maintaining a sterile field while using principles of disinfection, sterilization, and infection control. Maintains infection prevention standards. Collaborates with physicians and other health care professionals. Assists as necessary with procedures and transportation throughout the hospital per hospital and departmental policies and procedures. Education Participates in creating and sustaining a learning environment supported by evidenced based practice and research. Focuses on personal development areas, engaging in professional/collegial interactions with peers and students. Work collaboratively with peers and other health care providers, and participating in ongoing in-service and educational seminars. Participates in the mentoring and education of colleagues and students. Compliance/Safety Adheres to regulatory and organizational standards affecting patient care and safety as well as all hospital and departmental policies and procedures. Practices in a safe, high quality and cost effective manner. Stays current and complies with state and federal regulations/statutes and company policies that impact the employees area of responsibility. If required for position, ensures all certifications and/or licenses are up-to-date and valid prior to expiration dates. Completes all company mandatory modules and required job specific training in the specified time frame. Maintains timely and accurate documentation of assessments, interventions, EMR entries, and patient responses. Responsible for reporting any safety related incident in a timely fashion through the Midas/RDE tool; attends all safety related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. Qualifications Qualifications Education: Associates degree or diploma in nursing (BSN preferred). All associate degree nurses must graduate from a BSN program within 6 years of hire into an RN position. Existing Staff RNs: RNs hired before 7/1/2016 are not mandated to have a BSN, but are encouraged to pursue a BSN degree. Certification & Licensures: Active, unrestricted, Arizona RN License or valid, participating compact license- Required BLS - Required ACLS – Required PALS - Required NIHSS- Required within 30 days of hire STABLE Program at FMC within 60 days of hire ATCN or TNCC- Required within 18 months of hire Additional Experience: Familiar with electronic medical record system. Basic computer software programs (Windows).

Community Chief Nursing Officer

Appalachian Regional Healthcare South Williamson, KY

Overview The Community Chief Nursing Officer provides recommendations, assistance and oversight in the development and implementation of effective nursing services, education and infection control programs. Recommends safe and cost-effective nursing staffing patterns and for assisting in the implementation and evaluation of the nursing process. Responsibilities • Assists with education and training activities for Nursing Service employees, including program development, learning needs assessments, coordination of corporate and local programs, delivery of educational programs, and evaluation of program effectiveness. • Assists with implementation and evaluation of the nursing process, including identification of patient needs, development of patient care plans, implementation of care plans, evaluation of patient responses, and assessment of appropriateness of care. • Assists in the development and implementation of nursing quality assessment activities. • Assists in the development and implementation of the Nursing Service Infection Control Program. • Assists in the development of staffing patterns for the Nursing Service Department. • Coordinates preparations to ensure compliance with Joint Commission Nursing Care Standards. • Develops, evaluates, implements, interprets, and maintains hospital plans, work standards, and procedures for clinical nursing practice in compliance with hospital policies, governmental regulations, and regulatory agency requirements. • Serves as a role model for nursing staff by adhering to established policies and procedures. • Participates as a member of the hospital management team and contributes to hospital strategic planning activities. • Interprets and supports the role of nursing within the hospital's strategic plans. • Manages personnel functions including interviewing, selecting, evaluating, disciplining, terminating personnel, or recommending such actions as necessary. • Ensures employees receive orientation and required in-service education. • Ensures nursing personnel maintain required licensure and certifications. • Ensures nursing education programs are developed and presented to promote clinical competency and staff development. • Determines staffing needs and staffing patterns and recommends appropriate staffing levels and classifications consistent with approved position authorizations. • Administers Bargaining Agreements at the local level as they pertain to Nursing Service personnel. • Performs other related duties as assigned. Qualifications Education • Master of Science in Nursing (MSN) required. Experience • Minimum of five (5) years of experience in Nursing supervision and/or administration required. • Formalized training and/or experience in effective management techniques required. Required Skills, Knowledge & Abilities • Demonstrated leadership ability. • Ability to motivate individuals and teams. • Ability to work cooperatively with individuals and groups. • Excellent verbal communication skills. • Excellent written communication skills. • Knowledge of nursing administration and management principles. • Ability to lead and support organizational and departmental initiatives. • Strong decision-making, organizational, and problem-solving skills. Licenses & Certifications • Must be licensed in the state of employment.

Registered Nurse, Tele/PCU

Community Memorial Healthcare Ventura, CA

$50.75 - $78.45 / hour

Compensation Salary Range: $50.75 - $78.45 per hour DOE The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where newly hired employees will be placed in the pay range include the employee specific skills and qualifications, relevant years of experience and comparison to other employees already in this role. Most often, a newly hired employee will be placed below the midpoint of the range. If you are viewing this posting on a job site, please visit our company page and search for the opportunity to view the pay range: https://careers-mycmh.icims.com/jobs Responsibilities Position Overview: Provides general nursing care to patients in hospital by performing the following duties; effectively plan and communicate patient and family education. Participates in unit based educational activities. Accurate and timely documentation consistent with practice and hospital policy. Explains procedures and treatments to patient to gain cooperation, understanding, and comprehension. Cross train in PCU per department needs. Qualifications Required: Current CA RN License Current BLS Certification Current ACLS Certification Six (6) months of recent full-time acute care experience in an acute care hospital or equivalent Successful completion of Stroke/Sepsis Education competency within 6 months of hire Preferred: Bachelors of Science Degree in Nursing (BSN) One (1) or more years previous Medical Surgical or Telemetry experience Certification for Progressive Care Nurse (PCCN) Knowledge of Det Norske Veritas (DNV) Overview Nationally Recognized. Community Focused. Community Memorial Healthcare is proud to earn the 2026 Outstanding Patient Experience Award™ from Healthgrades, placing Community Memorial Hospital – Ventura among the top 15% of hospitals nationwide and one of only 13 hospitals in Southern California recognized for patient experience excellence. Extraordinary patient care begins with extraordinary teams. View all of our awards and accreditations and learn more about us as you explore career opportunities with a team committed to compassionate, award-winning care. Community Memorial Health System was established in 2005 when Community Memorial Hospital in Ventura merged with Ojai Valley Community Hospital. It is comprised of these two hospitals along with a network of primary and specialty care health centers serving various communities across west Ventura County. Our health system is a community-owned, not-for-profit organization. As such, we are not backed by a corporate or government entity, nor do we answer to shareholders. We depend on – and answer to – the communities we serve. Community Memorial Healthcare Benefits To help heal, comfort, and promote health for the communities we serve, Community Memorial Healthcare takes care of our community of employees so our local community can be cared for. That’s why we provide competitive benefits, along with great career choices, training, and leadership development. Our total rewards package provides benefits that support you and your family’s health and wellness in all aspects of life. From our top tier insurance plans to our employee assistance program, take advantage of what CMH has to offer so you and your loved ones can have peace of mind now and for years to come. CMH is here for you and your family every step of the way. Competitive Pay Shift Differentials In-House Registry Rates Fidelity 403(b) Retirement Plan Paid Time Off Medical (EPO/PPO), Dental, & Vision Insurance Coverage Voluntary Worksite Benefits Employee Assistance Program Available 24/7 (EAP) Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Recognition programs Employee service recognition events Home, Retail, Travel & Entertainment Discounts National Hospital Week and National Nurses Week celebrations Community Memorial Healthcare is an equal opportunity employer to all, regardless of age, ancestry, color, disability (mental and physical), exercising the right to family care and medical leave, gender, gender expression, gender identity, genetic information, marital status, medical condition, military or veteran status, national origin, political affiliation, race, religious creed, sex (includes pregnancy, childbirth, breastfeeding and related medical conditions), and sexual orientation. We strive to promote an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work in our community. “We are an AA/EEO/Veterans/Disabled Employer”

LPN

Appalachian Regional Healthcare Middlesboro, KY

LPN

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities Performs basic nursing care and patient procedures as required. Participate in conferences and serves on Committees as requested. Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. Participates in patient and family health education as necessary. Provides a safe and secure environment for the patient. Prepares for and assists with diagnostic and therapeutic treatments. May administer I.V.F. in accordance with state Nurse Practice Act. Checks, irrigates and maintains drainage tubes as needed. May insert N/G tubes after training. (KY & VA). May administer tube feedings. Suctions patients according to hospital policy and procedure. Functions in emergencies and on the code team as designated. Performs catheterizations and provides catheter care. Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. Administers I.V.P. medications as approved. (In Virginia only). Cares for patients receiving oxygen therapy and analyses oxygen concentration of 02 tents, isolette and croupettes. Administers respiratory treatments (I.P.P.B.). Applies sterile and unsterile compresses and bandages of all types and styles. Answers call lights, assist patients with personal hygiene and other activities of daily living. Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. Cares for patients in isolation. Assists with physical and vaginal examinations and obtaining pap smears. Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. Prepares patients for surgery, including pre-op check lists. Applies ace bandages, all types of traction, hot water bottle and ice cap. Measures and records intake and output. Collects specimens; blood, urine, stool and sputum. Administers post-mortuum care and transportation. Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. Maintains cleanliness, safety and efficiency in nursing. Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. Assists with the care and security of the patients' valuables. Checks narcotics and barbiturates reports discrepancies, completes incident report appropriately and submits to appropriate management. Cares for patients with radium and assists physician with removal of radium. Prepares used equipment for re-sterilization. Cleans and maintains storage of equipment. Request repairs, follow-up with physician and other staff as appropriate regarding equipment performance. Comply with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. Monitors glucose via glucose monitor machine Collects Quality Improvement data as requested. Uses universal precautions. Performs other related duties as assigned. Qualifications Graduate of an accredited school of practical nursing. Must maintain current licensure in state of practice. Must successfully complete the I.V. Therapy Course. Technical skills in special nursing fields preferred. Six (6) months to one (1) year on-the-job training is required to attain proficiency of performance of assigned duties.

NP

Contract

Pediatrix Medical Group Tallahassee, FL

Neonatal Nurse Practitioner (PT/Hourly)

Overview We are seeking a certified, experienced, per diem Neonatal Nurse Practitioner to join our well-established practice of 30 years at Tallahassee Memorial Healthcare (TMH), home to the region’s only Newborn Intensive Care Unit. Responsibilities The only hospital in Tallahassee to earn the Baby-Friendly Hospital designation, TMH leads the region by delivering more than 75 percent of babies born in the area. With 19 labor and delivery rooms, the facility is dedicated to providing patient-centered care to new babies and their families. With an ADC of 25 and 4,000 annual deliveries, this is the only area facility designated as a Level-III Neonatal Intensive Care Unit and is equipped to handle high-risk moms and premature or critically ill babies. The hospital serves a 17 county region in North Florida and South Georgia, and receives transports from regional hospitals Affiliated with 3 residency programs. This is a multi-specialty practice, consisting of neonatologists, NNPs, pediatric intensivists and pediatric hospitalists, working as a team to provide family centered quality healthcare. Supported by a variety of other specialists including: pediatric cardiology, pediatric endocrinology, pediatric radiology, pediatric neurology and pediatric orthopedics. Friendly, professional atmosphere with great nurses and ancillary services – PICC team, IV therapy team and a full time child life specialist. NNP Shifts 24 hours in house Qualifications Current APRN national specialty certification Minimum of a master’s degree FL license required Certified NNPs with recent experience required Benefits and Compensation Our clinicians enjoy a competitive compensation package, with many locations offering sign-on bonuses and relocation. Benefits for Full Time employees and qualified dependents: Medical, Prescription, Dental, Vision Insurance Progyny Fertility Benefits Livongo Diabetes Management Teladoc Health and Second Opinion Services Smart Shopper 401(K) Thrift Program & Sharing Plan** Employee Stock Purchase Plan (ESPP) – 15% discount* Basic Employee; Spouse; Child Life Insurance Accidental Death and Dismemberment (AD&D) Employee Optional Life and AD&D Short & Long Term Disability Pre-Tax Health Savings Accounts (HSA) Employee and Dependent Flexible Spending Account (FSA) Family Medical Leave Act (FMLA)** Parental Leave Benefit Sick Pay Bank Employee Assistance Program (EAP)** Group Aflac Policies Identity Theft Protection Employee Charitable Fund Care.com Various Discount Programs *Part Time Regular employee classifications also receive this benefit **Available to part-time regular and part-time casual employees aged 21 and over About Us Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers . Pediatrix is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Appalachian Regional Healthcare South Williamson, KY

Registered Nurse

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 Education • Associate's Degree Required • Bachelor's Degree Preferred Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset (agility and developing yourself and others) skills. • Mastery of execution and delivery (planning, delivering, and supporting) skills. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. • Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills. Licenses & Certifications • Registered Nurse Required • BLS upon hire Required • De-Escalation Training within 6 months of hire Required • Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

Registered Nurse Tier 1 (Union) Psych

Appalachian Regional Healthcare Harlan, KY

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. Special Instructions 7pm - 7am 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 Associate's Degree in Nursing Required Bachelor's Degree in Nursing Preferred Up to 1 year Preferred Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse Required BLS upon hire Required De-Escalation Training within 6 months of hire Required

Full-time

Covenant Health Knoxville, TN

CLIN NURSE III

Overview Registered Nurse, Nephrology Full Time, 72 Hours Per Pay Period, Night Shift Every other weekend rotation. Rotation of minor and major holidays required. Fort Sanders Regional Overview: Fort Sanders Regional Medical Center is a 444-bed hospital recognized for pairing clinical expertise with advanced medical technology to deliver exceptional care. As a Joint Commission Comprehensive Stroke Center, we provide leading-edge treatment for stroke recovery. Our facility also offers specialized services in bariatric surgery, robotic surgery, minimally invasive spine procedures, and advanced orthopedic care. Fort Sanders Regional is part of Covenant Health, East Tennessee’s largest nonprofit health system and a Becker’s “Top 150 Places to Work in Healthcare.” Covenant Health includes nine hospitals and nearly 150 service locations, offering employees a comprehensive benefits package with tuition reimbursement, student loan assistance, certification bonuses, and leadership development programs. Position Summary: Provides professional nursing care within an assigned unit; coordinates care planning with other disciplines. Responsibilities Correlates patient history and support systems within hospital care/nursing home care. Assesses needs of patient and family. Develops and initiates plan of care, involving patient and family. Recommends interventions. Evaluates plan of care. Clinical expertise and knowledge is such that individual can resolve complex patient/management/physician problems without supervision. Demonstrates competence in performing critical skills to include appropriate delivery of care according to the age-specific needs of the population served. Leads process improvement initiatives in their own unit or participate in facility team. Precepts new employees/students or attends formal preceptor workshop and is willing to precept. Reviews clinical performance of preceptee with unit leader or clinical instructor. Provides four contact hours of educational activities, excluding basic patient education. Contributes to development and evaluation of unit orientation program. Supervises LPNs, Nursing Assistants, HUCs, Techs, and sitters. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority. Minimum Experience: Minimum of three (3) years professional experience. Licensure Requirement: Must have and maintain Tennessee State RN licensure. CPR required. BLS preferred.

Appalachian Regional Healthcare South Williamson, KY

Registered Nurse

Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Responsibilities Major Activities • Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. • Performs assessments and reassessments of patients. • Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. • Interprets plan of medical care, evaluates patients, and devises patient plan of care. • Maintains proper control of medicine, equipment and supplies specific to the assigned unit. • Plans for discharge of patient considering all available resources and continuum of care needs. • Refers patients to chaplain, social worker, and agencies as required. • Provides a safe and secure environment for the patient. • Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. • Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. • May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. • Performs certain special procedures for which specialized training and supervised experience has been received. • Plans for and provides effective patient and family education. • Documents pertinent findings, plan of care and evaluation of care in the medical record. • Assists patients in performing activities of daily living to meet the basic human needs. • Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. • May accompany patients who are transferred to another medical facility. • Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. • Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. • Participates in teaching activities for other hospital personnel and nursing students. • Participates in the orientation of new employees. • Participates in interdisciplinary team meetings. • Participates in committee meetings as requested. • Attends in-service programs per contract. • Assumes responsibility for personal professional development. • Assists in the development of review and revision of Nursing policies and procedures. • Respects the dignity and confidentiality of all matters relating to the patients. • Operates crucial care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedure. • Perform such special procedures as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and plerevac; set-up and assistance with peritoneal dialysis, paracentesis, thoracentesis. • Performs other related duties as required within the scope of the job classification. Specific Accountabilities • Responsible for assessment/reassessment of patients and documentation of nursing intervention. • Responsible for implementing the patient plan of care. • Responsible for determining which nursing acts can be delegated and to whom. • Responsible for providing direction and assistance to those supervised, observes and monitors the activities of those supervised and evaluates the effectiveness of acts performed under supervision. • Responsible for assuring that the individual performing delegated nursing acts has the necessary educational preparation and validation of competence in order to perform the act in a safe manner. • Responsible for preparing reports, charts, records, and forms required by hospital, state and federal agencies. • Responsible for participating in educational programs to further professional growth and development, and assisting in conducting in-service programs. • Perform other duties as assigned. Supervision • The provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice [201 KAR 20:400 Section 1 (7)]. Qualifications Education • Graduation from a State accredited or approved school of nursing. • Must maintain current licensure in state of practice. Required Skills, Knowledge & Abilities • Prior to assignment as sole RN provider, the nurse must successfully complete critical care course acceptable to the Director of Nursing and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • The nurse shall be adequately oriented to policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Licenses & Certifications • Must maintain current licensure in state of practice.

Registered Nurse Tier 1 (Union) ICU

Appalachian Regional Healthcare South Williamson, KY

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 Education • Associate's Degree; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to specific department in which they will be working. • Experience with Electronic Health Record Preferred. Required Skills, Knowledge & Abilities • Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures. • Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis. • Able to manage specialty drips using approved protocols. • Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • The nurse shall be adequately oriented to unit policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. • Completion of the following Competencies: • Moderate Sedation • Completion of Stroke Modules • Restraints Licenses & Certifications • Registered Nurse Required • Advanced Dysrhythmia/EKG Required • NIH Stroke Certification Required • BLS Required • Advanced Life Support Certification Required • De-Escalation Training within 6 months of hire Required • Pediatric Advanced Life Support Certification (recommended) Preferred

Appalachian Regional Healthcare Harlan, KY

Registered Nurse Tier 1(Union)

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 Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

LPN

Appalachian Regional Healthcare South Williamson, KY

Licensed Practical Nurse

Overview The LPN is responsible for performing a wide variety of nursing care, patient activities, and accommodative services for the comfort and well-being of patients in accordance with physicians' orders and under the guidance and direction of the Registered Nurse. Responsibilities • Performs basic nursing care and patient procedures as required. • Participates in conferences and serves on committees as requested. • Observes, reports, and documents changes in patient condition, observations made, complaints voiced, and nursing care performed. • Participates in patient and family health education as necessary. • Provides a safe and secure environment for patients. • Prepares for and assists with diagnostic and therapeutic treatments. • May administer I.V.F. in accordance with the State Nurse Practice Act. • Checks, irrigates, and maintains drainage tubes as needed. • May insert N/G tubes after training (KY & VA). • May administer tube feedings. • Suctions patients according to hospital policy and procedure. • Functions in emergencies and on the code team as designated. • Performs catheterizations and provides catheter care. • Administers oral, intramuscular, intradermal, subcutaneous, I.V., P.B., and approved medications. • Administers I.V.P. medications as approved (Virginia only). • Cares for patients receiving oxygen therapy and analyzes oxygen concentration of O2 tents, isolettes, and croupettes. • Administers respiratory treatments (I.P.P.B.). • Applies sterile and unsterile compresses and bandages of all types and styles. • Answers call lights and assists patients with personal hygiene and activities of daily living. • Tests urine for sugar, acetone, and pH, weighs patients, and obtains vital signs. • Cares for patients in isolation. • Assists with physical and vaginal examinations and obtaining Pap smears. • Administers post-operative care, including coughing, deep breathing, turning patients, and obtaining vital signs. • Prepares patients for surgery, including completion of pre-operative checklists. • Applies ace bandages, all types of traction, hot water bottles, and ice caps. • Measures and records intake and output. • Collects specimens, including blood, urine, stool, and sputum. • Administers post-mortem care and transportation. • Administers enemas, including retention, cleansing, therapeutic, and colonic irrigation. • Maintains cleanliness, safety, and efficiency in nursing care. • Responds appropriately in emergency situations, providing patient care, initiating CPR, and performing duties designated by the RN or physician. • Assists with the care and security of patient valuables. • Checks narcotics and barbiturates, reports discrepancies, completes incident reports, and submits documentation to appropriate management. • Cares for patients with radium and assists physicians with removal of radium. • Prepares used equipment for re-sterilization. • Cleans and maintains storage of equipment and requests repairs as appropriate. • Follows up with physicians and staff regarding equipment performance. • Complies with hospital policies for obtaining, documenting, and following through on telephone and verbal orders. • Monitors glucose using a glucose monitoring device. • Collects Quality Improvement data as requested. • Uses universal precautions. • Performs other related duties as assigned. Qualifications Education • Graduate of an accredited school of practical nursing. Licenses & Certifications • Must maintain current licensure in the state of practice. • Must successfully complete the I.V. Therapy Course. Experience • Six (6) months to one (1) year of on-the-job training is required to attain proficiency in the performance of assigned duties. Required Skills, Knowledge & Abilities • Technical skills in special nursing fields preferred. • Ability to provide safe and effective patient care in accordance with nursing standards and scope of practice. • Ability to perform nursing procedures and treatments accurately. • Strong communication and documentation skills. • Ability to work effectively as part of a multidisciplinary healthcare team. • Ability to function effectively in a fast-paced clinical environment.

Appalachian Regional Healthcare South Williamson, KY

Registered Nurse

Overview The Staff Nurse is accountable for interpreting the plan of medical care, assessment of patients clinical decision-making regarding nursing care, assuring nursing care is provided in a safe and competent manner, providing individualized nursing care, and evaluating nursing care for groups of patients. The Staff Nurse provides clinical supervision to LPNs, Nursing Aides, and Nursing Service Clerks where applicable. Responsibilities Major Activities • Takes report from prior shift and gives report to oncoming shift which includes condition of patients, diagnosis, treatments, procedures given and required and other aspects of the plan of care. • Performs assessments and reassessments of patients. • Reviews ancillary service reports, communicates abnormal results to physicians, and notifies supervisor and physician when ancillary services are not completed. • Interprets plan of medical care, evaluates patients, and devises patient plan of care. • Maintains proper control of medicine, equipment and supplies specific to the assigned unit. • Plans for discharge of patient considering all available resources and continuum of care needs. • Refers patients to chaplain, social worker, and agencies as required. • Provides a safe and secure environment for the patient. • Implements the patient plan of care by assigning tasks to nursing and non-nursing personnel, and continuously assessing and evaluating patient care and patient's responses to nursing care. • Performs nursing treatments and procedures and total patient care which may require expert skill and judgment in accordance with established nursing standards. • May accompany physicians when possible on rounds, communicates pertinent information about patient to the physician, and assists the physician with treatments and procedures or delegate if not possible. • Performs certain special procedures for which specialized training and supervised experience has been received. • Plans for and provides effective patient and family education. • Documents pertinent findings, plan of care and evaluation of care in the medical record. • Assists patients in performing activities of daily living to meet the basic human needs. • Prepares and maintains reports, charts, records, and forms as required by hospital, state, and federal regulations. • May accompany patients who are transferred to another medical facility. • Notifies supervisor, doctor, and/or family/guardian as appropriate when patient's condition changes. • Observes and evaluates work performed by LPNs, Nursing Aides, and Clerks to validate that treatments and procedures are being performed in compliance with the plan of care and established hospital guidelines. • Participates in teaching activities for other hospital personnel and nursing students. • Participates in the orientation of new employees. • Participates in interdisciplinary team meetings. • Participates in committee meetings as requested. • Attends in-service programs per contract. • Assumes responsibility for personal professional development. • Assists in the development of review and revision of Nursing policies and procedures. • Respects the dignity and confidentiality of all matters relating to the patients. • Operates crucial care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. • Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedure. • Perform such special procedures as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and plerevac; set-up and assistance with peritoneal dialysis, paracentesis, thoracentesis. • Performs other related duties as required within the scope of the job classification. Specific Accountabilities • Responsible for assessment/reassessment of patients and documentation of nursing intervention. • Responsible for implementing the patient plan of care. • Responsible for determining which nursing acts can be delegated and to whom. • Responsible for providing direction and assistance to those supervised, observes and monitors the activities of those supervised and evaluates the effectiveness of acts performed under supervision. • Responsible for assuring that the individual performing delegated nursing acts has the necessary educational preparation and validation of competence in order to perform the act in a safe manner. • Responsible for preparing reports, charts, records, and forms required by hospital, state and federal agencies. • Responsible for participating in educational programs to further professional growth and development, and assisting in conducting in-service programs. • Perform other duties as assigned. Supervision • The provision of guidance by a qualified nurse for the accomplishment of a nursing task with periodic observation and evaluation of the performance of the task including validation that the nursing task has been performed according to established standards of practice [201 KAR 20:400 Section 1 (7)]. Qualifications Education • Graduation from a State accredited or approved school of nursing. • Must maintain current licensure in state of practice. Required Skills, Knowledge & Abilities • Prior to assignment as sole RN provider, the nurse must successfully complete critical care course acceptable to the Director of Nursing and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. • Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. • The nurse shall be adequately oriented to policies, procedures and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Licenses & Certifications • Must maintain current licensure in state of practice.

Registered Nurse Tier 1 (Union) Psych

Appalachian Regional Healthcare Harlan, KY

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. Special Instructions 7pm- 7am 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 Associate's Degree in Nursing Required Bachelor's Degree in Nursing Preferred Up to 1 year Preferred Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse Required BLS upon hire Required De-Escalation Training within 6 months of hire Required

Clinical Nurse Manager-Highlands

Appalachian Regional Healthcare Prestonsburg, KY

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred

Appalachian Regional Healthcare Prestonsburg, KY

Registered Nurse Tier 1 ER

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 orients 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 Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. Qualifications Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills Must possess basic computer skills. Ability to pass Medication Exam. Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation Completion of Stroke Modules Restraints The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred