Nursing Jobs in Big Stone Gap, VA

Letcher Manor

Licensed Practical Nurse (LPN)

Are you a Licensed Practical Nurse with a passion for geriatrics? Do you desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! Our facility is comprised of professionals dedicated to maintaining the highest quality of life for those served while encouraging the support of family, friends, and community. Letcher Manor is seeking dedicated Licensed Practical Nurses. This career opportunity is available on all shifts! We are looking for candidates who are devoted to providing the highest quality of care to our residents. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. LPN Schedule: Day Shift or Night Shift Full-Time, Part-Time, or PRN LPN Required License: Current/active Licensed Practical Nurse required LPN Employee Benefits*: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, Letcher Manor is proud to offer the following benefits: $3.00/Hour Evening & Night Shift Differential Pay $3.00/Hour Weekend Differential Pay DailyPay - Work Today, Get Paid Today! Modified Compensation "Pay in Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Tuition Reimbursement Perfect Attendance Perks Paid Time Off and Paid Holidays *Benefit eligibility depends on employment status. If you are interested in applying your skills for a leader in the long term care industry, then we invite you to apply today! Equal Opportunity Employer.
SYNERGY HomeCare

In the Home Caregiver

Caregiver Career Opportunity – Make a Difference with SYNERGY HomeCare Are you passionate about helping others and looking for a meaningful career? SYNERGY HomeCare is seeking compassionate, dependable, and professional caregivers to provide non-medical, in-home care services. Whether you're experienced in caregiving or looking to start a rewarding career, we’d love to have you on our team! Do you: Enjoy bringing comfort and support to others? Have a big heart and a caring personality? Take pride in going the extra mile to provide exceptional care? If this sounds like you, SYNERGY HomeCare is the perfect place to grow your career! What Makes SYNERGY HomeCare a Great Place to Work? At SYNERGY HomeCare, we’re dedicated to creating a compassionate environment for both clients and caregivers. As a locally owned and operated agency, we deliver a wide range of non-medical home care services, from companionship to personal care, helping our clients maintain their independence and dignity at home. What You’ll Receive as Part of Our Team: Competitive Pay – Your hard work will be rewarded. Medical, Vision, and Dental Insurance – Available for part-time employees, with a percentage of certain plans covered for full-time employees. Paid Time Off (PTO) – Available for eligible employees. Get Paid the Next Day Program – Access your earnings when you need them. Flexible Scheduling – Create a schedule that works for your life. Local Assignments – We prioritize matching you with clients close to your location. Mileage Reimbursement – Compensation for mileage when running client errands. Ongoing Training – Free, paid courses to grow your skills and advance in your career. Referral Bonuses – Earn rewards for referring your friends and family to join our team. Perfect Attendance Bonuses – Be rewarded for reliability and consistency. Holiday Pay – Time-and-a-half pay for holidays and overtime. Free CPR Certification – Provided at no cost to you. Recognition Programs – Monthly, quarterly, and annual awards to celebrate your dedication and hard work. As a SYNERGY HomeCare Caregiver, You Will: Provide compassionate, non-medical care tailored to your clients’ needs. Assist with daily living tasks such as meal preparation, light housekeeping, and medication reminders. Offer companionship and emotional support to clients. Build strong relationships with clients, their families, and team members. Maintain a reliable, professional approach to caregiving. What We’re Looking For: We are seeking caregivers who are dependable, compassionate, and dedicated to making a meaningful difference in the lives of others. No prior caregiving experience? That’s okay! We provide comprehensive training to ensure you have the skills and confidence needed to excel in your role. Experienced caregivers? We value your expertise and will ensure you’re compensated accordingly. Plus, we offer opportunities for growth and advancement within the company, recognizing and rewarding your dedication and experience. At SYNERGY HomeCare, we believe in supporting our caregivers so they can thrive personally and professionally while providing exceptional care to our clients. Take the First Step Toward a Rewarding Career in Caregiving! Join our team at SYNERGY HomeCare and make a positive impact every day. Apply today to start your journey with us!
American Medical Associates

Staff Development Coordinatro / Infection Control RN

Staff Development/Infection Control Nurse - Nursing Home Located in Kingsport, TN *SALARY RANGE: $65K to $75K per year depending on experience* APPLY TODAY!! Qualifications: Must have current Tennessee RN license Must have Infection Control Certification Must have experience as an Infection Control Nurse in long term care Must have LTC experience and thorough knowledge of state/federal regulations governing the nursing home industry. Must have nurse education experience Must have long term care/nursing home experience Strong written and verbal communication skills Responsibilities: Provides orientation/ongoing education to Nursing Staff. May provide orientation/education for employees for various departments as indicated Has the authority to formulate, affect, interpret, and implement management policies and operating practices with regard to Nursing responsibilities. Performs administrative requirements such as completing necessary forms, reports, class attendance and subject records Educate staff on new protocols/policy etc. Be involved in/provide on unit education. Make rounds on all units/all shifts and meet with staff to identify educational needs and compliance with facility policies and nursing standards of practice. Development of new lesson plans as indicated. Initiate and participate in new educational strategies. Maintains in-service records for all staff members. Identifies educational needs of Nursing staff and provides individual, group and unit education/in-service. Observes Nursing staff for competency and clinical practices. Observes CNAs to assure carrying out and completion of tasks in an appropriate manner. Makes rounds on all units with staff to identify educational needs and compliance with facility needs and nursing standards of practice. Participates in the developing, maintaining, and updating of written policies and procedures that govern day-to-day activities of the Performance Improvement/ Infection Control department Analyze and evaluate Performance Improvement/ Infection Control programs, policies and procedures Develop, implement, review and revise Performance Improvement/ Infection Control activities within the PI/ Infection Control Program Ensure compliance with government and accrediting agency standards and regulations pertaining to Performance Improvement and Infection Control Plan and oversee all Performance Improvement/ Infection Control programs and evaluate program outcomes Revise policies, procedures and programs as needed to improve departmental functions and to ensure the departments are meeting the needs of the resident, their family, the facility, and regulatory agencies Develop, implement and monitor systems for Performance Improvement/ Infection Control documentation and record keeping necessary to maintain accountability and compliance with federal and state regulations and facility policies #7528
American Medical Associates

MDS Coordinator

MDS Coordinator Located in Kingsport, TN Salary: $80K - $90K ; based on experience APPLY TODAY!!! Qualifications: Must have valid Tennessee RN license Must have long term care experience Must have at least two years of MDS experience Must know MDS 3.0 Responsibilities of the MDS Coordinator: Conduct and coordinate the development and completion of the resident assessment (MDS) Maintain and periodically update written policies and procedures that implement MDS and care plan. Assist the resident in completing the care plan portion of the resident’s discharge plan. Develop and implement procedures with the Director of Nursing Services to inform all assessment team members of the arrival of newly admitted residents. Assist Facility directors and supervisors in scheduling the resident assessment and care plan meetings. Assist in determining appropriate treatment, selecting activities and exercises based on medical and social history of residents. Participate in the development and implementation of resident assessments (MDS) and care plans, including quarterly and annual reviews. #6138
Gentiva

Hospice Nurse Practitioner

Overview Expand Access. Build Partnerships. Transform Hospice Care. We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice eligibility certification and recertification. In this role, you will gather comprehensive clinical information, perform detailed assessments, and collaborate closely with hospice physicians and interdisciplinary teams to ensure quality patient care and regulatory compliance. Key Responsibilities: Perform and complete physical assessments for hospice F2F encounters within CMS-established regulatory timeframes. Document clinical findings accurately and attest F2F encounters in patient medical records. Utilize Local Coverage Determination (LCD) criteria per hospice policy and regulatory requirements. Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying physicians. Collaborate effectively with physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. Provide clinical recommendations to the IDG based on F2F assessment findings. Conduct assessments in the patient’s place of residence, including home, skilled nursing, or other settings. Notify the hospice agency promptly if unable to complete F2F visits as scheduled. May provide F2F coverage for multiple provider numbers with approval. About You Qualifications – What You’ll Bring: Master’s or higher degree in Nursing Completion of an accredited graduate-level nurse practitioner education program Current registered nurse license in state of practice Current advanced practice nurse license or certification National Nurse Practitioner certification (ANCC or AANP) Collaborative agreement in place as required Current CPR certification Valid driver’s license and automobile insurance Strong understanding of hospice care principles and terminally ill patient support systems Excellent patient assessment and clinical evaluation skills Familiarity with LCD criteria and hospice documentation requirements Knowledge of Medicare, Medicaid, ACHC, and other regulatory guidelines Strong oral and written communication skills Compassionate and sensitive to end-of-life issues impacting patients and families Ability to provide emotional support during times of crisis Flexible and adaptable with ability to manage diverse tasks efficiently Effective communicator across diverse socioeconomic and cultural backgrounds Cooperative and tactful team member adhering to OSHA, state, and federal hospice regulations Preferred (Not Required): Experience in acute care, hospital, oncology, home health, skilled nursing, or hospice settings We Offer Benefits for All Associates (Full-Time, Part-Time & Per Diem): Competitive Pay 401(k) with Company Match Career Advancement Opportunities National & Local Recognition Programs Teammate Assistance Fund Additional Full-Time Benefits: Medical, Dental, Vision Insurance Mileage Reimbursement or Fleet Vehicle Program Generous Paid Time Off + 7 Paid Holidays Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care) Education Support & Tuition Assistance (ASN to BSN, BSN to MSN) Free Continuing Education Units (CEUs) Company-paid Life & Long-Term Disability Insurance Voluntary Benefits (Pet, Critical Illness, Accident, LTC) Join our hospice team Play a vital role in delivering compassionate, compliant care that honors patients’ dignity and supports families during challenging times Legalese This is a safety-sensitive position Employee must meet minimum requirements to be eligible for benefits Where applicable, employee must meet state specific requirements We are proud to be an EEO employer We maintain a drug-free workplace ReqID: 2026-137855 Category: Nurse Practitioners Position Type: Flex/Per Diem Company: Gentiva Hospice
Oak Street Health

Registered Nurse

$60,522 - $129,615 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Title: Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team. At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients. Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable). Core Responsibilities: Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations Provide clinically competent triage and symptom management to patients who may or may not be physically present Utilize standardized protocols for medication management, prescription refills and prior authorizations. Conduct thorough and accurate reviews of patient medications and update as needed Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are Delegation of activities to other clinical care team members to support the needs of our patients Participate in care team meetings to discuss patient care and clinic operations Deliver an exceptional patient experience through service, responsiveness and respectful care Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed Performs other related duties as assigned What we're looking for Required Qualifications: Active Registered Nurse (RN) Licensure in good standing with the applicable state BLS Certification Electronic Medical Record (EMR) experience Ability to maintain patient confidentiality and process information in a confidential manner US work authorization Ability to assess patients without face-to face interaction, strong communication and assessment skill Strongly Preferred Qualifications: Ability to collaborate and communicate with members of an interdisciplinary care team Excellent computer skills with ability to read, interpret and analyze data from various computer systems Effective problem solving and prioritization skills 2+ years of healthcare experience, working as an RN Preferred Qualifications: Previous experience in clinic setting Ability to work independently Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
CareMed

Part Time / PRN Wound Care Nurse Practitioner

Company Description CareMed Health Solutions is a facility-based team of medical providers who provide medical services to patients living in long term care facilities. We strive to give quality care to residents while working together with the facility to carry out the best care possible. While an interdisciplinary care team to provide medical care to patients in long term care facilities, you will have the opportunity to impact in a positive way the life and wellbeing of the elderly population. We are currently seeking Nurse Practitioners provide medical services to patients living in long term care facilities. NP ROLE AND RESPONSIBILITIES: Provide primary and preventative care for long term care patients residing in skilled nursing facilities. Manage Residents with acute change in condition. Advanced care planning and chronic care management. Prescribe appropriate medications, including controlled substances in accordance with KY Law. Order, review and/or follow-up with treatments and diagnostic testing. Communicate with the nursing home staff on a regular and as needed to discuss changes in condition. and/or the care plan. Collaborate with primary care physician. NP QUALIFICATIONS AND EDUCATION REQUIREMENTS Current, unrestricted NP license in the state of Kentucky. Board Certification. DEA licensure. Clinical background in adult, family or geriatric specialties. Experience working in a long-term care setting. Ability to work with an EMR. Ability to manage patients with advanced illness and multiple chronic conditions. Ability to work within an interdisciplinary care team to coordinate patient care. NP BENEFITS Recertification Reimbursement Continuing Education Credits Malpractice Insurance
Letcher Manor

State Registered Nurse Aide (SRNA/CNA)

Base rate starts at $18.50! Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! We are seeking compassionate State Registered Nurse Aides. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. SRNA/CNA Schedule: Day and Night Shifts Available Full or Part-time 12-Hour Shifts SRNA/CNA Requirements: It is preferred that the Nursing Assistant will have a minimum of a high school diploma or completed a GED program. Applicants and employees will have graduated from an approved Nurse Aide Training program, or be eligible to enter such a program and graduate and pass a state approved competency evaluation with 120 days from the date of employment. Nursing Assistants will be listed on the Nurse Aide Registry. SRNA/CNA Employee Benefits: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, we are proud to offer the following benefits*: Shift Differential Pay for Nights & Weekends Modified Compensation "Pay In Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term Disability and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Continuing Education and Scholarship Opportunities Perfect Attendance Perks Paid Time Off *Benefit eligibility depends on employment status. **Pay rate depends on experience, shift, and PTO election. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long term care industry, then we encourage you to apply today! Equal Opportunity Employer.
BrightSpring Health Services

LPN / Licensed Practical Nurse - Private Duty (Days)

Our Company Adoration Home Health and Hospice Overview Are you a Licensed Practical Nurse looking for a new opportunity? Adoration Private Duty is seeking a passionate, dedicated Private Duty LPN to join our team in Kingsport, TN . Our Private Duty LPNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Greeneville, TN Coverage area: Kingsport, TN Schedule: Full-Time; Days Skilled Nursing Monday - Friday 8:00am - 4:00pm How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! *Benefits may vary by employment status Responsibilities As a Private Duty Licensed Practical Nurse, You will: Providing 1:1 care for client following client's plan of care at all times while maintaining client's dignity and independence Administering medications, feedings, oxygen, ostomy care as needed per client's plan of care and provided assessments of results Accurately documenting nursing actions of all care given and communication with family, case manager, and physicians as well as documenting the progress and outcomes for established goals and informing physician, case manager, and families of changes in client's medical condition and needs Coordinating or ordering supplies, medications, and feedings as needed to insure adequate amounts are always on hand Ensuring all patient needs are being met in accordance with the instructions of the physician Qualifications LPN/LPT/LVN Degree from an accredited college of nursing with current unrestricted registration and license in the state of practice Valid driver’s license, acceptable driving record and proof of car insurance CPR professional certification 1+ years of nursing experience preferred Home Health care experience preferred About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn.
Letcher Manor

Registered Nurse (RN)

Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor team! We have a career opportunity available for a Registered Nurse (RN) Position. We're seeking an exceptional Registered Nurse that is dedicated to maintaining the highest quality of care while encouraging the support of family, friends, and community. We are looking for candidates who are devoted to providing the highest quality of professional care to our residents. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. You will be working alongside other nurses while providing direction, physician collaboration, quality assurance and other managerial tasks. A full time Nurse Practitioner is on location and available 24/7. RN Requirements: Current/valid Registered Nurse license from the state licensing board. RN Skills: Applicant must possess strong clinical, communication, and organizational skills. RN Schedule: Day Shift or Night Shift 12 Hour Shifts Full-time RN Employee Benefits*: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, Letcher Manor is proud to offer the following benefits: $3.00/Hour Evening & Night Shift Differential $3.00/Hour Weekend Differential Modified Compensation "Pay in Lieu of Benefits" Option RN Student Loan Payback Program 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Long-Term and Short-Term Disability Health, Vision, & Dental Accident, Critical Illness, & Hospital Indemnity Plans Tuitoin Reimbursement Perfect Attendance Perks Paid Time Off and Paid Holidays *Benefit eligibility depends on employment status. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long-term care industry, then we encourage you to apply today! Equal Opportunity Employer.
Fresenius Medical Care

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. · Performs ongoing, systematic collection and analysis of patient data pre – during – post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. · Assesses, collaborates, and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. · The position may require travel to training sites or other facilities. · May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above. SUPERVISION: Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 9 months experience as a RN. · Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification. · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
State of Virginia

Registered Nurse (Part-Time) #W1802: Wise Correctional Unit #18

$47 / hour
Title: Registered Nurse (Part-Time) #W1802: Wise Correctional Unit #18 State Role Title: Registered Nurse I Hiring Range: $47.00/hour Pay Band: 4 Agency: Dept of Corr - Central Admin Location: Wise Correctional Unit 18 Agency Website: https://vadoc.virginia.gov Recruitment Type: General Public - G Job Duties Provide nursing care within adult institutions by utilizing the nursing process of assessment, planning, implementing, and evaluating institutional patients per the standards of practice. Standard of care is achieved through a multitude of services to include 24-hour nursing care, telemedicine, chronic care clinics, sick call screenings/triage, medication administration, patient education, and basic life supporting/emergency care. Document all pertinent information into the health record while practicing confidentiality and interfacing with other departments on an as-needed basis. Registered Nurses possess the ability to delegate tasks/workload and work hours, days, and locations as assigned. Registered Nurses are capable and available to provide coverage as needed to meet institutional needs. To provide evidence-based nursing care and promote continued competence through education/certification with a focus on correctional nursing. Assignments to other duties or locations may be necessary to meet the clinical and administrative needs of the Department. This is a wage position limited to working no more than 1,500 hours per agency during the 12 month period of May 1 – April 30, regardless of the hire date. The wage employment period resets on May 1 of the following year. All wage employees are limited to working no more than 29 hours per week on average over the 12-month period. This wage position offers no state benefits. Minimum Qualifications Possess and maintain valid unrestricted Virginia RN license (if you are a recent graduate of a nursing program in VA and not yet licensed, NCLEX-RN Exam must be scheduled at time of application) Certified Basic Life Support (BLS) for health care providers with current certification through American. Heart Association (AHA) or American Red Cross (ARC) is required upon hire Additional Considerations Experience in a correctional setting Special Instructions You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position. If selected as a finalist with the VADOC, candidates can expect the following: Background Investigation Requirements: All applicants are subject to a background investigation. Investigations may include fingerprint checks (State Police, FBI); local agency checks; employment verification; verification of education (relevant to employment); credit checks; and other checks based on the position. Drug Testing Requirements: Applicants applying to a designated safety sensitive position are subject to a pre-employment drug screen. Marijuana use is prohibited for positions that require possession of a firearm or a Commercial Driver’s License in the performance of official duties such as Corrections Officers, Probation Officers, Tractor Trailer Drivers and others. Application Requirements: Application and/or résumé for this position are only accepted electronically through the Commonwealth of Virginia’s Electronic Recruitment System. All applications should be submitted by 11:55pm on the closing date for the position. Mailed, emailed, faxed, or hand delivered applications and/or résumés will not be accepted. The decision to interview an applicant is based solely on the information received for this position from the electronic application and/or résumé. Layoff Preferences: Applicants who possess an Interagency Placement Screening Form (Yellow Form) or a Preferential Hiring Form (Blue Form) as issued under the Department of Human Resources Management (DHRM) Policy 1.30 Layoff (Commonwealth of VA employees only) MUST attach these forms when submitting their state application and/or résumé. VADOC is an EEO employer and is committed to supporting workforce diversity, equitable opportunities and inclusivity. Reasonable accommodations are available upon request. VADOC values our Veterans and encourages all to apply and receive preference in the hiring process. AmeriCorps, Peace Corps, and other nation service alumni are also encouraged to apply. Click here for more information: Virginia Values Veterans (V3) Program - Virginia Department of Veterans Services. Contact Information Name: Alexandra Helfrecht Phone: (804) 235-1883 Email: Alexandra.Helfrecht@vadoc.virginia.gov In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019. Note : Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
State of Virginia

Registered Nurse (Part-Time) #W1802: Wise Correctional Unit #18

$47 / hour
Title: Registered Nurse (Part-Time) #W1802: Wise Correctional Unit #18 State Role Title: Registered Nurse I Hiring Range: $47.00/hour Pay Band: 4 Agency: Dept of Corr - Central Admin Location: Wise Correctional Unit 18 Agency Website: https://vadoc.virginia.gov Recruitment Type: General Public - G Job Duties Provide nursing care within adult institutions by utilizing the nursing process of assessment, planning, implementing, and evaluating institutional patients per the standards of practice. Standard of care is achieved through a multitude of services to include 24-hour nursing care, telemedicine, chronic care clinics, sick call screenings/triage, medication administration, patient education, and basic life supporting/emergency care. Document all pertinent information into the health record while practicing confidentiality and interfacing with other departments on an as-needed basis. Registered Nurses possess the ability to delegate tasks/workload and work hours, days, and locations as assigned. Registered Nurses are capable and available to provide coverage as needed to meet institutional needs. To provide evidence-based nursing care and promote continued competence through education/certification with a focus on correctional nursing. Assignments to other duties or locations may be necessary to meet the clinical and administrative needs of the Department. This is a wage position limited to working no more than 1,500 hours per agency during the 12 month period of May 1 – April 30, regardless of the hire date. The wage employment period resets on May 1 of the following year. All wage employees are limited to working no more than 29 hours per week on average over the 12-month period. This wage position offers no state benefits. Minimum Qualifications Possess and maintain valid unrestricted Virginia RN license (if you are a recent graduate of a nursing program in VA and not yet licensed, NCLEX-RN Exam must be scheduled at time of application) Certified Basic Life Support (BLS) for health care providers with current certification through American. Heart Association (AHA) or American Red Cross (ARC) is required upon hire Additional Considerations Experience in a correctional setting Special Instructions You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position. If selected as a finalist with the VADOC, candidates can expect the following: Background Investigation Requirements: All applicants are subject to a background investigation. Investigations may include fingerprint checks (State Police, FBI); local agency checks; employment verification; verification of education (relevant to employment); credit checks; and other checks based on the position. Drug Testing Requirements: Applicants applying to a designated safety sensitive position are subject to a pre-employment drug screen. Marijuana use is prohibited for positions that require possession of a firearm or a Commercial Driver’s License in the performance of official duties such as Corrections Officers, Probation Officers, Tractor Trailer Drivers and others. Application Requirements: Application and/or résumé for this position are only accepted electronically through the Commonwealth of Virginia’s Electronic Recruitment System. All applications should be submitted by 11:55pm on the closing date for the position. Mailed, emailed, faxed, or hand delivered applications and/or résumés will not be accepted. The decision to interview an applicant is based solely on the information received for this position from the electronic application and/or résumé. Layoff Preferences: Applicants who possess an Interagency Placement Screening Form (Yellow Form) or a Preferential Hiring Form (Blue Form) as issued under the Department of Human Resources Management (DHRM) Policy 1.30 Layoff (Commonwealth of VA employees only) MUST attach these forms when submitting their state application and/or résumé. VADOC is an EEO employer and is committed to supporting workforce diversity, equitable opportunities and inclusivity. Reasonable accommodations are available upon request. VADOC values our Veterans and encourages all to apply and receive preference in the hiring process. AmeriCorps, Peace Corps, and other nation service alumni are also encouraged to apply. Click here for more information: Virginia Values Veterans (V3) Program - Virginia Department of Veterans Services. Contact Information Name: Alexandra Helfrecht Phone: (804) 235-1883 Email: Alexandra.Helfrecht@vadoc.virginia.gov In support of the Commonwealth’s commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at 800-552-5019. Note : Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Letcher Manor

State Registered Nurse Aide (SRNA/CNA)

Base rate starts at $18.50! Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! We are seeking compassionate State Registered Nurse Aides. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. SRNA/CNA Schedule: Day and Night Shifts Available Full or Part-time 12-Hour Shifts SRNA/CNA Requirements: It is preferred that the Nursing Assistant will have a minimum of a high school diploma or completed a GED program. Applicants and employees will have graduated from an approved Nurse Aide Training program, or be eligible to enter such a program and graduate and pass a state approved competency evaluation with 120 days from the date of employment. Nursing Assistants will be listed on the Nurse Aide Registry. SRNA/CNA Employee Benefits: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, we are proud to offer the following benefits*: Shift Differential Pay for Nights & Weekends Modified Compensation "Pay In Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term Disability and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Continuing Education and Scholarship Opportunities Perfect Attendance Perks Paid Time Off *Benefit eligibility depends on employment status. **Pay rate depends on experience, shift, and PTO election. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long term care industry, then we encourage you to apply today! Equal Opportunity Employer.
NHC

CNA - Hospice Aide

$16 - $18 / hour
Position: CNA / Hospice Aide Pay : $16.00 - $18.00 / hour Depending on experience Caris Healthcare Certified Nursing Assistant / Hospice Aide provides compassionate, supportive, and physical care to patients with a life limiting illness. The hallmarks of this position include assisting patients with personal care, providing encouragement and support to patients and families, and communicating patient observations with the hospice team. Certification required. Caris Healthcare’s mission is to provide hospice care with grace. Serving patients throughout the Southeast region, we support our team members, patients and their families with compassion, accountability, respect, integrity and service. If you are ready for a rewarding career with a company that offers employees a culture of integrity and excellence, consider joining the Caris Healthcare team. At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide. Benefits include: Competitive Salary Bonus Eligibility Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Responsibilities Provides personal care, exercise, and ambulation to patients per state and federal regulations Utilizes safety techniques and proper body mechanics when administering care, transferring patients, and performing other work responsibilities Takes and records vital signs or other metrics as instructed Records and reports changes in the patient’s mental and physical status to RN Participates in weekend rotation for scheduled visits Prepares light meals, launders, and performs other household services that are essential to the patient’s health care Maintains twelve (12) hour educational requirements Qualifications Successful completion of a Certified Nurse Aide program with current certification In good standing with state regulations Excellent communication and interpersonal skills Ability to work well with a team and independently with minimal direct supervision Proficient computer and technology skills If you see yourself a good fit and want to join our team apply today! Caris HealthCare is an affiliate of NHC. EOE
Letcher Manor

State Registered Nurse Aide (SRNA/CNA)

$18.50 / hour
Base rate starts at $18.50! Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! We are seeking compassionate State Registered Nurse Aides. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. SRNA/CNA Schedule: Day and Night Shifts Available Full or Part-time 12-Hour Shifts SRNA/CNA Requirements: It is preferred that the Nursing Assistant will have a minimum of a high school diploma or completed a GED program. Applicants and employees will have graduated from an approved Nurse Aide Training program, or be eligible to enter such a program and graduate and pass a state approved competency evaluation with 120 days from the date of employment. Nursing Assistants will be listed on the Nurse Aide Registry. SRNA/CNA Employee Benefits: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, we are proud to offer the following benefits*: Shift Differential Pay for Nights & Weekends Modified Compensation "Pay In Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term Disability and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Continuing Education and Scholarship Opportunities Perfect Attendance Perks Paid Time Off *Benefit eligibility depends on employment status. **Pay rate depends on experience, shift, and PTO election. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long term care industry, then we encourage you to apply today! Equal Opportunity Employer.
BrightSpring Health Services

RN / Registered Nurse Case Manager - Private Duty (PRN)

Our Company Adoration Home Health and Hospice Overview Are you a Registered Nurse looking for a new opportunity? Adoration Private Duty is seeking a passionate, dedicated Private Duty RN to join our team in Kingsport, TN . Our Private Duty RNs provide expert, patient-centered care. If you’re ready to work in a supportive, fulfilling environment where your skills and empathy truly shine, apply today! Office Location: Greeneville, TN Coverage area: Kingsport (Hawkins County) and Morristown, TN Schedule: PRN; Flexiable Management Experience Required Pior Private Duty Expreience preferred How YOU will benefit: Provide 1:1 care to make a lasting impact on patients and families Greater work/life balance with flexible scheduling options Less time on your feet compared to other settings Ability to work independently while also having team support Job stability and regular advancement opportunities with a growing company Benefits and Perks for You! Medical, Dental, Vision insurance Health Savings & Flexible Spending Accounts (up to $5,000 for childcare) Tuition discounts & reimbursement 401(k) with company match Mileage Reimbursement Generous PTO Access to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! Responsibilities As a Private Duty Registered Nurse, You will: Assess/monitor physical, emotional, and psychological needs of patients Create home health care plans that align with MD orders and the patient's goals Direct nursing care: administering medications, treatments, and interventions Provide pain and symptom management Educate and support the patient’s family and caregivers Collaborate with an interdisciplinary team Maintain accurate and timely documentation Participate in on-call rotation as required by the local branch Qualifications Registered Nursing Degree (Associate or Bachelor) from an accredited college of nursing with current unrestricted registration and license in the applicable state is required One year nursing practice in a patient care setting required; and home health, geriatrics or other related settings preferred Valid driver's license, acceptable driving record, and proof of car insurance in accordance with Adoration policy New nursing graduates may be considered in select markets based on program availability Current CPR certification About our Line of Business Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit www.adorationhealth.com. Follow us on Facebook and LinkedIn.
Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union) 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 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. 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
Appalachian Regional Healthcare

CLINICAL NURSE MANAGER

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

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
Appalachian Regional Healthcare

Clinical Nurse Manager (Tier 1

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

CLINIC HEAD NURSE (EXEMPT)

Overview The Clinic Head Nurse is accountable for the effective supervision and clinical leadership of a nursing unit in accordance with the Clinic philosophy, policies, procedures, plans and organization. Responsibilities Performs clinical nursing procedures including starting IV's, administering chemotherapy, performing electrocardiographs, and EKG's, assuring drug cart is stocked properly. Assist physician with various clinical procedures. Assumes duties of LPN as required. Accepts telephone calls from patients and their families and counsels them concerning their illness, condition, and medicine. Provides patient education as required. Assures that patient forms are completed and that insurance coverage is verified and that Medicaid will pay for prescription medicines. Secures pre-authorization prior to physician admitting patient to hospital, observation unit, and outpatient surgery to assure proper payment is received. Schedules patients for surgery at various ARH hospitals and assures that pre-operation work-up is completed. Interviews, selects, develops, promotes, transfers, disciplines and terminates personnel under his/her supervision or recommends such action. Develops work schedules and assignments on basis of patient needs, and assures adequate staff is available to assist physicians. Develops and maintains safety plans for employees and patients including fire drills and bomb threats and implements OSHA plans.Performs other duties as assigned. Qualifications RN preferred, LPN required. Minimum of 2 years experience in nursing supervision. Demonstrated management and clerical skills.
Appalachian Regional Healthcare

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

Clinical Nurse Manager (Tier 1

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. Special Instructions This job will be Infusion Room Nurse and Cardiac Rehab Nurse 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

Registered Nurse Tier 1 (Union) OR

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 Required to be on-call as scheduled. Must be able to be at the hospital within 30 mins when on 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 Associate's Degree Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred 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, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required