Nursing Jobs in Big Stone Gap, VA

RN Telehealth Full-time
Oak Street Health

Registered Nurse

Oak Street Health Gate City, VA
$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.
RN Full-time
American House Senior Living Communities

Director of Nursing/Wellness Director-Kingsport

American House Senior Living Communities Kingsport, TN
: Director of Nursing/ Wellness Director Position Summary: The Wellness Director plays an integral role in upholding American House’s mission to enrich the lives of those we serve. Our Wellness Directors supervise, educate, direct and support all Wellness team members. This is a leadership position within the community and serves as manager on duty in the absence of the Executive Director. Duties/Responsibilities: Overall implementation, delivery, and coordination of resident services at the community. Carry out supervisory responsibilities of all wellness team members in accordance with American House's policies and procedures. These responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Coordinate, along with the Executive Director, family/resident care conferences and serve as a direct liaison between residents, families, and staff. Assess/evaluate potential residents for Assisted Living/Memory Care level of care utilizing assessment tool. This may involve assessing/evaluating potential residents in their home or another healthcare setting. Ensure compliance with all state regulatory requirements including mandatory reporting to State Regulatory Body. Ensure that all incident reports are completed, filed, and that follow-up is conducted appropriately. Completing investigations as needed for all complaints, grievances, and incidents, and working with the Executive Director concerning appropriate responses and corrective actions. Ensure that all staff follows established safety regulations, including fire protection, infection control, blood borne pathogens, hazardous waste, and quality assurance programs. Maintain compliance with state regulations and policies for medication administration including oversite of medication management, validation of timeliness and completeness of medication records, completing required responsibilities for Medication Aide programs via supervision, delegation, training, and ongoing competency checks, where applicable. Provide marketing support within the community by participating in tours and discussions with potential residents and their families about wellness offerings and clinical needs of the prospect. Maintain high level confidentiality of all information related to the role Create positive employee relations through staff appreciation programs, recognition of excellent performance, and retention through regular feedback systems and promotional incentive programs. Monitor licensure and certification compliance for all Wellness staff. Provide written and oral reports to the Executive Director and Regional Wellness Director concerning the operation of the Wellness Department. Lead coordination of health care services with other third-party providers to ensure continuity of care. Collaborate with the Executive Director for budget, equipment, and supplies needs. Required Skills/Abilities: 3 years of management experience in healthcare or service-related setting Physiological and psychological knowledge related to gerontology Ability to have reliable transportation to perform offsite assessments and evaluations for prospective residents Preferred Skill/Abilities: Experience working with older adults and individual with memory loss Bachelor of Science in Nursing (BSN) Degree preferred Education and Requirements: Licensed Practical Nurse or Registered Nurse Must pass a pre-employment background check, drug screen, TB test and physical Physical and Mental Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Provide 24/7 on-call clinical support Ability to regularly stand, talk, bend, stretch, pull or push and lift items Ability to help others with daily activities including but not limited to; bathing, dressing/undressing, dining, exercising, etc. Ability to frequently communicate with residents, families, co-workers, etc. Must be able to exchange accurate information in given situations. Specific vision abilities required by this job include close vision, depth perception, and the ability to adjust focus. Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.
LPN Full-time
American House Senior Living Communities

LPN-Kingsport-$4000 Sign on Bonus

American House Senior Living Communities Kingsport, TN
: LPN Position Summary-All Shifts-$4000 Sign on Bonus Under the general direction of the Wellness Director, primary responsibilities include, but are not limited to providing assistance to the residents in maintaining their highest level of functional independence and psychosocial wellness. This is a full-time role, covering days and some weekends. LPN Duties/Responsibilities: Assumes responsibility for administering quality care to meet the total needs of residents Provides medication administration, handling, & storage Provides medication assistance for residents in accordance with state regulations and company policy including pouring, preparing, assisting with administration, and documentation Assists in maintaining the medication cart and storage room in a neat and orderly manner Accepts responsibility for accurate medication counts and for security of the medication cart and medication storage room for assigned shifts Comply with company policies and procedures related to controlled substances, narcotic count and documentation Use sound nursing judgment to evaluate changes in resident situations and report to Wellness Director and/or physician when appropriate. Observes changes in Resident status, needs, or preferences and communicates them to the Wellness Director Offers comfort and support, emotionally and physically, to residents Reports resident and staff concerns and/or issues to the Wellness Director and/or Executive Director, as designated. Assists with vital signs and weight monitoring monthly or more frequently as required for all residents and completes all required documentation Assists with resident move-in and move-outs and with resident discharge planning as needed Ensure compliance to the American House philosophy as well as all written policies and procedures that govern the operation of the Resident Services Department LPN Required Skills/Abilities: 2+ years of nursing experience preferably with experience in long-term care or geriatrics Experience with dementia residents preferred Up to date first aid and CPR certification Current Unencumbered LPN license in the state Knowledge of the physiology and psychology of the older adults. Willingness to work evenings and weekends Exceptional staff training and customer service skills Compassionate and friendly demeanor LPN Education and Requirements: Graduate from an accredited School of Nursing Minimum 18 years of age Must pass a pre-employment background check, drug screen, TB test and physical Company Overview: Founded in 1979, American House Senior Living Communities’ vision is to provide high-quality housing for senior at a price affordable for retirees and their families. That vision of excellence has endured for nearly 40 years and expanded to serve residents at a number of senior housing communities. Our mission is to enrich the lives of those we serve, providing an environment that fosters meaningful relationships. Our vision is to be an innovative senior housing company that created sustainable excellence and stakeholder value, with an unparalleled commitment to passionate care provided by compassionate people.
SRNA Full-time
Letcher Manor

State Registered Nurse Aide (SRNA/CNA)

Letcher Manor Whitesburg, KY
$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.
SRNA Full-time
Letcher Manor

State Registered Nurse Aide (SRNA/CNA)

Letcher Manor Whitesburg, KY
$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.
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • 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 and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Whitesburg, KY
Overview Provides patient care applying specialized knowledge and demonstrated clinical nursing skills. Maintains all required Nursing certifications and licenses. Performs nursing duties applying trained expertise, as well as ensuring patients receive the level of care and attention representative of the company's high-level mission and commitments to the healthcare community. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and providing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens including stool, urine, sputum, and other samples as needed. • Collects and records intake and output appropriately. • Collects and records vital signs and obtains pertinent patient information according to hospital policy. • Assists and/or feeds patients, provides between-meal nourishments, provides 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 and elastic stockings and fills hot water bottles, ice bags, pads, and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by the nurse. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports bodies to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation techniques and provides direct care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment. • Observes and reports safety hazards and prepares incident reports. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examinations and treatments by: • Remaining with patients unless relieved. • Providing proper equipment and supplies and adjusting lights as needed. • Cleaning and restocking treatment areas, supplies, and equipment. • Assists in orienting new patients to their 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, including returning patients from Recovery Room, Surgery, X-ray, and other departments when indicated. • Assists with admissions, transfers, and discharges of patients. Qualifications Education • High School diploma or GED equivalent preferred. • Completion of a Nurse Aide Training Program required. Experience • Three (3) months of on-the-job training required to attain proficiency in the performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Knowledge and skills necessary to perform basic patient care activities under the direction of licensed nursing personnel. • Ability to assist patients with activities of daily living and provide quality patient care. • Ability to communicate effectively with patients, families, and healthcare team members. • Ability to maintain a safe, sanitary, and organized patient care environment. • Ability to observe, report, and document patient information accurately. • Additional training may be required to work in certain areas, including competency listing requirements established by the State of Kentucky for Skilled Nursing Facility (SNF) assignments. Licenses & Certifications • Completion of a Nurse Aide Training Program required.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1

Appalachian Regional Healthcare Whitesburg, KY
Overview The Graduate Nurse collaboratively assists as an active member of the interprofessional team to provide therapeutic patient and family centered care. The Graduate Nurse systematically and continuously assists in the collection and assessment of data related to patient health status to develop, execute and evaluate the plan of care or critical pathway. The Graduate Nurse assists in performing all required elements of a nursing assessment, including but not limited to physical examination, assessment of readiness to learn, psychosocial and functional assessments along with the utilization of patient/family specific assessment scales as required. The Graduate Nurse considers factors related to safety, effectiveness and cost in planning and delivering care. The Graduate Nurse assists in establishing goals and strategies for meeting the discharge or continuing care needs of the patient, family and/or other care provider. The Graduate Nurse provides care in collaboration with other nursing staff members in accordance with the Kentucky Board of Nursing or the West Virginia Board of Nursing (depending on state of residence) and ARH Nursing Practice Model. The Graduate Nurse utilizes and demonstrates knowledge of research findings, participates in continuous quality improvement initiatives, maintains knowledge of nursing practice and assumes responsibility for their professional development. The Graduate Nurse's decisions and actions with patients and families are determined in an ethical manner. As a holder of a provisional nursing license (Kentucky) or temporary permit (West Virginia), the Graduate Nurse performs direct patient care activities under the direction, supervision and delegation of a Registered Nurse or Advanced Practice Registered Nurse. The Graduate Nurse may use the title Registered Nurse Applicant (RNA) Responsibilities • Assesses and systematically collects, analyzes, and evaluates patient data related to the behavioral, physical, physiologic, and psychosocial status of the patient utilizing interview, observation, and physical examination. • Works in collaboration with the multidisciplinary team to implement nursing interventions and provide appropriate evidence-based, patient- and family-centered care. • Executes nursing interventions, develops patient plans of care, and assists with coordination of patient care across the care continuum, including inpatient, outpatient, home, skilled nursing facilities, and schools. • Collaborates with the multidisciplinary team while incorporating appropriate standards of care, practice, and patient outcomes. • Delivers care in an organized and efficient manner while providing patients and families with complete information regarding typical events, common patient responses, and education related to the plan of care. • Evaluates patient responses to the plan of care and research findings. • Incorporates care in collaboration with the multidisciplinary plan of care. • Implements safe, competent, and efficient patient care within established policies, procedures, standards, and interventions noted in the multidisciplinary plan of care. • Provides care that is ethical, patient- and family-centered, culturally congruent, and evidence-based. • Utilizes data and establishes priorities to continuously meet changing patient needs. • Executes nursing interventions in response to data indicating urgent and/or emergent patient risk and initiates actions to reduce or correct identified risks. • Assumes responsibility and accountability for effectively managing the nursing care of individual patients and families. • Documents nursing assessments and interventions in the electronic medical record in an accurate and timely manner to reflect a comprehensive and integrated approach to patient and family care and clinical research. • Assesses patient and family readiness for learning and provides education accordingly. • Identifies patient and family learning needs and adapts teaching methods to provide individualized and comprehensive education. • Utilizes available resources as appropriate to meet identified patient, family, and caregiver needs. • Incorporates standards of practice and clinical practice protocols into daily practice to maximize clinical effectiveness. • Facilitates cost control in the use of material and human resources while effectively utilizing technology to support practice and efficiencies in care delivery. • Responds to, provides support for, and appropriately assists with urgent and emergent patient care situations. • Maintains and advocates for patient, family, visitor, and personal safety. • Works within scope of practice to achieve clinical outcomes while executing delegation protocols. • Maintains professional development through continuing education, quality improvement initiatives, and obtaining and sharing department, unit, and organizational knowledge. • Supports facility engagement efforts by operationalizing current nursing strategies, including hourly rounds, bedside shift reporting, and other initiatives. • Participates in achieving Patient Satisfaction Goals and organizational strategic goals. • Performs other duties as assigned. Qualifications Education • Must have a Provisional License (Kentucky) or Temporary Permit (West Virginia) issued by the respective State Board of Nursing. • The provisional license or temporary permit must be issued by the Graduate Nurse's permanent state of residence. Licenses & Certifications • BLS Certification required. • Kentucky Provisional License required for Graduate Nurses practicing in Kentucky. • West Virginia Temporary Permit required for Graduate Nurses practicing in West Virginia. Required Skills, Knowledge & Abilities • Ability to provide nursing care under the scope and limitations established by the applicable State Board of Nursing. • Ability to communicate effectively with patients, families, physicians, and healthcare team members. • Ability to document patient care accurately and timely. • Ability to apply critical thinking and clinical judgment in patient care situations. • Ability to learn and function effectively in a fast-paced healthcare environment. Kentucky Graduate Nurse Requirements • The Graduate Nurse position is time limited. • Must successfully pass the NCLEX-RN within six (6) months, as the provisional license is valid for six (6) months only. • Must successfully pass the NCLEX-RN within two (2) attempts. • After two failed NCLEX-RN attempts, the provisional license becomes void. West Virginia Graduate Nurse Requirements • The Graduate Nurse position is time limited. • Must successfully pass the NCLEX-RN within ninety (90) days, as the temporary permit is valid for ninety (90) days only. • Must successfully pass the NCLEX-RN on the first attempt. • Upon notification of a failed NCLEX-RN examination, the temporary permit becomes void and must be returned to the West Virginia Board of Nursing.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs nursing acts authorized or limited by the Board and consistent with the American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Labor & Delivery Training Requirements • Admission of labor patients. • Care of labor patients. • Delivery of labor patients. • Recognition and nursing care of abnormal conditions. • Fetal monitoring and nursing interventions. • Appropriate nursing interventions. • Management of obstetrical emergencies. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience preferred. Required Skills, Knowledge & Abilities • Performs initial assessment to include physical examination of OB patients, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates, and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse required. • BLS certification required. • Completion of Intermediate Fetal Monitoring Course (AWHONN) within six (6) months of hire required. • Neonatal Resuscitation Program (NRP) certification required. • De-Escalation Training required within six (6) months of hire.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare Whitesburg, 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 reporting, and other engagement initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action related to training and development, conflict resolution, personnel policy compliance, performance evaluations, and disciplinary actions to support organizational effectiveness. • 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 the management of patient care. • Demonstrates leadership and initiative in situations where supervision is not present or required. • Appropriately escalates issues related to rules, regulations, and operational concerns in a timely and effective manner. • Performs other duties as assigned. • Complies with all policies and standards. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience required. • Minimum of one (1) year of clinical experience required. • Two (2) years of clinical experience preferred. Required Skills, Knowledge & Abilities • Evidence of leadership abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies, and regulations. • Applicable knowledge of technical skills related to the assigned clinical area. Licenses & Certifications • Current licensure to practice nursing in Kentucky or West Virginia, depending on legal state of residence, required. • BLS certification required. • ACLS certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. • PALS certification required within six (6) months of hire for Emergency Department, Operating Room, and Medical/Surgical Pediatrics. • NRP and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. • TNCC certification required within six (6) months of hire for Emergency Department positions. • De-Escalation Training required within six (6) months of hire for all units. • Professional Nursing Certification preferred.
CMA Outpatient Temporary
Appalachian Regional Healthcare

Medical Assistant Union

Appalachian Regional Healthcare Whitesburg, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patientswithin established policies and procedures; thoroughly compiles and types of medical information for patients'records and statistical reports and maintains current and accurate patient account receivables.The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodativeservices for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Performs basis patient care procedures as required.Participates in conferences and serves on committees as requested.Participates in patient and family education as necessary.Prepares for and assists with diagnostic and therapeutic treatments.Takes and records vital signs, height and weight.Performs catheterizations and provides catheter care.Administers oral and intra-muscular medications.Cares for patient receiving oxygen therapy.Applies sterile and non-sterile compresses and bandages.Tests urine for sugar, acetone, and Ph.Assists with physical examinations.Applies ace bandages, hot and/or cold compresses.Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed.Maintains cleanliness, safety and efficiency in the clinic.Alert to and able to respond appropriately in an emergency situation.Prepares used equipment for re-sterilization.Knows legal requirements for reporting to police, health department, and other agencies and followsrequirements.Accompanies or transfers patients to other departments such as lab or x-ray.Cleans and stocks examination rooms.Manages time in order to expedite patient flow.Assists with minor out-patient surgery.Greets patients courteously, determines their needs, and offers assistance.Registers patients by performing necessary procedures, such as preparation of records, reports, notices, servicecharge slips, and payor information.Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusualcases to immediate supervisor.May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or thirdparty payments.Answers inquires to patient accounts and advises patient on insurance benefits.Receives all payments and deposits, issues receipts for all monies received and otherwise makes properaccounting for all funds received.Posts charges daily to proper patient account.Posts payments to accounts daily.Determines billing method for third party payor.Contacts insurance carriers/agencies to obtain precertification of ancillary, admission and surgical procedures.Operates various office equipment to include copiers, fax machines and other equipment as assigned.Operates communication systems, placing and answering telephone calls, paging or contacting staff .May make and maintain appointment schedules for clinic physicians.May secure required signatures on reports and records relative to release of information, according to policiesand procedures.Contacts patients, physicians, or others for information necessary to properly complete insurance or other typebillings.Types memos, correspondence, etc., as needed.Compiles periodic and statistical reports and other data as directed. Qualifications Education (experience can be substituted for education)High School Diploma RequiredGraduate of Medical Assistant Training Program Preferred Work Experience (education can be substituted for experience)Up to 1 year Three (3) to six (6) months on-the-job training as required to attain proficiency of assignedduties and responsibilities if not certified. Required Knowledge, Skills and AbilitiesObtain patient history and take vital signs to assist physician with examination and treatment.Prepare and maintain examination and treatment area.Perform selected tests that assist with diagnosis and treatment. Screen and follow-up patient test results.Prepare and administer medications as directed by physician and maintain medication records. Licenses and CertificationsMedical Assistant certification from an accredited program. Preferred
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs nursing acts authorized or limited by the Board and consistent with the American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Labor & Delivery Training Requirements • Admission of labor patients. • Care of labor patients. • Delivery of labor patients. • Recognition and nursing care of abnormal conditions. • Fetal monitoring and nursing interventions. • Appropriate nursing interventions. • Management of obstetrical emergencies. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience preferred. Required Skills, Knowledge & Abilities • Performs initial assessment to include physical examination of OB patients, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates, and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse required. • BLS certification required. • Completion of Intermediate Fetal Monitoring Course (AWHONN) within six (6) months of hire required. • Neonatal Resuscitation Program (NRP) certification required. • De-Escalation Training required within six (6) months of hire.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Whitesburg, KY
Overview Provides patient care applying specialized knowledge and demonstrated clinical nursing skills. Maintains all required Nursing certifications and licenses. Performs nursing duties applying trained expertise, as well as ensuring patients receive the level of care and attention representative of the company's high-level mission and commitments to the healthcare community. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and providing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens including stool, urine, sputum, and other samples as needed. • Collects and records intake and output appropriately. • Collects and records vital signs and obtains pertinent patient information according to hospital policy. • Assists and/or feeds patients, provides between-meal nourishments, provides 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 and elastic stockings and fills hot water bottles, ice bags, pads, and humidifiers. • Cares for Foley catheters and Levine tubes as instructed by the nurse. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports bodies to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation techniques and provides direct care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment. • Observes and reports safety hazards and prepares incident reports. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examinations and treatments by: • Remaining with patients unless relieved. • Providing proper equipment and supplies and adjusting lights as needed. • Cleaning and restocking treatment areas, supplies, and equipment. • Assists in orienting new patients to their 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, including returning patients from Recovery Room, Surgery, X-ray, and other departments when indicated. • Assists with admissions, transfers, and discharges of patients. Qualifications Education • High School diploma or GED equivalent preferred. • Completion of a Nurse Aide Training Program required. Experience • Three (3) months of on-the-job training required to attain proficiency in the performance of assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Knowledge and skills necessary to perform basic patient care activities under the direction of licensed nursing personnel. • Ability to assist patients with activities of daily living and provide quality patient care. • Ability to communicate effectively with patients, families, and healthcare team members. • Ability to maintain a safe, sanitary, and organized patient care environment. • Ability to observe, report, and document patient information accurately. • Additional training may be required to work in certain areas, including competency listing requirements established by the State of Kentucky for Skilled Nursing Facility (SNF) assignments. Licenses & Certifications • Completion of a Nurse Aide Training Program required.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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. 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 Education Associate's Degree required Graduation from an accredited school of nursing required Bachelor's Degree preferred Minimum Work Experience Up to one (1) year of acute care nursing experience preferred One (1) year of experience relevant to the assigned department preferred Experience with Electronic Health Records (EHR) preferred Licenses & Certifications Registered Nurse (RN) license in the applicable state required Basic Life Support (BLS) required De-Escalation Training required within six (6) months of hire Advanced Cardiac Life Support (ACLS) required Trauma Nurse Core Curriculum (TNCC) certification required Pediatric Advanced Life Support (PALS) certification required NIH Stroke Certification required Advanced Dysrhythmia/EKG certification required Rural Trauma Team Development Course (RTTDC) preferred Emergency Nursing Pediatric Course (ENPC) preferred Required Skills, Knowledge, and Abilities Excellent interpersonal skills and ability to work effectively with providers at all levels Strong written and verbal communication skills Ability to influence positive outcomes and collaborate effectively in a complex healthcare environment Demonstrated critical thinking and decision-making skills Ability to follow direction and adapt to change Basic computer skills Ability to pass a medication examination Successful completion of a hospital-approved training program and demonstrated competency in emergency care procedures Knowledge of and competency in moderate sedation procedures Completion of required stroke education modules Knowledge of restraint policies and procedures Ability to maintain competency in unit-specific policies, procedures, equipment, safety practices, infection control, and performance improvement activities Ability to provide safe, high-quality patient care in a fast-paced clinical environment
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs other nursing acts authorized or limited by the Board and consistent with American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Emergency Room Training Requirements • State and federal regulations related to emergency services. • Nursing management of trauma. • Nursing management of cardiac-related disorders. • Performance of EKG procedures, EKG interpretation, and appropriate nursing interventions. • Pharmacological intervention including IV therapy. • Patient assessment and triage. • Nursing management of pediatric emergencies. • Medicolegal aspects, particularly related to proper documentation. • Nursing management of obstetrical emergencies. • Patient and family emotional responses. • Cardiopulmonary resuscitation and airway management. Qualifications Education • Associate's Degree required. • Graduation from an accredited School of Nursing required. • Bachelor's Degree preferred. Experience • Up to one (1) year of experience preferred. • Minimum of one (1) year acute care nursing experience preferred. • One (1) year of experience should be relevant to the specific department in which the nurse will be working. • Refer to addendums for additional department-specific requirements. • Experience with Electronic Health Records (EHR) preferred. Required Skills, Knowledge & Abilities • 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 competency required. • Completion of Stroke Modules required. • Restraints competency required. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State required. • BLS certification required. • De-Escalation Training required within six (6) months of hire. • ACLS certification required. • Trauma Nurse Core Curriculum (TNCC) Certification required. • Pediatric Advanced Life Support (PALS) Certification required. • NIH Stroke Certification required. • Advanced Dysrhythmia/EKG certification required. • Rural Trauma Team Development Course (RTTDC) preferred. • Emergency Nurse Pediatric Course (ENPC) preferred.
RN Home Health Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • 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 and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Whitesburg, 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 required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Advanced Dysrhythmia/EKG certification required for Medical/Surgical Telemetry Unit positions. Required Skills, Knowledge & Abilities • Mastery of problem solving and decision making skills. • Mastery of collaboration and teamwork. • Mastery of growth mindset skills, including agility and developing yourself and others. • Mastery of execution and delivery skills, including planning, delivering, and supporting initiatives. • Ability to consider the relative costs and benefits of potential actions to choose the most appropriate course of action. • Ability to function effectively in a clinical setting with diverse cultural dynamics among clinical staff and patients. • Mastery knowledge of phases of care transitions and resources available for patients. • Mastery of digital literacy skills.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare Whitesburg, 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 reporting, and other engagement initiatives. • Provides recommendations related to interviewing, selecting, and training new staff. • Recommends and implements courses of action related to training and development, conflict resolution, personnel policy compliance, performance evaluations, and disciplinary actions to support organizational effectiveness. • 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 the management of patient care. • Demonstrates leadership and initiative in situations where supervision is not present or required. • Appropriately escalates issues related to rules, regulations, and operational concerns in a timely and effective manner. • Performs other duties as assigned. • Complies with all policies and standards. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience required. • Minimum of one (1) year of clinical experience required. • Two (2) years of clinical experience preferred. Required Skills, Knowledge & Abilities • Evidence of leadership abilities required. • Knowledge of general nursing principles and practice skills. • Knowledge of organizational functions, policies, and regulations. • Applicable knowledge of technical skills related to the assigned clinical area. Licenses & Certifications • Current licensure to practice nursing in Kentucky or West Virginia, depending on legal state of residence, required. • BLS certification required. • ACLS certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. • PALS certification required within six (6) months of hire for Emergency Department, Operating Room, and Medical/Surgical Pediatrics. • NRP and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. • TNCC certification required within six (6) months of hire for Emergency Department positions. • De-Escalation Training required within six (6) months of hire for all units. • Professional Nursing Certification preferred.
CMA Outpatient Other
Appalachian Regional Healthcare

Medical Assistant

Appalachian Regional Healthcare Whitesburg, KY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types of medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities • Performs basic patient care procedures as required. • Participates in conferences and serves on committees as requested. • Participates in patient and family education as necessary. • Prepares for and assists with diagnostic and therapeutic treatments. • Takes and records vital signs, height, and weight. • Performs catheterizations and provides catheter care. • Administers oral and intra-muscular medications. • Cares for patients receiving oxygen therapy. • Applies sterile and non-sterile compresses and bandages. • Tests urine for sugar, acetone, and pH. • Assists with physical examinations. • Applies ace bandages and hot and/or cold compresses. • Collects specimens including blood, urine, stool, and sputum. • May perform venipunctures and EKGs as needed. • Maintains cleanliness, safety, and efficiency in the clinic. • Remains alert and responds appropriately in emergency situations. • Prepares used equipment for re-sterilization. • Understands legal requirements for reporting to police, health departments, and other agencies and follows all reporting requirements. • Accompanies or transfers patients to other departments such as the laboratory or x-ray department. • Cleans and stocks examination rooms. • Manages time effectively to expedite patient flow. • Assists with minor outpatient surgery procedures. • Greets patients courteously, determines their needs, and offers assistance. • Registers patients by performing necessary procedures, including preparation of records, reports, notices, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to the immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries regarding patient accounts and advises patients on insurance benefits. • Receives payments and deposits, issues receipts, and maintains proper accounting of funds received. • Posts charges daily to the proper patient account. • Posts payments to accounts daily. • Determines billing methods for third-party payors. • Contacts insurance carriers and agencies to obtain precertification of ancillary, admission, and surgical procedures. • Operates various office equipment, including copiers, fax machines, and other assigned equipment. • Operates communication systems, including placing and answering telephone calls and contacting staff as needed. • May make and maintain appointment schedules for clinic physicians. • May secure required signatures on reports and records relative to release of information in accordance with policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other billing requirements. • Types memos, correspondence, and other documents as needed. • Compiles periodic and statistical reports and other data as directed. Qualifications Education • High School Diploma required. • Graduate of a Medical Assistant Training Program preferred. Experience • Up to one (1) year of experience required. • Three (3) to six (6) months of on-the-job training required to attain proficiency of assigned duties and responsibilities if not certified. Required Skills, Knowledge & Abilities • Obtain patient history and take vital signs to assist physician with examination and treatment. • Prepare and maintain examination and treatment areas. • Perform selected tests that assist with diagnosis and treatment. • Screen and follow up on patient test results. • Prepare and administer medications as directed by the physician. • Maintain medication records. Licenses & Certifications • Medical Assistant certification from an accredited program preferred.
LPN Other
Appalachian Regional Healthcare

Licensed Practical Nurse

Appalachian Regional Healthcare Whitesburg, KY
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. Special Instructions Employee may be required to take call , may be required to work weekends 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.
RN Director of Nursing Other
Appalachian Regional Healthcare

Director of Nursing Services II

Appalachian Regional Healthcare Whitesburg, KY
Overview Oversees all departmental health administration needs and requirements as directed by upper management. Manages a medical recordkeeping system including detailed patient health records, ensuring complete confidentiality and records security of patient health data as well as doctor notes and recommendations. Responsibilities Directs Directors, Senior Managers, and occasionally senior individual contributors in a matrix environment, and is accountable for meaningful career development conversations and regular coaching feedback. Leads area processes for the Nursing Services unit, and ensures methods align with the overall business strategy. Maintains written policies and procedures that govern the day-to-day functions of the Nursing Services function. Assists in developing methods for coordinating nursing services with other patient services to ensure the continuity of the patients’ total regimen of care. Performs administrative duties such as admitting, discharging, transferring patients, completing medical forms, reports, evaluations, studies, and charting. Manages team performance through regular, timely feedback as well as the formal performance review process to ensure delivery of exceptional services and engagement, motivation, and team development. Manages operational aspects of their teams (e.g., budget, performance, and compliance), as well as implementing workforce and succession plans to meet business needs. Creates a purpose driven environment by aligning the organization's mission, vision, and core values of improving health and promoting well-being with the strategies and goals of the Health Administration team. Qualifications Bachelor's Degree Graduation from an approved school of nursing and current non-limited licensure in state. Educational requirement may be waived with substantive experience. Preferred Associate's Degree Nursing Required 4-6 years Nursing management or other related Required RN license required