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Registered Nurse Tier 2

Appalachian Regional Healthcare Hyden, 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 orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Qualifications Bachelor's Degree Preferred Associate's Degree Required Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

Director of Nursing Services I - Paintsville

Appalachian Regional Healthcare Paintsville, KY

Overview The Director, Nursing Services is accountable for the overall administration of the department in order to meet the objectives of the hospital through planning, organizing, executing and evaluating the nursing care provided for patients in the hospital. Responsibilities Manage the department in an efficient manner by planning, organizing and controlling all activities of the department. Formulate and implement the objectives of the department in accordance with hospital goals. Develop, evaluate, implement, interpret and maintain hospital plans and work standards and procedures for the clinical practice of nursing that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Supervise the implementation of total quality management concepts which are used to determine effectiveness of nursing care delivery systems throughout the hospital. Participate as a member of the key management hospital team and in hospital strategic planning activities. Interpret the role of nursing for the hospital's strategic plans. Manage the personnel function by interviewing, selecting, evaluating, disciplining and terminating personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training, that they maintain required licensure or certification and that pertinent nursing education programs are developed and presented to promote clinical competency and staff development. Determine staffing needs and patterns and recommend appropriate staffing levels and classifications consistent with unit position authorization. Administer the Bargaining Agreements at the local level as it pertains to Nursing Service personnel. Coordinate the activities of various nursing units and establish productive working relationships with the medical staff and support services. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. May provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Adhere to the infection control policies and procedures of the hospital. Formulate and prepare the departmental budget, routine and special reports and various forms and documents as required. Take administrative calls when delegated by the Administrator. Serve on hospital committee and attend meetings, as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Perform other related duties as assigned. Qualifications EDUCATION, TRAINING AND EXPERIENCE : Graduation from an approved school of nursing and current non-limited licensure in state. Bachelor's degree preferred. Minimum of five years experience in nursing supervision and/or administration, with formalized training and/or experience in effective management techniques. Demonstrated leadership and ability to motivate and to work cooperatively with individuals and groups. POSITION PHYSICAL REQUIREMENTS: Must possess physical ability to endure prolonged sitting; moderate walking; lifting and carrying. May require exerting up to 20 pounds of force occasionally; and/or up to 10 pounds of force frequently; and/or a negligible amount of force constantly to move objects. Physical Demand requirements are in excess of those for sedentary work. SPECIFIC ACCOUNTABILITIES : Accountable for assuring the efficient operation of all nursing units in accordance with hospital objectives. Accountable for establishing and achieving nursing department objectives and goals. Accountable for providing a climate for professional growth and development through programs of orientation, evaluation, in-service and continuing education. Accountable for safe, effective patient care in all nursing areas in hospital. Accountable for supervising the implementation of total quality management concepts in all nursing areas in the hospital. Accountable for developing and administering the Nursing Department budget. Accountable for acting as liaison between Nursing Service and other hospital departments.

RN

Other

2 years ago

Registered Nurse Tier 1(Union) ER

Appalachian Regional Healthcare Harlan, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. Qualifications Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills Must possess basic computer skills. Ability to pass Medication Exam. Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation Completion of Stroke Modules Restraints The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred

Registered Nurse Tier 1 (Union) Psych

Appalachian Regional Healthcare Harlan, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Associate's Degree in Nursing Required Bachelor's Degree in Nursing Preferred Up to 1 year Preferred Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse Required BLS upon hire Required De-Escalation Training within 6 months of hire Required

RN

Other

2 years ago

House Nurse Coordinator (Tier

Appalachian Regional Healthcare Beckley, WV

Overview The House Nurse Coordinator is accountable for the management of nursing services on a given shift under the guidance of the Director of Nursing Services in order to provide safe, effective and efficient nursing care. Responsibilities Manage nursing services on the assigned shift in an efficient manner by planning, organizing and controlling all activities of the department(s). Implement, interpret and enforce work standards and procedures on the assigned shift that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Implement total quality management concepts into nursing service operations. Use the concepts of total quality management to evaluate the effectiveness of shift operations, make changes or recommendations for changes as indicated and assure that the appropriate staff and supplies are available to patients when needed. Determine the placement of patients according to nursing care needs and coordinate the transfer of patients or equipment in accordance with hospital policy. Coordinate the solution of interdepartmental problems with the appropriate management and administrative personnel. Provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Relieve the Director of Nursing as required. Function as house supervisor as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. Interview, select, evaluate, discipline and terminate personnel or recommend such action as necessary. Assure that employees receive orientation and required in-service training and that they maintain required licensure or certification. Reassign nursing staff in accordance with the results of the patient classification system. Adhere to the infection control policies and procedures of the hospital. Serve on hospital and nursing committees as required. Perform other related duties as assigned. Qualifications Graduation from an approved school of nursing and current non-limited license in state. Minimum of three (3) years experience and demonstrated management and clinical skills.

RN

Other

2 years ago

Registered Nurse Tier 1 ER

Appalachian Regional Healthcare Barbourville, 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 Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills Must possess basic computer skills. Ability to pass Medication Exam. Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation Completion of Stroke Modules Restraints The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred

CLINICAL NURSE MANAGER

Appalachian Regional Healthcare Hinton, WV

Overview The Clinical Nurse Manager, working with Nurse Managers, is accountable for the supervision of nursing services for certain assigned nursing units to provide safe, effective and efficient nursing care. This position is an important part of the Management Team and the responsibilities for the position include: assigning, assessing, planning, implementing, and evaluating clinical care for the assigned unit(s). This position is evaluated on the basis of objective measurable criteria, including maximizing the personal abilities and competence of staff nurses, licensed practical nurses and other personnel assigned to the unit(s) for which the Clinical Nurse Manager is responsible. Responsibilities Outlined below are the primary responsibilities for this position. This list is not intended to be an exhaustive list of all duties performed, and therefore, its content should not be read to restrict additional management and supervisory functions that a Clinical Nurse Manager may carry out in meeting the responsibilities of this position. Develop, implement and evaluate unit(s) goals, objectives, policies, procedures, and standards of care, which contribute to the achievement of unit(s) objectives. Oversee and coordinate the activities and job duties of unit assigned personnel to achieve assigned objectives for quality results, customer/patient satisfaction, cost-effectiveness and compliance with fiscal budget. Incorporate total quality management concepts into unit operations. Assign work to staff nurses, licensed practical nurses, nurse aides, nursing service clerks, monitor technicians and other necessary personnel to meet patient care objectives. Ensure continuity of patient care by planning staff assignments through evaluation of the competency, education and training of unit personnel compared to patient care needs. Develop effective communications between unit personnel, physicians and other Community employees to assure continuity, coordination and collaboration in delivering appropriate health care services. Maintain proficiency with respect to applicable technologies to permit informed recommendations regarding new services, products and equipment. Interview, select, evaluate, discipline and terminate unit personnel, or recommend such action, as necessary, consistent with Community policies and procedures. Assure that assigned employees receive proper orientation and attend in-service training that is required for such employees to maintain proper licensure or certification. Maintain personnel records and related information as required. Develop work schedules for unit(s) assigned, including vacation, leaves of absence, call-in, call-off, and other time off requirements. Responsibly direct and supervise all labor relations activities in the assigned unit(s). Assist in Preparation or area/department/unit budgets, routine and special reports and other documents as required. Attend management meetings and participate in formulating management and supervisory personnel policies and procedures. Apply advance knowledge with respect to clinical matters, serving as a role model and resource, including performing direct patient care as necessary. Direct, oversee, and assist in the delivery of patient care with respect to assigned unit(s) including, but not limited to such functions as follows: Assist in cases of emergency. Train new, inexperienced and present assigned personnel by instruction and demonstration of safe or proper working procedures. Assist assigned personnel in the performance of a task when requested by such personnel. Assist assigned personnel in correcting, adjusting or controlling new equipment during installation or testing periods. Assist assigned personnel in meeting patient care requirements where undo delay would interrupt safe patient care, until other assistance is available. Fill in for assigned personnel to avoid interruption in safe patient care until additional assigned personnel are located and available for work. Perform or assist in the performance of clinical treatments, procedures, and total patient care which may require expert skills and judgment in accordance with established standards. Perform duties related to patient care not otherwise assigned to the bargaining unit. Qualifications Graduation from an approved school of nursing and maintain current non-limited license in assigned State. BS or MSN preferred; a minimum of two (2) years of relevant experience, five (5) years preferred, with demonstrated management potential and proficient clinical skills.

Registered Nurse Tier 1 (Union

Appalachian Regional Healthcare Beckley, WV

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Bachelor's Degree Preferred Associate's Degree Required Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

Clinical Nurse Manager (Tier 1

Appalachian Regional Healthcare Beckley, WV

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

Registered Nurse Tier 1

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

Medical Assistant-Non Union

Appalachian Regional Healthcare Harold, 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

2 years ago

Registered Nurse

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

RN

Other

2 years ago

Registered Nurse Tier 1 ER

Appalachian Regional Healthcare Barbourville, 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 Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills Must possess basic computer skills. Ability to pass Medication Exam. Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation Completion of Stroke Modules Restraints The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred

RN

Other

2 years ago

Registered Nurse Tier 1 OR

Appalachian Regional Healthcare Prestonsburg, 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 orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Qualifications Associate's Degree Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required

RN

Other

2 years ago

Registered Nurse Tier 1

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

Clinical Nurse Educator

Appalachian Regional Healthcare Hyden, KY

Overview Under the guidance of the AVP of Nursing Education and Professional Practice and System Chief Nursing Officer, the Clinical Nurse Educator functions in the roles of Educator, Facilitator, Consultant, Change Agent, and Leader. The Clinical Nurse Educator (CNE) participates in the development of standardized educational initiatives across the Appalachian Regional Healthcare (ARH) organization and plays a vital role in leading change in pursuit of improved nursing practice and professional development. The Clinical Nurse Educator promotes a positive image and maintains positive relationships with internal and external customers. The Clinical Nurse Educator may be required to travel to other ARH facilities to provide education, under the direction of the AVP of Nursing Education and Professional Practice. Responsibilities Conducts educational needs assessments using a variety of methods/tools. Incorporates principles of adult learning in the planning, implementation, and evaluation of educational programs, creating a climate with supports learning across the organization. Coordinates and facilitates nursing orientation and competency evaluation of new staff to the organization, and well as training/education for new equipment and new/revised clinical care policies and protocols. Develops and delivers evidence-based educational programs and offerings. Utilizes best practices in educational content delivery. Collaborates with Community Chief Nursing officer, local nursing leadership and other disciplines to create a robust educational environment while fostering teambuilding and leadership development. Provides point of care assistance and support to assist nursing staff with clinical skills development and critical thinking. Evaluates effectiveness of educational programs utilizing best practices. Utilizes a variety of evidence-based instructional techniques. Adjusts educational content and teaching strategies based on appropriate learner needs, utilizing various media and formats. Collaborates with and supports all ARH facilities in developing and delivering educational programs as determined by the AVP Nursing Education and Professional Practice. Assumes ownership and responsibility in attaining, developing, and maintaining educational and instructional expertise. Facilitates centralized nursing orientation. Oversees the onboarding of student nurses and clinical faculty to assure adherence to ARH and regulatory guidelines. Oversees, in collaboration with Nursing Leadership, Human Resources, and applicable Schools of Nursing, compliance with the Nurse Extern Program. Responds to changes in nursing practice and develops programs to support these changes. Ensures that educational programs are congruent with organizational missions, values, and goals. Maintains flexibility when managing multiple roles/responsibilities. Interprets and communicates across multiple disciplines. Promotes a safe and healthy work environment. Serves as a role mode to promote education, professionalism, excellence, and safety. Role models and promotes the concept of life-long learning. Leads committees, work groups, and/or projects related to the implementation of educational activities. Performs related duties as assigned. Qualifications Education: Graduate from an accredited school of nursing BSN Required or have plan to obtain within 2 years Master’s Degree Preferred Work Experience: Three (3) years clinical nursing experience required *Five (5) years or more preferred Minimum of 1 year nursing education experience required *Three (3) or more preferred Licenses and Certifications: Current license to practice nursing in the states of KY or WV depending on state of residency. Professional Certification Required or plan to obtain within 2 years of employment. BLS required upon hire. ACLS required within 6 months of employment. PALS required within 6 months of employment. TNCC required within 1 year. De-escalation training (ARH adopted) required within 6 months. Designated Instructor Certification Requirements BLS Instructor designation with minimal requirement of teaching two courses annually. ACLS Instructor designation with minimal requirement of teaching two courses annually. PALS Instructor designation with minimal requirement of teaching two courses annually. De-Escalation Instructor designation with minimal requirement of teaching two courses annually. TNCC Instructor designation with minimal requirement of teaching two courses annually. Other Instructor designations as needed with minimal requirement of teaching two courses annually. *To facilitate the professional competence and confidence of the Clinical Nurse Educator, the AVP of Nursing Education and Professional Practice may assign mandatory professional development activities, workshops and educational offerings."

RN

Other

2 years ago

Registered Nurse Tier 1

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

RN

Other

2 years ago

Registered Nurse Tier 1

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

CNA

Other

2 years ago

Nursing Assistant - Paintsville

Appalachian Regional Healthcare Paintsville, KY

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

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

Medical Assistant Non Union

Appalachian Regional Healthcare Lexington, 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

CNA

Other

2 years ago

Certified Nurse Aide-Non Union

Appalachian Regional Healthcare Barbourville, KY

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

RN

Other

2 years ago

Registered Nurse Tier 1

Appalachian Regional Healthcare Prestonsburg, 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 orients new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Performs other job duties as assigned. Qualifications Bachelor's Degree Preferred Associate's Degree Required Mastery of problem solving and decision making skills. Mastery of collaboration and teamwork. Mastery of growth mindset (agility and developing yourself and others) skills. Mastery of execution and delivery (planning, delivering, and supporting) skills. Ability to consider the relative costs and benefits of potential actions to choose the most appropriate one. Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients. Mastery knowledge of phases of care transitions and resources available for patients. Mastery of digital literacy skills. Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

Clinic RN - Non Union

Appalachian Regional Healthcare Hazard, 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 1) Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills 2) 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. 3) Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension 4) The administration of medication, intravenous therapy and treatment as prescribed by a LIP 5) Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. 6) Mentors and precepts students and orient new staff as assigned 7) Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information 8) Participates on various teams, committees or performance improvement initiatives 9) Ensures a safe and secure environment for patients, coworkers and self 10) Participates in Discharge Planning and Transition of Care (able to define pt needs) 11) Serves as a patient advocate and escalates patient related concerns timely 12) Timely documents pertinent findings in medical record 13) Assist patients in performing activities of daily living and functions as an active team member 14) Assumes responsibility for personnel professional development 15) Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude 16) Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) 17) Functions as a positive influence, role model and adheres to professional code of conduct 18) Respects dignity and confidentiality of all matters relating to patients 19) Refer to Special Addendum and Staff Nurse Position Description 20) Performs other job duties as assigned. Qualifications Associates degree required Bachelors preferred Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Advanced Dysrhythmia/EKG (Med/Surg telemetry unit ONLY) Required

Registered Nurse Tier 1

Appalachian Regional Healthcare Prestonsburg, KY

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Special Instructions Emergency Call back 30 minutes Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Bachelor's Degree Preferred Associate's Degree Required Registered Nurse. Required BLS upon hire Required De-Escalation Training within 6 months of hire Required Driver's License required Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards. Responsible for communicating pertinent client assessments/reassessments finding to physician. Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders. Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.