RN Other
Appalachian Regional Healthcare

Registered Nurse

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 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. • Refer to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. • Training for Labor and Delivery shall consist of the following topics related to both normal and abnormal deliveries: • Admission of labor patient. • Care of the labor patient. • Delivery of labor patient. • Recognition and nursing care of abnormal conditions. • Fetal monitors and nursing intervention. • Appropriate nursing intervention. • 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 Nursing Required • Bachelor's Degree Nursing Preferred Experience • 1-3 years Preferred Required Skills, Knowledge & Abilities • Performs initial assessment to include physical exam of OB patient, 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 Required • Completion of Intermediate Fetal Monitoring Course (AWHONN) within 6 months of hire. Required • Neonatal Resuscitation Program (NRP) Required • De-Escalation Training within 6 months of hire Required
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

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

Enterprise Registered Nurse Supplemental Staffing Team

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

Clinical Nurse Manager

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 clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with patient admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing assessment and evaluation of patient care services provided on the unit in collaboration with members of the management team. Collaborates with subject matter experts and departmental leaders to foster a teamwork-oriented environment that supports quality outcomes and exceptional service. Supports a patient-first philosophy and participates in service recovery efforts when needed. Supports organizational initiatives designed to improve employee and patient engagement, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other nursing strategies. Assists in interviewing, selecting, onboarding, and training new staff members. Recommends and implements appropriate actions related to staff development, conflict resolution, policy compliance, performance evaluations, and disciplinary processes to support organizational goals. Assists with staff scheduling and management of labor resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of departmental supplies and equipment. Collaborates with physicians and other members of the healthcare team to coordinate patient care activities. Demonstrates leadership, initiative, and sound judgment in situations requiring independent decision-making. Recognizes and appropriately escalates issues related to regulatory requirements, policies, and procedures in a timely and effective manner. Performs other duties as assigned. Qualifications Education: Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred. Work Experience: Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Knowledge, Skills, and Abilities: Demonstrated leadership abilities required. Knowledge of general nursing principles, practices, and patient care skills. Knowledge of organizational functions, policies, procedures, and regulations. Applicable technical knowledge and clinical skills related to the assigned area of practice. Ability to effectively communicate and collaborate with patients, families, physicians, and healthcare team members. Strong critical thinking, problem-solving, and decision-making skills. Licensure/Certification: Current licensure to practice as a Registered Nurse in Kentucky or West Virginia, based on legal state of residence, required. Basic Life Support (BLS) certification required. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification required within six (6) months of hire for Emergency Department staff. De-Escalation Training required within six (6) months of hire for all units. Professional Nursing Certification preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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 Education: Associate's Degree from an accredited School of Nursing required. Bachelor's Degree preferred. Work Experience: Minimum of one (1) year of acute care nursing experience preferred. One (1) year of experience should be relevant to the specific department in which the employee will be working. Refer to departmental addendums for additional requirements. Experience with Electronic Health Records (EHR) preferred. Licensure/Certification: Current Registered Nurse (RN) licensure required. Advanced Dysrhythmia/EKG certification required. NIH Stroke Certification required. Basic Life Support (BLS) certification required. Advanced Life Support Certification (ACLS) required. De-Escalation Training required within six (6) months of hire. Pediatric Advanced Life Support (PALS) certification preferred. Knowledge, Skills, and Abilities: Ability to operate critical care equipment, including ventilators, temporary pacemakers, defibrillators, and other emergency equipment. Ability to set up, maintain, and interpret cardiac and hemodynamic monitoring equipment and respond appropriately based on nursing practice standards and hospital procedures. Ability to perform specialized procedures including endotracheal and tracheostomy suctioning, tracheostomy care, extubation, cardiopulmonary resuscitation (CPR), arterial punctures, chest tube and Pleurevac management, and assistance with peritoneal dialysis, paracentesis, and thoracentesis procedures. Ability to manage specialty intravenous drips utilizing approved protocols. Successful completion of a critical care course approved by the Community Chief Nursing Officer prior to assignment as the sole RN provider in a critical care unit. Demonstrated competency in cardiopulmonary resuscitation and airway management. Demonstrated competency in EKG interpretation. Knowledge of pharmacology, including emergency intravenous drug therapy. Knowledge of hemodynamic monitoring principles and critical care procedures. Successful completion of competencies in Moderate Sedation, Stroke Modules, and Restraint Management. Adequate orientation to unit policies, procedures, equipment, safety practices, infection control standards, and performance improvement activities. Strong critical thinking, clinical judgment, communication, and patient assessment skills.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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. Special Instructions RN provide clinical decision making regarding nursing care in a safe and competent manner and reports to the Nurse Supervisor 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.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

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

Registered Nurse

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

Clinical Nurse Manager

Appalachian Regional Healthcare Hazard, 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 clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with patient admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing assessment and evaluation of patient care services provided on the unit in collaboration with members of the management team. Collaborates with subject matter experts and departmental leaders to foster a teamwork-oriented environment that supports quality outcomes and exceptional service. Supports a patient-first philosophy and participates in service recovery efforts when needed. Supports organizational initiatives designed to improve employee and patient engagement, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other nursing strategies. Assists in interviewing, selecting, onboarding, and training new staff members. Recommends and implements appropriate actions related to staff development, conflict resolution, policy compliance, performance evaluations, and disciplinary processes to support organizational goals. Assists with staff scheduling and management of labor resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of departmental supplies and equipment. Collaborates with physicians and other members of the healthcare team to coordinate patient care activities. Demonstrates leadership, initiative, and sound judgment in situations requiring independent decision-making. Recognizes and appropriately escalates issues related to regulatory requirements, policies, and procedures in a timely and effective manner. Performs other duties as assigned. Qualifications Education: Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred. Work Experience: Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Knowledge, Skills, and Abilities: Demonstrated leadership abilities required. Knowledge of general nursing principles, practices, and patient care skills. Knowledge of organizational functions, policies, procedures, and regulations. Applicable technical knowledge and clinical skills related to the assigned area of practice. Ability to effectively communicate and collaborate with patients, families, physicians, and healthcare team members. Strong critical thinking, problem-solving, and decision-making skills. Licensure/Certification: Current licensure to practice as a Registered Nurse in Kentucky or West Virginia, based on legal state of residence, required. Basic Life Support (BLS) certification required. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification required within six (6) months of hire for Emergency Department staff. De-Escalation Training required within six (6) months of hire for all units. Professional Nursing Certification preferred.
RN Manager/Supervisor Other
Appalachian Regional Healthcare

Clinical Nurse Manager

Appalachian Regional Healthcare Harlan, 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 clinical assignments are based on patient care needs and demonstrated staff competencies. Assists with patient admission and discharge processes to promote efficient patient throughput and high-quality, patient-centered care. Participates in the ongoing assessment and evaluation of patient care services provided on the unit in collaboration with members of the management team. Collaborates with subject matter experts and departmental leaders to foster a teamwork-oriented environment that supports quality outcomes and exceptional service. Supports a patient-first philosophy and participates in service recovery efforts when needed. Supports organizational initiatives designed to improve employee and patient engagement, including nurse leader rounding, employee rounding, hourly rounding, bedside shift reporting, and other nursing strategies. Assists in interviewing, selecting, onboarding, and training new staff members. Recommends and implements appropriate actions related to staff development, conflict resolution, policy compliance, performance evaluations, and disciplinary processes to support organizational goals. Assists with staff scheduling and management of labor resources in accordance with patient care needs and established productivity standards. Supports inventory control processes and assists with the management of departmental supplies and equipment. Collaborates with physicians and other members of the healthcare team to coordinate patient care activities. Demonstrates leadership, initiative, and sound judgment in situations requiring independent decision-making. Recognizes and appropriately escalates issues related to regulatory requirements, policies, and procedures in a timely and effective manner. Performs other duties as assigned. Qualifications Education: Associate's Degree in Nursing required. Bachelor's Degree in Nursing preferred. Work Experience: Minimum of one (1) year of clinical nursing experience required. Two (2) years of clinical nursing experience preferred. Knowledge, Skills, and Abilities: Demonstrated leadership abilities required. Knowledge of general nursing principles, practices, and patient care skills. Knowledge of organizational functions, policies, procedures, and regulations. Applicable technical knowledge and clinical skills related to the assigned area of practice. Ability to effectively communicate and collaborate with patients, families, physicians, and healthcare team members. Strong critical thinking, problem-solving, and decision-making skills. Licensure/Certification: Current licensure to practice as a Registered Nurse in Kentucky or West Virginia, based on legal state of residence, required. Basic Life Support (BLS) certification required. Advanced Cardiac Life Support (ACLS) certification required within six (6) months of hire for Emergency Department, Critical Care, Operating Room, and Specialty Areas/Units. Pediatric Advanced Life Support (PALS) certification required within six (6) months of hire for Emergency Department, Operating Room, and Pediatric Medical-Surgical units. Neonatal Resuscitation Program (NRP) and AWHONN Fetal Monitoring certification required within six (6) months of hire for Maternal/Child units. Trauma Nursing Core Course (TNCC) certification required within six (6) months of hire for Emergency Department staff. De-Escalation Training required within six (6) months of hire for all units. Professional Nursing Certification preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Licensed Practical Nurse

Appalachian Regional Healthcare Paintsville, 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. Responsibilities Performs basic nursing care and patient procedures as required. Participate in conferences and serves on Committees as requested. Observes, reports, and documents in the patient chart changes in patient's condition, observations made, and complaints voiced and nursing care performed. Participates in patient and family health education as necessary. Provides a safe and secure environment for the patient. Prepares for and assists with diagnostic and therapeutic treatments. May administer I.V.F. in accordance with state Nurse Practice Act. Checks, irrigates and maintains drainage tubes as needed. May insert N/G tubes after training. (KY & VA). May administer tube feedings. Suctions patients according to hospital policy and procedure. Functions in emergencies and on the code team as designated. Performs catheterizations and provides catheter care. Administers oral and intra-muscular, intradermal, subcu, I.V., PB, and medications as approved. Administers I.V.P. medications as approved. (In Virginia only). Cares for patients receiving oxygen therapy and analyses oxygen concentration of 02 tents, isolette and croupettes. Administers respiratory treatments (I.P.P.B.). Applies sterile and unsterile compresses and bandages of all types and styles. Answers call lights, assist patients with personal hygiene and other activities of daily living. Tests urine for sugar, acetone, and ph., weighs patients, and takes vital signs. Cares for patients in isolation. Assists with physical and vaginal examinations and obtaining pap smears. Administers post-operative regime: cough, deep breathing, turn patients, and takes vital signs. Prepares patients for surgery, including pre-op check lists. Applies ace bandages, all types of traction, hot water bottle and ice cap. Measures and records intake and output. Collects specimens; blood, urine, stool and sputum. Administers post-mortuum care and transportation. Administers enemas: retention, cleansing, therapeutic, colonic, irrigation. Maintains cleanliness, safety and efficiency in nursing. Alert to and able to respond appropriately in an emergency situation, providing patient care, initiating CPR and any other tasks designated by the RN or MD. Assists with the care and security of the patients' valuables. Checks narcotics and barbiturates reports discrepancies, completes incident report appropriately and submits to appropriate management. Cares for patients with radium and assists physician with removal of radium. Prepares used equipment for re-sterilization. Cleans and maintains storage of equipment. Request repairs, follow-up with physician and other staff as appropriate regarding equipment performance. Comply with hospital policies for obtaining, documenting and follow through on telephone and verbal orders. Monitors glucose via glucose monitor machine Collects Quality Improvement data as requested. Uses universal precautions. Performs other related duties as assigned. Qualifications Education: Graduate of an accredited School of Practical Nursing required. Work Experience: Six (6) months to one (1) year of on-the-job training required to attain proficiency in the performance of assigned duties and responsibilities. Licensure/Certification: Current Practical Nurse licensure in the state of practice required. Successful completion of an Intravenous (IV) Therapy Course required. Knowledge, Skills, and Abilities: Technical skills in specialized nursing areas preferred. Knowledge of practical nursing principles, techniques, and procedures. Ability to provide safe and effective patient care in accordance with established standards of practice. Effective communication and interpersonal skills. Ability to accurately assess, observe, document, and report patient conditions. Ability to function effectively as a member of the healthcare team. Ability to organize and prioritize multiple patient care responsibilities.
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Beckley, WV
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and passing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, including stool, urine, and sputum samples. • Collects and records intake and output accurately. • Collects and records vital signs and obtains pertinent patient information in accordance with hospital policy. • Assists and/or feeds patients, provides between-meal nourishment, provides fresh drinking water, and encourages fluid intake when indicated. • Assists with patient ambulation by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes as directed and documents appropriately. • Applies ace bandages and elastic stockings and prepares hot water bottles, ice bags, pads, and humidifiers. • Provides care for Foley catheters and Levine tubes as instructed by nursing staff. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports deceased patients to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation precautions and provides direct patient care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment for patients, visitors, and staff. • Observes and reports safety hazards and prepares incident reports as required. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment by: • Remaining with patients unless relieved. • Providing necessary equipment and supplies and adjusting lighting 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 patient care and nursing areas. • Participates in team conferences, in-service education programs, and staff meetings. • Assists other hospital employees as needed, including returning patients from the Recovery Room, x-ray, and other departments when indicated. • Assists with patient admissions, transfers, and discharges. • Performs other related duties as assigned. Qualifications Education • Successful completion of a hospital-approved Nursing Aide Training Program. Experience • Three (3) months of on-the-job training required to attain proficiency in assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Ability to perform assigned patient care duties safely and effectively. • Additional training may be required for assignment to specific patient care areas. Licenses & Certifications • Competency listing with the State of Kentucky may be required for positions working in Skilled Nursing Facilities (SNF).
RN Other
Appalachian Regional Healthcare

Registered Nurse

Appalachian Regional Healthcare Paintsville, 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; develops, implements, evaluates, and revises the plan of care utilizing critical thinking skills. Performs nursing acts authorized by the Board of Nursing and consistent with the American Nurses Association Standards of Practice and nationally accepted standards for registered nurses. Provides patient care, counseling, health teaching, and health promotion utilizing the Teach Back methodology to validate patient understanding. 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 nursing care activities. Serves as a mentor and preceptor for students and newly hired staff as assigned. Reports pertinent information through the appropriate chain of command, including the Clinical Nurse Manager, Nurse Manager, and House Nurse Coordinator. Participates on committees, teams, and performance improvement initiatives. Maintains a safe and secure environment for patients, coworkers, and self. Participates in discharge planning and transition of care activities and identifies patient needs. Advocates for patients and escalates patient concerns in a timely manner. Accurately and promptly documents patient assessments, interventions, and outcomes in the medical record. Assists patients with activities of daily living and functions as an active member of the healthcare team. Assumes responsibility for ongoing professional growth and development. Demonstrates effective communication and active listening skills while maintaining a compassionate and empathetic approach to patient care. Utilizes SBAR communication techniques and performs bedside shift reporting utilizing SBAR when appropriate. Serves as a positive role model and adheres to professional standards of conduct. Maintains patient dignity, privacy, and confidentiality. Adheres to all requirements outlined in the Special Addendum and Staff Nurse Position Description. Performs other duties as assigned. EMERGENCY ROOM TRAINING REQUIREMENTS Training for personnel assigned to the Emergency Department shall include: State and federal regulations related to emergency services. Nursing management of trauma patients. Nursing management of cardiac-related disorders. Performance and interpretation of EKG procedures and appropriate nursing interventions. Pharmacological interventions, including intravenous therapy. Patient assessment and triage procedures. Nursing management of pediatric emergencies. Medicolegal aspects of emergency nursing, including proper documentation. Nursing management of obstetrical emergencies. Recognition and management of patient and family emotional responses. Cardiopulmonary resuscitation (CPR) and airway management. Qualifications Education: Associate's Degree from an accredited school of nursing required. Bachelor's Degree preferred. Work Experience: Minimum of one (1) year of acute care nursing experience preferred. One (1) year of experience should be relevant to the specific department in which the employee will be working. Refer to departmental addendums for additional requirements. Experience with Electronic Health Records (EHR) preferred. Knowledge, Skills, and Abilities: Excellent interpersonal skills and ability to work effectively with providers at all levels. Ability to communicate clearly and effectively both verbally and in writing. Demonstrated ability to influence others and achieve desired outcomes. Ability to follow direction and facilitate a work environment conducive to change in a complex healthcare system. Demonstrated critical thinking skills. Basic computer skills required. Ability to successfully pass a medication examination. Completion of a hospital-approved training program and documented competency in emergency care procedures as determined by the Director of Nursing Services. Completion of Moderate Sedation training. Completion of Stroke Modules. Completion of Restraint training. Must be adequately oriented to unit policies, procedures, equipment, safety practices, infection control standards, and performance improvement monitoring processes. Licensure/Certification: Current Registered Nurse (RN) licensure in the state of practice required. Basic Life Support (BLS) certification required. De-Escalation Training within six (6) months of hire required. Advanced Cardiac Life Support (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 Other
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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. 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; Graduation from an accredited school of nursing. Required • Bachelor's Degree Preferred Experience • Up to 1 year Preferred • Minimum of one (1) year acute care nursing experience. • One (1) year of experience should be relevant to the specific department in which the individual will be working. • Refer to addendums for additional requirements. • Experience with Electronic Health Record (EHR) systems preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and the ability to work effectively with providers at all levels. • Ability to communicate clearly in writing and verbally and effectively influence others to achieve desired outcomes. • Demonstrated ability to follow direction and facilitate a work environment conducive to change and positive outcomes. • Strong critical thinking skills. • Basic computer skills. • Ability to pass a Medication Exam. • Completion of a hospital-approved training program and documented competency in emergency care procedures as determined by the Director of Nursing Services. • Knowledge of and competency in Moderate Sedation procedures. • Completion of Stroke Modules. • Knowledge of and competency in Restraint use and monitoring. • Must 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 licensure in the state of practice. Required • BLS Required • De-Escalation Training within six (6) months of hire. Required • 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 Preferred • Emergency Nurse Pediatric Course Preferred
CNA Other
Appalachian Regional Healthcare

Nursing Assistant

Appalachian Regional Healthcare Beckley, WV
Overview The Nurse Aide is responsible for performing basic nursing procedures in assisting in the care of patients. Responsibilities • Provides personal care including bathing, shampooing, shaving, back rubs, positioning patients, making beds, preparing patients for meals, feeding patients, and passing ice water. • Answers all signal lights and bells promptly to determine and meet patient needs. • Collects specimens, including stool, urine, and sputum samples. • Collects and records intake and output accurately. • Collects and records vital signs and obtains pertinent patient information in accordance with hospital policy. • Assists and/or feeds patients, provides between-meal nourishment, provides fresh drinking water, and encourages fluid intake when indicated. • Assists with patient ambulation by wheelchair, stretcher, and bed. • Administers enemas, douches, and inserts rectal tubes as directed and documents appropriately. • Applies ace bandages and elastic stockings and prepares hot water bottles, ice bags, pads, and humidifiers. • Provides care for Foley catheters and Levine tubes as instructed by nursing staff. • Applies condom drains, scrotal suspensories, unsterile compresses, and binders. • Provides postmortem care and transports deceased patients to the morgue. • Applies restraints and side rails to ensure patient safety. • Observes isolation precautions and provides direct patient care to patients in isolation. • Assists with colostomy care. • Sets up orthopedic appliances. • Runs errands, delivers messages, and answers telephones. • Maintains a safe environment for patients, visitors, and staff. • Observes and reports safety hazards and prepares incident reports as required. • Prepares patients for surgery, x-ray procedures, and other therapeutic and diagnostic procedures. • Prepares patients for examination and treatment by: • Remaining with patients unless relieved. • Providing necessary equipment and supplies and adjusting lighting 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 patient care and nursing areas. • Participates in team conferences, in-service education programs, and staff meetings. • Assists other hospital employees as needed, including returning patients from the Recovery Room, x-ray, and other departments when indicated. • Assists with patient admissions, transfers, and discharges. • Performs other related duties as assigned. Qualifications Education • Successful completion of a hospital-approved Nursing Aide Training Program. Experience • Three (3) months of on-the-job training required to attain proficiency in assigned duties and responsibilities. Required Skills, Knowledge & Abilities • Ability to perform assigned patient care duties safely and effectively. • Additional training may be required for assignment to specific patient care areas. Licenses & Certifications • Competency listing with the State of Kentucky may be required for positions working in Skilled Nursing Facilities (SNF).
RN Other
Appalachian Regional Healthcare

Registered Nurse

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

Registered Nurse

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

Registered Nurse

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

Clinical Nurse Manager

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

Medical Assistant

Appalachian Regional Healthcare Harlan, 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. Special Instructions 8 & 12 Hour Shifts in DBC After-Hours Clinic 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 follows requirements. • 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, service charge slips, and payor information. • Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. • May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. • Answers inquiries to patient accounts and advises patients on insurance benefits. • Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. • Posts charges daily to proper patient accounts. • 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 policies and procedures. • Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. • Types memos, correspondence, etc., as needed. • Compiles periodic and statistical reports and other data as directed Qualifications Education • High School Diploma Required • Graduate of Medical Assistant Training Program Preferred Experience • Up to 1 year • Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities if not certified. Required Required Skills, Knowledge & Abilities • Obtain 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 & Certifications • Medical Assistant certification from an accredited program. Preferred.
RN Other
Appalachian Regional Healthcare

Registered Nurse

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 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.