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Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union)

Company : Appalachian Regional Healthcare

Location : Beckley, WV, 25801

Job Type : Full Time / Part Time

Date Posted : 30 December 2025

Overview

The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students.

Responsibilities

  • Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills
  • The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses.
  • Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension
  • The administration of medication, intravenous therapy and treatment as prescribed by a LIP
  • Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care.
  • Mentors and precepts students and orient new staff as assigned
  • Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information
  • Participates on various teams, committees or performance improvement initiatives
  • Ensures a safe and secure environment for patients, coworkers and self
  • Participates in Discharge Planning and Transition of Care (able to define pt needs)
  • Serves as a patient advocate and escalates patient related concerns timely
  • Timely documents pertinent findings in medical record
  • Assist patients in performing activities of daily living and functions as an active team member
  • Assumes responsibility for personnel professional development
  • Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude
  • Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted)
  • Functions as a positive influence, role model and adheres to professional code of conduct
  • Respects dignity and confidentiality of all matters relating to patients
  • Refer to Special Addendum and Staff Nurse Position Description
  • Performs other job duties as assigned.

Qualifications

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

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Frequently asked questions

In Beckley, WV, Registered Nurse Tier 1 professionals benefit greatly from certifications like BLS, de-escalation training, and advanced dysrhythmia/EKG proficiency. These credentials reflect local healthcare standards and improve employability within Appalachian Regional Healthcare and similar institutions.

Beckley sees steady demand for entry-level registered nurses due to its growing healthcare facilities and aging population. Compared to larger cities, competition can be less intense, but employers like Appalachian Regional Healthcare prioritize candidates with strong clinical skills and local certifications.

Mastery in patient assessment, medication administration, and care plan execution is essential. Additionally, teamwork, digital literacy, and effective communication, including SBAR for shift reporting, distinguish a Registered Nurse Tier 1 in clinical settings, particularly in diverse hospital departments.

Progression often includes specialization in areas like telemetry or becoming a clinical nurse leader. Developing mentorship skills and participating in performance improvement projects can open doors to supervisory roles and advanced practice opportunities, especially in unionized healthcare settings.

This tier focuses on comprehensive patient assessments, care plan management, and supervising nursing assistants or students. They also engage in discharge planning, patient advocacy, and collaboration with multidisciplinary teams, emphasizing both clinical and leadership skills in day-to-day duties.

Appalachian Regional Healthcare offers ongoing mentorship, orientation programs for new hires, and access to performance improvement initiatives. These efforts aim to cultivate clinical expertise and leadership growth, ensuring Registered Nurse Tier 1 personnel thrive within their unionized work environment.

Yes, the organization emphasizes teamwork, respect for patient dignity, and continuous communication. The unionized setting fosters a culture of advocacy and professional accountability, which shapes the daily interactions and expectations for Registered Nurse Tier 1 employees.

Registered Nurse Tier 1 roles in Beckley typically offer between $58,000 and $72,000 annually, aligning with regional cost of living and healthcare demand. This salary band accounts for union benefits and reflects the specialized skills required in Appalachian Regional Healthcare's clinical settings.

New hires may encounter adapting to diverse cultural dynamics, mastering complex care transitions, and integrating into multidisciplinary teams. The hospital’s emphasis on hands-off communication and patient advocacy requires swift skill acquisition and professional agility.

Beckley’s geography and limited public transit options mean nurses often rely on personal vehicles. Commute times are generally manageable, but seasonal weather can affect travel. Employers may offer flexible scheduling to accommodate these local transportation challenges.

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