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Appalachian Regional Healthcare

Clinical Nurse Manager (Tier 1

Company : Appalachian Regional Healthcare

Location : Middlesboro, KY, 40965

Job Type : Full Time / Part Time

Date Posted : 5 January 2026

Overview

The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team.  The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture.

Responsibilities

Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner.

Qualifications

Education (experience can be substituted for education)Associate's Degree in Nursing RequiredBachelor's Degree in Nursing PreferredWork Experience (education can be substituted for experience)1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. RequiredKnowledge, Skills and AbilitiesEvidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area.Licenses and CertificationsCurrent licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred

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Frequently asked questions

Clinical Nurse (Tier 1) positions emphasize supervisory leadership by managing nursing teams during shifts, ensuring compliance with policies, and fostering a high-performance culture. Unlike staff nurses, they coordinate patient care, provide coaching, and directly influence unit outcomes, making their impact more strategic and managerial.

In Kentucky, Clinical Nurse (Tier 1) managers benefit from maintaining current nursing licensure and certifications like BLS and ACLS. Additional qualifications such as professional nursing certifications and specialized training like de-escalation or fetal monitoring improve leadership effectiveness and compliance within Appalachian Regional Healthcare.

Starting as a Clinical Nurse (Tier 1) opens pathways into higher nursing leadership roles such as Nurse Manager or Director of Nursing. Gaining experience in supervisory duties and clinical coordination can lead to broader responsibilities overseeing multiple units or participating in organizational strategy development.

Appalachian Regional Healthcare offers Clinical Nurse Managers structured leadership development, access to collaborative management teams, and ongoing coaching opportunities. This support system fosters a culture of excellence and equips nurse managers to deliver patient-centered care effectively within the Middletown community.

At Appalachian Regional Healthcare, Clinical Nurse Managers navigate rural healthcare dynamics, balancing limited resources with patient care demands. They often coordinate multidisciplinary teams in diverse clinical settings, which requires adaptability and strong leadership to maintain high-quality outcomes.

The Middlesboro, KY area shows steady demand for Clinical Nurse Managers due to regional healthcare needs. Candidates with leadership experience and relevant certifications like ACLS and BLS tend to stand out, while those familiar with local healthcare regulations experience smoother hiring processes.

Clinical Nurse Managers in Middlesboro, KY generally earn between $75,000 and $95,000 annually, reflecting cost of living and regional healthcare budgets. This range is slightly below national urban averages but competitive within the Appalachian healthcare market, factoring in local demand and facility size.

Middlesboro’s Clinical Nurse (Tier 1) role often requires personalized patient engagement due to smaller community settings. Managers coordinate care closely with local providers, fostering continuity and culturally sensitive approaches that may contrast with the high-volume, protocol-driven care typical in metropolitan hospitals.

Leadership at Appalachian Regional Healthcare prioritizes accountability, effective communication, and conflict resolution skills. Clinical Nurse Managers must also demonstrate initiative and adaptability, guiding teams through complex patient scenarios while promoting the organization’s mission of high-quality care.

The organization implements strategies like nurse leader rounding and bedside shift reports, empowering Clinical Nurse Managers to foster teamwork and open communication. These initiatives enhance staff morale and ensure patient care consistently aligns with quality and safety standards.

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