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Appalachian Regional Healthcare

Registered Nurse Tier I

Company : Appalachian Regional Healthcare

Location : Hazard, KY, 41701

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.

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

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

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Frequently asked questions

In Hazard, KY, Registered Nurse Tier I professionals benefit greatly from certifications like BLS and de-escalation training, which are essential locally. These credentials enhance clinical decision-making and patient safety, aligning with Appalachian Regional Healthcare’s standards and meeting regional regulatory expectations.

Daily responsibilities in Hazard for a Registered Nurse Tier I often involve managing diverse patient needs with critical thinking, especially in rural Appalachian communities. Collaboration with multidisciplinary teams and adapting to variable environmental conditions are key, reflecting local healthcare challenges and patient demographics.

Starting as a Registered Nurse Tier I opens doors to advanced nursing roles such as Registered Nurse II or Nurse Manager. Gaining experience in clinical decision-making, mentorship, and specialized certifications can accelerate advancement within hospital settings or community nursing roles.

Appalachian Regional Healthcare is expanding its nursing team to meet rising patient care demands in Hazard, KY. The Registered Nurse Tier I role stands out by emphasizing hands-on clinical supervision, patient advocacy, and active participation in improvement initiatives tailored to the region’s healthcare environment.

The organization fosters growth by mentoring new staff, encouraging participation in committees, and providing access to continuous education, including required certifications like BLS and de-escalation training. This approach ensures Registered Nurse Tier I employees evolve within a supportive clinical culture.

Hazard exhibits a moderate demand for registered nurses, with Appalachian Regional Healthcare actively recruiting to fill entry-level and tiered nursing roles. Candidates should anticipate a balanced competition landscape, with emphasis on those holding essential certifications and adaptability to rural healthcare settings.

Registered Nurse Tier I positions in Hazard, KY typically offer annual salaries between $55,000 and $65,000, reflecting regional cost of living and healthcare industry standards. Appalachian Regional Healthcare’s compensation aligns competitively to attract qualified registered nursing professionals.

Exceptional Registered Nurse Tier I candidates demonstrate strong assessment abilities, critical thinking in care planning, and effective communication using SBAR techniques. Experience mentoring peers and managing diverse patient needs in line with Appalachian Regional Healthcare’s protocols enhances team integration.

Commuting within Hazard can vary due to rural road conditions and weather, so Registered Nurse Tier I staff should prepare for potential travel delays. Being equipped with a valid driver’s license and flexibility ensures reliable attendance, which is critical for maintaining consistent patient care.

Some may assume the role is primarily supportive, but Registered Nurse Tier I positions demand autonomous clinical judgment, supervision of staff, and active participation in discharge planning. These nurses serve as vital patient advocates and decision-makers within the healthcare team.

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