Registered Nurse Tier 1 (Union
Company : Appalachian Regional Healthcare
Location : Pikeville, KY, 41501
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
ARH Pike County Home Health AgencyResponsibilities
- 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
Registered Nurse Tier 1 roles in Pikeville often emphasize direct patient assessments and hands-on care planning within home health settings. This level requires balancing clinical judgment with patient advocacy, frequently coordinating with multidisciplinary teams to ensure smooth transitions in care unique to rural areas served by Appalachian Regional Healthcare.
In Kentucky, Tier 1 Registered Nurse roles generally require at least an associate's degree in nursing, with a preference for bachelor's degrees. Candidates must be licensed RNs, holding current BLS certification and often completing de-escalation training to meet local care standards and patient safety protocols.
Yes, Tier 1 Registered Nurses in Pikeville frequently manage patient assessments, medication administration, and supervise nursing staff and students. Their role includes critical thinking to adjust care plans and active involvement in discharge planning, reflecting hands-on responsibilities typical of entry to mid-level nursing in Appalachian Regional Healthcare.
Appalachian Regional Healthcare offers Tier 1 Registered Nurses chances to mentor students, engage in multidisciplinary teams, and participate in performance improvement projects. This environment fosters skill development in leadership and clinical expertise, paving pathways to advanced nursing roles or specialized care areas in the region.
ARH emphasizes ongoing education by requiring certifications like BLS and de-escalation training and encourages mentorship roles. Registered Nurse Tier 1 employees gain access to committees and quality improvement initiatives, promoting continual skill enhancement aligned with regional healthcare demands and nursing best practices.
ARH's Tier 1 Registered Nurse role uniquely integrates home health agency collaboration and requires adaptability to varying patient environments. The position demands strong communication and hands-off reporting skills, reflecting a community-focused approach that might differ from more hospital-centric roles within Pikeville.
Pikeville's healthcare sector, including ARH, experiences steady demand for qualified Tier 1 Registered Nurses, driven by rural healthcare needs. Limited local nursing programs and the necessity for travel to patient homes heighten competition, making certifications and practical experience vital for securing positions.
Registered Nurse Tier 1 salaries in Pikeville typically range from $52,000 to $60,000 annually, reflecting rural Kentucky compensation patterns. Factors like experience, certifications, and shift differentials at Appalachian Regional Healthcare can influence pay within this band, aligning with regional cost of living and healthcare demand.