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Appalachian Regional Healthcare

Registered Nurse Tier 1

Company : Appalachian Regional Healthcare

Location : Barbourville, KY, 40906

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 Barbourville, KY, essential credentials like BLS certification and de-escalation training within six months of hire are highly regarded for Registered Nurse Tier 1 roles. Additionally, advanced dysrhythmia/EKG certification is crucial for med/surg telemetry units, reflecting local healthcare standards and patient care complexity.

Barbourville experiences a steady demand for entry-level registered nurses due to its regional healthcare needs. Compared to larger Kentucky cities, competition might be less intense, offering Registered Nurse Tier 1 candidates favorable hiring prospects while still requiring strong clinical skills and adaptability.

Registered Nurse Tier 1 professionals often navigate complex patient needs, balancing psychological and physical care while supervising team members. They must employ critical thinking for care plans and transition management, adapting to diverse cultural dynamics and ensuring safety in fast-paced clinical settings.

Starting as a Registered Nurse Tier 1 opens pathways to specialized nursing roles, clinical leadership, or nurse management. Building mastery in collaboration, decision-making, and digital literacy can fast-track progression within Appalachian Regional Healthcare or broader clinical environments.

Registered Nurse Tier 1 positions emphasize foundational nursing skills combined with supervisory duties over assigned staff and students. Unlike higher tiers, these roles focus on mastering care transitions, medication administration, and supporting multidisciplinary teams, establishing essential clinical competence.

At Appalachian Regional Healthcare, this role integrates mentorship and hands-on teaching, fostering a growth mindset. The emphasis on psychological support, active team collaboration, and community-focused care distinguishes it from other healthcare employers.

Appalachian Regional Healthcare invests in continuous learning by assigning mentorship and precepting duties, encouraging skill growth. The environment promotes agility and teamwork, ensuring Registered Nurse Tier 1 professionals refine clinical judgment and leadership capabilities.

The average Registered Nurse Tier 1 salary in Barbourville, KY, generally falls between $52,000 and $60,000 annually. This range reflects local cost of living and demand, aligning with regional healthcare compensation trends for entry-level nursing roles.

Barbourville's close-knit community fosters a collaborative and empathetic nursing culture. Nurses often engage deeply with patients and families, emphasizing personalized care and mutual respect, which enriches the workplace atmosphere in Appalachian Regional Healthcare settings.

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