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Appalachian Regional Healthcare

Head Nurse Manager

Company : Appalachian Regional Healthcare

Location : Hazard, KY, 41701

Job Type : Full Time / Part Time

Date Posted : 2 January 2026

Overview

The Head Nurse Manager is accountable for the supervision of nursing services within an assigned unit in order to provide safe, effective and efficient nursing care.

Responsibilities

Supervises the department in an efficient manner by planning, organizing and controlling all activities of the department.

Implement, interpret and enforce work standards and procedures within the unit that are in compliance with hospitals policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures.

Incorporate total quality management concepts into unit operations.

Develop, implement, monitor and enforce the principles of effective nursing care on the unit.

Develop effective communications between unit personnel, physicians and other departments to assure continuity, coordination and collaboration in delivering services.

Provides direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served.

Relieve other Head nurse managers and Nurse Supervisors as required. May work different shifts and/or days for orientation, training and evaluation of personnel in the unit.

Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment.

Continue professional development by attending education programs designed for nursing leaders.

Interview, select, evaluate, discipline and terminate personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training and that they maintain required licensure or certification. Maintain personnel records as required.

Develop work schedules and assign unit personnel on the basis of patient needs and appropriate nursing intervention.

Head Nurse Manager

Position Description

Page 2

Supervise labor relations activities in the assigned area.

Prepare the departmental budget, routine and special reports and various forms and documents as required. Attend or conduct meetings as necessary.

Adhere to the infection control policies and procedures of the hospital.

May work off shifts, weekends and holidays, be on-call and work more than standard hours.

Perform other related duties as assigned.

Qualifications

Graduation from an approved school of nursing and current non-limited licensure in state.

BS or MSN is preferred.

Minimum of five (5) years experience and demonstrated management and clinical skills.

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Frequently asked questions

In Hazard, KY, a Head Nurse often balances hands-on patient care with administrative duties due to smaller team sizes. This contrasts with larger cities where roles might be more segmented. Regional healthcare demands and resource availability shape the unique scope of nursing leadership here.

Beyond standard RN licensure, certifications like Nurse Executive (NE-BC) or Certified Nurse Manager and Leader (CNML) are increasingly preferred in Eastern Kentucky. These credentials demonstrate leadership competence aligned with Appalachian Regional Healthcare's standards and regional regulatory expectations.

A Head Nurse Manager combines clinical expertise with strategic oversight, ensuring unit-wide quality care and staff coordination. Unlike some nurse managers, this role demands strong budget management skills and labor relations oversight, reflecting comprehensive operational accountability.

Progression to Head Nurse Manager often requires honing leadership in multidisciplinary communication, budgeting, and compliance enforcement. Proven abilities in conflict resolution and quality management set candidates apart in competitive markets like Hazard, KY.

Appalachian Regional Healthcare encourages continual education through specialized nursing leadership programs and cross-departmental collaboration. Their model fosters skill enhancement in clinical oversight and operational management, boosting career trajectories within their healthcare system.

Appalachian Regional Healthcare's rural setting can amplify challenges such as resource limitations and staffing variability. Managers here must be adept at adaptive planning and cultivating strong interdepartmental relationships to maintain seamless patient care.

Head Nurse Managers in Hazard, KY, generally earn between $85,000 and $105,000 annually, reflecting regional cost of living and demand. This range is slightly below urban Kentucky centers, but benefits and career growth opportunities at Appalachian Regional Healthcare compensate competitively.

Weekend and holiday shifts often require Head Nurses to take on more direct patient care alongside supervisory duties due to reduced staffing. Flexibility and decisive leadership are critical to maintaining care quality during these periods at local healthcare units.

Nurse managers here often experience varied shifts, including nights and weekends, to cover unit needs effectively. Flexibility is essential, supporting both staff training and patient care continuity in this healthcare environment.

They seek candidates demonstrating strong communication skills, regulatory compliance knowledge, and the ability to integrate quality management principles. Leadership that fosters team collaboration and proactive problem-solving aligns best with their organizational culture.

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