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Enterprise RN Supplemental Staffing Team
Company : Appalachian Regional Healthcare
Location : Lexington, KY, 40505
Job Type : Full Time / Part Time
Date Posted : 1 January 2026
Overview
The Supplemental Staffing Team (SST) Registered Nurse (RN) assesses, analyzes, plans, implements andevaluates patient care following established patient care standards for Appalachian Regional Healthcare includingthose established by the Nurse Practice Act. The primary function of this role, based upon hired tier and floatoption, is to be available and flexible to float to various departments and/or hospital sites throughout ARHhealthcare locations within Kentucky and/or West Virginia. The SST RN is to provide patient care, which couldinclude but not limited to same day staffing assignments, more than one assignment location within a singleshift, travel assignments, seasonal staffing patterns or natural disaster/emergency response. Participates as amember of the Supplemental Staffing Team in cooperation with and under the direction of Director and/orClinical Nurse Manager or designee.Essential Job Functions:Supplemental Staffing Team RNs are hired with the understanding they must float based on at least one of theoptions below:•Local: Float expectation within a single site based on competency•Regional: Float expectation within multiple sites within a single region based on competency•Enterprise: Float expectation within multiple sites across one or more regions that are >75 miles from RN'shome address and accepts assignments that range 2-13 weeks based on competency
Special Instructions
Enterprise: Contracts range from 2 to 26 weeks at facilities within an assigned region, with a maximum of 26 weeks allowed at any single location before reassignment within the assigned region..Responsibilities
- In collaboration with providers, clinical care team members, patients and families (as defined by the patient) the Registered Nurse is responsible for evaluating, planning, directing and administering care to the patient. Implements a plan of care based upon established standards of care/practice, policies, and procedures, incorporating cultural, religious, psychosocial, physical, and age-related issues.
- Completes all required documentation accurately and within the required timeframe, as well as communicate clinical information with members of the multidisciplinary team.
- Possesses knowledge of medications and administers them safely and accurately.
- Appropriately delegates and supervises routine technical functions to non-licensed and licensed personnel.
- Embraces concepts and behaviors that enhance customer satisfaction and employee morale and improvement in the profession of nursing.
- In collaboration with the patient/family the RN evaluates patient outcomes and revises the patient’s plan of care.
- Negotiates with the patient/family and health care team members to come to an acceptable resolution of conflicts resulting from patient care or organizational issues.
- Demonstrates an appreciation of the hospital mission by acting as a resource for employees, students, and residents.
- Is supportive of patient and family centered care, promoting that environment within the care provided. Includes family and patient in plan of care, providing teaching and support where needed.
- Incorporates the professional practice model into care delivery.
- Acts as a patient safety advocate by participating in ongoing quality improvement in the department.
- Performs other duties assigned by authorized personnel or as required to meet the needs of the facility and internal and external customers.
Qualifications
Education
• Graduate from an accredited school of nursing.• Associates Degree in Nursing Required• Bachelors of Science in Nursing Preferred
Minimum Work Experience• Two (2) years of clinical experience required.• Three (3) years of clinical experience preferred.
Licenses, Certifications, RegistrationsRequired• Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence or compact nurse licensure• BLS upon hire• ACLS required within 6 months of hire: ICU, Tele, PCU, ENDO, PACU, OR, Cath Lab, ED• PALS required within 6 months: OR, PACU & ED• TNCC certification within 6 months: ED Nurses• De-escalation training certification within 6 months: All clinical locationsPreferred• Professional Nursing Certification
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Frequently asked questions
Members of the Enterprise RN Supplemental Staffing Team must be highly adaptable, floating to various departments and hospitals across Kentucky and West Virginia. This flexibility requires proficiency in multiple clinical settings, enabling efficient patient care delivery even in rapidly changing environments.
This role offers exposure to diverse clinical areas and patient populations, enhancing your nursing skills and experience. Rotating through multiple facilities within Appalachian Regional Healthcare broadens your expertise and prepares you for leadership or specialized nursing roles.
Critical skills include clinical assessment, medication administration, multi-departmental flexibility, and effective communication with interdisciplinary teams. Competency in emergency response and patient safety advocacy is also vital, given the dynamic nature of supplemental staffing.
Lexington's supplemental RN positions remain in steady demand due to regional healthcare needs. Appalachian Regional Healthcare's extensive network offers numerous opportunities, but successful candidates typically possess multi-unit clinical experience and valid licensure in KY or WV.
Preferred certifications include ACLS, PALS, and TNCC, with many required within six months of hire. Additionally, de-escalation training and professional nursing certifications improve employability and demonstrate readiness to handle diverse clinical scenarios.
At Appalachian Regional Healthcare, the Enterprise RN Supplemental Staffing Team operates collaboratively with care teams and leadership to maintain consistent patient care standards across facilities. Their role supports fluctuating staffing needs while upholding organizational values and patient-centered care.
Nurses in this role typically earn between $60,000 and $75,000 annually in Lexington, KY, reflecting the regional market for supplemental staffing. Compensation may vary based on experience, certifications, and assignment length across Appalachian Regional Healthcare's locations.
Given the enterprise float expectation extends beyond 75 miles from home, supplemental RNs should anticipate variable commute times. Effective planning and flexibility are essential to manage travel between diverse hospital sites within both states.
This team tackles dynamic scheduling, often handling multiple assignments per shift or extended travel contracts. Their duties encompass patient assessments across units, rapid competency adaptation, and seamless integration into varied clinical teams under fluctuating conditions.
The organization encourages ongoing education, certifications, and cross-unit experience, fostering professional growth. Supplemental RNs gain broad exposure that can lead to specialized roles or leadership opportunities within Appalachian Regional Healthcare’s network.