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Clinical Nurse Manager (Tier 1
Company : Appalachian Regional Healthcare
Location : Beckley, WV, 25801
Job Type : Full Time / Part Time
Date Posted : 3 January 2026
Overview
The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture.
Responsibilities
Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner.
Qualifications
Education (experience can be substituted for education)Associate's Degree in Nursing RequiredBachelor's Degree in Nursing PreferredWork Experience (education can be substituted for experience)1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. RequiredKnowledge, Skills and AbilitiesEvidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area.Licenses and CertificationsCurrent licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred
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Frequently asked questions
Beckley’s healthcare sector shows moderate competition for Clinical Nurse (Tier 1) positions, especially in leadership tiers like nurse managers. Candidates with proven clinical and supervisory experience tend to stand out due to local demand for skilled nurse leaders at facilities like Appalachian Regional Healthcare.
Appalachian Regional Healthcare values certifications such as BLS, ACLS, PALS, and TNCC, especially for Clinical Nurse Managers. Professional nursing certifications related to leadership and specialized clinical areas enhance a candidate’s profile for these roles in West Virginia’s healthcare environment.
Clinical Nurse (Tier 1) roles emphasize direct leadership by overseeing nursing staff, coordinating patient care delivery, and supporting clinical outcomes, unlike purely clinical roles. Their duties also extend to staff coaching, scheduling, and collaborating with medical teams to ensure smooth unit operations.
Progression from Clinical Nurse (Tier 1) often leads to expanded leadership positions such as Nurse Unit Manager or Clinical Nurse Manager Tier 2. This path includes growing responsibilities in staff development, policy implementation, and broader clinical program oversight, reflecting increasing managerial complexity.
Daily challenges include balancing patient-centered care demands with staff scheduling, navigating conflict resolution, ensuring compliance with nursing policies, and maintaining high team morale. The role demands adaptability to rapidly changing clinical situations and effective communication across departments.
The organization fosters growth through ongoing leadership training, mentorship, and opportunities to lead strategic nursing initiatives. Clinical Nurse Managers gain exposure to interdisciplinary collaboration and are encouraged to pursue advanced certifications, enhancing their managerial and clinical expertise.
Clinical Nurse Managers in Beckley, WV, typically earn between $75,000 and $90,000 annually, reflecting local cost of living and healthcare market rates. This range aligns competitively with similar roles in adjacent Appalachian regions, accounting for the managerial scope and clinical demands.
In Beckley, Clinical Nurse (Tier 1) positions often require broader multitasking across clinical and leadership duties due to smaller team sizes. Larger metro hospitals may have more specialized roles, whereas Beckley demands adaptability and hands-on management within a tighter-knit healthcare community.
Effective Clinical Nurse Managers demonstrate strong communication, decisive problem-solving, and empathy in staff engagement. They must inspire teamwork, uphold patient care standards, and navigate operational challenges while aligning with Appalachian Regional Healthcare’s mission for an exceptional patient experience.
Clinical Nurse Managers utilize electronic health records (EHRs), staffing software, and communication platforms to coordinate care and manage unit productivity. Mastery of these tools improves workflow efficiency and enhances the ability to respond promptly to patient and staff needs.