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Appalachian Regional Healthcare

Registered Nurse Tier 2 (Union)

Company : Appalachian Regional Healthcare

Location : Hinton, WV, 25951

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

Appalachian Regional Healthcare prioritizes candidates with current RN licensure, BLS certification, and expects de-escalation training within six months of hire. For med/surg telemetry units, advanced dysrhythmia/EKG certification is essential, aligning with regional healthcare standards to ensure quality patient care.

At Appalachian Regional Healthcare, the RN Tier 2 (Union) position emphasizes mentorship, collaboration with multidisciplinary teams, and active participation in performance improvement initiatives. This union role also offers structured professional development with a strong focus on patient advocacy unique to Hinton’s healthcare environment.

A Registered Nurse Tier 2 in Hinton can expect growth through specialized clinical roles or leadership positions, often advancing by gaining certifications and experience in acute care settings. The union framework also supports skill development and internal mobility within Appalachian Regional Healthcare’s network.

Yes, understanding the diverse cultural dynamics of patients in Hinton is crucial. Registered Nurses must adapt care plans considering local socioeconomic factors and community health trends to deliver empathetic, effective nursing support tailored to this region.

While demand for skilled nurses remains steady statewide, Hinton’s smaller community means fewer openings but closer-knit networks. Applicants often benefit from strong local references and demonstrated adaptability to rural healthcare challenges.

This role uniquely combines clinical expertise with supervisory duties, including mentoring students and staff, leading bedside shift reports using SBAR, and active involvement in discharge planning. The union status also fosters a collaborative environment emphasizing patient safety and professional conduct.

Critical thinking in care planning, proficient medication administration, and effective communication through SBAR are vital. Additionally, mastery in teamwork, digital literacy, and de-escalation tactics ensures nurses meet both clinical and interpersonal demands in dynamic hospital environments.

Registered Nurses Tier 2 in Hinton typically earn between $58,000 and $68,000 annually, reflecting regional cost of living and demand. Union positions often include negotiated benefits and stability, making total compensation competitive within West Virginia’s healthcare sector.

Yes, new hires undergo comprehensive orientation including clinical protocols, union guidelines, and mentorship programs. This ensures smooth integration into the team with ongoing support tailored to Appalachian Regional Healthcare’s standards and community-focused care approach.

The organization encourages continuous development through access to educational resources, performance improvement participation, and structured mentorship. Union membership also offers pathways for advancing certifications and leadership roles within a supportive healthcare network.

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