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Appalachian Regional Healthcare

Registered Nurse Tier 1

Company : Appalachian Regional Healthcare

Location : Hazard, KY, 41701

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

Hazard, KY has a steady demand for Registered Nurse Tier 1 roles due to ongoing healthcare needs in Appalachian Regional Healthcare. While competition exists, possessing required certifications like BLS and de-escalation training enhances your chances in this regional job market.

Appalachian Regional Healthcare offers a community-focused, collaborative atmosphere ideal for Registered Nurse Tier 1 staff. Unlike larger urban centers, nurses here often engage closely with multidisciplinary teams, fostering personalized patient care within a tight-knit clinical culture.

Mastering clinical decision-making and digital literacy is essential. Certifications such as BLS, de-escalation training within six months, and advanced dysrhythmia/ekg for med/surg telemetry units significantly boost your effectiveness and eligibility for this position.

Registered Nurse Tier 1 professionals often lead patient assessments, oversee care plans actively, supervise junior staff, and mentor students. Their role combines hands-on nursing with critical collaboration, emphasizing both clinical execution and team leadership.

Starting as a Tier 1 RN opens pathways to advanced clinical roles, nurse management, or specialized nursing fields. Appalachian Regional Healthcare supports growth through mentorship and continuous education, making this role a solid foundation for upward mobility.

Yes, new Registered Nurse Tier 1 staff receive thorough orientation and are often assigned mentors. The company emphasizes skill development, including digital literacy and clinical competencies, ensuring smooth transition and professional growth within the healthcare system.

Registered Nurse Tier 1 salaries in Hazard typically range from $55,000 to $70,000 annually, reflecting local market conditions and healthcare demand. Appalachian Regional Healthcare offers competitive compensation aligned with experience and relevant certifications.

Working in Hazard allows Registered Nurse Tier 1 staff at Appalachian Regional Healthcare to benefit from a community-oriented environment with potentially fewer commute challenges than urban centers. This balance supports both professional dedication and personal well-being.

Yes, Hazard's healthcare environment requires sensitivity to diverse cultural backgrounds among patients and staff. Demonstrating empathy and effective communication skills is crucial for Registered Nurse Tier 1 professionals to provide respectful and tailored care.

Indeed, Registered Nurse Tier 1s at Appalachian Regional Healthcare actively participate in committees and performance improvement projects, contributing insights from direct patient care to enhance safety and clinical outcomes across departments.

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