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Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union

Company : Appalachian Regional Healthcare

Location : South Williamson, KY, 41503

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

South Williamson, KY, is experiencing a steady demand for Registered Nurse Tier 1 roles, especially within healthcare systems like Appalachian Regional Healthcare. The rural setting means fewer nurses per capita, increasing job availability but also emphasizing the need for versatile skills to manage diverse patient needs.

Healthcare providers in South Williamson often prioritize candidates with BLS certification and de-escalation training, reflecting the community’s focus on patient safety and crisis management. Familiarity with digital literacy and care transition protocols is also highly valued locally.

Registered Nurse Tier 1 positions require advanced critical thinking to assess and tailor care plans, alongside leadership abilities to supervise teams and mentor new staff. Mastery in collaboration and communication within multidisciplinary settings sets these nurses apart in delivering comprehensive patient care.

Entry-level Registered Nurse Tier 1 roles in union settings like Appalachian Regional Healthcare offer structured pathways for professional growth, including skill enhancement in specialized nursing practices, leadership training, and potential advancement into clinical nurse manager or specialist positions.

In addition to direct patient assessments and medication administration, Registered Nurse Tier 1 professionals coordinate discharge planning, implement safety protocols, engage in interdisciplinary committees, and provide mentorship, all requiring a blend of clinical expertise and organizational skills.

Appalachian Regional Healthcare fosters continuous education through mentorship programs, promotes adherence to national nursing standards, and encourages participation in performance improvement teams, ensuring Registered Nurse Tier 1 employees evolve alongside clinical best practices.

Registered Nurse Tier 1 positions in South Williamson typically offer salaries ranging from $55,000 to $65,000 annually, aligning with Kentucky’s healthcare sector averages. Appalachian Regional Healthcare supplements this with benefits that reflect union-negotiated standards, enhancing overall compensation.

Candidates should emphasize their registered nurse license, BLS certification, problem-solving aptitude, teamwork skills, and experience with patient care transitions. Highlighting de-escalation training and digital proficiency will also improve alignment with the role’s expectations.

Unionized Registered Nurse Tier 1 roles often include clearly defined scopes of practice, structured supervision duties, and collective input on workflow improvements, contrasting with non-union roles that may offer more flexible but less standardized responsibilities.

New nurses may encounter diverse cultural dynamics and varying patient acuity levels unique to South Williamson. Preparing by enhancing cultural competence, mastering care coordination, and engaging in continuous learning about local health resources will ease transition into this role.

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