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Appalachian Regional Healthcare

Registered Nurse Tier 1

Company : Appalachian Regional Healthcare

Location : Prestonsburg, KY, 41653

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
  • Registered Nurse. Required
  • BLS upon hire Required
  • De-Escalation Training within 6 months of hire Required
  • Driver's License required
  • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments.
  • Responsible for performing nursing treatments, procedures and total client care in accordance with established agency andnursing care standards.
  • Responsible for communicating pertinent client assessments/reassessments finding to physician.
  • Responsible for initiating referrals to other health care organizations and community services based on identified client needs andphysician orders.
  • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations.

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Frequently asked questions

In Prestonsburg, KY, Registered Nurse Tier 1 professionals often advance by gaining specialized certifications and clinical experience. Opportunities may include moving into senior nursing roles or specialized departments within Appalachian Regional Healthcare, leveraging local healthcare demands and ongoing education to boost career growth.

Registered Nurse Tier 1 positions require a blend of critical thinking, patient advocacy, and supervisory skills. This role emphasizes comprehensive care planning and team coordination, setting it apart by requiring both hands-on nursing and leadership capabilities within multidisciplinary healthcare settings.

Daily duties for a Registered Nurse Tier 1 include patient assessments, administering medications, coordinating care plans, and mentoring junior staff. The role demands active involvement in discharge planning and maintaining communication with physicians, ensuring holistic patient care throughout the shift.

Appalachian Regional Healthcare focuses on integrating psychological and social sciences into nursing practice, promoting compassionate care. The Registered Nurse Tier 1 role here also involves mentorship and participation in quality improvement initiatives, reflecting the organization’s commitment to professional development and patient advocacy.

This employer offers structured orientation for new staff, mentorship opportunities, and encourages involvement in committees to foster clinical skills. Registered Nurse Tier 1 employees benefit from ongoing training, including de-escalation techniques and leadership development, tailored to the healthcare environment in Prestonsburg.

Salaries for Registered Nurse Tier 1 roles in Prestonsburg typically range from $55,000 to $68,000 annually, reflecting regional healthcare market trends. Compensation varies with experience, certifications, and shifts, aligning with Appalachian Regional Healthcare’s competitive packages for nursing professionals.

In Kentucky, certifications such as Basic Life Support (BLS) and recent de-escalation training are highly valued for Registered Nurse Tier 1 roles. These credentials enhance patient safety and communication effectiveness, which are critical in Prestonsburg’s healthcare settings.

Prestonsburg has a growing need for nursing professionals due to an aging population and rural healthcare challenges. This demand increases job openings for Registered Nurse Tier 1 roles, offering stability and varied clinical experiences within Appalachian Regional Healthcare and nearby facilities.

Nurses may encounter complex cases requiring psychological and social care integration, navigating diverse patient needs. The role demands adaptability, strong communication, and conflict de-escalation skills, particularly given the rural community context and multidisciplinary team collaboration.

Yes, Registered Nurse Tier 1 staff are expected to utilize SBAR (Situation-Background-Assessment-Recommendation) for shift reporting and handoffs. This structured communication method ensures clarity and continuity of care within Appalachian Regional Healthcare’s clinical teams.

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