Nursing Jobs in Elkhorn City, KY

RN Full-time
Fresenius Medical Care

Registered Nurse - RN

apartment Fresenius Medical Care location_onPikeville, KY
PURPOSE AND SCOPE: The registered professional nurse Home Therapies RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. Assesses and manages patients’ response to home dialysis training and treatment therapy by following prescribed predetermined protocols and communicates patient related issues to the physician as needed. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations. PRINCIPAL DUTIES AND RESPONSIBILITIES: All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. · Performs all essential functions under the direction of the Supervisor with guidance from the Educator, Preceptor or in collaboration with another Registered Nurse. · Performs ongoing, systematic collection and analysis of dialysis data for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Supervisor or physician as needed. · Assesses, collaborates and documents patient/family’s basic learning needs to provide initial and ongoing education to patients and family. · Directs and provides, in collaboration with the patient, home care partner, direct and ancillary patient care staff, all aspects of the provision of safe and effective delivery of dialysis therapy to assigned patients. · Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. · Initiates or assists with emergency response measures. · Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. · Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. · Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. · Ensures patient awareness related to transplant and treatment modality options. · Assists in the identification, evaluation, selection and education of Home Dialysis candidates and Home Partners. · Performs assessment and identifies barriers of the Home Dialysis candidate’s home environment and partner / family readiness and ability to perform dialysis treatments in the home. · Trains Home Dialysis patients and / or Home Partners on the safe, effective operation and maintenance of all Home Dialysis equipment and treatment supplies through an organized and formal Home Dialysis Training Program. · Required to complete CAP requirements to advance. · Performs all other duties as assigned by Supervisor. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. · The position provides direct patient care that regularly involves heavy lifting, moving of equipment, patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. · This position requires frequent, prolonged periods of standing and the employee must be able to bend over. · The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. · The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. · May be exposed to infectious and contagious diseases/materials. · Rotates coverage with other licensed home therapies staff as assigned to ensure reliable and adequate coverage. · Position requires participation in on-call rotation, night, weekend, holiday or as defined by individual program needs. · The position may require travel to training sites, other facilities or patient homes. · May be asked to provide essential functions of this position in other locations including patient’s home with the same physical demands and working conditions as described above. · Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. SUPERVISION: Assigned oversight of LPNs/LVNs, RNs, Patient Care Technicians and Home Therapy Care Team Assistants as a Team Leader or designated Nurse in charge, after meeting all the following: · Successful completion of all FKC education and training requirements for new employees. · Must have a minimum of 12 months experience as a RN. · Successful completion of 3 months experience as a RN in home peritoneal dialysis and / or hemodialysis. EDUCATION and LICENSURE: · Graduate of an accredited School of Nursing. · Current appropriate state licensure. · Current or successful completion of CPR BLS Certification · Must meet the practice requirements in the state in which he or she is employed. EXPERIENCE AND REQUIRED SKILLS: · Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. · Minimum of 1-year experience as a Registered Nurse (preferred) · Home dialysis therapy experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Full-time
Hill Valley Healthcare

Regional Director of Clinical Operations

apartment Hill Valley Healthcare location_onElkhorn City, KY
Join our dynamic team, a leading player in healthcare. We are dedicated to delivering excellence and committed to innovation and growth. With a strong presence, we are now expanding our recruitment efforts and seeking a talented Regional Director of Clinical Operations to join us in driving our success to new heights. Company Overview: We are a leading provider of skilled nursing services committed to delivering exceptional care to our residents. We are passionate about attracting top talent who share our values and are committed to making a positive impact in the lives of others. If you have a knack for talent acquisition and a passion for helping others succeed, we want you to join us as our Skilled Nursing Regional Director of Clinical Operations. Position Overview: As the Regional Director of Clinical Operations, you will provide strategic leadership and oversight to our clinical teams across multiple communities. You will be responsible for driving clinical excellence, ensuring regulatory compliance, and promoting a culture of continuous improvement. Working closely with facility administrators and healthcare providers, you will play a key role in enhancing the quality of care and the overall resident experience. Key Responsibilities: · Provide leadership and direction to facility Directors of Nursing and clinical staff, promoting a culture of excellence, collaboration, and continuous learning. · Oversee the implementation of clinical policies, procedures, and best practices to ensure compliance with regulatory requirements and industry standards. · Collaborate with facility leadership to develop and implement clinical programs and initiatives aimed at improving resident outcomes, satisfaction, and quality indicators. · Conduct regular audits and assessments of clinical processes, systems, and documentation to identify areas for improvement and ensure adherence to best practices. · Provide guidance and support to facility teams in managing complex clinical cases, implementing care plans, and addressing resident and family concerns. · Serve as a liaison between facility clinical staff and corporate stakeholders, facilitating communication, sharing best practices, and driving alignment with organizational goals. · Stay abreast of emerging trends, research, and regulations in healthcare and skilled nursing, and provide education and training to facility staff to ensure compliance and readiness. Qualifications: · Registered Nurse (RN) with a current license in good standing; advanced degree in nursing or healthcare administration preferred. · Minimum of two years of progressive clinical leadership experience in healthcare, with a focus on skilled nursing or long-term care settings. · Strong understanding of regulatory requirements, quality measures, and best practices in clinical care and patient safety. · Demonstrated leadership skills with the ability to inspire and motivate teams to achieve clinical excellence and quality outcomes. · Excellent communication and interpersonal skills, with the ability to build relationships and collaborate effectively with diverse stakeholders. · Strategic thinker with the ability to analyze complex issues, develop actionable plans, and drive implementation. · Commitment to continuous learning and professional development. Salary/ Wage Range Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. Exciting Benefits Await You: Attractive Compensation: Enjoy competitive pay that truly values your contributions. Generous Paid Time Off: Recharge and prioritize your well-being with ample PTO. 401(k) Plan: Secure your financial future with our strong retirement plan. Flexible Daily Pay: Access your earnings whenever you need them. Comprehensive Benefits Package: Benefit from a wide range of options, including dental, health, vision, and disability insurance. Wellness Program Access: Prioritize your health with resources designed to support your well-being. Inclusive Workplace Culture: Thrive in a supportive environment that champions diversity and collaboration. Career and Educational Development: Unlock your potential with numerous opportunities for growth and advancement. Comprehensive Onboarding and Professional Development Programs: Expertly crafted to cultivate growth and significantly enhance essential skills, paving the way for sustained success and excellence. We are committed to maintaining a diverse and inclusive workplace. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for our job opportunities.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 2 (Union)

apartment Appalachian Regional Healthcare location_onMcDowell, KY
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. Special Instructions Float position will float to ED as well 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
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union

apartment Appalachian Regional Healthcare location_onPikeville, KY
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. Special Instructions ARH Pike County Home Health Agency 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.
RN Other
Appalachian Regional Healthcare

Registered Nurse Tier 1 (Union

apartment Appalachian Regional Healthcare location_onKY
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
CMA Other
Appalachian Regional Healthcare

MEDICAL ASSISTANT

apartment Appalachian Regional Healthcare location_onKY
Overview The Medical Assistant is responsible for efficient and courteous registration, transfer and discharge of patients within established policies and procedures; thoroughly compiles and types medical information for patients' records and statistical reports and maintains current and accurate patient account receivables. The Medical Assistant is responsible for performing a wide variety of patient care activities and accommodative services for the comfort and well-being of patients in accordance with physicians' orders. Responsibilities Performs basis patient care procedures as required. Participates in conferences and serves on committees as requested. Participates in patient and family education as necessary. Prepares for and assists with diagnostic and therapeutic treatments. Takes and records vital signs, height and weight. Performs catheterizations and provides catheter care. Administers oral and intra-muscular medications. Cares for patient receiving oxygen therapy. Applies sterile and non-sterile compresses and bandages. Tests urine for sugar, acetone, and Ph. Assists with physical examinations. Applies ace bandages, hot and/or cold compresses. Collects specimens, blood, urine, stool, and sputum. May do venipunctures and EKGs as needed. Maintains cleanliness, safety and efficiency in the clinic. Prepares used equipment for re-sterilization. Knows legal requirements for reporting to police, health department, and other agencies and follows requirements. Accompanies or transfers patients to other departments such as lab or x-ray. Cleans and stocks examination rooms. Manages time in order to expedite patient flow. Assists with minor out-patient surgery. Greets patients courteously, determines their needs, and offers assistance. Registers patients by performing necessary procedures, such as preparation of records, reports, notices, service charge slips, and payor information. Interviews patients, relatives, or others responsible to determine payment arrangements and refers unusual cases to immediate supervisor. May assist self-pay patients in making suitable arrangements for balances due beyond initial deposits or third-party payments. Answers inquires to patient accounts and advises patient on insurance benefits. Receives all payments and deposits, issues receipts for all monies received and otherwise makes proper accounting for all funds received. Posts charges daily to proper patient account. Posts payments to accounts daily. Determines billing method for third party payor. Contacts insurance carriers/agencies to obtain pre-certification of ancillary, admission and surgical procedures. Operates various office equipment to include copiers, fax machines and other equipment as assigned. Operates communication systems, placing and answering telephone calls, paging or contacting staff . May make and maintain appointment schedules for clinic physicians. May secure required signatures on reports and records relative to release of information, according to policies and procedures. Contacts patients, physicians, or others for information necessary to properly complete insurance or other type billings. Types memos, correspondence, etc., as needed. Compiles periodic and statistical reports and other data as directed. Obtain patient history and take vital signs to assist physician with examination and treatment. Prepare and maintain examination and treatment area. Perform selected tests that assist with diagnosis and treatment. Screen and follow-up patient test results. Prepare and administer medications as directed by physician and maintain medication records. Qualifications High School Diploma and Graduate of Medical Assistant Training Program. Ability to type a minimum of 30 words per minute accurately. Three (3) to six (6) months on-the-job training as required to attain proficiency of assigned duties and responsibilities.
RN ER Other
Appalachian Regional Healthcare

Registered Nurse Tier 2 (Union) ER

apartment Appalachian Regional Healthcare location_onMcDowell, KY
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. Special Instructions will be required to float Med/surg as well, must be oriented to both depts. 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. Training for all personnel assigned to the Emergency Room shall consist of the following: 1.State and federal regulations related to emergency services. 2.Nursing management of trauma. 3.Nursing management of cardiac related disorders. 4.Performance of EKG procedures, EKG interpretation, and appropriate nursing intervention. 5.Pharmacological intervention (IV therapy). 6.Patient assessment (triage). 7.Nursing management of pediatric emergencies. 8.Medicolegal aspects, particularly related to proper documentation. 9.Nursing management of obstetrical emergencies. 10.Patient/family emotional response. 11.Cardiopulmonary resuscitation and airway management. Qualifications Associate's Degree Graduation from an accredited school of nursing. Required Bachelor's Degree Preferred Up to 1 year Preferred Minimum of one (1) year acute care nursing experience (1) year of experience should be relevant to specific department in which they will be working. Refer to addendums for additional requirements. Experience with Electronic Health Record Preferred. Preferred Excellent interpersonal skills and ability to work with providers at all levels essential. Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. Exhibit Critical Thinking Skills Must possess basic computer skills. Ability to pass Medication Exam. Completion of hospital approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. Moderate Sedation Completion of Stroke Modules Restraints The nurse shall be adequately oriented to the unit policies, procedures, and equipment. Orientation shall include safety procedures, infection control practices and performance improvement monitoring. Registered Nurse in State Required BLS Required De-Escalation Training within 6 months of hire Required ACLS Required Trauma Nurse Core Curriculum Certification Required Pediatric Advanced Life Support Certification Required NIH Stroke Certification Required Advanced Dysrhythmia/EKG Required Rural Trauma Team Development Course Preferred Emergency Nurse Pediatric Course Preferred