Nursing Jobs in McDowell, KY

State Registered Nurse Aide (SRNA/CNA)

Base rate starts at $18.50! Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! We are seeking compassionate State Registered Nurse Aides. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. SRNA/CNA Schedule: Day and Night Shifts Available Full or Part-time 12-Hour Shifts SRNA/CNA Requirements: It is preferred that the Nursing Assistant will have a minimum of a high school diploma or completed a GED program. Applicants and employees will have graduated from an approved Nurse Aide Training program, or be eligible to enter such a program and graduate and pass a state approved competency evaluation with 120 days from the date of employment. Nursing Assistants will be listed on the Nurse Aide Registry. SRNA/CNA Employee Benefits: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, we are proud to offer the following benefits*: Shift Differential Pay for Nights & Weekends Modified Compensation "Pay In Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term Disability and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Continuing Education and Scholarship Opportunities Perfect Attendance Perks Paid Time Off *Benefit eligibility depends on employment status. **Pay rate depends on experience, shift, and PTO election. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long term care industry, then we encourage you to apply today! Equal Opportunity Employer.

Registered Nurse (RN)

Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor team! We have a career opportunity available for a Registered Nurse (RN) Position. We're seeking an exceptional Registered Nurse that is dedicated to maintaining the highest quality of care while encouraging the support of family, friends, and community. We are looking for candidates who are devoted to providing the highest quality of professional care to our residents. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. You will be working alongside other nurses while providing direction, physician collaboration, quality assurance and other managerial tasks. A full time Nurse Practitioner is on location and available 24/7. RN Requirements: Current/valid Registered Nurse license from the state licensing board. RN Skills: Applicant must possess strong clinical, communication, and organizational skills. RN Schedule: Day Shift or Night Shift 12 Hour Shifts Full-time RN Employee Benefits*: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, Letcher Manor is proud to offer the following benefits: $3.00/Hour Evening & Night Shift Differential $3.00/Hour Weekend Differential Modified Compensation "Pay in Lieu of Benefits" Option RN Student Loan Payback Program 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Long-Term and Short-Term Disability Health, Vision, & Dental Accident, Critical Illness, & Hospital Indemnity Plans Tuitoin Reimbursement Perfect Attendance Perks Paid Time Off and Paid Holidays *Benefit eligibility depends on employment status. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long-term care industry, then we encourage you to apply today! Equal Opportunity Employer.

LPN

Licensed Practical Nurse (LPN)

apartment HarmonyCares location_onPikeville, KY

Are you a Licensed Practical Nurse with a passion for geriatrics? Do you desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! Our facility is comprised of professionals dedicated to maintaining the highest quality of life for those served while encouraging the support of family, friends, and community. Letcher Manor is seeking dedicated Licensed Practical Nurses. This career opportunity is available on all shifts! We are looking for candidates who are devoted to providing the highest quality of care to our residents. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. LPN Schedule: Day Shift or Night Shift Full-Time, Part-Time, or PRN LPN Required License: Current/active Licensed Practical Nurse required LPN Employee Benefits*: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, Letcher Manor is proud to offer the following benefits: $3.00/Hour Evening & Night Shift Differential Pay $3.00/Hour Weekend Differential Pay DailyPay - Work Today, Get Paid Today! Modified Compensation "Pay in Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Tuition Reimbursement Perfect Attendance Perks Paid Time Off and Paid Holidays *Benefit eligibility depends on employment status. If you are interested in applying your skills for a leader in the long term care industry, then we invite you to apply today! Equal Opportunity Employer.

NP

Per Diem

PRN Family Nurse Practitioner-Per Visit

Overview HarmonyCares is a leading national value-based provider of in-home primary care services for people with complex healthcare needs. Headquartered out of Troy, Michigan, HarmonyCares operates home-based primary care practices in 14 states. HarmonyCares employs more than 200+ primary care providers to deliver patient-centered care under an integrated, team-based, physician-driven model. Our Mission – To bring personalized, quality-based healthcare to the home of patients who have difficult accessing care. Our Shared Vision – Every patient deserves access to quality healthcare. Our Values – The way we care is our legacy. Every interaction counts. Go the extra mile. Empower and support each other. Why You Should Want to Work with Us Accountable Care Organization 401K Retirement Plan Paid Orientation and Training Established in 11 states A+ rated malpractice coverage with tail coverage No holidays, no hospital rounds More details about the benefits we offer can be found at https://careers.harmonycares.com/benefits . Responsibilities The Nurse Practitioner delivers annual risk assessment in a residential setting or telehealth, within the scope of practice for a Nurse Practitioner, as delegated by the Collaborative Physician. Essential Duties and Responsibilities Conduct comprehensive in-home health risk assessments to identify all active and chronic disease conditions, as well as determine all physical, mental, and social needs present at the time of the visit Takes history, examines, determines diagnoses. Provides written documentation of patient visit, per NCQA standards Takes patient vital signs, as necessary. Places case management referrals and communicates with PCP as necessary. Communicates with patients, caregivers, agency nurses, other providers and vendors as necessary to assure proper diagnosis. Performs all clinical duties while observing OSHA Universal Precautions Maintains patient confidentiality Attends required meetings and in-services and participates in committees, as requested Participates in professional development activities and maintains professional licenses and affiliations In this role you may work with. . . Teammates Physicians Medical Staff Patients Caregivers Agency Nurses Providers Vendors Qualifications Required Knowledge, Skills, and Experience Active/unrestricted nurse practitioner license to practice in coverage states Board certification in one of the following: American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP) or National Commission on Certification of Physician Assistants (NCCPA) Active BLS Certification Current enrollment in Medicare/Medicaid Must maintain a valid driver’s license and good driving record Outstanding EHR skills Preferred Knowledge, Skills and Experience Geriatric training/experience Skill in teamwork and maintaining effective working relationships with patients, medical staff, and the public Conditions of this role to be aware of. . . Adaptability to differing weather conditions and patients’ home/residential environments Full range of body motion including handling/lifting patients. Manual and finger dexterity, eye-hand coordination, normal visual acuity, normal hearing, standing, bending, walking and stair climbing Regular lifting/carrying items weighing up to 50 pounds Ability to ride in automobile or van up to 150 miles daily in urban and/or rural settings. Ability to drive, if necessary Pay Transparency Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, and other job-related considerations.

Director of Nursing

apartment Emerald Healthcare location_onPikeville, KY

Interim Director of Nursing

Interim DON (Director of Nursing) We are searching for Temporary Director of Nursing to build bench strength in the event that a position becomes temporarily opened or we simply need additional assistance. If so, we encourage you to apply. As the Director of Nursing, you will lead a team of experienced nurse leaders in the clinical operations of the facility. Reliability and willingness to lead by example is a must. Willing to train the right candidate- strong, experienced corporate team already in place. The candidate MUST have: Active Registered Nursing License with 2-5 years of nursing leadership experience Knowledge of long-term care and the regulations associated with the healthcare industry Interpersonal skills, attention to detail and the ability to problem solve and identify clinical solutions in the best interest of our residents Positive attitude and strong leadership skills PHYSICAL REQUIREMENTS: · Must be able to move intermittently throughout the day, proper body mechanics required—bending, stooping, turning, stretching, reaching above the shoulders are involved · Must be able to cope with the mental, emotional, and physical stress of the position. · Must be able to observe, listen and communicate effectively · Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies · Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility

Director of Nursing

apartment Emerald Healthcare location_onPikeville, KY

Interim Director of Nursing

Interim DON (Director of Nursing) We are searching for Temporary Director of Nursing to build bench strength in the event that a position becomes temporarily opened or we simply need additional assistance. If so, we encourage you to apply. As the Director of Nursing, you will lead a team of experienced nurse leaders in the clinical operations of the facility. Reliability and willingness to lead by example is a must. Willing to train the right candidate- strong, experienced corporate team already in place. The candidate MUST have: Active Registered Nursing License with 2-5 years of nursing leadership experience Knowledge of long-term care and the regulations associated with the healthcare industry Interpersonal skills, attention to detail and the ability to problem solve and identify clinical solutions in the best interest of our residents Positive attitude and strong leadership skills PHYSICAL REQUIREMENTS: · Must be able to move intermittently throughout the day, proper body mechanics required—bending, stooping, turning, stretching, reaching above the shoulders are involved · Must be able to cope with the mental, emotional, and physical stress of the position. · Must be able to observe, listen and communicate effectively · Must function independently, have flexibility, personal integrity, and the ability to work effectively with residents, personnel, support agencies, and outside agencies · Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and at times hostile people within the facility

LPN

apartment Salyersville Nursing and Rehabilitation Center location_onPrestonsburg, KY

RN or LPN Night Shift

Same day pay available POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: Responsible during the shift for the total nursing care of residents in the assigned unit. Assumes responsibility for compliance with Federal, State, Local, and company regulations. Explains procedures and treatments and care plan to resident. Administers prescribed medications and treatments in accordance with approved nursing techniques. Transcribes physician's orders. Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. Receives /gives report from/to nurse he /she is relieving/coming on and records sufficient information and implements appropriate follow-up action as necessary Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. Conducts frequent rounds to evaluate effectiveness of care delivery. Prepares equipment and a ids Physician during treatment and examination of resident. Maintains awareness of comfort and safety needs of resident. Observes resident, records significant conditions and reactions, and notifies supervisor or Physician of resident's condition and reaction to drugs, treatments, and significant incidents. Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from normal and assess condition of resident. Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. Assists in completion of the care plans (acute and long term) and is involved in the care conference as deemed necessary. Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. Ensures that documentation is reflective of the care plan and that the approaches on the care plan are being followed. Assures that assigned CNA's are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. Monitors that CNA's documentation is completed daily . Takes report form CNA's to facilitate accurate documentation in resident medical record. Follows company policy and procedure in the event a restraint must be utilized. Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. Identifies residents at risk for nutritional problems and implements preventative measures. Records new/changed diet orders. Forwards information to the Dietary Department. Makes beds, bathes and feeds resident, when necessary. Assures documentation is accurately completed for admission, discharge and transfer. Supervises and evaluates implementation of the "Resident's Rights". Participates in department or unit quality improvement activities. Follows facility procedure requesting supplies and charges for items ordered through Central Supply. Participates and attends periodic in-services and staff meetings. Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.

apartment Fresenius Medical Care location_onPikeville, KY

Registered Nurse - RN

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

apartment Hill Valley Healthcare location_onElkhorn City, KY

Regional Director of Clinical Operations

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.

SRNA

State Registered Nurse Aide (SRNA/CNA)

$18.50 / HOUR

Base rate starts at $18.50! Do you have a passion for geriatrics and desire a rewarding career, excellent benefits, and ample opportunity for advancement? If so, consider joining the Letcher Manor nursing team! We are seeking compassionate State Registered Nurse Aides. At Letcher Manor, it is more than a job - it's an opportunity to be part of a family that deeply influences the lives of our residents on a daily basis. With a culture that is centered on teamwork and a mission to provide the highest quality care in a residential setting, you will find a sense of belonging and purpose. SRNA/CNA Schedule: Day and Night Shifts Available Full or Part-time 12-Hour Shifts SRNA/CNA Requirements: It is preferred that the Nursing Assistant will have a minimum of a high school diploma or completed a GED program. Applicants and employees will have graduated from an approved Nurse Aide Training program, or be eligible to enter such a program and graduate and pass a state approved competency evaluation with 120 days from the date of employment. Nursing Assistants will be listed on the Nurse Aide Registry. SRNA/CNA Employee Benefits: Letcher Manor offers competitive pay and a comprehensive benefits package. Because we value each and every employee, we are proud to offer the following benefits*: Shift Differential Pay for Nights & Weekends Modified Compensation "Pay In Lieu of Benefits" Option 401(k) Retirement Plan with Company Match Company-Paid Life Insurance Health, Vision, & Dental Short-Term Disability and Long-Term Disability Accident, Critical Illness, & Hospital Indemnity Plans Continuing Education and Scholarship Opportunities Perfect Attendance Perks Paid Time Off *Benefit eligibility depends on employment status. **Pay rate depends on experience, shift, and PTO election. If you are interested in being part of a family that allows you the opportunity to apply your skills for a leader in the long term care industry, then we encourage you to apply today! Equal Opportunity Employer.

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Registered Nurse Tier 1

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 orients 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 Performs other job duties as assigned. Qualifications Associate's Degree Nursing Required Bachelor's Degree Preferred Up to 1 year Preferred Assures all members of the surgical team have been instructed in the surgical procedures performed and periodically updates personnel on new techniques, instrumentation and procedures. Prepares for each assigned case by ensuring the room is properly prepared and equipped, the required documentation is present on the medical record, and the patient is properly identified. Prepares the patient for operative procedure by positioning and grounding the patient as required, securing the patient on the table, assisting with intubation, and preparing operative site. Accompanies the patient to recovery room and may be required to provide nursing care in the recovery room. Monitors operative procedures by documenting proper patient positioning, breaks in sterile procedure, instrument, needle and sponge counts, preservation and labeling of all specimens, drugs and blood administration, and critical incidents during the operative procedure. Functions as a team member within the surgical department by assisting with gowning and gloving; procuring required medication, blood and supplies; coordinating involvement of other departments with the procedure; properly processing operative specimens. Maintains a safe and productive work environment by assisting with cleaning, maintenance, and re-supply. Successful completion of a training program and demonstrated competence in circulating nurse duties as determined by the Director of Surgical Services. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Training for OR shall consist of completion of competencies in various areas or roles the nurse will function. RN Required Basic Life Support Certification Required ACLS Required PALS Required De-Escalation Training within 6 months of hire Required

Registered Nurse Tier 1 ER / Behavioral Health

apartment Appalachian Regional Healthcare location_onPrestonsburg, 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 The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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 orients 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 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. The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Registered Nurse Tier 1 ER

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 The Behavioral Nurse in the Emergency Department will focus on the behavioral health section of the ER. We treat a wide variety of patients that come through the ER for behavioral health services. Some are involuntary and some are voluntary. The behavioral health nurse would be responsible for the assessment, sitting, medication administration and all other duties as assigned in our locked behavioral health unit. They would talk with providers and deal directly with our inpatient behavioral health unit. When there are no patients in the behavioral health are this nurse will step out and help ER staff. These duties may include patient assessments, admission assessments, discharges, medication administration, transporting patients to other units and all other duties as assigned. They will have the same certification requirements as emergency room staff nurses and behavioral health experience is preferred. If there is no behavioral health experience they will orient on the inpatient behavioral health unit for 30 days before coming to the emergency department. 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 orients 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 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

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Medical Assistant-Non Union Highlands

Overview Manages individualized, goal-directed nursing care through use of the nursing process and the principles of primary nursing in accordance with physician office and hospital policies and procedures. Qualifications Minimum Education -RMA preferred but not required -Minimum- Certified Medical Assistant certificate Minimum Work Experience -3+ year of Experience in a clinic setting preferred Required Licenses/Certifications -RMA or CMA Certified Required Skills, Knowledge, and Abilities -Thorough knowledge of office equipment and computer related programs including physician EMR programs, spreadsheets, and word documents. -Lab/Phlebotomy training and competency obtained. -Required to comply with OSHA regulations for the N95 respirator training and fit testing.

apartment Appalachian Regional Healthcare location_onPrestonsburg, KY

Registered Nurse Tier 1 ER

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 orients 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 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

Student Nurse

apartment Appalachian Regional Healthcare location_onWhitesburg, KY

Nurse Extern Tier II

Overview The Nurse Extern Tier II is accountable for providing nursing assistance and performing basic nursing procedures to groups of patients within an assigned nursing department, under the supervision, guidance, and direction of a Registered Nurse who may delegate subversion to other Team Member such as; Licensed Practical Nurse and/or State Registered Nursing Assistant. In addition, the Nurse Extern can gain additional clinical practice to enhance their preparation as future licensed nurses Responsibilities Under the continuous direct on-site supervision of a Certified Nursing Assistant:• Interprets plan of medical care and provides input on nursing care plan and assist in the following provided they have been deemed clinically competent by their nursing instructor.• Completes the nursing assessment form with oversight and approval of RN.• Provides personal care including bath, shampoo, shave, back rub, positions changes, makes beds, prepares patients for meals, feeds patients and passes ice water.• Answers call lights and bells promptly to determine and meet patient needs.• Collects specimens, stool, urine, sputum, etc.• Collects input and output and records appropriately.• Collects and records vital signs on patient. Obtains and records pertinent patient information per hospital policy.• Assist and/or feeds patients. (enteral feedings included), provides between meal nourishments, provides fresh drinking water and encourages fluids when indicated.• Assists in progressive ambulation of patients by wheelchair, stretcher and bed.• Administers enemas, douches and inserts rectal tubes and documents appropriately.• Applies ace bandages and elastic stockings and sequential compression devices.• Inserts catheters and feeding tubes.• Applies restraints and side rails to ensure safety of patients.• Observes isolation technique and give direct care to patients in isolation.• Assists in ostomy care and education.• Set up orthopedic appliances.• Maintains records and reports necessary information in regard to patient care.• Prepares patients for surgery and other therapeutic and diagnostic procedures.• Maintains a safe environment for patient care.• Performs other duties as assigned. Qualifications Education • High school diploma or GED equivalent.• Enrollment in Board of Nursing approved School of Nursing Registered Nurse Program• Completion of basic Nursing Fundamentals and/or Certified Nursing Assistant Course• Current Transcripts and Copy of Skills Evaluation on basic procedures• Recommendation Letter from 2 Instructors Minimum Work Experience • N/A Required Skills, Knowledge, and Abilities • Ability to function in and adapt appropriately to a fast-moving, cross-unit team environment.• Strong problem-solving skills.• Prior experience handling confidential matters with appropriate discretion.• To handle multiple, simultaneous tasks in a timely manner.• Collaborative attitude with the many different departments.• Must maintain positive, professional communications skills when working with co-workers • Detail oriented

Educator

apartment Appalachian Regional Healthcare location_onWhitesburg, KY

Clinical Nurse Educator

Overview Under the guidance of the AVP of Nursing Education and Professional Practice and System Chief Nursing Officer, the Clinical Nurse Educator functions in the roles of Educator, Facilitator, Consultant, Change Agent, and Leader. The Clinical Nurse Educator (CNE) participates in the development of standardized educational initiatives across the Appalachian Regional Healthcare (ARH) organization and plays a vital role in leading change in pursuit of improved nursing practice and professional development. The Clinical Nurse Educator promotes a positive image and maintains positive relationships with internal and external customers. The Clinical Nurse Educator may be required to travel to other ARH facilities to provide education, under the direction of the AVP of Nursing Education and Professional Practice. Responsibilities Conducts educational needs assessments using a variety of methods/tools. Incorporates principles of adult learning in the planning, implementation, and evaluation of educational programs, creating a climate with supports learning across the organization. Coordinates and facilitates nursing orientation and competency evaluation of new staff to the organization, and well as training/education for new equipment and new/revised clinical care policies and protocols. Develops and delivers evidence-based educational programs and offerings. Utilizes best practices in educational content delivery. Collaborates with Community Chief Nursing officer, local nursing leadership and other disciplines to create a robust educational environment while fostering teambuilding and leadership development. Provides point of care assistance and support to assist nursing staff with clinical skills development and critical thinking. Evaluates effectiveness of educational programs utilizing best practices. Utilizes a variety of evidence-based instructional techniques. Adjusts educational content and teaching strategies based on appropriate learner needs, utilizing various media and formats. Collaborates with and supports all ARH facilities in developing and delivering educational programs as determined by the AVP Nursing Education and Professional Practice. Assumes ownership and responsibility in attaining, developing, and maintaining educational and instructional expertise. Facilitates centralized nursing orientation. Oversees the onboarding of student nurses and clinical faculty to assure adherence to ARH and regulatory guidelines. Oversees, in collaboration with Nursing Leadership, Human Resources, and applicable Schools of Nursing, compliance with the Nurse Extern Program. Responds to changes in nursing practice and develops programs to support these changes. Ensures that educational programs are congruent with organizational missions, values, and goals. Maintains flexibility when managing multiple roles/responsibilities. Interprets and communicates across multiple disciplines. Promotes a safe and healthy work environment. Serves as a role mode to promote education, professionalism, excellence, and safety. Role models and promotes the concept of life-long learning. Leads committees, work groups, and/or projects related to the implementation of educational activities. Performs related duties as assigned. Qualifications Education: Graduate from an accredited school of nursing BSN Required or have plan to obtain within 2 years Master’s Degree Preferred Work Experience: Three (3) years clinical nursing experience required *Five (5) years or more preferred Minimum of 1 year nursing education experience required *Three (3) or more preferred Licenses and Certifications: Current license to practice nursing in the states of KY or WV depending on state of residency. Professional Certification Required or plan to obtain within 2 years of employment. BLS required upon hire. ACLS required within 6 months of employment. PALS required within 6 months of employment. TNCC required within 1 year. De-escalation training (ARH adopted) required within 6 months. Designated Instructor Certification Requirements BLS Instructor designation with minimal requirement of teaching two courses annually. ACLS Instructor designation with minimal requirement of teaching two courses annually. PALS Instructor designation with minimal requirement of teaching two courses annually. De-Escalation Instructor designation with minimal requirement of teaching two courses annually. TNCC Instructor designation with minimal requirement of teaching two courses annually. Other Instructor designations as needed with minimal requirement of teaching two courses annually. *To facilitate the professional competence and confidence of the Clinical Nurse Educator, the AVP of Nursing Education and Professional Practice may assign mandatory professional development activities, workshops and educational offerings."

LPN

Outpatient

apartment Appalachian Regional Healthcare location_onPaintsville, KY

LPN Clinic Non-Union

Special Instructions LPN Non-Union Position for Family Medicine Clinic - Nicole Burchett APRN

apartment Appalachian Regional Healthcare location_onPaintsville, KY

Medical Assistant Non Union

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. Special Instructions Medical Assistant Non - Union for Family Medicine Clinic, Rebecca Caudill APRN 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 vein punctures and EKGs as needed. Maintains cleanliness, safety and efficiency in the clinic. Alert to and able to respond appropriately in an emergency situation. 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 payer 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 payer. 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. 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.

Outpatient

apartment Appalachian Regional Healthcare location_onMartin, KY

Clinic Medical Assistant

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. Alert to and able to respond appropriately in an emergency situation.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. 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.

apartment Appalachian Regional Healthcare location_onPaintsville, KY

RN ER - Paintsville

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 orients 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 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

apartment Appalachian Regional Healthcare location_onPaintsville, KY

RN ER - Paintsville

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 orients 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 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

Med-Surg

apartment Appalachian Regional Healthcare location_onPaintsville, KY

RN Med Surg - Paintsville

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