Nursing Jobs in Middlesboro, KY

apartment SYNERGY HomeCare of Knoxville-Morristown location_onMaynardville, TN

Full-time

In Home Care Professional

Caregiver Career Opportunity – Make a Difference with SYNERGY HomeCare Are you passionate about helping others and looking for a meaningful career? SYNERGY HomeCare is seeking compassionate, dependable, and professional caregivers to provide non-medical, in-home care services. Whether you're experienced in caregiving or looking to start a rewarding career, we’d love to have you on our team! Do you: Enjoy bringing comfort and support to others? Have a big heart and a caring personality? Take pride in going the extra mile to provide exceptional care? If this sounds like you, SYNERGY HomeCare is the perfect place to grow your career! What Makes SYNERGY HomeCare a Great Place to Work? At SYNERGY HomeCare, we’re dedicated to creating a compassionate environment for both clients and caregivers. As a locally owned and operated agency, we deliver a wide range of non-medical home care services, from companionship to personal care, helping our clients maintain their independence and dignity at home. What You’ll Receive as Part of Our Team: Competitive Pay – Your hard work will be rewarded. Medical, Vision, and Dental Insurance – Available for part-time employees, with a percentage of certain plans covered for full-time employees. Paid Time Off (PTO) – Available for eligible employees. Get Paid the Next Day Program – Access your earnings when you need them. Flexible Scheduling – Create a schedule that works for your life. Local Assignments – We prioritize matching you with clients close to your location. Mileage Reimbursement – Compensation for mileage when running client errands. Ongoing Training – Free, paid courses to grow your skills and advance in your career. Referral Bonuses – Earn rewards for referring your friends and family to join our team. Perfect Attendance Bonuses – Be rewarded for reliability and consistency. Holiday Pay – Time-and-a-half pay for holidays and overtime. Free CPR Certification – Provided at no cost to you. Recognition Programs – Monthly, quarterly, and annual awards to celebrate your dedication and hard work. As a SYNERGY HomeCare Caregiver, You Will: Provide compassionate, non-medical care tailored to your clients’ needs. Assist with daily living tasks such as meal preparation, light housekeeping, and medication reminders. Offer companionship and emotional support to clients. Build strong relationships with clients, their families, and team members. Maintain a reliable, professional approach to caregiving. What We’re Looking For: We are seeking caregivers who are dependable, compassionate, and dedicated to making a meaningful difference in the lives of others. No prior caregiving experience? That’s okay! We provide comprehensive training to ensure you have the skills and confidence needed to excel in your role. Experienced caregivers? We value your expertise and will ensure you’re compensated accordingly. Plus, we offer opportunities for growth and advancement within the company, recognizing and rewarding your dedication and experience. At SYNERGY HomeCare, we believe in supporting our caregivers so they can thrive personally and professionally while providing exceptional care to our clients. Take the First Step Toward a Rewarding Career in Caregiving! Join our team at SYNERGY HomeCare and make a positive impact every day. Apply today to start your journey with us!

LPN

apartment Amedisys, Inc. location_onHarrogate, TN

Per Diem

LPN Licensed Practical Nurse

Overview

apartment Maxim Healthcare Services location_onRose Hill, VA

RN Homecare

Hourly Pay: Maxim Healthcare in Rose Hill, VA is hiring for a Registered Nurse to work with Pediatric and/or Adult patients in their own homes. The pay range is $28 - $35. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilizes the nursing process to plan, implement, and evaluate patient/client care and/or services provided to client(s) receiving contracted services, as required Initiates the plan of care when directed and requests from prescriber any necessary revisions as patient status and needs change Incorporates therapeutic, preventive, and rehabilitative nursing actions based on patient diagnosis and established goals Intervenes as applicable in response to changes in patient/client condition and reports such changes to appropriate physician or supervisor Administers medications and treatments as prescribed, as well as, monitors and documents effectiveness of intervention Reviews plan of care and program protocols and identifies areas for healthcare teaching/education, care coordination, goal setting and discharge planning needs, as applicable Requirements: Current Registered Nurse (RN) License for the state in which the nurse practices. Current Health Certificate (per facility Registered Nurse (RN) contract or state regulation). Current PPD or Chest X-Ray. Current BLS card. One year prior Registered Nurse (RN) experience preferred. Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program Retirement and Financial Security: Health Savings Account, 401(k), Short Term Disability, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal Benefits Lifestyle Benefits: Paid Time Off, Employee Discount Program, Transportation Benefits and College Partnership Program *Benefit eligibility is dependent on employment status. About Maxim Healthcare Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare, Inc. (“Maxim”) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

LPN

apartment Maxim Healthcare Services location_onRose Hill, VA

LPN Homecare

Hourly Pay: Maxim Healthcare in Rose Hill, VA is hiring for a Licensed Practical Nurse (LPN) to work with Pediatric and/or Adult patients in their own homes. The pay range is $24 - $28. Why Join Maxim: Competitive Pay & Weekly Paychecks Health, Dental, Vision, HSA and Life Insurance Paid Time Off 401(k) Savings Plan Maxcares Awards Program Responsibilities: Utilize the nursing process to assess, plan, implement, and evaluate patient care. On each assignment, provides skilled nursing care/services in accordance with prescribed orders Assess signs and symptoms indicating physiologic and psychosocial changes in the patient’s condition. Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential nursing diagnoses. Qualifications: Currently licensed as an LPN/LVN in the state in which the LPN will practice. Current TB or Chest X-Ray. Current BLS card. One year prior professional nursing experience preferred Maxim Benefits: Health and Wellness Medical/Prescription, Dental, Vision, Health Advocacy (company paid if enrolled Medical) and Health Advocate Employee Assistance Program Retirement and Financial Security: Health Savings Account, 401(k), Short Term Disability, Voluntary Group Life Insurance and Supplemental Accidental Insurance, Hospital Expense Protection Plan, Critical Illness Insurance, Home and Auto Insurance discounts, Pet Insurance and Legal Benefits Lifestyle Benefits: Paid Time Off, Employee Discount Program, Transportation Benefits and College Partnership Program *Benefit eligibility is dependent on employment status. About Maxim Healthcare Maxim Healthcare has been making a difference in the lives of our patients, caregivers, employees and communities for more than 30 years. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Our commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. Maxim Healthcare, Inc. (“Maxim”) is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

apartment Amedisys, Inc. location_onTazewell, TN

RN Case Manager

Overview

NP

Oncology

Full-time

Advanced Practice Provider

apartment The US Oncology Network location_onHarrogate, TN

Overview We can’t do it without YOU! Do you want to apply your experience, skills and education in a way that makes a meaningful and lasting difference in the lives of our patients and their families? At Tennessee Cancer Specialists, it is the privilege of our employees to walk with our patients and their families as they move along the journey of fighting cancer. Whether you are working directly with patients in one of our clinics or in a support role, you are an important part of our mission to deliver the highest quality, compassionate care. Our 200+ employees make up the teams at our 15 different East Tennessee locations. SCOPE : Under direct supervision, diagnoses and treats acute, episodic, or chronic illness related to oncology/hematology, independently or as part of a healthcare team; focused on health promotion and disease prevention. Supports and adheres to Tennessee Cancer Specialists Code of Ethical Conduct and Compliance policies. Responsibilities ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyzes and interprets patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses Diagnoses and/or treats chronic or acute health care disease and illness Recommends diagnostic or therapeutic interventions with attention to safety, cost, invasiveness, simplicity, acceptability, adherence, efficacy, etc. Prescribes medications based on efficacy, safety, and cost as legally authorized basing dosages, routes, and frequencies on such patient characteristics such as age and gender Educates patients about self-management of acute or chronic illnesses, tailoring instructions to patients' circumstances Orders, performs, or interprets the results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs), and radiographs (x-rays) Maintains complete and detailed records of patients' health care plans and prognoses Recommends interventions to modify behavior associated with health risks Develops treatment plans based on scientific rationale, standards of care, and professional practice guidelines Detects and responds to adverse drug reactions, particularly to vulnerable populations Studies current literature, talks with colleagues, and participates in professional organizations or conferences to keep abreast of developments in nursing Counsels patients about drug regimens and possible side effects or interactions with other substances, such as food supplements, over-the-counter (OTC) medications, herbal remedies, etc. Provides patients with information needed to promote health, reduce risk factors, or prevent disease or disability Performs additional duties as requested or assigned Qualifications MINIMUM QUALIFICATIONS: Graduate degree from an accredited Nurse Practitioner OR Physician Assistant program required Active TN state license required M inimum 0-3 years of prior experience in oncology and at least one (1) year of APP experience highly preferred. Current BLS certification required Required to maintain current education requirements PHYSICAL DEMANDS: The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Physical demands of this job typically require a full range of body motion, including manual and finger dexterity and hand-eye coordination for handling and lifting patients as needed Requires standing and walking for extensive periods Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range. Required to be present at scheduled clinic site to assist patients and co-workers during assigned shift hours. WORK ENVIRONMENT: The work environment characteristics described here represent those an employee encounter while performing this job's essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to infectious diseases, toxic substances, medical preparations, and other conditions common to an oncology/hematology clinic environment Travels to multiple clinics to perform job duties as assigned I n vo l ve s frequent interaction with staff, patients, and the public

apartment Amedisys, Inc. location_onTazewell, TN

Psych

Full-time

Psychiatric RN

Overview Full-time Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $60,000.00 - $78,000.00 What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. Fleet vehicle program (restrictions apply) and mileage reimbursement. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. Why Amedisys? Community-based care centers with a supportive and inclusive work environment. Better work/life balance and increased flexibility compared to other settings. Job stability and the opportunity to advance with a growing company. The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes. Responsibilities Performs initial nursing evaluation, including behavioral health/psychiatric nursing needs. Observes and evaluates the physical and mental status of the patient for complications and medication side effects. Maintains awareness for indicators in patients ' behavior that call for change in the treatment modality (crisis, suicidal ideation) as well as other medical signs and symptoms. Instructs patient/caregiver in cognitive and technical aspects of care, medication regimes, disease processes, safety interventions, ADL care, coping skills, symptom management and other interventions. Administers IM medications, performs lab draws and specimen collections. Acts as a case manager in coordinating care for patients as assigned. Completes documentation timely and accurately. Supervises LPNs and HHAs. Regularly communicate patient progress to the clinical manager, psychiatrist and care team. Qualifications Current RN license, specific to the state(s) you are assigned to work . Must have one of the following to meet CMS requirements for psychiatric nursing in the home care setting: An RN with a m aster's degree in a mental health nursing or psychiatric specialty . M ust have nursing experience in an acute treatment unit or other psychiatric setting. An RN with a b achelor's degree in nursing . M ust have one year of recent nursing experience in an acute treatment unit or other psychiatric setting. An RN with a d iploma or a ssociate 's degree in nursing . M ust have two years of recent nursing experience in a n acute treatment unit or other p sychiatric setting. Please note: Experience must have been within the last three to five years. If not, documentation must support psychiatric retraining or classes or CEUs to update psychiatric knowledge. Current CPR certification. Valid driver's license, reliable transportation and liability insurance. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills , and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

LPN

apartment Amedisys, Inc. location_onTazewell, TN

LPN Licensed Practical Nurse Home Health

Overview Part Time, Benefits Eligible Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $21.00 - $35.00 What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. Fleet vehicle program (restrictions apply) and mileage reimbursement. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. Why Amedisys? Community-based care centers with a supportive and inclusive work environment. Better work/life balance and increased flexibility compared to other settings. Job stability and the opportunity to advance with a growing company. The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes. Responsibilities Verify plan of care with the RN prior to each visit. Collaborate with physician and RN frequently to ensure patient needs are being met; Notify them as soon as possible when patient condition changes. Teach patients and caregivers self-care techniques. Check vital signs. Review all medications and perform a medication reconciliation at each visit. Perform specialized procedures ordered by physician ( i.e. foley catheter change). Prepare equipment and materials for treatments using the aseptic technique. Complete documentation timely and accurately. Qualifications One year of clinical LPN experience. Current LPN license, specific to the state(s) you are assigned to work. Current CPR certification. Valid driver's license, reliable transportation and liability insurance. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

apartment Professional Case Management location_onField, KY

Registered Nurse (RN)

$36 - $38.50 / HOUR

Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurses in Kentucky Professional Case Management, the leader in home healthcare, is now hiring RN’s to provide in-home healthcare services to help those who have served our country! Benefit from one-on-one patient relationships and from the satisfaction of enhancing clients’ health, quality of life and peace of mind. You make your own schedule - that leaves you with time to attend school, travel, volunteer or to enjoy activities with your family and friends. Here's Why Our Team Likes Working with Us Create the schedule you want to work Rewarding one-on-one work with Patients in the comfort of their homes Benefit Packages include medical, dental and vision benefits. See our Careers page for more details about benefit eligibility. Health Savings & Flexible Spending Accounts (pretax savings account!) Ideal Candidates will Possess strong communication and interpersonal skills Practice nursing with respect for individual, cultural, and spiritual differences Promote personal safety and a safe environment for clients Maintain compliance with agency policy and procedures Qualifications Graduate of a state-approved school of professional nursing Current, unrestricted license as a Registered Nurse (RN) in the state(s) of practice Current CPR certification and TB test To apply for this unique opportunity and to learn more about the community we service, please apply today! Standard Rate: $36.00 - $38.50 Hourly Please contact Heather Pettinger at or at heather.pettinger@procasemanagement.com today to learn more about our opportunities where you can make a difference in your own career! Professional Case Management is an Equal Opportunity Employer.

CMA

Outpatient

apartment Appalachian Regional Healthcare location_onMiddlesboro, 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.

Director of Nursing

apartment Appalachian Regional Healthcare location_onBarbourville, KY

Director of Nursing Services I

Overview The Director, Nursing Services is accountable for the overall administration of the department in order to meet the objectives of the hospital through planning, organizing, executing and evaluating the nursing care provided for patients in the hospital. Responsibilities Manage the department in an efficient manner by planning, organizing and controlling all activities of the department. Formulate and implement the objectives of the department in accordance with hospital goals. Develop, evaluate, implement, interpret and maintain hospital plans and work standards and procedures for the clinical practice of nursing that are in compliance with hospital policies, governmental regulations and various regulatory agency requirements. Serve as a role model for nursing staff by complying with established policies and procedures. Supervise the implementation of total quality management concepts which are used to determine effectiveness of nursing care delivery systems throughout the hospital. Participate as a member of the key management hospital team and in hospital strategic planning activities. Interpret the role of nursing for the hospital's strategic plans. Manage the personnel function by interviewing, selecting, evaluating, disciplining and terminating personnel or recommending such action as necessary. Assure that employees receive orientation and required in-service training, that they maintain required licensure or certification and that pertinent nursing education programs are developed and presented to promote clinical competency and staff development. Determine staffing needs and patterns and recommend appropriate staffing levels and classifications consistent with unit position authorization. Administer the Bargaining Agreements at the local level as it pertains to Nursing Service personnel. Coordinate the activities of various nursing units and establish productive working relationships with the medical staff and support services. Maintain up-to-date knowledge in the field so they may recommend new services, products and equipment. Continue professional development by attending education programs designed for nursing leaders. May provide direct patient care when higher levels of skill and judgement are required. Demonstrate the skills and knowledge necessary to provide care appropriate to the age of the patient served. Adhere to the infection control policies and procedures of the hospital. Formulate and prepare the departmental budget, routine and special reports and various forms and documents as required. Take administrative calls when delegated by the Administrator. Serve on hospital committee and attend meetings, as required. May work off shifts, weekends and holidays, be on-call and work more than standard hours. Perform other related duties as assigned. Qualifications EDUCATION, TRAINING AND EXPERIENCE : Graduation from an approved school of nursing and current non-limited licensure in state. Bachelor's degree preferred. Minimum of five years experience in nursing supervision and/or administration, with formalized training and/or experience in effective management techniques. Demonstrated leadership and ability to motivate and to work cooperatively with individuals and groups. POSITION PHYSICAL REQUIREMENTS: Must possess physical ability to endure prolonged sitting; moderate walking; lifting and carrying. May require exerting up to 20 pounds of force occasionally; and/or up to 10 pounds of force frequently; and/or a negligible amount of force constantly to move objects. Physical Demand requirements are in excess of those for sedentary work. SPECIFIC ACCOUNTABILITIES : Accountable for assuring the efficient operation of all nursing units in accordance with hospital objectives. Accountable for establishing and achieving nursing department objectives and goals. Accountable for providing a climate for professional growth and development through programs of orientation, evaluation, in-service and continuing education. Accountable for safe, effective patient care in all nursing areas in hospital. Accountable for supervising the implementation of total quality management concepts in all nursing areas in the hospital. Accountable for developing and administering the Nursing Department budget. Accountable for acting as liaison between Nursing Service and other hospital departments.

apartment Appalachian Regional Healthcare location_onMiddlesboro, KY

Registered Nurse Tier 1 (Union)

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

Student Nurse

apartment Appalachian Regional Healthcare location_onMiddlesboro, 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

Manager/Supervisor

apartment Appalachian Regional Healthcare location_onMiddlesboro, KY

Clinical Nurse Manager

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred

ICU

apartment Appalachian Regional Healthcare location_onBarbourville, KY

Registered Nurse Tier 1 ICU

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 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 Operates critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment. Set-up, maintains, interprets results of cardiac and hemodynamic monitor required and takes action as indicated by nursing practice and hospital procedures. Perform special procedures such as endotracheal and tracheostomy suctioning; tracheostomy care; extubation; cardio-pulmonary resuscitation; arterial punctures; care of chest tubes and pleurevac; set up and assistance with peritoneal dialysis, paracentesis, thoracentesis. Able to manage specialty drips using approved protocols Prior to assignment to unit as sole RN provider, the nurse must successfully complete critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of equipment, diagnostic responsibilities, and procedures required of the critical care nurse. Such course work shall include: • Cardiopulmonary resuscitation and management of an obstructed airway. • EKG interpretation. • Drug therapy, including emergency drug therapy via the I.V. route, or routes normally left to the physician. • Hemodynamic monitoring. • Critical care procedures. The nurse shall be adequately oriented to unit policies, procedures and equipment. Orientation shall include safety procedures, infection control practices, and performance improvement activities. Completion of the following Competencies: Moderate Sedation Completion of Stroke Modules Restraints Registered Nurse Required Advanced Dysrhythmia/EKG Required NIH Stroke Certification Required BLS Required Advanced Life Support Certification Required De-Escalation Training within 6 months of hire Required Pediatric Advanced Life Support Certification (recommended) Preferred

Manager/Supervisor

apartment Appalachian Regional Healthcare location_onBarbourville, KY

Clinical Nurse Manager-Knox Co

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred

apartment Appalachian Regional Healthcare location_onMiddlesboro, KY

Registered Nurse Tier 1 (Union)

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

Manager/Supervisor

apartment Appalachian Regional Healthcare location_onMiddlesboro, KY

Clinical Nurse Manager (Tier 1

Overview The Clinical Nurse Manger (CNM) is a direct supervisory leadership role and a key member of the Nursing leadership team. The CNM ensures and delivers high quality, patient-centered care and coordination of all functions in the unit/department during the designated shift. In collaboration with other members of the management team, the CNM directs, monitors, and evaluates nursing care in accordance with established policies/procedures, serves as a resource person for staff, and models a commitment to the organization's vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance. The CNM provides feedback and coaching to staff members, recognizing them for their contributions while fostering a high-performance culture. Responsibilities Ensures that clinical assignments are based on patient care needs and demonstrated staff competencies.Assists with admission and discharge processes to ensure efficient throughput and high quality, patient-centered care.Participates in the ongoing assessment of the quality of patient care services provided on the unit, in collaboration with other members of the management team.Collaborates with subject matter experts and other managers to create an environment of teamwork that supports improved outcomes and service.Supports a patient-first philosophy and engages in service recovery when necessary.Supports the efforts of the facility to improve engagement by operationalizing current nursing strategies, including nurse leader rounding, employee rounding, hourly rounds, bedside shift report and other initiatives.Provides recommendations related to interviewing, selecting, and training new staff.Recommends and implements courses of action, including training and development, conflict resolution, personnel policy compliance, completion of performance evaluations, and/or disciplinary actions to ensure a competitively better organization.Assists with staff scheduling. Manages all practical aspects of staff labor in accordance with patient care needs and established productivity guidelines.Supports proper inventory control and assists with managing supplies and equipment.Works with medical staff to coordinate management of patient care.Shows leadership and initiative in situations where supervision is not present or required.Appropriately escalates problems relating to rules and regulations in a timely and effective manner. Qualifications Education (experience can be substituted for education) Associate's Degree in Nursing RequiredBachelor's Degree in Nursing Preferred Work Experience (education can be substituted for experience) 1-3 years Minimum of 1 year clinical experience required – 2 years, preferred. Required Knowledge, Skills and Abilities Evidence of leadership experience abilities required.Knowledge of general nursing principles and practice skills;Knowledge of organizational functions, policies and regulations;Applicable knowledge of technical skills related to worked clinical area. Licenses and Certifications Current licensure to practice nursing in the State of KY or WV, depending on legal state of residence. RequiredBLS RequiredACLS within six (6) months of hire (ED, Critical Care, OR and Specialty Areas/Units Only) RequiredPALS within six (6) months of hire (ED, OR, Med/Surg Peds) RequiredNRP and AWHONN fetal monitoring w/in six (6) months (Maternal/Child Only) RequiredTNCC within six (6) months of hire (ED Only) RequiredDe-Escalation Training within six (6) months of hire (all units) RequiredProfessional Nursing Certification Preferred

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