Full-Time
Registered Nurse
Updated on 9/3/2026
Appalachian Regional Healthcare
Nonprofit health system serving Appalachia
No salary listed
Prestonsburg, KY, USA
In Person
Bachelor's, Associate's
 Medical, Clinical & Veterinary (1) |
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- An Associate's Degree is required.
- Graduation from an accredited School of Nursing is required.
- Up to one year of experience is preferred.
- A minimum of one year of acute care nursing experience is preferred.
- One year of experience should be relevant to the specific department in which the nurse will be working.
- Experience with Electronic Health Records is preferred.
- The nurse must be able to operate critical care equipment such as respirators, temporary pacemakers, defibrillators, and other emergency equipment.
- The nurse must be able to set up, maintain, and interpret cardiac and hemodynamic monitors and take action as indicated by nursing practice and hospital procedures.
- The nurse must be able to perform special procedures such as endotracheal and tracheostomy suctioning, tracheostomy care, extubation, cardiopulmonary resuscitation, arterial punctures, care of chest tubes and pleurevac, and set up and assistance with peritoneal dialysis, paracentesis, and thoracentesis.
- The nurse must be able to manage specialty drips using approved protocols.
- Before assignment to a unit as the sole registered nurse provider, the nurse must successfully complete a critical care course acceptable to the Community Chief Nursing Officer and demonstrate mastery of the equipment, diagnostic responsibilities, and procedures required of a critical care nurse.
- Critical care coursework shall include cardiopulmonary resuscitation and management of an obstructed airway, electrocardiogram interpretation, drug therapy including emergency intravenous drug therapy or routes normally left to the physician, hemodynamic monitoring, and critical care procedures.
- Completion of Moderate Sedation competency is required.
- Completion of Stroke Modules is required.
- Completion of Restraints competency is required.
- The nurse must be adequately oriented to unit policies, procedures, and equipment, including safety procedures, infection control practices, and performance improvement activities.
- A Registered Nurse license is required.
- Advanced Dysrhythmia/Electrocardiogram certification is required.
- National Institutes of Health Stroke Certification is required.
- Basic Life Support certification is required.
- Advanced Life Support certification is required.
- De-Escalation Training is required within six months of hire.
- Complete patient assessments; formulate, oversee implementation of, evaluate, and adjust plans of care using critical thinking skills.
- Perform nursing acts authorized or limited by the board and consistent with professional nursing standards.
- Provide care, counseling, health teaching, and promotion using the Teach Back methodology to affirm comprehension.
- Administer medication, intravenous therapy, and treatment as prescribed by a Licensed Independent Practitioner.
- Supervise, delegate, and follow through with other personnel performing activities related to nursing care.
- Mentor and precept students and orient new staff as assigned.
- Report pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator.
- Participate on teams, committees, and performance improvement initiatives.
- Ensure a safe and secure environment for patients, coworkers, and self.
- Participate in discharge planning and transition of care, including defining patient needs.
- Serve as a patient advocate and escalate patient-related concerns in a timely manner.
- Document pertinent findings in the medical record in a timely manner.
- Assist patients with activities of daily living and function as an active team member.
- Assume responsibility for personnel professional development.
- Use effective communication and active listening skills while maintaining a compassionate and empathetic approach.
- Practice Hands Off communication using Situation-Background-Assessment-Recommendation and perform bedside shift reporting using Situation-Background-Assessment-Recommendation unless contradicted.
- Function as a positive influence and role model and adhere to the professional code of conduct.
- Respect the dignity and confidentiality of matters relating to patients.
- Perform other assigned job duties.
- A Bachelor's Degree is preferred.
- Pediatric Advanced Life Support certification is preferred.
- Up to one year of experience is preferred.
- A minimum of one year of acute care nursing experience is preferred.
- Experience with Electronic Health Records is preferred.
Appalachian Regional Healthcare operates 14 nonprofit hospitals across Kentucky and West Virginia, serving rural Central Appalachia. It offers primary and specialty care, including cardiology, oncology, orthopedics, and behavioral health, plus home health, pharmacy, and rehabilitation services through over 1,300 providers. What sets ARH apart is its position as one of the region's largest employers, focused on medically underserved communities. The goal is to improve health and promote well-being for the people of Central Appalachia.
Company Size
N/A
Company Stage
Grant
Total Funding
$3.7M
Headquarters
Barbourville, Kentucky
Founded
1955
Simplify's Take
What believers are saying
- ARH broke ground May 6, 2026 on a $54 million Middlesboro cancer center.
- Hazard ARH added six birthing suites March 25, 2026, expanding maternity capacity.
- ARH's August 2026 residency, diabetes, and lifestyle-clinic pushes deepen patient acquisition and loyalty.
What critics are saying
- Pike County's $3 million psychiatry lawsuit threatens cash and billing credibility through 2027.
- Rural staffing remains fragile; ARH's 2026 nurse contract preserves layoff protections for retention.
- If physician recruitment stalls, ARH's county-hospital network loses specialty coverage and referral capture.
What makes Appalachian Regional Healthcare unique
- ARH runs 14 hospitals across Eastern Kentucky and southern West Virginia.
- ARH embeds care locally, from school clinics to mobile-style community programs.
- ARH pairs clinical services with workforce pipelines through UPIKE and Delta Dental partnerships.
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Benefits
Professional Development Budget
Company News
ARH to open new Lifestyle Medicine Clinic this fall. Appalachian Regional Healthcare will open a Lifestyle Medicine Clinic in Beckley this fall, focusing on preventive care through nutrition, exercise, stress management, and habit change. Geographic Reference The clinic will offer personalized programs aimed at reducing chronic disease risk and improving long-term health outcomes. ARH officials say education will be a major component, helping patients understand how lifestyle changes can complement traditional medical treatment. The clinic is expected to open later this season.
ARH expands diabetes care team with new educator. * Special to Appalachian Newspapers * Aug 13, 2026 * Comments Appalachian Regional Healthcare announced in a statement Aug. 5 that Tiffany Dixon, RN, LDE, has been named its new diabetes educator. Dixon, the statement said, has worn many hats at ARH. She started as a receptionist. Then she became a medical assistant. Now she is a Registered Nurse and a Licensed Diabetes Educator. Her path was not always simple, but every step shaped who she is today, the statement said. Dixon did not always know that diabetes education was even a career. That changed once she became a nurse and began working in Endocrinology. "That's where I discovered the true world of diabetes and its complexity," she said. The statement said Dixon's passion for diabetes education is deeply personal. Her aunt, who helped raise her, passed away from complications of type 2 diabetes while Dixon was still in nursing school. "Losing her was extremely hard for me because she was a mother to me," she said. "I wish I had known more about diabetes and how to help care for her." That loss, combined with her growing knowledge of endocrinology, set her on a new course. "I knew Diabetes Education was my calling," she said. "I want to help individuals and their families understand the disease, help develop skills needed to manage it, and feel supported throughout their journey." Becoming a nurse was not easy, the statement said. Dixon worked full time as a medical assistant while taking night classes to earn her nursing degree. She was also raising two young children at the time. "I somehow never missed a game" of her son's, she said, even while balancing school, work and family. Her journey included real hardship. She lost her aunt and later went into preterm labor at 24 weeks while finishing school. She kept going anyway. "I was not going to quit," she said. Dixon graduated from nursing school in June and welcomed her daughter that October, just before her 30th birthday. "I give complete credit to God for everything," she said. "He carried me through it." Dixon believes every patient deserves to feel welcomed and valued the moment they walk through the door. "Every person is different, but everyone deserves compassion," she said. The statement said Dixon often finds that patients think they already understand their diabetes, only to be surprised by how much they learn in a single visit. "They are shocked by all the new information they learned from just one session," she said. For patients who are newly diagnosed and those who have lived with diabetes for years, the statement said, Dixon's approach is the same at its core: Listen first. "I want to recognize what knowledge and experience they already have, identify their current needs, and work with them to develop new solutions," she explained. One of the biggest struggles she sees is something called "diabetes burnout", when the daily demands of monitoring blood sugar, taking medication, and making food choices simply wear a person down. "The goal is to help reduce burnout by renewing their sense of hope," she said, "and building confidence by recognizing progress." Dixon's main office is in Paintsville, but her work takes her across the region. She sees patients in both Paintsville and Hazard, in person and virtually. She also helps lead 11 different Diabetes Support Groups held once a month, including a brand new group in Magoffin County that she leads herself. Community events, Dixon said, are one of her favorite parts of the job. "I get to go out and meet new people and learn the barriers people face in other communities," she said, "and see how we can help overconme these barriers." Dixon said she hopes providers will lean on diabetes educators more often. "Providers don't always have enough time during their appointments to address every concern," she said. "When providers and diabetes educators work together, patients receive more supportive, compassionate care." "I've had the opportunity to see Tiffany's heart for serving others, and I know she'll make a tremendous impact on the lives of our patients," said ARH System Diabetes Education Coordinator Ashley Webb. "She understands that diabetes education is about much more than numbers. It's about empowering people with the knowledge, confidence, and support they need to live healthier lives. We're thrilled to have her join our team." Webb commented that, "Every new team member allows us to extend our reach, strengthen our programs, and ensure more people have access to the education and support they deserve." Outside of work, Dixon relies on her husband Adam, a police officer in Prestonsburg, and their children, Connor, Addisyn, Cali and stepson Joshua. The family also shares their home with a cat named Loki and a dog named Ares. "I wanted to be someone my kids would be proud of," she said. "Everything I do and have done is for them." For anyone considering a similar path, Dixon has simple advice: Find a mentor, ask questions, and never let self-doubt win. "Don't ever think you can't do something you are passionate about," she said. "I never thought I would be anything more than a single mom at 19. I never thought college was an option for me until I took a leap of faith and gave it everything I had, every tear, every late night. It wasn't easy, but I was worth it." Today, the statement said, Dixon continues that same leap of faith every day, one patient, one family, and one community at a time. Newsletters. Headlines. Would like to receive its headline alerts? Signup today!
UPIKE, ARH and Delta Dental of Kentucky launch scholarship for future dentists. * Special to Appalachian Newspapers * 5 hrs ago * Comments The University of Pikeville, Appalachian Regional Healthcare and Delta Dental of Kentucky announced in a statement Aug. 6 they have partnered to create a new scholarship program that will expand educational opportunities for future dentists while strengthening Kentucky's oral health workforce. The Delta Dental of Kentucky ARH Family Scholarship provides financial assistance to eligible dependents of ARH employees who are admitted to the UPIKE Tanner College of Dental Medicine, the statement said. Funds are applied toward tuition and other approved educational expenses, with scholarship recipients eligible to reapply annually while they remain qualified for the program, the statement said. The statement said the scholarship also encourages graduates to serve communities across the commonwealth by requiring recipients to practice in Kentucky for at least one year after earning their professional license. The initiative reflects the shared commitment of UPIKE, ARH and Delta Dental of Kentucky to increase access to dental education, invest in Kentucky families and help address the state's growing need for oral health professionals, the statement said. "This scholarship removes financial barriers for talented students while creating a pathway for future dentists to serve the people of Kentucky," said TCDM Dean Jill Keaton, DMD, MS. "We are grateful to Delta Dental of Kentucky and Appalachian Regional Healthcare for investing in the next generation of oral healthcare providers." The scholarship is an example of ARH's commitment to supporting employees and their families while creating opportunities that have a lasting impact on the communities it serves." "At ARH, we believe investing in our employees also means investing in their families and in the future of the communities they call home," said ARH President and CEO Hollie Harris. "We are proud to help create opportunities for the spouses and dependents of our employees to pursue careers in dentistry. This scholarship is another way we can support the people who make our ARH mission possible while helping create a healthier future for Kentucky." Through the scholarship, the statement said, Delta Dental of Kentucky is investing in the education of future dental professionals at TCDM while supporting ARH employees and their families. "Delta Dental of Kentucky is excited to partner with ARH to help make dental education more accessible for students pursuing their dreams at the University of Pikeville's Tanner College of Dental Medicine," said Vice President and Chief Revenue Officer for Delta Dental of Kentucky Brian Hart. "We believe this investment will create lasting benefits for Eastern Kentucky by encouraging more future dentists to serve the region and address critical oral healthcare needs."
UPIKE, ARH and Delta Dental of Kentucky launch scholarship for future dentists. By: Amy Charles | August 6, 2026 The University of Pikeville (UPIKE), Appalachian Regional Healthcare (ARH) and Delta Dental of Kentucky have partnered to create a new scholarship program that will expand educational opportunities for future dentists while strengthening Kentucky's oral health workforce. The Delta Dental of Kentucky ARH Family Scholarship provides financial assistance to eligible dependents of ARH employees who are admitted to the UPIKE Tanner College of Dental Medicine (TCDM). Funds are applied toward tuition and other approved educational expenses, with scholarship recipients eligible to reapply annually while they remain qualified for the program. The scholarship also encourages graduates to serve communities across the Commonwealth by requiring recipients to practice in Kentucky for at least one year after earning their professional license. The initiative reflects the shared commitment of UPIKE, ARH and Delta Dental of Kentucky to increase access to dental education, invest in Kentucky families and help address the state's growing need for oral health professionals. "This scholarship removes financial barriers for talented students while creating a pathway for future dentists to serve the people of Kentucky," said TCDM Dean Jill Keaton, DMD, MS. "We are grateful to Delta Dental of Kentucky and Appalachian Regional Healthcare for investing in the next generation of oral healthcare providers." The scholarship is an example of ARH's commitment to supporting employees and their families while creating opportunities that have a lasting impact on the communities it serves. "At ARH, we believe investing in our employees also means investing in their families and in the future of the communities they call home," said ARH President and CEO Hollie Harris. "We are proud to help create opportunities for the spouses and dependents of our employees to pursue careers in dentistry. This scholarship is another way we can support the people who make our ARH mission possible while helping create a healthier future for Kentucky." Through the scholarship, Delta Dental of Kentucky is investing in the education of future dental professionals at TCDM while supporting ARH employees and their families. "Delta Dental of Kentucky is excited to partner with ARH to help make dental education more accessible for students pursuing their dreams at the University of Pikeville's Tanner College of Dental Medicine," said Vice President and Chief Revenue Officer for Delta Dental of Kentucky Brian Hart. "We believe this investment will create lasting benefits for Eastern Kentucky by encouraging more future dentists to serve the region and address critical oral healthcare needs." TCDM recently welcomed its inaugural class and is dedicated to preparing practice-ready dentists committed to serving rural and underserved populations. The new scholarship program further advances that mission by creating opportunities for students with strong ties to Kentucky and encouraging them to build their careers within the state.
Joey Waddell named CEO of Whitesburg ARH Hospital. WHITESBURG, Ky. (WXKQ) - Appalachian Regional Healthcare has named Joey Waddell as the new Chief Executive Officer of Whitesburg ARH Hospital. Waddell brings more than 20 years of healthcare leadership experience and most recently served as chief operating officer at Highlands Regional Medical Center. A native of Eastern Kentucky and U.S. Army veteran, Waddell has held leadership positions in Kentucky and Indiana and says he looks forward to leading the hospital while continuing to improve healthcare services for the people of Central Appalachia.