Job Description

Registered Nurse (RN) – Emergency Department

Location: Boone, North Carolina | Emergency Department | Full-Time | 12-Hour Shifts | Non-Exempt

Why You'll Love Working Here

As a Registered Nurse (RN) at UNC Health Appalachian, you'll do more than provide care. You'll be part of a mission-driven healthcare system committed to patient safety, teamwork, and professional growth. Working in the Emergency Department, you'll care for patients during some of their most critical moments while collaborating with an experienced team dedicated to delivering exceptional emergency care.

Nestled in the scenic Appalachian Mountains, Boone, North Carolina offers the perfect blend of community, culture, and outdoor adventure.

• Compensation: Starting at $34.00/hour , based on education, experience, certification, and internal equity.
• Schedule: Three 12-hour shifts per week with an every-third-weekend rotation.
• Applicable Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; paid parental leave; wellness incentives; and employee discounts.
• Benefits Eligibility: Applicable benefits begin the first of the month following 60 days of employment from new hire orientation.
• Status: Non-Exempt

What You'll Do as a Registered Nurse

Emergency Patient Care

• Deliver high-quality, patient-centered care to patients presenting with urgent, emergent, and critical healthcare needs.
• Utilize the nursing process (assess, plan, implement, and evaluate) to guide patient care throughout the Emergency Department experience.
• Monitor and respond rapidly to changes in patient condition, mobilizing appropriate resources as needed.
• Safely administer medications, treatments, and therapies in accordance with established protocols.

Clinical Collaboration

• Collaborate with physicians, advanced practice providers, and interdisciplinary team members to achieve optimal patient outcomes.
• Communicate effectively regarding patient status, treatment plans, and changes in condition.
• Participate in coordinated care planning and emergency interventions.

Patient & Family Support

• Provide compassionate education, support, and communication to patients and families during critical situations.
• Maintain patient dignity, safety, and comfort throughout the care experience.
• Support a positive patient experience through empathy, professionalism, and service excellence.

Documentation & Professional Practice

• Maintain accurate and timely documentation within the Electronic Medical Record (EMR).
• Adhere to nursing practice standards, organizational policies, and regulatory requirements.
• Promote patient safety, quality outcomes, and continuous improvement initiatives.

What We're Looking For

Qualifications/Licenses

Education

• Graduate of an accredited school of nursing.
• Bachelor of Science in Nursing (BSN) preferred.

Experience

• Previous Registered Nurse experience required.

Required Licensure & Certifications

• Current Registered Nurse (RN) license in North Carolina or a compact state.
• Basic Life Support (BLS) certification required at the time of hire.
• Advanced Cardiovascular Life Support (ACLS) required within twelve (12) months of hire.
• Pediatric Advanced Life Support (PALS) required within twelve (12) months of hire.

Knowledge, Skills & Abilities

• Strong clinical judgment and critical thinking skills.
• Ability to adapt quickly in a fast-paced, high-acuity environment.
• Effective communication and teamwork skills.
• Commitment to patient safety, professional ethics, and patient dignity.
• Ability to remain calm and focused during emergencies and rapidly changing situations.

Physical & Work Environment

Physical Demands

• Lift, position, and transfer patients weighing more than 50 pounds.
• Frequent standing, walking, bending, and patient movement activities.
• Manual dexterity and mobility necessary to provide emergency nursing care.

Working Conditions

• Exposure to bloodborne pathogens, chemicals, and emergency situations.
• Rotating schedules may include nights, weekends, and holidays.
• Fast-paced Emergency Department environment requiring flexibility, rapid decision-making, and sound clinical judgment.

What Sets Us Apart

• Career Growth: Structured advancement pathways, tuition reimbursement, specialty certification support, and ongoing professional development opportunities.
• Impactful Work: Provide compassionate, high-quality care during critical moments while helping improve outcomes across the communities we serve.
• Community & Lifestyle: Boone is consistently recognized as one of North Carolina's premier mountain communities, offering exceptional quality of life and year-round recreation.
• Top-Tier Community: Home to Appalachian State University, Boone offers a vibrant community, excellent schools, outdoor adventure, and small-town charm.
• Meaningful Benefits: Access retirement benefits with employer match, paid parental leave, wellness programs, educational assistance, employee discounts, and applicable healthcare coverage.
• Inclusive Culture: We embrace diversity, equity, and inclusion and are committed to providing a supportive workplace where every team member feels valued and respected.

Ready to Build Your Nursing Career in a Place Where Compassion Meets Excellence?

Apply today to join UNC Health Appalachian as a Registered Nurse (RN) – Emergency Department and make a lasting impact on patients, families, and the community we proudly serve.

About UNC Health Appalachian

It's official. UNC Health Appalachian earned an "A" Leapfrog Patient Safety Grade . UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, the Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation.

UNC Health Appalachian remains committed to promoting health in the High Country, enhancing quality of life, and simply "making life better."

About UNC Health

UNC Health is a state entity and an affiliated enterprise of the University of North Carolina system, comprised of 14 hospitals, 18 hospital campuses, and more than 500 clinics, along with the clinical patient care programs of the UNC School of Medicine.

It exists to improve the health and well-being of North Carolinians and others we serve while furthering the teaching mission of the University of North Carolina School of Medicine. Over the past three years, UNC Health has provided more than $400 million in uncompensated and charity care to the citizens of North Carolina. Our hospitals have received numerous awards and recognitions for quality care, patient safety, and the overall patient experience.

For more information, visit unchealth.org .

Equal Opportunity Employer

UNC Health Appalachian is committed to a diverse and inclusive workforce. We welcome applicants from all backgrounds and experiences and strive to foster a workplace where every team member feels respected and valued.

Employment is contingent upon successful completion of a background check and drug screening.

For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.

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