Emergency Department Registered Nurse (RN)

UNC Health Appalachian; North Carolina; On-site; USD 39,000 - 55,000; Part time

Benefits offered by this job

Medical, dental, and vision coverage

HSA option

403(b) retirement plan with employer:

Paid time off

Tuition reimbursement / certification

Paid parental leave

Wellness incentives

Employee discounts

Job summary

UNC Health Appalachian seeks an Emergency Department Registered Nurse (RN) to deliver high-acuity, patient-centered care in a fast-paced ED. This role supports rapid assessment, critical thinking, and comprehensive nursing processes for urgent interventions.

PRN shifts and nights offer flexible scheduling in Linville, North Carolina. The ideal candidate holds NC RN licensure, BLS/ACLS/PALS-ENPC within required timeframes and HIPAA adherence, with a passion for teamwork and compassionate care in

Qualifications

• Graduate of an accredited school of nursing.
• Current RN licensure in North Carolina.
• BLS required at time of hire; ACLS, PALS/ENPC, NIHSS, CPI required within 1 year of hire.
• Preferred RN experience in acute care or ED setting.

Responsibilities

• Deliver high-quality, patient-centered care using the nursing process (assessment, planning, intervention, evaluation).
• Triage patients according to acuity using established protocols.
• Perform rapid assessments, identify priorities, and implement timely interventions.
• Administer medications, treatments, and procedures safely and accurately.
• Collaborate with physicians and multidisciplinary teams to provide coordinated emergency care.
• Monitor, reassess, and document patient status in the EMR.
• Respond quickly to changes in patient condition and emergencies.
• Provide emotional support, patient education, and compassionate communication to patients and families.
• Adhere to UNC Health Appalachian standards, safety practices, and regulatory requirements.

Skills

Effective communication

Critical thinking

Nursing process

Education

Graduate of an accredited school of nursing

Job description

Emergency Department Registered Nurse (RN)

Clinical Nursing

PRN , Nights , Shifts Vary

Registered Nurse (RN) – Emergency Department

Why You’ll Love Working Here

As a Registered Nurse (RN) in the Emergency Department at UNC Health Appalachian, you’ll provide high-acuity, fast-paced patient care that makes a life‑saving difference every day. You’ll use advanced assessment skills, rapid critical thinking, and the full nursing process to stabilize patients and guide urgent interventions.

This is an opportunity to join a mission-driven team committed to excellence, compassion, and teamwork in one of the most essential departments in the hospital, while working alongside dedicated healthcare professionals in the beautiful Blue Ridge Mountains.

Compensation: Starting at $34.00/hour, based on education and experience

Schedule: PRN; Shifts Vary

Benefits: Applicable benefits include comprehensive medical, dental, and vision coverage; HSA option; supplemental insurance options; 403(b) retirement plan with employer match; paid time off; tuition reimbursement/certification bonuses; paid parental leave; wellness incentives; may be eligible for childcare assistance; and employee discounts

Benefits Eligibility: Applicable benefits will begin on the first of the month following 60 days of employment.

What You’ll Do as a Registered Nurse (RN) – Emergency Department

• Deliver high-quality, patient-centered care using the nursing process (assessment, planning, intervention, evaluation)
• Triage patients according to acuity using established protocols
• Perform rapid assessments, identify priorities, and implement timely interventions
• Administer medications, treatments, and procedures safely and accurately
• Collaborate with physicians, APPs, and multidisciplinary teams to provide coordinated emergency care
• Monitor, reassess, and document patient status in the Electronic Medical Record (EMR)
• Respond quickly to changes in patient condition and emergency situations
• Provide emotional support, patient education, and compassionate communication to patients and families
• Adhere to UNC Health Appalachian standards, safety practices, and regulatory requirements

Qualifications/Licenses

• Education: Graduate of an accredited school of nursing
• Experience: Previous experience as a registered nurse is not required
• Licensure: Current RN licensure in North Carolina
• Certification:
  • Basic Life Support (BLS) from the American Heart Association required at time of hire
  • Advanced Cardiac Life Support (ACLS) from the American Heart Association required within 1 year of hire
  • Pediatric Advanced Life Support (PALS) from the American Heart Association, or Emergency Nurse Pediatric Course (ENPC) from the ENA, required within 1 year of hire
  • NIHSS certification required within 1 year of hire
  • Crisis Prevention Institute (CPI) training and certification required within 1 year of hire
• Preferred Qualifications:
  • Previous registered nurse experience
  • Health care experience in an acute or clinic setting
  • One year of experience in a similar role with a similar scope
  • Trauma Nursing Core Course (TNCC) certification from the ENA

Knowledge, Skills, & Abilities

• Ability to communicate courteously and effectively with the public, patients, family, staff, and physicians, and to act within the chain of command using positive verbal and non-verbal skills
• Competence in delivering safe and effective patient care within the legal limits of licensure and hospital policies and procedures
• Knowledge of the continuum of nursing care provided in the patient care department
• Ability to demonstrate exceptional customer service to patients, family, staff, and physicians

Physical & Work Environment

• Lifts, positions, pushes, pulls, and/or transfers 50+ pounds
• Continuous standing and walking for 8+ hours per shift; prolonged sitting, standing, and walking
• Frequently mobilizes patients more than 4 hours per day
• Frequent bending, squatting, kneeling, twisting, turning, and reaching
• Manual dexterity and mobility; frequent hand, finger, and wrist repetition
• Near visual acuity (ability to see clearly at 20 inches or less) and frequent close eye work
• Speaking, reading, and writing for 8+ hours per day
• Regular exposure to the risk of bloodborne diseases
• Frequent exposure to hazards from electrical/mechanical/power equipment, odorous chemicals and specimens, and unpleasant elements (accident, injury, slippery or uneven surfaces)
• Exposure to vibration and cramped spaces for more than 1 hour per day
• Infrequent exposure to ionizing/nonionizing radiation, including x-ray and microwave
• Subject to irregular hours (days, evenings, nights, weekends, holidays) and emergency situations

What Sets Us Apart

• Career Growth: Grow your nursing career with tuition reimbursement, certification bonuses, and ongoing professional development.
• Impactful Work: Provide life-saving emergency care for patients and families when they need it most, as part of a collaborative, mission-driven care team.
• Community & Lifestyle: Located in Linville, North Carolina, UNC Health Appalachian offers the opportunity to live and work in the heart of the Blue Ridge Mountains, with access to hiking, skiing, the Blue Ridge Parkway, and year-round outdoor recreation.
• Meaningful Benefits: Enjoy comprehensive insurance coverage, retirement benefits with employer match, paid time off, paid parental leave, tuition reimbursement, student loan refinancing and college savings resources, an award-winning wellness program, employee-to-employee financial assistance, and discounts to attractions such as Dollywood and Tweetsie Railroad.
• Inclusive Culture: UNC Health Appalachian embraces diversity and is committed to creating a fair, inclusive hiring process and a workplace where every team member is respected and valued.

About UNC Health Appalachian

UNC Health Appalachian, the leader for healthcare in the High Country, comprises three hospitals, 13 medical practices, Seby B. Jones Regional Cancer Center, The Rehabilitation Center, and Appalachian Regional Healthcare Foundation. UNC Health Appalachian stays 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 (SOM). It exists to improve the health and well‑being of North Carolinians and others we serve and to further the teaching mission of the University of North Carolina SOM. Over the past three years, UNC Health has provided more than $400 million in uncompensated or charity care to the citizens of North Carolina. Our hospitals have received numerous awards and recognition for quality care, patient safety and the overall patient experience. For more information, please visit unchealth.org.

UNC Health Appalachian embraces diversity and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected status. We value a workforce that reflects a variety of backgrounds and perspectives, as it enhances our ability to provide outstanding care. We welcome and encourage applications from candidates of all backgrounds and experiences. UNC Health Appalachian is committed to providing a fair and inclusive hiring process and a workplace where all team members feel respected and empowered. If you require accommodations during the application process, please contact us.

Employment at UNC Health Appalachian is contingent upon successful completion of a background and drug screen. For accommodations or additional information, contact [e-mail] .