Intermediate Care Registered Nurse in Boone, North Carolina at Appalachian Regional Healthcare System

Registered Nurse (RN) – Intermediate/Acute Care

Location: Boone, North Carolina | Full-Time | 12-hour shifts

Why You’ll Love Working Here

As a Registered Nurse at UNC Health Appalachian, you’ll do more than provide care — you’ll be part of a mission-driven health system committed to patient safety, teamwork, and professional growth. Nestled in the scenic Appalachian Mountains, Boone offers the perfect blend of community, culture, and outdoor adventure.

• Compensation: Starts at $34.00/hour, based on experience, education, and internal equity.

• Schedule: 3x12-hour shifts, every 3rd weekend rotation.
• Benefits: Comprehensive medical/dental/vision, retirement with match, PTO, tuition reimbursement, paid parental leave, wellness incentives, and employee discounts.

What You’ll Do as a Registered Nurse

• Deliver high-quality, patient-centered care to critically ill or recovering patients.
• Use the nursing process (assess, plan, implement, evaluate) to guide care from admission to discharge.
• Monitor and respond quickly to changes in patient condition, mobilizing resources as needed.
• Safely administer medications, treatments, and therapies according to protocols.
• Partner with physicians, APPs, and interdisciplinary teams to achieve the best outcomes.
• Provide compassionate education and support to patients and families in critical moments.
• Document accurately and timely in the Electronic Medical Record (EMR).

Qualifications

• Graduate of an accredited school of nursing (BSN preferred).
• Current RN license in North Carolina (or compact state).
• BLS required at hire; ACLS/PALS within 12 months.
• Previous RN experience required.
• Strong judgment, adaptability, and teamwork skills.
• Commitment to safety, ethics, and patient dignity.

Physical & Work Environment

• Lift, position, or transfer patients >50 lbs; frequent standing, walking, or bending.
• Exposure to blood-borne pathogens, chemicals, and emergency situations.
• Rotating shifts may include nights, weekends, and holidays.

What Sets Us Apart

• Career Growth: Structured advancement pathways, tuition reimbursement, and ongoing training.
• Impactful Work: As a Registered Nurse at UNC Health Appalachian, you’ll provide compassionate, high-quality care across three community hospitals, 13 medical practices, and specialty centers like the Seby B. Jones Regional Cancer Center and The Rehabilitation Center.
• Community & Lifestyle: Boone is ranked among the best small towns in America by Forbes and Southern Living.
• Inclusive Culture: We embrace diversity, equity, and inclusion — and provide accommodations as needed.

Ready to build your nursing career in a place where compassion meets excellence?
Apply today to join UNC Health Appalachian and make a lasting impact on patients, families, and the community we proudly serve.

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

Diversity and Inclusion
UNC Health Appalachian is committed to a diverse and inclusive workforce. We welcome applicants from all backgrounds and experiences. Employment is contingent upon successful background checks and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.