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Nurses

Registered Nurse Obstetrics

Appalachian Regional Healthcare System$34.00/hrBoone, NCFull timePosted 1w agoStill open, checked every night
  • BLS
  • ACLS
  • PALS

How this pay compares

This posting states $34 an hour. Open labor and delivery nurse jobs in North Carolina post a median of $48.18 an hour, the middle half $43.35–$61.20, across 14 jobs that state their pay, so this one is below the middle half of what they post. Labor and delivery nurses employed in North Carolina earn a median of $40.56 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Labor and delivery nurses in North Carolina: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

Medicare rating of Watauga Medical Center

Medicare gives Watauga Medical Center 3 of 5 stars (Jul 2026; North Carolina's hospitals average 3.3). 83% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · North Carolina hospitals by rating.

What this hospital paid

By Watauga Medical Center's report to Medicare, its registered nurse hours averaged $60.25 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $58.67 an hour across North Carolina's hospitals. An average over every such hour, not this job's pay: the posting states its own. What North Carolina hospitals pay nurses.

Public Service Loan Forgiveness

Medicare lists Watauga Medical Center as a government hospital: the kind of employer PSLF counts (a government organization or a 501(c)(3) non-profit) for its own full-time staff, toward forgiveness of federal Direct Loans after 120 qualifying payments. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.

Registered nurse and LPN jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 81.0%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 134
  • How often these jobs state their pay: Jobs stating any pay 54.7% · Stating an hourly rate 33.9%

From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

Registered Nurse (RN) – Birthing Center (OB)

Location: Boone, North Carolina | Birthing Center | Non-Exempt

Why You'll Love Working Here

As a Registered Nurse (RN) in the Birthing Center at UNC Health Appalachian, you will provide compassionate, high-quality care to mothers and newborns during one of the most important moments in their lives. This role combines strong clinical judgment, collaboration with multidisciplinary teams, and a commitment to patient-centered care in a supportive and fast-paced obstetric environment.

You'll work alongside physicians, midwives, and nursing colleagues to monitor patient progress, support families through the childbirth experience, and respond quickly to changing clinical conditions while ensuring patient safety and positive outcomes.

Located in the heart of the Blue Ridge Mountains, Boone, North Carolina offers exceptional outdoor recreation, vibrant community living, and outstanding quality of life.

  • Compensation: Starting at $34.00 per hour or more , based on education, experience, certification, and internal equity.
  • Schedule: Nights, Every 4th Weekend
  • Applicable Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; wellness incentives; employee support programs; and professional development opportunities.
  • 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 Birthing Center RN

Patient Care & Monitoring

  • Provide direct and indirect nursing care for patients in the Birthing Center.
  • Monitor maternal and fetal conditions, recognizing and responding to changes promptly.
  • Perform diagnostic tests, assessments, and interventions to support safe labor and delivery.
  • Provide compassionate support to patients and families during labor, delivery, and recovery.

Clinical Collaboration

  • Work closely with physicians, midwives, and multidisciplinary teams to deliver coordinated care.
  • Communicate patient progress and changes in condition to providers and care teams.
  • Assist in developing individualized care plans that support maternal and newborn health.

Patient Experience & Safety

  • Demonstrate compassion, empathy, and professionalism during critical and emotional situations.
  • Maintain accurate documentation and communication within the care team.
  • Follow organizational policies, regulatory requirements, and nursing practice standards.
  • Promote a positive and collaborative work environment that supports patient safety and staff well-being.

What We're Looking For

Education

  • Graduate of an accredited school of nursing.

Experience

  • Minimum of two (2) years of Labor & Delivery Registered Nurse experience required .

Required Licensure & Certifications

  • Current Registered Nurse (RN) license in the State of North Carolina.
  • Basic Life Support (BLS) from the American Heart Association required at the time of hire.
  • Advanced Cardiac Life Support (ACLS) required within one (1) year of hire.
  • Pediatric Advanced Life Support (PALS) required within one (1) year of hire.

Knowledge, Skills & Abilities

  • Knowledge of nursing practice within licensure and hospital policies.
  • Ability to communicate effectively with patients, families, staff, and physicians.
  • Competency in delivering safe and effective patient care.
  • Commitment to exceptional customer service and patient-centered care.
  • Familiarity with Electronic Medical Records (EMR) and clinical documentation systems.

Physical & Work Environment

Physical Demands

  • Ability to lift, position, push, pull, and transfer patients weighing 50+ pounds.
  • Manual dexterity and mobility for patient care activities.
  • Frequent bending, squatting, twisting, and reaching.
  • Prolonged sitting, standing, and walking during patient care.
  • Near visual acuity for clinical tasks (20 inches or less).

Working Conditions

  • Regular exposure to bloodborne pathogens and bodily fluids.
  • Frequent exposure to medical equipment and clinical hazards.
  • Requires flexibility for days, evenings, nights, weekends, holidays, and emergency situations.
  • Extended standing and walking during shifts (8+ hours).
  • Occasional prolonged sitting for documentation and patient monitoring.

What Sets Us Apart

  • Career Growth: Structured advancement pathways, tuition reimbursement, and ongoing professional development opportunities.
  • Impactful Work: As a Registered Nurse at UNC Health Appalachian, you'll provide compassionate, high-quality care to mothers and newborns while supporting positive outcomes during one of life's most meaningful experiences.
  • Community & Lifestyle: Boone is ranked among the best small towns in America and offers exceptional outdoor recreation, arts, dining, and mountain living.
  • Inclusive Culture: We embrace diversity, equity, and inclusion and provide a supportive workplace where every team member can thrive.

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) – Birthing Center (OB) 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 supporting 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.

For more information, visit unchealth.org .

Equal Opportunity Employer

UNC Health Appalachian embraces diversity and values a workforce reflecting various backgrounds and perspectives. We encourage applicants from all backgrounds and experiences. Our hiring process is inclusive, and accommodations are provided as needed.

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

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

From Appalachian Regional Healthcare System's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Appalachian Regional Healthcare System

Appalachian Regional Healthcare System hires nurses, imaging techs and front-office staff in Boone and Linville in North Carolina.

Hires in North CarolinaPay on its listings: 96.9% of its open jobs state an hourly rate

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