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Catholic Health Initiatives

RN 4IC Progressive Care PRN Nights

Company : Catholic Health Initiatives

Location : Lexington, KY, 40504

Job Type : Full Time / Part Time

Salary : 37.2-37.2 HOUR

Date Posted : 3 January 2026


Job Summary and Responsibilities

This position is accountable for the daily patient care operations of the assigned department, working under the direction of the Nurse Manager on assigned shifts.  Responsible for daily patient care assignments, maintaining clinical standards of care, maintaining labor productivity and supervision of the patient care environment; supporting the care team.  Supports the activities of the Nurse Manager.  Maintains positive inter- and intra-departmental relationships.  Directs patient throughput activities in the assigned unit. Maintains evidence-based nursing practices to achieve desirable patient outcomes in accordance with the Kentucky Nurse Practice Act.

Essential Key Job Responsibilities

  1. Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on their assigned shift.
  2. Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
  3. Monitors productivity and assures that staffing and resources are aligned with patient care needs.
  4. Communicates personnel related concerns to the Unit Manager.
  5. Uses a logical, systematic approach to problems and problem-solving.
  6. Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
  7. Maintains Unit Professional standards.  Holds staff accountable for behaviors and attitudes.
  8. Maintains confidentiality of information of the department.  Assists in audits and data collection as requested. 
  9. Contributes to the efficient operation of the department.
  10. Performs direct patient care and accepts an assigned group of patients as needed.

The job summary and responsibilities listed above are designed to indicate the general nature of the work performed within this job. They are not designed to contain or be interpreted as a comprehensive inventory of all job responsibilities required of employees assigned to this job. Employees may be required to perform other duties as assigned.


Job Requirements

Minimum Qualifications:

  • Associates Degree in Nursing (ADN) from an accredited program
  • Active Registered Nurse Licensure in Kentucky (KY) or eNLC licensure with multistate privileges in good standing
  • Basic Life Support (BLS)

Preferred Qualifications:

  • Bachelor’s Degree in Nursing (BSN)
  • Previous nursing experience in Med/Surg, Telemetry, Cardiac, Emergency, or Critical Care service lines
Where You'll Work

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky. 

Saint Joseph is part of CommonSpirit Health, a non-profit, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians. 

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

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Frequently asked questions

This RN 4IC position in Lexington emphasizes leadership during night shifts, overseeing patient care assignments and staff supervision in progressive care units. Unlike typical RN roles, it balances direct care with managing workflow and maintaining clinical standards, especially in a PRN (as-needed) capacity.

Serving as an RN 4IC progressive care nurse at night offers leadership experience and exposure to critical decision-making. This foundation can open paths toward nurse management, specialized critical care certifications, or advanced practice roles, particularly within acute care or telemetry specialties.

Strong clinical judgment combined with supervisory capabilities is crucial. Night shift demands adaptability, efficient patient throughput management, and proficiency in evidence-based nursing practices aligned with Kentucky regulations. Effective communication and problem-solving skills are also vital.

Catholic Health Initiatives offers a supportive environment with access to continued education, mentoring, and leadership development. They emphasize compassionate care and provide resources that help RN 4ICs enhance their clinical and supervisory skills within progressive care settings.

At Catholic Health Initiatives, this role integrates faith-based compassionate care with advanced clinical oversight. The hospital’s rich history and recognition as a top Kentucky employer foster a culture valuing teamwork, accountability, and patient-centered outcomes, especially during challenging night shifts.

Besides an active Kentucky RN license or ENLC multistate privileges, certifications like BLS are essential. Given Lexington’s healthcare environment, additional credentials in telemetry, critical care, or ACLS can enhance competitiveness for PRN progressive care nursing jobs.

Lexington’s healthcare sector shows steady demand for PRN nurses in progressive care due to expanding hospital services and fluctuating patient volumes. This trend offers flexible opportunities for RNs seeking supplemental hours or varied shift schedules in reputable hospitals.

Lexington emphasizes community-oriented care with strong interdepartmental collaboration. PRN nurses on night shifts benefit from a supportive environment prioritizing teamwork and patient safety, which can positively influence job satisfaction despite the challenges of night hours.

RN 4IC Progressive Care PRN Night nurses in Lexington typically earn between $30 to $42 per hour, reflecting the region's competitive healthcare market. Factors like experience, certifications, and shift differentials for night work may increase total compensation.

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