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Charge RN 5B Telemetry FT Nights
Company : Catholic Health Initiatives
Location : Lexington, KY, 40504
Job Type : Full Time
Salary : 31.5-45.68 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
As our Charge Nurse at CHI Saint Joseph Health, you'll assist a department of frontline nurses caring for patients. Your previous experience in acute care adds tremendous value to our nursing team and every interaction is an opportunity to improve your understanding of a patient's needs, the needs of your nursing team, and the needs of your unit. You'll advocate for your fellow nurses as you support them in reaching their full potential.
Your success in this role comes from being accountable, calm and confident. You're an excellent communicator in 1:1 interactions and in front of groups. You’ll be a trusted educator and resource for your team, taking control of situations before they escalate and being comfortable holding tough conversations.
Key Responsibilities Include:
- Ability to serve as leader and teammate
- Ensure your teammates and department are positioned to deliver the best care possible to our patients
- High level of engagement with the floor- visibly connecting with nurses, patients, and families
- Mentor team members and share your knowledge and confidence
- Collaborate with a variety of other healthcare professionals such as social work, care coordination, physical therapy, occupational therapy, lab, respiratory therapy, and imaging
Job Requirements
Required Education
- Graduate of an accredited school of nursing required.
Required Licensure and Certifications
- Current RN license in the State of Kentucky. See attached grid for required certifications.
Required Minimum Knowledge, Skills and Abilities
- 2 years RN experience preferred.
PREFERRED Qualifications
BSN preferred. Must be able to demonstrate advanced skills and abilities of a registered nurse, practicing within the nursing scope of practice. Must have ability to define problems, collect data, establish facts, and draw valid conclusions. Also, be able to interpret an extensive variety of instructions and deliver successful results. Critical thinking and problem solving skills and must be moderately advanced with experience in handling complex situations and conflicts. Microsoft Office, Clinical Documentation, Payroll system
Where You'll WorkWelcome 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
In Lexington, Charge RNs on telemetry units like 5B blend team guidance with acute patient monitoring, ensuring seamless care during night shifts. This role demands both decisive leadership and clinical expertise to manage complex cardiac telemetry cases and support nursing staff effectively.
Charge RNs on telemetry night shifts require advanced critical thinking, conflict resolution, and in-depth cardiac monitoring knowledge. These skills help them anticipate patient needs, mentor nurses, and coordinate multi-disciplinary care under demanding overnight conditions.
Yes, this position cultivates leadership, communication, and crisis management skills critical for nursing management. Experience in a high-acuity telemetry unit at night strengthens qualifications for future roles such as Nurse Manager or Clinical Nurse Specialist.
Catholic Health Initiatives fosters a collaborative environment, providing Charge RNs access to continued education, interdisciplinary teamwork, and leadership development. This support ensures nurses on telemetry units deliver compassionate, evidence-based care aligned with CHI’s mission.
Working nights at Saint Joseph involves managing complex telemetry patients while supporting staff morale during less staffed hours. The nurse must balance clinical decision-making with mentorship, all within a culturally rich, historically significant hospital setting.
Kentucky mandates active RN licensure, but many Lexington employers, including CHI, prefer certifications like ACLS for telemetry nurses. These credentials enhance patient safety and compliance with local healthcare standards during night shifts.
Charge RNs in Lexington typically earn between $68,000 and $85,000 annually, with night shift differentials boosting compensation. The specialized telemetry focus and leadership duties often position salaries at the upper end of this range.
Lexington’s growing healthcare sector sustains strong need for telemetry RNs on night shifts. Competition remains moderate, but candidates with telemetry experience and leadership skills, especially at reputable providers like CHI, enjoy favorable hiring prospects.
Night shift nurses might benefit from less congested roadways but should plan for limited public transit late at night. Carpooling or arranging reliable rideshares can ease commutes during off-peak hours in Lexington’s urban setting.
This role actively coordinates with social workers, therapists, lab staff, and respiratory therapists, ensuring comprehensive care plans. At CHI, fostering these connections is key to delivering holistic, patient-centered treatment on telemetry units overnight.