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Charge RN 3B Med Surg FT Nights
Company : Catholic Health Initiatives
Location : Lexington, KY, 40504
Job Type : Full Time
Salary : 31.5-45.68 HOUR
Date Posted : 9 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
- Provides direct supervision of personnel practicing on Nursing Units, makes patient care assignments, evaluates assignments, facilitates patient throughout, and directly observes staff performance on assigned shift.
- Proactively matches existing resources seeking ways to provide patient care that supports staff and maintains a therapeutic environment.
- Monitors productivity and assures that staffing and resources are aligned with patient care needs.
- Communicates personnel related concerns to Unit Manager.
- Uses a logical, systematic approach to problems and problem-solving.
- Facilitates Patient Experience best practices on the unit (hourly rounding, etc.)
- Maintains Unit Professional standards. Holds staff accountable for behaviors and attitudes.
- Maintains confidentiality of information of the department. Assists in audits and data collection as requested.
- Contributes to the efficient operation of the department.
- Performs direct patient care and accepts an assigned group of patients as needed.
- Other duties as assigned by management.
Required Education and Experience
- Associates Degree in Nursing (ADN/ASN) from an accredited school of nursing.
Required Licensure and Certifications
- Current RN license in the State of Kentucky
- Basic Life Support (BLS) via the American Heart Association (AHA)
- Advanced Cardiac Life Support (ACLS) via the American Heart Association (AHA) within 3 months of hire
PREFERRED Qualifications
- 2 years RN experience
- Bachelor's Degree in Nursing (BSN)
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
Incentives:
We're offering a $25,000 sign on bonus AND up to $24,000 in outstanding student loan pay off for new hires that meet eligibility requirements.
About Us:
Welcome to Saint Joseph East, a 217-bed, full-service, community hospital located in a convenient setting in Lexington, Kentucky. Saint Joseph East also includes the Women's Hospital at Saint Joseph East which is dedicated to supporting the well-being of women in Central and Eastern Kentucky and serves a 16-bed Level III Neonatal Intensive Care Unit (NICU).
Whether you are an experienced healthcare professional or working toward that, we invite you to experience Hello Humankindness with us! CHI Saint Joseph Health provides you with the same level of care you provide for others. Learn more about Saint Joseph East and its awards and recognitions here: Saint Joseph East
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 2200 care centers serving 24 states.
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Frequently asked questions
Charge RNs on night shifts juggle direct patient care while overseeing nursing staff performance. They ensure smooth patient throughput, maintain clinical standards, and support their team by proactively allocating resources, fostering communication, and handling staff concerns promptly to keep the unit running effectively overnight.
Kentucky requires an active RN license plus Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications, preferably from the American Heart Association. These credentials are essential for managing acute patient needs and emergencies in med-surg settings, especially during critical night shifts.
Absolutely, Charge RNs in Lexington’s med-surg units coordinate with diverse professionals like social workers, respiratory therapists, and imaging specialists. This interdisciplinary teamwork enhances patient outcomes by integrating holistic care approaches tailored to individual needs during each shift.
Lexington’s healthcare market shows steady demand for experienced night shift RNs, especially in leadership roles like Charge RN. While competition exists, hospitals like Catholic Health Initiatives offer incentives such as sign-on bonuses, making these positions attractive to qualified candidates.
Charge RNs working night shifts in Lexington typically earn between $65,000 and $85,000 annually, depending on experience and certifications. The offering at Catholic Health Initiatives may include bonuses and student loan assistance, enhancing total compensation beyond base pay.
At Catholic Health Initiatives, Charge RNs gain leadership experience with strong emphasis on mentorship and patient throughput management. The role integrates hands-on care with supervisory duties, supported by a collaborative culture and substantial incentives like a $25,000 sign-on bonus.
Yes, this role is tailored for RNs eager to strengthen leadership capabilities. It involves supervising nursing staff, making critical patient assignments, and resolving workflow challenges, providing invaluable management experience within a supportive healthcare environment.
Kentucky’s Nurse Practice Act guides Charge RNs to uphold evidence-based care and confidentiality standards. Night shift leaders must ensure compliance while managing patient safety and staff accountability, which are critical to maintaining operational excellence during overnight hours.
Charge RNs on night shifts often encounter fluctuating patient acuity, staffing shortages, and urgent clinical situations. Their role demands swift problem-solving, effective communication, and maintaining morale to navigate these challenges while delivering quality care.
Lexington’s moderate traffic and public transit options make commuting manageable for night shift nurses. However, individual preferences vary, and some opt for housing closer to Catholic Health Initiatives to reduce transit time and accommodate unusual shift hours.