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Catholic Health Initiatives

RN Neuro ICU FT Nights

Company : Catholic Health Initiatives

Location : Lexington, KY, 40504

Job Type : Full Time

Salary : 30-43.5 HOUR

Date Posted : 14 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

Night shifts in a Neuro ICU demand heightened vigilance and adaptability as patient conditions can change rapidly. Nurses often manage critical cases with less immediate support, requiring strong clinical skills and efficient prioritization to maintain high-quality care throughout the overnight hours.

Beyond a valid RN license in Kentucky, certifications like ACLS (Advanced Cardiovascular Life Support) and CCRN (Critical Care Registered Nurse) boost a candidate's expertise and marketability, aligning well with the intense demands of Neuro ICU nursing within the state’s healthcare facilities.

Many Neuro ICU nurses progress toward advanced practice roles such as Nurse Practitioner or Clinical Nurse Specialist, often specializing further in neuroscience or critical care. Leadership positions like Nurse Manager or educator roles are also common next steps, leveraging their intensive clinical experience.

Catholic Health Initiatives emphasizes compassionate care within a faith-based framework, which may influence patient and family interactions. Night shift nurses often navigate these expectations alongside high-acuity cases, balancing clinical demands with empathetic support reflective of the organization’s mission.

This role integrates evidence-based neurocritical care with a strong community and spiritual support system, thanks to Catholic Health Initiatives’ heritage. Nurses benefit from a collaborative team environment with access to advanced resources in a hospital recognized as a top workplace in Kentucky.

Lexington’s growing healthcare sector, anchored by institutions like Saint Joseph Hospital, drives steady demand for Neuro ICU nurses. Job seekers can expect a moderately competitive market, with opportunities favoring those holding relevant certifications and experience in neurological critical care.

Lexington’s traffic during night hours tends to be lighter, offering easier commutes for ICU nurses on late shifts. However, availability of public transit is limited overnight, so personal transportation is often essential for reliable and timely arrival to facilities like Saint Joseph Hospital.

An RN Neuro ICU nurse working full-time nights in Lexington can anticipate earning between $65,000 and $85,000 annually, influenced by experience, certifications, and shift differentials. Night shift premiums and benefits at Catholic Health Initiatives further enhance overall compensation.

The position demands proactive supervision of nursing personnel, managing patient throughput, and maintaining professional standards. Nurses act as key communicators between staff and management, ensuring clinical and operational efficiency during complex overnight shifts.

Applicants benefit from emphasizing critical care expertise, familiarity with neurological patient needs, and prior experience in med/surg or telemetry units. Demonstrating proficiency in BLS, adherence to clinical standards, and strong teamwork under night shift conditions can set candidates apart.

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