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Catholic Health Initiatives

Charge RN Continuing Care FT Nights

Company : Catholic Health Initiatives

Location : Lexington, KY, 40504

Job Type : Full Time

Salary : 31.5-45.68 HOUR

Date Posted : 6 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 intradepartmental 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.

Sign On Bonus up to $25,000 and Student Loan Payback up to $24,000 for Eligible Hires


Job Requirements

Education:

  • Graduate of an accredited school of nursing.

Licensure and Certifications:

  • RN
  • BLS
  • ACLS within 6 months
Where You'll Work

Welcome to Continuing Care Hospital, a 25-bed long-term acute care hospital located inside CHI Saint Joseph Hospital. Continuing Care Hospital is recognized as a 12-time winner of the Kentucky Hospital Association Quality award and a 2024 Best Place to Work in Kentucky. 

CHI Saint Joseph Health 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, employers often value ACLS certification within six months of hire, alongside standard RN and BLS credentials. Local healthcare regulations emphasize adherence to the Kentucky Nurse Practice Act, making certifications that support acute and long-term patient care especially relevant for Charge RNs working night shifts.

Lexington's healthcare system shows growing demand for overnight charge nurses specializing in continuing care due to increasing long-term patient needs. Compared to ambulatory or home care RN positions, night shift charge RNs often experience less competition but must demonstrate strong leadership and clinical oversight skills.

Night shift Charge RNs in continuing care manage patient flow, supervise clinical staff, and maintain care standards with limited immediate managerial support. Challenges include resolving emergencies, coordinating staffing changes, and ensuring compliance with evidence-based practices while fostering team cohesion in a quieter, high-responsibility environment.

This role provides critical experience overseeing patient care operations and staff management, essential for higher leadership roles like nurse manager or director. The night shift setting hones decision-making and crisis management skills, making it a valuable platform for advancing clinical leadership within hospital systems.

Besides direct patient care, charge nurses take on supervisory duties such as staff assignments, labor productivity monitoring, and ensuring clinical standards during night shifts. They act as the primary communication link between nursing staff and management, especially critical in continuing care settings with complex patient needs.

CHI offers structured support like clear clinical protocols, leadership mentorship, and comprehensive orientation to night shift workflows. Additionally, their commitment to quality care and employee well-being includes incentives like sign-on bonuses and student loan payback, enhancing the overnight Charge RN experience.

CHI’s role uniquely blends evidence-based nursing with a faith-based mission, emphasizing compassionate care in a 25-bed long-term acute care hospital. The integration within a large non-profit system offers extensive resources, award-winning quality standards, and a collaborative environment focused on patient throughput and team support.

Charge RNs in Lexington typically earn between $65,000 and $85,000 annually, reflecting night shift differentials and their supervisory role. This range aligns with continuing care RN market trends and includes additional compensation like sign-on bonuses, making it competitive for full-time overnight nursing professionals.

Lexington’s healthcare community values collaborative teamwork and continuous professional development, especially within overnight shifts. The city’s recognition of quality care drives a culture where Charge RNs engage in proactive patient management while balancing support for diverse clinical teams during less staffed hours.

Given Lexington’s moderate traffic and public transit limitations, candidates often prefer living near the hospital to ease overnight shift commutes. Flexible scheduling options and potential carpooling with fellow nurses can mitigate travel challenges, ensuring timely arrival and reduced fatigue for night shift Charge RNs.

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