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Catholic Health Initiatives

RN 3A Med Surg Tele FT Days

Company : Catholic Health Initiatives

Location : Lexington, KY, 40504

Job Type : Full Time

Salary : 30-43.5 HOUR

Date Posted : 31 December 2025


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 poor and 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

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 Hospital and its awards and recognitions here: Saint Joseph Hospital

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

The RN 3A Med Surg Tele FT Days focuses on managing patient care flow and supervising staff during daytime shifts, integrating telemetry monitoring alongside med-surg duties. This hybrid role requires balancing direct patient care with unit productivity, distinguishing it from typical med-surg RN positions that may have less emphasis on telemetry and leadership tasks.

Strong proficiency in telemetry monitoring combined with med-surg nursing skills is essential. Candidates should demonstrate critical thinking for patient throughput, staff oversight, and adherence to evidence-based practices, ensuring high-quality outcomes in a fast-paced hospital setting like Saint Joseph in Lexington.

A typical shift involves overseeing patient assignments, continuous telemetry assessments, facilitating smooth patient transitions, and supporting nursing staff. The role balances direct care with supervisory duties, ensuring compliance with Kentucky nursing standards and fostering a therapeutic environment for patients and staff alike.

Beyond the mandatory active RN licensure in Kentucky or ENLC multistate privileges, certifications in telemetry nursing or BLS are highly valued. Given the hospital's regional prominence, additional credentials like a BSN or specialized med-surg certifications may enhance candidacy.

Lexington's healthcare sector shows steady demand for telemetry-skilled med-surg nurses due to its aging population and multiple hospital facilities. Catholic Health Initiatives attracts many applicants, but candidates with telemetry experience and strong supervisory capabilities stand out amid local competition.

Salaries typically range from $65,000 to $80,000 annually, reflecting the blend of med-surg and telemetry expertise required. Day shift roles with supervisory responsibilities often command the higher end, especially within reputable systems like Catholic Health Initiatives in Lexington.

The role is pivotal in ensuring patient-centered care flow and maintaining staff morale, aligning closely with CHI's mission. Nurses in this position help uphold clinical excellence and compassionate support, embodying the hospital’s legacy of serving underserved populations in Lexington.

Catholic Health Initiatives emphasizes humankindness and a culture fostering professional growth, with recognition as a top workplace. Nurses here benefit from a supportive environment, advanced clinical protocols, and a commitment to community health unmatched by many regional competitors.

Saint Joseph Hospital is accessible via several Lexington Transit Authority routes, easing commuting for day shift nurses. However, traffic patterns can vary, so many RNs prefer living nearby to minimize commute time and maintain punctuality for their critical daytime responsibilities.

Lexington is seeing growing adoption of telehealth services, increasing demand for RNs skilled in telemetry and remote patient monitoring. This trend boosts opportunities for hybrid roles blending traditional med-surg care with telehealth competencies, particularly in established systems like CHI.

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