Hospital Medicine Careers

Acute Care Nurse Practitioner

Lexington-Fayette, Kentucky

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Expertise. Partnership. Purpose.

In hospital medicine, APPs play a vital role in delivering high-quality, patient-centered care across the inpatient continuum. You bring clinical skill, adaptability, and compassionate leadership to every encounter—ensuring timely interventions, smooth transitions, and coordinated care.

With a national footprint and a culture rooted in collaboration, our hospital medicine programs empower APPs to thrive. Whether managing complex cases or contributing to performance improvement, you are supported by systems that value autonomy, teamwork, and continuous growth.

Job Type: Full Time
Job Level: New Grads; Experienced
Shift: Night
Travel: No

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Job ID:

JOB-000267

Date posted:

02/18/2026

Category:

Hospital Medicine

Join Our Lexington, Kentucky Team as a Nocturnist Acute Care Nurse Practitioner – A Role Designed for You

Bring better to the bedside in Lexington. In this role, you’ll combine clinical skill with purpose, delivering patient-centered care and driving performance in a supportive environment. You’ll have the autonomy to lead and the resources to grow—while making a difference for patients and families every day.

We are hiring for a nocturnist nurse practitioner position. A nocturnist role requires working exclusively overnight shifts. Candidates must be comfortable with a nocturnal schedule and possess the ability to deliver exceptional patient care during nighttime hours.

Local Team Collaboration:

Become a part of a cohesive and established team of 20 physicians and 6 advanced practice providers (APPs), supported by 2 clinical performance nurses at St. Joseph Hospital.
Work alongside a culturally diverse team with a balanced mix of experienced providers and new graduates.
Collaborate closely with hospital administration, participating in committees and projects to improve hospital operations and patient care.
Enjoy a supportive work environment with regular touch bases and social gatherings outside the hospital to foster team cohesion.

Qualifications:

Board-certified/eligible nurse practitioner.
Authorized to work in the United States.

Scheduling:

Enjoy a flexible schedule that balances work and personal life. Most prioritize family or outdoor time and support each other by covering shifts when needed.

Key Responsibilities:

Manage complex cases in a semi-open ICU with 24-hour intensivist coverage.
Perform procedures as per your privileges (procedures are not required).
Participate in team huddles at least three times a week and a monthly all-staff meeting to stay connected with practice updates, hospital-related topics, and developments within Sound Physicians.
Attend monthly educational CME meetings and hospital-wide hospital medicine committee meetings.
Collaborate with Hospitalist APPs, who independently manage pre-op patients in a clinical setting, with support from supervising physicians and staff.

Living and Working in Lexington:

Lexington, Kentucky, offers a charming blend of Southern hospitality and a vibrant cultural scene, making it an inviting place to call home. Known for its picturesque horse farms and rich history, moving to Lexington provides an opportunity to embrace a unique combination of tradition and modern living.
As a community-minded team, we actively contribute to making Lexington thrive within the hospital and our local neighborhoods. We prioritize growth and development, encouraging teammates to expand their careers locally or within our broader medical group fostering professional and community impact.

Compensation:

Competitive compensation package with additional bonuses.
$30,000 commencement bonus.

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Our values in action

Uncompromising Care:

You deliver thoughtful, evidence-based care across diverse inpatient populations. We support you with tools and workflows that enhance your clinical impact because every patient deserves excellence.
Collaboration:

You are part of a tightly integrated team of APPs and physicians who work in partnership with nurses, specialists, and case managers to ensure coordinated, efficient care throughout the hospital stay.
Accountability:

You lead with intention, owning your role in shaping patient care, mentoring peers, and contributing to performance across key metrics like length of stay, readmissions, and patient satisfaction.
Ingenuity & Empathy:

You bring steady leadership and innovative thinking to complex clinical and operational challenges, balancing precision with compassion for patients, families, and your team.

Career Path

Trainee
Practicing
Single-site Leadership
Multi-site Leadership
Specialty Leadership

Trainee :
Start your journey as a new graduate or transition to an unfamiliar role by completing a structured clinical training program focused on developing essential competencies for high-quality patient care. This training is supplemented by a self-directed didactic curriculum to build a knowledge base and support ongoing professional growth.
Practicing :
Continue your career as a practicing clinician by continually expanding your clinical expertise and delivering exemplary patient care. Develop foundational leadership skills and contribute to organizational excellence by engaging in committees and supporting the implementation of quality improvement initiatives.
Single-site Leadership :
Assume leadership responsibilities at the practice level as a Lead Advanced Practice Provider, Associate Medical Director, or Medical Director. In these roles, you will oversee clinical teams, collaborate with hospital partners, and ensure both operational and clinical excellence within a single-site setting.
Multi-site Leadership :
Expand your impact by supporting multiple practices as a Regional or Divisional Lead Advanced Practice Provider. These roles emphasize the recruitment and retention of Advanced Practice Providers and facilitate team integration initiatives.
Specialty Leadership :
Advance to senior leadership as Chief Advanced Practice Officer, where you will collaborate with service line leaders to influence organizational programs and lead initiatives that develop team-based care models on a national scale.

Hear from our team

“Our advanced practice providers work in a team-based care model alongside their physician colleagues. They're driving the care for their patients, but at the same time, they have that physician collaborator there. If they have a question, if they need another set of eyes on the patient, the physician is there to do that. This provides our advanced practice providers with the support needed to practice at the top of their license.”

April Burke,
Chief Advanced Practice Officer