Lilly Gray Corbett has just graduated from medical school and decided to accept an internship in the coal camp of Skip Rock, Kentucky. Her beau, Paul, is doing his residency in Boston and can't understand why Lilly would choose to work in a backwater town. But having grown up in the mountains, Lilly is drawn to the stubborn, superstitious people she encounters in Skip Rock—a town where people live hard and die harder and where women know their place. Lilly soon learns she has a lot to overcome, but after saving the life of a young miner, she begins to earn the residents' trust.

As Lilly becomes torn between joining Paul in Boston and her love for the people of Skip Rock, she crosses paths with a handsome miner—one who seems oddly familiar. Her attraction for him grows, even as she wrestles with her feelings and wonders what he's hiding.