Job Description

Location: St. Joseph Medical Center
Posted Date: 12/8/2020

Assistant Chief Nursing Officer (ACNO)- St. Joseph Medical Center

We believe our people are our strength and we take our employees’ health seriously. From medical coverage and life insurance to retirement plans, paid time off and much more, Steward Health Care provides you with a variety of benefits to address your unique needs.

Health & Wellness

  • Medical and Dental Insurance
  • Vision
  • Short Term and Long Term Disability
  • Life Insurance
  • Flexible Spending Accounts
  • Employee Assistance Program (EAP)

Retirement & Savings

  • 401K

Educational Assistance

  • Tuition Reimbursements
  • Loan Repayment

Work & Life Balance

  • Paid Time Off (PTO)

Other Perks

  • Low Cost parking
  • Up to 20% employee discount-Gift shop, onsite Café and Cafeteria

St. Joseph Medical Center is taking additional, necessary preparations to ensure patients can receive compassionate care in a safe, carefully managed environment – with confidence and without fear.

Our Safe and Ready program consists of a rigorous [five-point] standard ensuring patient safety, confidence and convenience:

  • Expanded hours will allow previously cancelled procedures to be scheduled as quickly as possible.
  • Any COVID-19 related care takes place in designated areas away from other patients and their families.
  • Emergency Departments are reorganized to be a safe place to treat all emergency patients.
  • A stringent cleaning policy has been implemented throughout the hospital.
  • A strictly controlled visitor and masking policy is required for patient safety.

You can rest assured that we have made the necessary preparations to provide care in a safe, controlled and professional way.

The Associate Chief Nursing Officer is responsible for the direction of nursing and other patient care services as assigned by the Chief Nursing Officer (CNO). This position assists in planning, organizing, implementing, and evaluating nursing/patient care programs, performance improvement activities, infection control initiative, and hospital-wide planning and regulatory compliance activities. The Associate CNO exercises authority over those associated with providing nursing care, treatment, and services. The Associate CNO has the authority to speak on behalf of nursing to the same extent that other hospital leaders speak for their respective disciplines or departments.

Key Responsibilities

  • Assists the Chief Nursing Officer in providing effective and coordinated leadership to deliver nursing care, treatment, and services.
  • Helps direct nursing services in all areas/departments where nursing care is provided.
  • Participates in defined and established meetings with members of governing board, medical staff, administrative team, hospital management and clinical groups in decision-making structures and processes.
  • Implements the organization’s plans for providing nursing care, treatment, and services to those patients requiring nursing care, treatment, and services.
  • Responsible for ensuring that nursing policies, procedures, and standards describe and guide how the nursing staff provides the nursing care, treatment, and services required by all patients and patient populations served by the hospital and as defined in the hospital plan(s) for providing nursing care, treatment, and services
  • Assures collaboration among clinical and support departments to meet patients care needs.
  • Participates in community-based groups/activities as a representative of hospital administration.
  • Keeps abreast of relevant issues that impact patient care and communicates to members of the administrative team.
  • May serves as a member of medical staff committees along with the Chief Nursing Officer.
  • Participates with other administrative team members in promoting physician and employee satisfaction.
  • Assumes responsibilities of Chief Nursing Officer when requested to do so.
  • Establishes standards and ensures regulatory compliance.
  • Provides leadership to nursing and clinical departments to ensure compliance with licensing, DNV Standards, regulatory, and accrediting agencies.
  • Assures that the practice of nursing is consistent with the State requirements in which the individual works, Nurse Practice Act, DNV, and in accordance with governmental and regulatory agencies.
  • Assists in implementation of organization-wide patient care programs, policies and procedures; nursing standards of patient care, treatment, and services; and standards of nursing practice that describe how patients’ nursing care needs or patient populations receiving nursing care are assessed, evaluated, and met; involves pertinent individuals/departments; obtains medical staff input/approvals as needed; assures that policies reflect the institution’s policies, medical staff bylaws, and governing board decisions.
  • Implements standards to measure, assess, and improve patient outcomes.
  • Implements effective, ongoing program to measure, assess and improve the quality of nursing care, treatment and services delivered to patients
  • Collaborates with the governing body, management, medical staff, and clinical staff in planning, promoting, and conducting hospital-wide performance assessment and improvement; reports findings to appropriate hospital, medical, and governing board committees; establishes the nursing plan for performance improvement.
  • Seeks opportunities to incorporate the ethical dimensions of nursing practice, health policy and organizational behavior in the strategic planning and decision-making processes; acts as an advocate for the patients, nursing/clinical staff, or medical staff as appropriate when faced with ethical questions and assists with mechanism to assure resolution.
  • Assures that patient care needs in assigned departments are assessed, evaluated and met; utilizes quality reporting, patient satisfaction data, and feedback from medical staff to assess areas for improvement.
  • Promotes interdisciplinary collaboration in assessing and planning for patient care needs, communicating progress toward goals, and providing for patients’ continuing care needs.
  • Problem-solves with medical staff and appropriate departments when quality of care issues arise.
  • Assists in establishing standards and expectations for patient satisfaction; communicating results of reports; initiating action plan for improvement as needed.
  • Collaborates with Corporate body to ensure hospital compliance with corporate and regulatory standards.
  • Assists in the development and implementation of budgets for assigned units/departments.
  • Participates with Administrative team in determination of allocation of funds for patient care needs.
  • Evaluates compliance, identifies variance trends, and initiates corrective action as needed.
  • Participates in evaluation of cost-effectiveness of assigned patient care services/departments and economic value-added for proposed new services.
  • Collaborates with Materials Manager to assure quality patient care supplies and equipment are utilized within Corporate contract guidelines; communicates unsatisfactory vendor performance and seeks corrective actions.
  • Collaborates with medical and hospital staff in implementing corporate initiatives for procedural case management, implant standardization, and other programs as appropriate to ensure quality, cost-effective care.
  • Collaborates with Human Resources Department in establishing/adhering to appropriate policies and procedures and in handling employee issues.
  • Assists in establishment of functions and qualifications for nursing positions.
  • Assists in development of staffing plans which assure cost effective utilization of resources to meet patient care needs based on clinical assessment, utilizing data from performance improvement activities, patient satisfaction information, financial data, staff input, and physician input.
  • Evaluates nursing care provided and uses the data to forecast and plan.
  • Supports innovation in nursing practice both from clinical and managerial perspectives.
  • Assures staff competency as reported to the governing board; reviews and approves all competency-based job descriptions.
  • Participates in developing, implementing, and evaluating programs to promote the recruitment, retention, development, and continuing education of nursing staff members.
  • Serves as coach and mentor for nursing staff; facilitates professional development; fosters atmosphere of learning and innovation, develops nursing management skills.


Maintains competency and knowledge of current standards of practice, trends, and developments.

Enhances the patient experience by fostering a positive relationship with customers. Contributes to improving HCAHPS results.


Promotes stewardship of hospital resources while ensuring quality patient care.

The ACNO will oversee multiple departments within the hospital as assigned position reports directly to the CNO and in the absence of the CNO, the ACNO may be required to interpret hospital policy and provide guidance.


  • B.S. degree in Nursing or equivalent; Master’s degree in business, nursing or related business, nursing or related field is required
  • Current RN licensure in the State of Texas
  • Must possess detailed knowledge of hospital nursing operations
  • Minimum 2 years of demonstrated successful leadership in an acute-care hospital environment (For-profit experience preferred)
  • At least 5 years of progressively responsible experience in nursing/health care management


  • Must be proficient in written and verbal communication skills
  • Ability to establish and maintain effective working relationships with hospital staff, physicians, patients, and patient's families
  • Ability to maintain confidential information concerning personal, financial, or medical matters


National Certification as recognized by the American Nurses Credentialing Center.

Bi or Multilingual.


Application Instructions

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