Associate Chief Nursing Officer - Ambulatory

HonorHealthScottsdale, AZ
Hybrid

About The Position

The Ambulatory Associate Chief Nursing Officer (ACNO), Ambulatory (System/Floating), is a system-level nursing leader responsible for the execution, integration, and standardization of ambulatory specialty nursing practice across HonorHealth physical locations. This role operates as an extension of the VP–CNO, Ambulatory and provides enterprise-aligned nursing leadership for ambulatory nursing domains distributed across multiple sites, not anchored to a single campus. The role does not reside at or own operational accountability for a specific campus. Instead, it functions as a floating, system-level leader who partners in a matrixed and integrated manner with campus nursing and operational executives to support consistent nursing practice, quality, safety, workforce development, and regulatory alignment across ambulatory settings.

Requirements

  • Bachelors of Science in Nursing (BSN) required.
  • Master’s degree in Nursing or related field strongly Required.
  • Minimum of 7–10 years of progressive nursing leadership experience, including ambulatory and/or specialty nursing environments.
  • Demonstrated experience supporting nursing practice, quality, and operations across multiple sites or programs.
  • Registered Nurse (RN) - License, Current unrestricted Registered Nurse (RN) license in the state of Arizona.

Nice To Haves

  • Masters in Nursing, Healthcare Administration, Business Administration, or related field.
  • Experience working within integrated health systems with both acute and ambulatory settings.
  • Experience supporting shared governance, professional practice models, or Magnet aligned frameworks.

Responsibilities

  • Ensure ambulatory specialty nursing practice is aligned with enterprise professional practice standards, policies, and evidence-based guidelines.
  • Support consistent implementation of shared governance structures, councils, competencies, and professional practice expectations across ambulatory specialty nursing domains.
  • Partner with campus CNOs, acute nursing leaders, and professional practice leadership to maintain unified nursing standards for dual domain services.
  • Collaborate with the Vice President of Professional Practice and Clinical Excellence on practice alignment, competency development, and professional advancement pathways.
  • Provide oversight and support for quality, safety, and risk management outcomes within assigned ambulatory nursing domains.
  • Support compliance with regulatory, accreditation, and licensure requirements applicable to ambulatory nursing services.
  • Monitor quality metrics, patient experience indicators, and clinical performance trends across ambulatory locations.
  • Partner with campus and system leaders to support corrective action planning and performance improvement initiatives when gaps are identified.
  • Support ambulatory nursing operations across sites by partnering with campus leaders on staffing models, workflows, and care delivery processes.
  • Provide coaching, escalation support, and operational problem-solving assistance to ambulatory nursing leaders and managers.
  • Partner with operational and service line leaders to align ambulatory nursing execution with service line goals and patient care needs.
  • Support planning and implementation of new ambulatory services, programs, or specialty nursing models as directed.
  • Support recruitment, onboarding, engagement, and retention strategies for ambulatory nursing staff within assigned domains.
  • Partner with Human Resources and nursing education teams to ensure effective orientation, ongoing education, and competency validation.
  • Participate in performance management, succession planning, and leadership development efforts for ambulatory nursing leaders.
  • Support fiscal stewardship by partnering with operational and finance leaders on labor productivity, resource utilization, and supply management within scope.
  • Contribute to business planning and evaluation associated with ambulatory nursing service expansion, redesign, or integration.
  • Serve as a connector between ambulatory, acute, and system nursing leadership for shared or overlapping domains.
  • Participate in enterprise nursing leadership forums and cross-functional initiatives as assigned.
  • Support communication and change management efforts associated with ambulatory nursing transformation and enterprise integration.

Benefits

  • Nine acute-care hospitals
  • Over 200 primary, specialty and urgent care centers
  • More than 17,000 team members and 4,000 medical staff
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