Associate Chief Nursing Officer Doctors Medical Center-Modesto

Conifer Health SolutionsModesto, CA
Onsite

About The Position

The Assistant Chief Nursing Officer (ACNO) is responsible for assisting the Chief Nursing Officer (CNO) in planning, implementing, and evaluating nursing services to ensure the delivery of adequate and competent patient care. In the absence of the CNO, the ACNO assumes responsibility for Nursing Supervisors, Nursing Directors, and Clinical Education. This role functions as an expert nurse, facilitating the development of nursing areas and guiding the provision of nursing care for all patients. The ACNO participates in designing and developing systems compatible with ethical standards, organizational goals, and societal needs. They assist the CNO in developing, maintaining, and evaluating organizational planning systems, and in developing standards of nursing practice and care. The ACNO advocates for processes that allow for creativity in achieving client-centered, cost-effective outcomes and promotes the integration of management theories, research findings, and practice standards. They support staff in developing and maintaining competency, and advocate for the integration of policies into action plans. The ACNO utilizes clinical, human resource, and financial data to facilitate continuity of care and ensures the CNO is informed of critical issues. They provide training and coaching to managers and staff, adhere to facility policies, and serve as a leadership role in shaping healthcare policy. The ACNO provides leadership direction in identifying clinical nursing goals, collaborates with nursing leaders to achieve clinical and administrative goals, and evaluates and revises systems to enhance outcomes. They provide leadership and support to nursing management in critical thinking, conflict management, and problem-solving, and ensure ongoing evaluation and innovation of services. The ACNO supports research, serves as a professional role model and mentor, and collaborates with recruiters on recruitment and retention strategies. They initiate and lead departmental and cross-functional transitions, apply best practices, and promote harmonious relationships. The ACNO systematically evaluates the quality and effectiveness of nursing practice and administration, ensures the viability of performance improvement programs, and identifies key quality indicators. They participate in peer review and interdisciplinary evaluation teams, demonstrate knowledge of JCAHO Standards, State and Federal Regulations, and legal aspects of nursing practice. The ACNO ensures staff function within legal boundaries and that leadership and staff are aware of and comply with current standards, policies, and procedures. They regularly visit nursing units to assess patient care and staff contentment, and evaluate their own performance, seeking feedback and pursuing professional development. The ACNO maintains current knowledge in administrative practice, networks with peers, maintains professional affiliations, and collaborates with various stakeholders, including nursing staff, interdisciplinary teams, executive officers, medical staff, and human resources. They ensure ongoing communication with staff, collaborate with other providers for seamless service delivery, and maintain awareness of community standards. Decisions and actions are based on ethical principles, and the ACNO advocates for recipients of services and personnel. They maintain privacy, confidentiality, and security of data, advocate for organizational adherence to ethical codes, and foster a non-discriminatory climate. The ACNO supports systems for addressing ethical issues and participates in systems for preventing and reporting abuse, patient rights violations, and incompetent, unethical, or illegal practices. They act as the Patient Ombudsman, accept supervisory responsibility for department functions, and promote a hospital-wide leadership image. The ACNO confers with nursing supervisors and directors, follows recruitment and interviewing policies, ensures new employees attend orientation, monitors competency levels, and provides staff development. They conduct monthly staff meetings, submit performance reviews, notify supervisors of disciplinary action, and document all disciplinary actions. The ACNO attends meetings as requested, facilitates revisions of job descriptions, and ensures staff comprehension of policies and procedures. They maintain up-to-date reference materials for staff. The ACNO understands their role in the HICS Structure, has knowledge of the Emergency Code System, and demonstrates required responses. They accept and participate in assigned teams for Hurricane response and serve as a clinical resource. The ACNO participates in interdisciplinary rounds, acts as a preceptor for graduate nursing students, and is responsible for the selection and preparation of educational materials. They assume responsibility for school affiliations and annually review and update the orientation program. The ACNO collaborates with Nursing Directors in developing, monitoring, and revising clinical indicators, particularly in applying statistical tools and analysis.

Requirements

  • Established record of progressive administration and leadership responsibility in a comprehensive tertiary health care facility.
  • Highly effective interpersonal and communication skills.
  • Strong labor relations background.
  • Ability to effectively and efficiently organize patient care promoting optimal outcomes, patient safety, and patient, physician, and employee satisfaction.
  • A proactive nurse executive who takes the lead in complying with regulatory standards, rules and laws.
  • Ability to plan strategically and implement new processes and programs through data analysis and cost effective interactions.
  • Positive, creative, and innovative with a strong understanding of the business aspects of healthcare and the acumen to play a substantive role in developing strategies, budgets, and business plans.
  • Financially astute, with a solid understanding of cost issues and initiatives.
  • Leader by example, able to articulate a clear vision and expectations for patient care services and other areas of responsibility.
  • Individual of highest personal and professional integrity, principle, and knowledge, earning respect and support when making difficult decisions and choices.
  • Able to establish immediate credibility with peers, senior leadership, medical staff, and the Board.
  • Collaborative and operational manager who will give employees a voice and encourage full participation of all team members.
  • Excellent interpersonal skills; a dedicated listener, comfortable in a variety of settings dealing with diverse constituencies; a broad thinker.
  • Ability to communicate clearly and effectively both verbally and in writing.
  • Leader who will inspire confidence and establish a sense of common direction and vision for the medical staff.
  • An academic degree in nursing is required.
  • A master’s degree in nursing or related field (Health Administration, Business, Public Health, or Management) is required.
  • Active and current registered nurse license in the state of residence/practice is required.
  • HIPAA compliance, including minimum necessary requirements for this position.
  • Access to the entire medical record for the purposes of improving clinical staff performance, including review of staff documentation, assessments, and diagnostic reports.
  • Limiting PHI disclosed or requested to the amount reasonably necessary to achieve the purpose of the request.
  • Understanding individual role in the HICS Structure.
  • Knowledge of the Emergency Code System.
  • Demonstrates/verbalizes required responses to the Emergency Code system.
  • Accepts/participates on assigned Team for Hurricane (Code White) response.
  • Participates in interdisciplinary rounds and provides guidance in the delivery of nursing care.
  • Reviews annually and updates the orientation program as indicated by evaluations.
  • Collaborates with Nursing Directors in developing, monitoring, and revising clinical indicators, especially in the area of applying statistical tools and analysis.
  • Participates in workforce planning to ensure an adequate and competent workforce.
  • Considers and/or implements nurse residency programs.
  • Effective facility level competency program.
  • Develops succession plan for nursing leadership.
  • Assumes personal and professional accountability.
  • Supports a non-punitive environment and a reward system for reporting unsafe practices.
  • Understands and articulates patient care standards reflected in federal and state regulation, TJC, the state Nurse Practice Act, and organizational policies and procedures.
  • Ensures that the care delivery model, clinical environment of care and related technology is appropriate to needs of caregivers and patients.
  • Supports and embraces role in the adoption of EMR within facility and successfully implements within SWB budget.
  • Recognizes the utility of nursing involvement in the planning, design, choice, and implementation of information systems in the practice environment.
  • Monitors and evaluates service indicators (Press Ganey Patient Satisfaction Reports) and implements action plans.
  • Actively facilitates Physician satisfaction survey, monitors results and collaborates with facility team members to develop and implement action plans.
  • Monitors and evaluates results of annual Employee Satisfaction Survey and collaborates with related team members to develop and implement action plans.

Nice To Haves

  • Current CENP or NEA certification preferred.

Responsibilities

  • Assisting the Chief Nursing Officer in planning, implementing, and evaluating nursing services.
  • Assuming responsibility for Nursing Supervisors, Nursing Directors, and Clinical Education in the absence of the CNO.
  • Facilitating the development of nursing areas and guiding the provision of nursing care.
  • Participating in the design and development of systems compatible with ethical standards, organizational goals, and societal needs.
  • Assisting the CNO in developing, maintaining, and evaluating organizational planning systems.
  • Developing standards of nursing practice and care with nursing leaders.
  • Advocating for processes that allow for creativity in achieving client-centered, cost-effective outcomes.
  • Promoting the integration of management theories, research findings, and practice standards.
  • Supporting staff in developing and maintaining competency.
  • Advocating for the integration of policies into action plans.
  • Utilizing clinical, human resource, and financial data to facilitate continuity of care.
  • Ensuring the CNO is informed of critical issues.
  • Providing training and coaching to managers and staff.
  • Adhering to facility policies and procedures.
  • Serving as a leadership role in shaping healthcare policy.
  • Providing leadership direction in identifying clinical nursing goals.
  • Collaborating with nursing leaders to achieve clinical and administrative goals.
  • Evaluating and revising systems to enhance outcomes.
  • Providing leadership and support to nursing management in critical thinking, conflict management, and problem-solving.
  • Ensuring ongoing evaluation and innovation of services.
  • Supporting research, dissemination, and utilization of research findings.
  • Serving as a professional role model and mentor.
  • Collaborating with recruiters on recruitment and retention strategies.
  • Initiating and leading departmental and cross-functional transitions.
  • Applying best practices, eliminating barriers, and gaining organizational support for change.
  • Promoting harmonious relationships among personnel, medical staff, patients, and others.
  • Systematically evaluating the quality and effectiveness of nursing practice and administration.
  • Ensuring the viability of performance improvement programs.
  • Identifying key quality indicators for monitoring and evaluating.
  • Participating in peer review and interdisciplinary evaluation teams.
  • Demonstrating knowledge of JCAHO Standards, State and Federal Regulations, and legal aspects of nursing practice.
  • Ensuring staff function within legal boundaries.
  • Ensuring leadership and staff are aware of and comply with current standards, policies, and procedures.
  • Regularly visiting nursing units to assess patient care and staff contentment.
  • Evaluating own performance, seeking feedback, and pursuing professional development.
  • Maintaining current knowledge in administrative practice.
  • Networking with peers.
  • Maintaining professional affiliations.
  • Collaborating with nursing staff, interdisciplinary teams, executive officers, medical staff, and other stakeholders.
  • Ensuring ongoing communication with staff.
  • Collaborating with other providers for seamless service delivery.
  • Maintaining awareness of community standards.
  • Making decisions and taking actions based on ethical principles.
  • Advocating for recipients of services and personnel.
  • Maintaining privacy, confidentiality, and security of data.
  • Advocating for organizational adherence to ethical codes.
  • Fostering a non-discriminatory climate.
  • Supporting systems for addressing ethical issues.
  • Participating in systems for preventing and reporting abuse, patient rights violations, and unethical/illegal practices.
  • Acting as the Patient Ombudsman.
  • Accepting supervisory responsibility for department functions.
  • Promoting a hospital-wide leadership image.
  • Conferring with nursing supervisors and directors.
  • Following recruitment and interviewing policies.
  • Ensuring new employees attend orientation.
  • Monitoring competency levels of employees and providing staff development.
  • Conducting monthly staff meetings.
  • Submitting employee performance reviews.
  • Notifying supervisors of disciplinary action.
  • Documenting disciplinary actions.
  • Attending nursing, hospital, and medical staff meetings.
  • Facilitating revisions of job descriptions.
  • Ensuring staff comprehension of policies and procedures.
  • Maintaining up-to-date reference materials for staff.
  • Understanding role in HICS Structure.
  • Having knowledge of the Emergency Code System.
  • Demonstrating required responses to the Emergency Code system.
  • Accepting and participating on assigned Team for Hurricane response.
  • Serving as a clinical resource to nursing personnel, patients, and significant others.
  • Participating in interdisciplinary rounds.
  • Acting as a preceptor to affiliating graduate nursing students.
  • Being responsible for the selection and preparation of all educational materials.
  • Assuming responsibility for all school affiliations.
  • Reviewing annually and updating the orientation program.
  • Collaborating with Nursing Directors in developing, monitoring, and revising clinical indicators.

Benefits

  • Annual Incentive Plan bonus of 10%-50% depending on role level.
  • Sign-on and relocation bonuses may be available for management level positions.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service