Assistant Chief Nursing Officer Jobs
Assistant Chief Nursing Officer jobs are open across hospitals, health systems, long-term care facilities, and integrated delivery networks, at every level from first-time ACNOs to seasoned executives, with specializations in clinical operations, patient safety, and nursing workforce development. Scan the live roles below and apply to whichever ones fit.
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- A bachelor’s in nursing from an accredited school of nursing. Master’s degree in nursing and/or master’s in
- Maintains current RN licensure in the State of Florida.
- National specialty certification required in Nursing Administration or Certified Nurse Executive component must be
- Ten years of progressive responsibility experience in leadership or management. To include experience in leading
organizational goals required.
- Experience in quality management, medical management, administration, operational finance, and leadership
- Experience in building strategic relationships with community leaders and physicians required.
- Facilitates and supports an interdisciplinary team approach to the overall delivery of care to patients, families, and
- Creates an environment of collaboration to promote excellence in clinical care.
- Ensures the vision and the advancement of the profession of nursing.
- Leads the effort to implement the model for patient care delivery.
- Accountable for the delivery of patient care by ensuring consistency in the standard of practice across clinical
- Ensures the development, implementation and evaluation of policies, programs and services that are evidence
- Services as primary liaison to the medical staff regarding clinical issues in the assigned facility.
- Collaborates with physician leaders, administrative team(s) and other key stakeholders to meet, monitor and
- Collaborates with other Chief Nursing Officers to support the goals of Orlando Health Nurse Executive Council and
- Promotes the professional practice model for nursing.
- Assumes operational responsibility as directed by or in the absence of the President or Vice President of Orlando
Planning
- Plans, leads, organize, direct, and evaluate patient care/nursing services. Key components of this leadership role
collaboration with all levels of customers on the implementation of strategies.
- Participates in the planning, implementation and evaluation of clinical programs and services; advises the Vice
of patient care, nursing practice and nursing care providers.
- Accountable for strategic and tactical planning and direction for nursing service in collaboration with the Vice
implementation of initiatives and processes to meet objectives.
- Collaborates with administrative team(s) to plan for future development and growth and to meet the goals set by
- Represents and advocates for nursing at the facility, the organizational and the community level.
- Accountable for the development of strategies to promote the recruitment, retention, and recognition of
- Accountable for the measurement, assessment, and improvement in patient and organizational outcomes.
- Assures a professional nursing practice environment in which registered nurses are empowered to provide
organizational and national level and appropriate responses will be implemented.
Duties and responsibilities include, but are not limited to:
- Develops and approves the nursing organization, budget, and staffing for the provision of nursing care for the assigned
- Participates in Orlando Health’s strategic planning for nursing and Orlando Health’s Nurse Executive Council.
- Demonstrates knowledge of legal issues related to clinical services, and manages situations to reduce risk to patients,
- Establishes and maintains an open and positive working relationship with the medical staff, and other hospital
- Participates in any contract or negotiations which would affect nursing services as assigned.
- Participates in evaluating, selecting, and integrating health care technology and information management systems that
- Collaborates with the Chief Quality Officer and the administrative team to set the vision for quality improvement,
Orlando Health’s commitment to patient safety and best practice environment.
- Establishes processes to ensure management succession.
- Initiates and builds relationships outside the organization (government and community leaders, medical community,
- Establishes and maintains philanthropic relationships with potential donors and Board members.
- Serves on Orlando Health’s committees or community boards as required.
- Establish and maintains excellence in customer service for all patients utilizing appropriate tools available.
- Performs other duties as required or assigned by the Vice president of Nursing or hospital President.
Other Related Functions
- Personal qualities of integrity, maturity, and flexibility, coupled with high levels of energy and resourcefulness.
- Well-developed written and oral communication skills.
Assistant Chief Nursing Officer Jobs by Experience Level
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Find JobsAssistant Chief Nursing Officer Job Market
Who's Hiring
- Encompass Health11

- PAM Health9

- Tenet Healthcare9

- Lifepoint Health6

- Ascension5

Top Industries Hiring
- Healthcare & Medical Services19
- Accounting & Auditing1
- Non-Profit & Social Services1
What Employers Look For
The qualifications that appear most often in assistant chief nursing officer jobs.
- Active registered nurse license with current state board compliance required
- Master's degree in nursing, healthcare administration, or a closely related field
- Minimum five or more years of progressive nursing leadership or management experience
- Demonstrated experience with Joint Commission accreditation and regulatory survey readiness
- Proven ability to lead nurse staffing, workforce planning, and retention initiatives
- Certification such as CENP or NEA-BC preferred by most health system employers
Tips for Your Assistant Chief Nursing Officer Job Search
Quantify your nursing leadership outcomes
Hiring committees for assistant chief nursing officer roles want numbers, not narratives. Translate your work into measurable results: nurse retention rates you improved, patient satisfaction scores you moved, or units you successfully restructured. Vague leadership statements get screened out early.
Apply early to roles that fit
Migrate Mate lists assistant chief nursing officer openings from across the United States in one place, so you can find roles that match and apply directly to each listing.
Align your resume to Magnet and regulatory priorities
Many hospital systems hiring at this level are Magnet-designated or pursuing designation. Explicitly name any Magnet journey work, Joint Commission survey preparation, or CMS Conditions of Participation compliance experience you have led. These details signal readiness that generic resumes miss.
Target postings by bed count and system size
An ACNO role at a 150-bed community hospital carries different scope than one at a 600-bed academic medical center. Filter openings by facility type and size so your experience level matches the operational complexity the employer actually needs.
Prepare a nurse staffing strategy case study
Panel interviews for assistant chief nursing officer positions almost always include a situational question about staffing shortages or float pool management. Walk in with a real example: what the problem was, what you implemented, and what the measurable outcome was within a defined period.
Negotiate scope before you negotiate salary
Before accepting any offer, clarify exactly which units, service lines, or campuses fall under your authority, and whether you have direct budget control. Scope determines your leverage for the next role, so get it in writing before the conversation moves to compensation.
Assistant Chief Nursing Officer Jobs: Frequently Asked Questions
Which companies are hiring the most assistant chief nursing officers?
The most active employers for assistant chief nursing officers right now are Encompass Health, PAM Health, and Tenet Healthcare, and the most openings are in Texas, Florida, and California, based on current listings on Migrate Mate as of November 2026. Large integrated health systems and regional hospital networks tend to post most frequently at this level.
How many assistant chief nursing officer jobs are remote?
About 9% of assistant chief nursing officer openings are fully remote or hybrid as of November 2026, reflecting the hands-on operational nature of most roles at this level. The sub-areas most likely to offer remote or hybrid arrangements include health system consulting, interim ACNO placements, and nursing education leadership roles that do not require direct unit oversight.
How do you become an assistant chief nursing officer?
Start by earning your registered nurse license and gaining bedside experience, then move into charge nurse or nurse manager roles to build direct leadership depth. Pursue a master's degree in nursing or healthcare administration and seek out opportunities to lead cross-departmental projects, regulatory surveys, or staffing initiatives. Obtaining a nursing executive certification such as CENP or NEA-BC strengthens your candidacy considerably when you apply for ACNO positions.
Can you get hired as an assistant chief nursing officer without executive experience?
Some health systems will hire candidates into an ACNO role who have strong director-level experience but have not yet held a formal executive title, particularly at smaller or community hospitals. The clearest path is demonstrating that you have led nursing practice across multiple units, managed significant budgets, and represented nursing leadership in senior administrative meetings. A graduate degree and nursing executive certification help close the experience gap considerably.
What does the assistant chief nursing officer interview process look like?
Most health systems conduct a multi-stage process that begins with an initial screening call with human resources or a recruiter, followed by a panel interview with the CNO, CMO, and other senior leaders. Finalists are typically asked to deliver a brief presentation on a nursing quality or workforce challenge. Reference checks and credentialing verification run in parallel before an offer is extended, so the full process from first contact to offer often takes several weeks.
Where can I find and apply to assistant chief nursing officer jobs?
You can find and apply to assistant chief nursing officer jobs on Migrate Mate, which lists current openings from across the United States. Search the roles available, find the ones that match your experience and specialty focus, and apply directly to each listing that fits.
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