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Chief Nursing Officer

  • Job ID 19999
  • Date posted 01/13/2021
  • Facility USPI

The Chief Nursing Officer is responsible for the direction of nursing and other patient care services as assigned. As a member of the senior management team, this position carries ultimate nursing authority and responsibility for planning, organizing, implementing, and evaluating nursing/patient care programs, performance improvement activities, infection control initiatives, and hospital-wide planning and regulatory compliance activities. The nurse executive or a designee exercises final authority over those associated with providing nursing care, treatment, and services. The Nurse Executive has the authority to speak on behalf of nursing to the same extent that other hospital leaders speak for their respective disciplines or departments. The nurse executive functions at the senior leadership level to provide effective leadership and coordinate leaders to deliver nursing care, treatment, and services. The CNO assumes an active leadership role with the hospital’s governing body, senior leadership, medical staff, management, and other clinical leaders in its decision-making structure and process. The chief nursing officer is responsible for planning, organizing, and directing the overall operations of Nursing/Patient Care Services (i.e., Pre-Op, PACU, Step-down, RCC, OR, Respiratory Therapy, Pain Procedure Unit, Employee Health, Infection Control, Education, QI, PAT-C Clinic Patient Relations and Call Center). Ensures compliance with patient care quality standards as it relates to the care provided to all patients. Maintains performance improvement activities within the department and participates in Continuous Quality Improvement activities. Assures competency of all nursing personnel. Assists formulating the budget and maintains efficient and effective departmental operations while requiring compliance with all state, federal, and local regulations laws, standards, and protocols.

Essential Job Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. Coordinates: A.The development of an effective, ongoing program to measure, analyze, and improve the quality of nursing care, treatment, and services.  B.The development of hospital-wide programs, policies, and procedures that address how nursing care needs of  the patient population are assessed, met and evaluated.
  2. Directs:  A. The implementation of hospital-wide plans to provide nursing care, treatment, and services.  B. The implementation of hospital-wide programs, policies, and procedures that address how nursing care needs of the patient population are assessed, met and evaluated.  C. The implementation of nursing policies and procedures, nursing standards, and a nurse staffing plan.
  3. Approves nursing policies, nursing standards of patient care, treatment, and services, and standards of nursing     practice for the hospital before implementation.

  4. Establishes guidelines for the delivery of nursing care, treatment and services.

  5. Responsible for the provision of nursing services 24 hours a day, seven days a week.

  6. Exercises final authority over staff who provide nursing care, treatment, and services.

  7. Promotes the mission, vision, and values of the organization

  8. Knows and practices the prescribed philosophy, purpose, policies, and standards of Nursing Services.

  9. Organizes, directs and administers the Nursing Services to provide the level of care required by current medical and nursing standards.

  10. Responsible for cost controls to ensure maximum effectiveness of funds expended from the approved departmental budgets.

  11. Supports and develops Human Resources in coordinating the employee selection process, work assignments, performance evaluations, and staff development for these services. Recommends, supports, and participates in education services, programs of education, and training, including orientation of new employees. Encourages and facilitates the professional advancement of employees by affording opportunities for further education and experience.

  12. Maintains continuing quality assessment and improvement analysis and evaluation of patient care delivery and communicates with Administration on the activities/issues of Nursing/Patient Care Services.

  13. Plans and recommends to Administration new facilities or equipment, or modification to it, needed to provide patient care.

  14. Recommends the modification, addition, or deletion of personnel policies to ensure reasonable hours and acceptable working conditions to provide patient care coverage.

  15. Initiates and participates in problem-solving, policy-forming conferences for Nursing/Patient Care Services. Maintains close coordination with all department to ensure continuity and collaboration of services.

  16. Insures that cordial relationships are maintained with patients, their families and friends, clergy, and other interested groups in the community. Interprets the goals of the Nursing/Patient Care Services areas to the community by maintaining harmonious and effective relationships with the education system, volunteer groups, agencies, and the community.

  17. Assumes an active leadership role with the hospital’s governing body, senior leadership, medical staff, management, and other clinical leaders in the hospital’s decision–making structure and process.

  18. Serves as a member of the following committees: Leadership (Managers Meeting) CQC, CQI, P & T, Corporate Compliance, Block Scheduling, Safety, and Infection Control, Patient Relations task force, and all others as directed by the CEO.

  19. Assures Nursing Leadership support for staff by maintaining a Nursing Administration Call rotation at all times.

  20. Participates in the Administrator on Call rotation with the CEO and senior administrative leaders.


This position manages subordinate directors and managers who supervise employees and is responsible for the overall direction, coordination, and evaluation of these units.


Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.

Required Skills:


  1. Must be a graduate of an accredited college or university.
  2. Registered Professional Nurse with current state licensure.
  3. BSN
  4. MSN (Strongly Preferred)
  5. 10 to 15 plus years in various management/leadership roles in healthcare and businesses.
  6. Surgical Experience (Five years or more)
  7. Strong Decision-Making Skills
  8. Strategic Thinking
  9. Business Acumen
  10. Leadership.
  11. Results Driven.
  12. Financial Management.
  13. Problem Solving/Analysis.
  14. Collaboration Skills.
  15. BLS


  1. Ability to work under stressful situations
  2. Must be able to sit for extended periods.
  3. Frequent standing, bending, and stooping are involved.
  4. Dexterity: Frequent repetitive motion of hands/wrist involved.
  5. Will be working in a clean, well-lighted area
  6. Hazards and Risks: Direct patient contact with possible exposure to communicable diseases, exposure to radiation, and CRT.

Dakota Dunes, South Dakota

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

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