Assistant Chief Nursing Officer

Assistant Chief Nursing Officer (ACNO) Location:

• Manchester, NH Employment Type: Full-Time, Permanent Schedule: Days | No Weekends Base Salary: Up to $165,000 annually Annual Incentive Bonus: Eligible (up to 17.5%) Overview A not-for-profit acute care hospital in the Manchester area is seeking an experienced Assistant Chief Nursing Officer (ACNO) to support executive nursing leadership and oversee multiple inpatient care areas.
• This role partners closely with the Chief Nursing Officer to drive clinical excellence, operational performance, and strategic growth across nursing services.
• The ACNO plays a critical role in advancing patient-centered care, nursing engagement, quality outcomes, and leadership development while preparing for future progression into a Chief Nursing Officer role.
• Responsibilities Quality & Safety Support the CNO in developing and implementing nursing policies and procedures aligned with regulatory and professional standards.
• Lead continuous performance improvement initiatives focused on quality, safety, and patient outcomes.
• Conduct regular leadership rounds with patients, staff, and physicians to ensure operational alignment and service excellence.
• Ensure timely follow-up on patient complaints, safety events, and occurrence reports, with corrective action monitoring.
• Patient Experience & Service Champion a patient-first culture across assigned nursing units.
• Support service recovery efforts and patient experience initiatives.
• Promote a professional practice environment that supports nurse recruitment and retention.
• Foster evidence-based practice and clinical inquiry within nursing teams.
• People & Leadership Provide executive-level leadership to nursing leaders and frontline teams.
• Promote staff autonomy, accountability, and professional growth.
• Support nursing education, orientation, and ongoing competency development.
• Collaborate with educators to ensure effective onboarding and skill development.
• Maintain strong working relationships with physicians and interdisciplinary leaders to drive shared goals.
• Growth & Strategy Assist in planning and launching new clinical services and programs.
• Participate in facility expansion, renovation, and capital projects impacting nursing operations.
• Lead assigned initiatives and task forces while ensuring transparent communication and progress tracking.
• Qualifications Required Bachelor’s Degree in Nursing (BSN).
• Master’s Degree in Nursing (MSN).
• Active RN license (New Hampshire or compact eligible).
• Minimum 5 years of nursing leadership experience in an acute care hospital.
• Minimum 5 years of direct supervisory or director-level experience .
• Inpatient Medical–Surgical Director experience required .
• Preferred Experience supporting executive nursing operations across multiple service lines.
• Demonstrated success in quality improvement, staff engagement, and operational leadership.
• Compensation & Benefits Competitive executive-level base salary.
• Annual performance-based incentive opportunity.
• Comprehensive medical, dental, and vision coverage.
• Retirement plan with employer contribution.
• Generous paid time off and executive benefits.
• Leadership development and long-term career advancement opportunities.
• Ideal For This role is well-suited for established nursing leaders with strong inpatient and medical–surgical leadership backgrounds who are ready to step into an enterprise-level executive role with succession potential.
• Keywords Assistant Chief Nursing Officer, ACNO, Nursing Executive, Hospital Nursing Leadership, Med Surg Director, Acute Care Nursing Leadership #ManchesterNHJobs #NewHampshireNursing #ACNOJobs #NursingLeadership #HospitalAdministration #ExecutiveNursing Powered by JazzHR