Associate Chief Nursing Officer

The Opportunity

The ACNO is responsible for assessing the environment, forecasting trends, transmitting values,
communicating ideas, developing, and implementing policies, managing, and initiating innovative
systems and programs that promote excellence in service, quality, and safety for patient care delivery
and that create an excellent place to work. This position provides nursing personnel with leadership,
decision-making, and direction in patient care services and defined areas, ensuring nurses and other
members of the patient care team feel empowered to serve as patient representatives/advocates. The
ACNO will work in close partnership with executives from the health system, hospital campuses,
physician leaders and groups, and staff to develop comprehensive access to care including evaluation,
planning and implementation of both inpatient and outpatient innovative care models which enhance
the delivery of patient care quality and efficiency. Along with the health system and hospital executive
committees will establish key collaboration partnerships with physicians and administrative colleagues,
community providers, and interest groups influencing and developing both internal and external
constituencies to promote and coordinate adult service lines throughout the community and
neighboring market areas. The ACNO aligns the priorities of the patient care unit leadership dyads and
collaboration with the medical or clinical directors to assure the operational and clinical standards
promote a center of quality care and work environment excellence. The ACNO will lead adhering to the
ethical principles, practice standards, and strategic objectives of the Department of Nursing Services and
Patient Care and University of Iowa Health Care. They will effectively interpret, implement, and ensure
that all sites of care maintain compliance with Joint Commission (JC), Iowa Department of Inspection,
Appeals, and Licensing (DIAL), and Iowa Board of Nursing (IBON) standards within the Department of
Nursing Services and Patient Care.

The Organization

Duties and Responsibilities

Collaboration/Communication
Serve as liaison between nursing, patient care team, medical staff, and healthcare leadership.
Engage and collaborate with interdisciplinary health care team members to identify opportunities
for improvement, program development and capital budgeting. Communicate with external
agencies and constituencies to address issues and answer questions. Serve as liaison among
multiple clinical functions to support collaboration in identifying opportunities for improvement
and program development.

• Enhance strategic and programmatic relationships with faculty physicians, other health
care staff, and community members.
• Acts as hospital administrative liaison with external agencies and constituencies.
• Establishes a strong relationship with other departments and administrative leaders to
Facilitate collaborative efforts to enhance achievement of the Department of Nursing and
Patient Care and University of Iowa Health Care objectives.
• Confer with nursing leadership to facilitate collaborative relationships and networks that
enhance the tripartite mission of the organization: service, research, and education.
• Exhibits guiding behaviors that reflect UIHC values and support our mission and vision.
• Participates in System activities to promote support of system foundational goals.
• Promote positive service relationships with patients/families, physicians, labor unions and
staff.
• Represents the Department of Nursing at national, state, and local levels as delegated by
the CNE.
Program and Patient Care/Services Delivery
Work across multiple clinical functions and with medical directors to implement best care
practices and new models of care/service. Address implementation issues across clinical
functions and with other departments
• Leads/Participates in the development, implementation and of key tactics within service
lines/new programs that support the business planning activities- including identifying
opportunities, pro-forma development, implementation planning and successful
execution that results in improving care delivery, patient safety/quality, and work
environment.
• In collaboration with executive leadership and appropriate departments, assures alignment
with practice in program activities including database programs, care model modalities,
recruitment, budgets, and other key activities.
• Facilitates organizational change by leading and supporting staff in a rapidly changing
health care environment.
• Leads programs coordinating all department activities with key stakeholders including not
limited to Foundation, Marketing and communication, IT, Finance, Planning, to ensure
maximum efficiencies, reimbursement, and growth
• Participates or establishes links in community advocacy efforts to assure University of Iowa
Health Care is represented in standard setting groups that are key relationships with the
health care institution.

Human Resources Management
In collaboration with departmental HR Representative(s) works across multiple clinical functions
and with medical, collegiate and hospital leaders to ensure a consistent approach to HR
management. Hold unit leaders accountable for high performance and high engagement by
articulating expectations, monitoring performance, and providing feedback consistently across
areas of responsibility. Approve resource allocations and staffing models.

• Creates and maintains a work environment that ensures optimal engagement of the
workforce.
• Facilitates a culture of teamwork, collaboration, and accountability with the leadership
team, across disciplines/departments.
• Continuously evaluates and modifies staffing models to ensure the right staff is performing
the right job in the most efficient manner.
• Serves as the administrative leader in concert with the designated medical and
administrative leadership, promotes cohesive, coordinated, integrated and innovative
program development for areas of responsibility. This includes program plan development
with goals and objectives that address clinical growth, service, quality, people, financial,
and research/educational performance.
• Hire, develop and manage performance of leadership team. Provide coaching and
mentoring, identify training opportunities, and provide leadership for goal setting and
career development. Develops a cohesive leadership team for overall operational,
quality/patient safety, and financial excellence. Assures leaders are accountable for
developing and maintaining a diverse and inclusive environment.

Operations, Standards of Care, Regulatory Compliance, Quality and Patient Satisfaction
Manage across multiple clinical functions to develop and monitor quality and service indicators.
Oversee patient satisfaction and quality indicators. Assure that clinical services are in compliance
with all applicable internal and external requirements.

• Accountable for the execution of quality initiatives (system/service line).
• Assures compliance with applicable regulatory bodies specific to programs of care.
• Incorporates data bases, national standards, regulatory body standards, technology, and
innovation in support of quality initiatives.
Understands and supports research/educational activities of nursing staff and patient care
team.
• Collaborates to improve programs and efficiency through developing the appropriate
infrastructure to foster innovation efforts in providing a unified approach to care delivery.
Identifies changes and trends in the external environment impacting care delivery, ensuring
policies are in alignment with best practice care.
• Uses business analytics to monitor and improve department effectiveness, efficiency, and
productivity and patient/family/employee/ experience.

Financial Management/Business Analytics
Develop strategy for budget priorities for multiple clinical functions and negotiate among them to
address resource issues. Hold unit leaders and clinical leaders accountable for managing budget.
Work with internal and external leaders to address and resolve budget issues. Seek methods to
enhance revenue.

• Evaluates, develops and adapts/aligns goals, budget and business processes of the
Department of Nursing Services clinical service line to meet the changing healthcare
environment and needs of patients and families to support organizational goals and
objectives.
• Partner with CNE and key department leaders to develop operating and capital budgets in
support of the established integrated strategic/operational/financial plans.
• Analyzes, monitors, and manages costs and charging mechanisms, along with
reimbursement and coding practices, and initiation of new programs, making
recommendations to maximize reimbursement for services/reduce overall expenses.
• Regularly monitors financial performance and adjusts operations to address priorities and
allocation of needed resources to achieve targeted levels of fiscal performance.
• Keep abreast of regulatory requirements, legal, reimbursement changes, and industry
trends. Establish appropriate database registries, certifications, and external benchmark
reasons to deliver outstanding clinical care

Qualifications and Requirements

Education

Education Requirements
• A master’s degree in nursing or related field is required. If master’s degree is in related field,
a baccalaureate degree in nursing is required. A doctorate (PhD or DNP) is highly desirable.
License Requirements
• Current license to practice in Iowa is required.
• Certification: BLS for Healthcare Providers/CPR and an ANCC recognized certification.
Nurse Executive or Nurse Executive Advanced required withing 12 months of hire.

Required Qualifications
• Minimum 7 years of comprehensive expertise in operational execution
• Progressive leadership experience in a complex health organization or academic health
care environment that demonstrates knowledge of organization, operation, and
coordination of hospital activities.
• Ability to translate strategic priorities into operational reality, aligning communication,
accountabilities, resource capabilities, internal systems to ensure strategic priorities yield
measurable and sustainable results.
• Identify and drive organizational and cultural changes using new approaches to improve
results by transforming organizational culture, systems, or products/services.

• Knowledgeable of applicable laws and regulatory/accreditation standards.
• Demonstrated experience working effectively in a welcoming and respectful workplace
environment.

Experience

More About the Organization

University of Iowa Healthcare

The Academic Medical Center
As a major tertiary- and quaternary-level health care facility, University of Iowa Health Care Medical
Center includes the main adult-care hospital, a specialized disabilities and development outpatient
facility (serving pediatric and adult patients), and University of Iowa Health Care Stead Family Children’s
Hospital. With more than 250 specialty and subspecialty clinics, University of Iowa Health Care is the
state’s only comprehensive academic medical center and serves patients from across the state and the
region. On any given day, nearly 12,000 staff members collaborate to provide safe, high-quality health
care and outstanding service to patients and their families.

University of Iowa Health Care which includes University of Iowa Health Care Medical Center, University
Campus, University of Iowa Health Care Medical Center Downtown in Iowa City and outpatient clinic
facilities across Iowa in population centers such as Waterloo, Des Moines, and Cedar Rapids. In 2025, the
system will open a three-story hospital and six-story medical office in the nearby community of North
Liberty. The health care system employs nearly 20,000 individuals, including over 1,000 staff physicians
and dentists, nearly 800 resident and fellow physicians, and more than 5,000 nursing staff members
focused on providing an outstanding care and service for patients and their families.

Quick facts about University of Iowa Health Care:
• 1,159 beds (205 are pediatric) – this number includes our North Liberty campus opening in FY25.
• 33,189 admissions and more than 1.2 million clinic visits
• 36,928 major surgeries and 190,121 minor surgical procedures
• 3,072 births
• 585 organ and tissue transplants

Honors and Awards

Iowa’s No. 1 Hospital
University of Iowa Health Care is consistently ranked by U.S. News & World Report as the state’s top
hospital and one of the nation’s best hospitals. Ophthalmology is ranked number 6; and Otolaryngology
is ranked number 14, and Cancer is ranked 41. Seven other specialties – Cardiology, Heart and Vascular
Surgery, Gastroenterology and GI Surgery, Orthopedics, Pulmonology and Lung Surgery, and Urology –
are ranked among the top 10% of specialties. University of Iowa Health Care Stead Family Children’s
Hospital is Iowa’s only nationally ranked children’s hospital.

Magnet Recognition for Excellence in Nursing
University of Iowa Health Care was the first hospital in Iowa to be designated a Magnet Hospital (2004)
by the American Nurses Credentialing Center and the first in Iowa to be re-designated four times (2008,
2013, 2018, and 2023).

A ‘Most Wired’ Hospital
University of Iowa Health Care has been named one of the nation’s “most wired” hospitals by the
College of Healthcare Information Management Executives each year since 2010 for its use of health
care technology.

Trauma Center Certification
The American College of Surgeons has certified University of Iowa Health Care as a Level 1 trauma
center for adult and pediatric patients—the highest level available.

NCI-designated comprehensive cancer center
Holden Comprehensive Cancer Center is the only NCI-designated comprehensive cancer center in the state and one of only 72 nationwide. The designation recognizes Holden’s ability to conduct cutting-
edge scientific research and convert those laboratory findings into innovative therapies for patients in the real world.

‘Best Employer’ For Women
Forbes ranks University of Iowa Health Care No. 44 (No. 9 in its Healthcare & Social category) in its 2021
survey of America’s Best Employers for Women.