FILLED – Associate Chief Nursing Officer, Children’s and Women’s Services

The Opportunity

In partnership with the CNE, administrative leaders, and physicians, this position provides strategic leadership and oversight in integrating comprehensive clinical operational plans for Children’s and Women’s Services. This position reports to the Chief Nurse Executive and to the UI Stead Family Children’s Hospital and Women’s Services Chief Administrative Officer through a matrix reporting structure. Direct reports to the ACNO include: Associate Director of Neonatal Services, Transport Services, Staffing Office, Simulation; Associate Director of Pediatric Acute Critical Care Services & Financial Services; Associate Director of Women’s Services; Associate Director Perioperative & Procedural Services; Associate Director, Patient Family-Centered Services; Nursing Practice Leaders and House Operations Managers.

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 within Children’s and Women’s 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 the Children’s service line throughout the community and neighboring market areas.

Aligns the priorities of the patient care unit leadership dyads in collaboration with the medical or clinical directors of the Children’s and Women’s service line to assure the operational and clinical standards promote a center of quality care and work environment excellence.

The Organization

The University of Iowa Stead Family Children's Hospital

The University of Iowa Stead Family Children’s Hospital
200 Hawkins Dr.
University of Iowa Hospitals and Clinics logo

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.

  • Areas of responsibility are defined specifically per Children’s and Women’s service line specifications that span across departmental areas of inpatient, outpatient, and community reach.
  • Key collaborations include: nursing, Patient care team, Medical faculty staff/ Medical Directors, CWS executive leadership, and administrative staff.
  • Establishes a strong relationship with other departments and administrative leaders of Patient Care, Ambulatory, Surgical Services, and Support Services, Finance, Patient Quality/Safety and Regional Services.
  • Exhibits guiding behaviors that reflect UIHC CWS values and support our mission and vision.
  • Participates in System activities to promote a positive image of Children’s and Women’s in support of system foundational goals.
  • Promote positive service relationships with patients/families, physicians, labor unions and staff.
  • Represents Children’s and Women’s Services as the ACNO on UIHC committees and at national, state and local levels as delegated by the CNE and CAO.

1. 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 Children’s and Women’s 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 program (s) across Children’s and Women’s coordinating all department activities with key stakeholders including but 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 Children’s and Women’s is represented in standard setting groups that are key relationships with the Children’s and Women’s service line.

2. 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 within Children’s and Women’s service line.
  • 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.

3. 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 Children’s and Women’s clinical service line to meet the changing healthcare environment and needs of patients and families to support organizational goals and objectives.
  • Partner with CNE, CFO, CAO 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 across the Children’s and Women’s service line 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


  • A Master’s degree in Nursing or related field is required. If Master’s degree is in a related field, a Baccalaureate degree in Nursing is required. A doctorate (PhD or DNP) is highly desirable.


Comprehensive Expertise in Operational Execution (7-10 years’ experience)

  • Progressive leadership experience in a complex health organization or academic health care environment related to women’s and children’s specialties 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.


  • Current license to practice nursing in Iowa is required.
  • Certification: BLS for Healthcare Providers/CPR and an ANCC recognized certification. Nurse Executive or Nurse Executive Advanced required within 12 months of hire

The Ideal Candidate

We are looking for someone who is an excellent collaborator and understands how to work effectively with large groups in an academic medical center. This leader will have the ability to see the big picture when making decisions and understand how changes will affect the health system as well as their service area(s). The ideal leader will have the ability to use and interpret data when making decisions based upon logic and facts. We would prefer someone with nursing experience in both women’s and children’s but, will consider a strong candidate with experience in either department, who will fit in well with the culture of the organization. The preferred leader will have experience leading large projects, complex expansions, and building relationships across numerous groups and committees. This leader will report directly to the CNE with a dotted line to the CAO.

More About the Organization

The University of Iowa Stead Family Children's Hospital

University of Iowa Stead Family Children’s Hospital is the children’s hospital at University of Iowa Hospitals and Clinics and has been dedicated to meeting the health care needs of children and families since 1919. As Iowa’s only comprehensive children’s hospital, we provide care for children from birth to young adulthood. Services range from promoting wellness to the care of general childhood illness, surgery, traumatic injuries, life-threatening and chronic illnesses, and developmental disabilities. As part of an academic medical center, UI Stead Family Children’s Hospital also performs groundbreaking research to help solve the mysteries of childhood diseases, in addition to training the next generation of health care professionals.

In addition to children’s services, the women’s services at UI Hospitals and Clinics has a long history of meeting the health care needs of women in Iowa. Our world class OBGYN specialists provide care for patients at every stage of life. We emphasize preventive care and offer the widest range of treatment options, ensuring patients receive personalized care with the best outcomes. Our OBGYN clinical services include gynecology clinic, pregnancy care, infertility care, maternal-fetal medicine, midwifery and urogynecology. Our women’s health specialists also work closely with the experts at the UI Holden Comprehensive Cancer Center to offer the most extensive cancer expertise available in Iowa.

Quick Facts

  • More than 200 pediatric physicians, surgeons, and dentists
  • UI Stead Family Children’s Hospital cared for over 94,000 children last year from all 99 Iowa counties, 46 states, and 20 other countries
  • 190 pediatric beds, including 88 NICU beds
  • 31 Obstetrical Ante/Post-partum inpatient beds, and 10 Labor & Delivery rooms; additional gynecology beds in acute med/surg units

Our Philosophy

Quality and Safety

We measure the quality of your care by how well we meet your expectations and achieving the highest national standards of safety and effectiveness.

Honors and Awards

U.S. News & World Report

University of Iowa Stead Family Children’s Hospital is ranked by U.S. News & World Report as one of the country’s “Best Children’s Hospitals.” 2022-23 rankings:

  • #23 in Pediatric Diabetes and Endocrinology
  • #26 in Neonatology
  • #27 in Pediatric Nephrology
  • #36 in Pediatric Orthopedics
  • #38 in Pediatric Cancer
  • #38 in Pediatric Neurology and Neurosurgery
  • #50 in Pediatric Pulmonology

UI Stead Family Children’s Hospital has received annual recognition for pediatric health care since 2009. UI Stead Family Children’s Hospital ranks in U.S. News & World Report 2022-23 Best Children’s Hospitals | University of Iowa Stead Family Children’s Hospital (

University of Iowa Hospitals & Clinics was named one of the nation’s top hospitals for maternity care by U.S. News & World Report in 2022-2023, receiving a High Performing designation. U.S. News evaluated nearly 650 hospitals across the country that provide labor and delivery services and submitted detailed data to the publication for analysis. Only 297 hospitals received a High Performing designation, which is the highest award a hospital can earn in maternity care.

Nation’s Top Employer 2017

Forbes Magazine named University of Iowa Health Care as the Number 5 employer in the Health Care industry category and Number 14 employer overall in 2017.


UI Hospitals & Clinics was the first hospital in Iowa to receive Magnet designation for nursing excellence, and one of only 55 nationally to be redesignated three times. This designation is valid for a four-year period, and was first received in 2004, with renewals in 2008, 2013 and 2018.


UI Stead Family Children’s Hospital is home to Iowa’s Level IV NICU, the highest designation possible as defined by the American Academy of Pediatrics. This means we are equipped to care for the smallest and sickest infants. Our survival rates among all babies cared for in the NICU is more than 95 percent, which ranks among the best of any NICU in the country.

Level 1 Trauma Center

UI Stead Family Children’s Hospital is the first and only hospital in Iowa to earn designation as a Level 1 Trauma Center for pediatrics from the Committee on Trauma of the American College of Surgeons. This 2018 designation is valid for a three-year period and was first received in 2009-present.

Member, Children’s Tumor Foundation Neurofibromatosis Clinic Network

UI Stead Family Children’s Hospital is the only hospital in Iowa recognized as a member of the Children’s Tumor Foundation Neurofibromatosis Clinic Network. UI Stead Family Children’s Hospital first became a member in 2010 and membership has been renewed annually since.

Verified Burn Treatment Center

UI Hospitals & Clinics is home to the only burn treatment center in Iowa verified by the Committee on Trauma of the American College of Surgeons and the American Burn Association. This verification is valid for three years.

Palliative Care Certification

UI Stead Family Children’s Hospital has earned The Joint Commission’s Gold Seal of Approval® for Palliative Care certification for the Pediatric Pain and Palliative Care program (2018). This two-year designation has been continued since it was first received in 2012. The Gold Seal of Approval is a symbol of quality for an organization’s commitment to providing safe and effective patient care.

Intersocietal Accreditation Commission accredited Echocardiography Laboratories

UI Stead Family Children’s Hospital is the only hospital in Iowa accredited by the Intersocietal Accreditation Commission (IAC) for the Accreditation of Echocardiography Laboratories for pediatric transthoracic, transesophageal, and fetal echocardiography. This accreditation is valid for a three-year period, and we have been continuously accredited since 2004. IAC accreditation is a means by which facilities can evaluate and demonstrate the level of patient care they provide. The common mission of IAC is: “Improving health care through accreditation.”

University Center for Excellence in Developmental Disabilities

The federal Administration on Intellectual and Developmental Disabilities has designated the Center for Disabilities and Development as Iowa’s University Center for Excellence in Developmental Disabilities. This designation is valid for a five-year period and was first received in 1972.

Cribs for Kids® National Gold Certified Safe Sleep Hospital

UI Stead Family Children’s Hospital is the first hospital in Iowa to be recognized as a Cribs for Kids® National Gold Certified Safe Sleep Hospital for demonstrating commitment to reducing infant sleep-related deaths by promoting and educating on best safe sleep practices. This certification was first received in 2016.

Certified Nurse-Midwifery Education Program

University of Iowa Hospitals and Clinics is excited to offer the state’s first certified nurse-midwifery program at the University of Iowa. The inaugural first class of students will begin in the fall of 2023.

Center for Advanced Reproductive Care

The Center for Advanced Reproductive Care at University of Iowa Hospitals & Clinics reached a major milestone in July 2021, completing its 10,000th in-vitro fertilization (IVF) procedure.

Established in 1987, it was the first IVF program in Iowa and has had a role in more than 6,000 births. Recognized as a national leader for single-embryo transfers, the center has achieved pregnancy rates consistently above the national average.


Kim Hunter

Chief Nurse Executive