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.
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.
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.
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.
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.
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.
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.
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.
Assistant Chief Nursing Officer, ACNO, Nursing Executive, Hospital Nursing Leadership, Med Surg Director, Acute Care Nursing Leadership
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Texas Nursing Services provides skilled and enthusiastic professionals for healthcare positions across all practice areas. We specialize in meeting the unique needs of our clients by offering temporary, temp-to-hire, and permanent placement services. Our diligent recruitment and screening process ensures that our clients receive the best possible candidates for their job openings.
With our expertise and extensive network, we are able to serve clients of all sizes, across the United States. We understand the value of having a flexible workforce, and are committed to providing consistent and proactive support to ensure the success of your business.
If you are in need of skilled and dedicated professionals to support your healthcare organization, contact Texas Nursing Services today. We will work closely with you to understand your needs and provide the right solutions to meet your staffing needs. Apply now to discover the benefits of partnering with us.
At Texas Nursing Services, we are committed to attracting top talent in the healthcare industry. We understand that quality care starts with a talented and dedicated team, and that is why we strive to create a positive and supportive work environment for all of our nurses.
We are proud to offer competitive compensation and benefits packages, as well as ongoing training and development opportunities to help our nurses grow and succeed in their careers.
But we also recognize that it takes more than just a good salary to attract top talent. That is why we place a strong emphasis on creating a culture of teamwork and collaboration, where our nurses can feel valued and supported as they work to deliver the highest level of care to our patients.
