Company Description
Assistant Chief Nursing Officer (ACNO)
Manchester, NH
Employment Type, Schedule, Compensation
Employment Type: Full-Time, Permanent
Schedule: Days | No Weekends
Compensation: Up to $165,000 base salary
Annual Incentive: Up to 17.5% performance-based bonus
Reports To: Chief Nursing Officer
Job Description
Overview
We are seeking an experienced Assistant Chief Nursing Officer (ACNO) to provide executive-level nursing leadership within a large, complex acute care hospital environment.
This role partners closely with the Chief Nursing Officer to advance clinical quality, operational excellence, workforce engagement, and strategic growth initiatives. The ACNO maintains direct operational oversight of multiple inpatient service lines and plays a critical role in succession planning, regulatory readiness, and performance improvement.
This position is ideal for a proven nursing leader with inpatient acute care and Med-Surg leadership experience who is preparing for future Chief Nursing Officer responsibilities.
Responsibilities
Clinical Quality & Safety
Support enterprise-wide nursing quality, safety, and patient experience initiatives
Ensure compliance with regulatory, accreditation, and professional practice standards
Lead performance improvement activities tied to quality metrics, patient outcomes, and risk reduction
Conduct executive-level rounding with patients, staff, and physicians
Operations & Service Excellence
Provide operational oversight for assigned inpatient departments and strategic initiatives
Partner with nursing and interdisciplinary leaders to drive patient-centered care delivery
Support service recovery efforts and patient experience improvement strategies
Foster a professional practice environment that supports recruitment, retention, and engagement
People Leadership & Development
Mentor and develop nursing leaders, promoting autonomy, accountability, and critical thinking
Collaborate with nursing education teams to assess competency, onboarding, and development needs
Support leadership succession planning and high-potential talent development
Maintain strong collaborative relationships with physician and operational leaders
Strategic Growth & Innovation
Participate in planning and implementation of new clinical services and growth initiatives
Contribute to capital planning, renovations, and new construction projects as assigned
Lead or sponsor system-level projects and interdisciplinary workgroups
Qualifications
Required
Bachelor of Science in Nursing (BSN)
Master’s Degree in Nursing or Nursing Leadership
Active RN license (compact or eligible for New Hampshire licensure)
5+ years of progressive nursing leadership experience in an acute care hospital
Direct inpatient leadership experience, including Med-Surg or comparable service lines
Preferred
Experience supporting multi-unit or service-line operations
Prior Director-level nursing leadership experience
Demonstrated readiness for executive nursing leadership progression
Additional Information
Compensation & Benefits
Competitive executive-level base salary
Annual performance-based incentive opportunity
Comprehensive health, dental, and vision coverage
Generous paid time off and paid family leave programs
Robust retirement plan with employer match
Tuition assistance and advanced education support
Leadership development and executive growth pathways
Ideal For
Director-level nursing leaders ready to advance into executive leadership
ACNOs seeking a stable, high-impact role within a complex acute care environment
Nursing leaders with strong operational, quality, and people leadership foundations
Keywords
Assistant Chief Nursing Officer, ACNO, Nursing Executive, Hospital Nursing Leadership, Acute Care Leadership, Med Surg Director, RN Executive Jobs, Nursing Administration
#ManchesterNHJobs #NewHampshireHealthcare #NursingLeadershipJobs #ACNOJobs #HospitalExecutiveCareers
