Providence Chief Nursing Officer, St Joseph Hospital Orange in Orange, California
Reporting directly to the Ministry Chief Executive, and matrixed to the Regional Chief Clinical Executive, the CNO has overall responsibility for the operation and ongoing development of the Professional Nursing Practice. The Chief Nursing Officer directs nursing services by approval and implementation of nursing policies, procedures, standards and staffing plans. He/She assures that nursing services are integrated into the ministry’s performance improvement plan in support of the PSJH nursing strategic plan.
As a member of the hospital executive team, he/she assumes an active leadership role interdepartmentally, with the medical staff, during Community Ministry Board activities, and as a key representative to the community.
With a constant focus on whole person care, quality, staff and patient safety, the CNO creates and maintains standards and systems for care delivery at their ministry. These systems of care delivery promote evidence-based practice and are designed to support the management of productivity targets, patient acuity, and appropriate planning for and use of available resources.
The Chief Nursing Officer, St Joseph Hospital Orange will have the following accountabilities:
Communication & Relationship Building
Create a work environment that facilitates and encourages involvement of the staff in critical thinking to enact professional nursing practice.
Build collaborative relationships
Use shared decision making to accomplish the organization’s primary goal which is service to patients, families and the community
Promote implementation of processes and resources that deliver data and information to empower staff to participate meaningfully in clinical decision making
Establish an environment that values diversity in which care is delivered in a manner sensitive to social and cultural diversity
Provide and maintain effective communications with medical staff, the community, and all levels of supervision and staff. Round for improved visibility and to meet specific goals such as safety.
Represent the organization to non-health care constituents within the community
Represent nursing to the media
Serve on community-based boards, advisory groups, and task forces
Represent nursing at medical executive committee and other departmental / medical staff committees
Collaborate with nursing programs to provide required resources
Serve on academic advisory councils
Collaborate in nursing research and translate evidence into practice
Create academic partnerships to ensure a qualified workforce for the future
Knowledge of the Health Care Environment
Communicate patient care standards as established by accreditation, regulatory and quality agencies
Ensure compliance with the State Nurse Practice Act, State Board of Nursing regulations, state and federal regulatory agency standards, federal labor standards and policies of the organization
Adhere to professional association standards of nursing practice
Ensure that written organizational clinical policies and procedures are reviewed and updated in accordance with evidence-based practice
Integrate bioethical and legal dimensions into clinical and management decision-making
Ensure protection of human subject rights and safety in clinical research
Assess the effectiveness of delivery models
Develop new delivery models
Participate in the design of facilities
Align care delivery models and staff performance with key safety and economic drivers (e.g., value-based purchasing, bundled payment)
Take action when opportunities exist to adjust operations to respond effectively to environmental changes in economic elements
Use knowledge of federal and state laws and regulations that affect the provision of patient care (e.g., tort reform, malpractice/ negligence, reimbursement)
Participate in legislative process on health care issues through such mechanisms as membership in professional organization and personal contact with officials
Educate patient care team members on the legislative process, the regulatory process and methods for influencing both
Interpret impact of legislation at the state and federal level on nursing and health care organizations
Represent patient care issues to the governing body
Participate in strategic planning and quality initiatives with the governing body
Interact with and educate the organization’s board members regarding health care and the value of nursing care
Represent nursing at the organization’s board meetings
Represent other disciplines at the organization’s board meetings
Use evidence for establishment of standards, practices and patient care models in the organization (nurse sensitive outcomes)
Design feedback mechanisms by which to adapt practice based upon outcomes from current processes
Design and interpret outcome measures
Disseminate research findings to patient care team members
Allocate nursing resources based on measurement of patient acuity/care needed
Monitor and address nurse sensitive outcomes and satisfaction indicators
Support the development of an organization-wide patient safety program
Use knowledge of patient safety science (e.g., human factors, complex adaptive systems, LEAN and Six Sigma, high reliability organization)
Monitor clinical activities to identify both expected and unexpected risks
Support a Just Culture (non-punitive) reporting environment, supporting a reward system for identifying unsafe practices
Support safety surveys, responding and acting on safety recommendations
Address ideas, beliefs or viewpoints that should be given serious consideration
Recognize one’s own method of decision making and the role of beliefs, values and inferences
Apply critical analysis to organizational issues after a review of the evidence
Maintain curiosity and an eagerness to explore new knowledge and ideas
Promote nursing leadership as both a science and an art
Demonstrate reflective practice and an understanding that all leadership begins from within
Provide visionary thinking on issues that impact the health care organization
Recognize the contribution of mental models on behavior
Promote systems thinking as an expectation of leaders and staff
Consider the impact of nursing decisions on the healthcare organization as a whole
Develop a leadership succession plan
Promote nursing leadership as a desirable specialty
Mentor current and future nurse leaders
Establish mechanisms that provide for early identification and mentoring of staff with leadership potential
Develop a workforce analysis plan and implement strategies to ensure an adequate and qualified workforce
Hold self and others accountable for mutual professional expectations and outcomes
Contribute to the advancement of the profession
Participate in and contribute to professional organizations
Demonstrate and promote leader and staff participation in professional organizations
Promote leader and staff participation in lifelong learning and educational achievement
Promote professional certification for staff
Role model standards of professional practice (clinical, educational and leadership) for colleagues and constituents
Coach others in developing their own career plans
Seek input and mentorship from others in career planning and development
Develop a personal and professional career plan and measure progress
Solicit feedback about personal strengths and weaknesses
Act on feedback about personal strengths and weaknesses
Uphold ethical principles and corporate compliance standards
Hold self and staff accountable to comply with ethical standards of practice
Discuss, resolve and learn from ethical dilemmas
Promote clinical perspective in organizational decisions
Involve nurses and other staff in decisions that affect their practice
Represent the perspective of patients and families
Advocate for optimal health care in the community
Develop and manage an annual operating budget and long-term capital expenditure plan
Use business models for health care organizations and apply fundamental concepts of economics
Interpret financial statements
Manage financial resources
Ensure the use of accurate charging mechanisms
Educate patient care team members on financial implications of patient care decisions
Participate in the negotiation and monitoring of contract compliance (e.g., physicians, service providers)
Evaluate the results of employee satisfaction/quality of work environment surveys
Support reward and recognition programs to enhance performance
Formulate programs to enhance work-life balance
Interpret and ensure compliance with legal and regulatory guidelines
Provide education regarding components of collective bargaining
Promote a culture of safety
Promote healthful work environments that proactively addresses and mitigates sexual harassment and workplace violence)
Create the operational objectives, goals and specific strategies required to achieve the strategic outcome
Able to articulate the value-contribution of nursing and clinical services
Utilize the balanced scorecard analysis to manage change
Evaluate achievement of operational objectives and goals
Identify marketing opportunities and collaborate with marketing experts
Promote the image of nursing and the organization through effective media relations
Collaborate to prioritize for the establishment of information technology resources
Provide leadership for the adoption and implementation of information systems including evaluation of enabling technology in practice settings, the use of data management systems for clinical decision making, and, identifying technological trends, issues and developments applicable to patient care
Above all, we are looking for a servant leader whose personal and professional background demonstrates a genuine passion for the mission and core values of Providence Health & Services. You have a style that emphasizes openness, collaboration, visibility, and connectivity. A strong, confident, results-oriented, and decisive leader with the capacity to balance the big picture and strategic perspective with a focus on operations and the details of execution. You can articulate how your work improves healthcare delivery in the communities that we serve.
Required qualifications for this position include:
Academic degree in nursing required (Bachelor’s or Master’s degree)
Master degree in Nursing or related field required (Health Administration, Business, Public Health, or management).
Earned Doctorate degree in Nursing is preferred.
A minimum of five years of nursing executive acute care experience and a minimum of five years of progressive management experience are required.
The applicant will demonstrate progressive leadership and expertise in communication across disciplines, participative change management, managing group dynamics and managing performance improvement processes.
Active and current California registered nurse license
Specialty certification (CENP, or NEA-BC)
In depth current working knowledge of clinical practice and processes
Knowledge of organizational behavior; management systems and processes; nursing practice standards; clinical practice guidelines; regulations and ethics; healthcare economics; health and public safety; trends in business practice; consumer health care issues; healthcare evaluation and outcome measures; and fiscal management and finance.
Mobility to travel throughout the ministry and community.
Able to work varying hours and handle difficult situations when necessary.
Ability to clearly articulate the PSJH mission and vision
Demonstrate servant / mission driven leadership
Working knowledge of labor contracts and application to practice
Ability to communicate effectively.
Ability to conceptualize and implement new service delivery models.
Ability to serve as a change agent supporting integration concepts.
Ability to represent PSJH professionally and build collaborative relationships with various agencies or organizations.
Ability to analyze data, regulations, and practices to develop progressive and compliant programs including TJC, Title 22, etc.
Ability to effectively work in a multi-entity organization including hospitals and satellite facilities
Demonstrate system thinking
Demonstrated ability to work in a complex matrixed environment
Able to articulate the Magnet® standards and expectations
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Leadership
Req ID: 274558