Chief Nursing Officer - CNO

Req #
2025-10027
Department
Administration- 90200
Job Type
Full Time (exempt)
Budgeted Hours Per Pay Period
80
Shift
Days
Overtime Code
Exempt
Shift Duration
Exempt/Salaried Position
Classification
Exempt

POSITION SUMMARY

Pay range: $219,564.80 - $370,510.40

Relocation assistance: up to $30,000

 

Provides oversight, management and strategic direction for Nursing Services and related activities to drive operational performance and strategic initiatives at Hillsboro Medical Center (HMC). This role participates as a key member of the executive leadership team and works as a dyad with the Chief Medical Officer (CMO). Acts as a thought-leader in using functional expertise and techniques to support, coach and enable HMC executives and operational leaders to deliver outstanding performance. Leads the development and implementation of practices, policies and procedures that enable timely, informed, and financially sound decisions while ensuring compliance with regulatory requirements. Serves as a liaison with partner organizations to facilitate operational and strategic alignment. Serves as an ambassador and champion of Hillsboro Medical Center; develops and maintains a positive work environment that promotes HMC mission and values.

 

Functional Leadership. Leads and oversees assigned departments/functions to support strategic initiatives, achieve operational objectives, and ensure the overall health and success of the organization. Representative duties and responsibilities include, but are not limited to:

  • Oversees all aspects of nursing practice across all HMC locations and services, including policies, procedures, workflows, staffing and resource allocations, to optimize nursing operations and service delivery while ensuring compliance with all regulatory requirements and accreditation standards.
  • Ensures the delivery of high-quality care, with a focus on patient safety, satisfaction and outcomes while leading efforts to continuously improve clinical quality measures, patient access and service experience. Encourages innovation to advance and improve patient outcomes; is a champion for data-driven, evidence-based practice.
  • Develops and implements patient-centered initiatives to enhance overall satisfaction and loyalty.
  • Oversees contracted service providers to ensure contractual obligations are fulfilled and appropriate service levels are maintained.
  • Builds and maintains effective working relationships. Advises and consults with internal and external stakeholders. Represents HMC leadership and serves as a liaison across disciplines. Participates as an active member of various committees; leads work groups, projects and committees as needed. 
  •  Maintains professional skills, subject matter expertise, and awareness of regulatory changes, compliance issues, innovations and developments, through research and training/continuing education opportunities. Stays abreast of trends and best practices.  Ensures programs and records are maintained in good order, as required for efficient and effective operations. 

People Management. Leads and manages assigned departments/teams to support workforce satisfaction and engagement and efficient operations. Executes leadership and supervision tasks in an accurate, equitable, timely and effective manner to meet service and performance expectations. Representative duties and responsibilities include, but are not limited to:

  • Engages and collaborates with nurses, physicians and other clinical staff to ensure alignment with HMC goals and enhance clinical performance.
  • Manages employees from selection and hiring/onboarding through offboarding/separation. Establishes clear expectations and fosters an environment that supports good communication.
  • Coaches, mentors, and supports staff at all levels of the organization.
  • Takes steps to ensure continuity of operations. Proactively engages in workforce capacity planning, leadership development, management skill-building, and succession planning.
  • Actively monitors and manages employee satisfaction, engagement and turnover.
  • Engages in a constructive manner with labor unions, understanding contract requirements and mediating employee concerns and/or union grievances. Addresses difficult situations in a timely and effective manner.

Outcomes & Financial Management. Ensures the operational and financial performance of assigned departments/functions through appropriate strategies and objectives. Representative duties and responsibilities include, but are not limited to:

  • Works within HMC and collaboratively with OHSU and other partner organizations to ensure coordinated delivery of high-quality care that optimizes revenues, controls costs, and manages resources to support profitability and sustainability.
  • Leads cross-functional teams across HMC and OHSU/partner organizations to achieve desired outcomes and key performance indicators (KPIs).
  • Uses effective methods and metrics to measure and monitor performance.
  • Takes initiative to address challenges. Leads and/or engages in performance improvement and quality initiatives. Actively pursues opportunities for cost savings and revenue enhancements.
  • Communicates departmental status updates transparently and consistently.

Strategy & Planning Leadership. Contributes functional and leadership expertise to lead and support strategic, operational, and fiscal planning for the organization. Representative duties and responsibilities include, but are not limited to:

  •  Leads the development and execution of organizational and nursing strategic plans for the improvement of nursing operations, advancement and promotion of nursing professional practice, and growth across the division. Develops effective proformas and business cases (in partnership with the Finance team).
  • Collaborates with HMC leadership to integrate nursing services with overall HMC objectives.
  • Identifies and implements innovative approaches and initiatives to expand access to care and health equity in the community (particularly for underserved populations) and improve patient outcomes.
  • Builds and maintains relationships with community partners and stakeholders to enhance the HMC's presence and reputation in the community.
  • Develops and leads implementation of organization-wide strategies and work plans.
  • Guides and supports subordinate staff in the development of department/function-specific initiatives, goals and objectives. Coaches and develops directors and managers as they implement work plans. Ensures that systems are in place to document progress and results.
  • Inspires commitment and leads others to implement and execute plans.

Performs other related duties and special projects, as assigned.

 

Organizational Duties & Responsibilities

Supports and represents Hillsboro Medical Center’s mission, vision, and values.

  • Compassion: Creates a welcoming environment of kindness, inclusivity, and responsiveness
  • Collaboration: Works with others to improve the health and wellness of Hillsboro & Washington County
  • Excellence: Provides the highest quality of care and service
  • Integrity: Demonstrates honesty, transparency, and accountability in every task and every interaction

Decision Making & Budgetary Responsibilities

  • Accountable as a decision maker at the organizational level. Analyzes data and uses sound judgement in making independent decisions that have impact across the organization.
  • Accountable for budgetary and operational performance at the organizational level.
  • Oversees the development and management of annual operating budgets for assigned departments/functions.

JOB SPECIFICATIONS

Education & Experience

 

REQUIRED:

  • Master’s degree in nursing (MSN), healthcare administration (MHA), or a related field.
  • Ten (10) years of progressive nursing leadership experience, including 5 years of experience as a director or Vice President of Nursing in an acute-care hospital environment.
  • Seven (7) years of experience in decision-making role with significant financial and operational impact, including both the planning and execution of complex, large-scale transformational initiatives.

PREFERRED:

  • Doctor of Nursing Practice (DNP).
  • Previous experience as a Chief Nursing Officer.
  • Leadership within a complex, health system.

 

Licenses & Certifications

REQUIRED:  

  • Current unrestricted Oregon Nursing License.

PREFERRED:

  • Lean, Six Sigma or other disciplined process improvement certification.

 

Required Knowledge, Skills, and Abilities

 

Knowledge of:

  • Advanced knowledge of nursing practice, patient safety and quality standards, healthcare regulations, and nursing leadership.
  • Health care industry and health system operations and best practices.
  • Contemporary leadership and management practices.

Skill in:

  • Building strong Interpersonal relationships.
  • Leading and motivating individuals and teams to meet performance goals and navigate change.
  • Professional-level oral and written communications; ability to communicate effectively with a variety of audiences.
  • Understanding financial reports and managing resources (people, equipment, budgets) and workflows (activities) to meet performance and financial objectives.
  • Strong leadership, facilitation, delegation, and coaching competencies. 
  • Use of current technology and software programs, including Microsoft Office suite (Outlook, Word, Excel, and PowerPoint). Ability to learn and effectively use new technology/systems. High proficiency with EMR and/or other information system functionalities including access to, and maintenance of system controls.

Ability to:

  • Organize, synthesize, and analyze varied and complex data and apply experience and expertise to understand issues and conceptualize and develop effective solutions.
  • Communicate complex concepts effectively to a variety of audiences in both verbal and written formats.
  • Cultivate effective working relationships and build strategic alliances and partnerships to collaboratively execute business strategies.
  • Work effectively with people from a variety of backgrounds and perspectives.
  • Mentor and coach individuals and teams to achieve high levels of performance
  • Successfully navigate complex and sensitive situations.
  • Learn and apply new methods, processes, technology and/or computer programs in a timely and effective manner.
  • Work independently performing a wide variety of assignments that require the use of independent judgment, systems-thinking, problem-solving, organization, and prioritization expertise.
  • Exercise good judgment in taking initiative and making decisions.
  • Tolerate a high degree of ambiguity and adapt quickly to changes in the work environment.

Additional Posting Information

Hillsboro Medical Center believes in providing equal employment opportunities for all qualified individuals. Recruitment, hiring, promotions, transfers, working conditions, training, and compensation will be based on qualifications without regard to race, color, sex, sexual orientation, gender identity, religion, age, creed, national origin, marital status, family relationship, veteran status, genetic information, physical or mental disability, or any other status or characteristic protected by applicable law. We further commit ourselves to continuing the practical application of this policy in our daily business conduct.

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