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Assistant Chief Nursing Officer (ACNO)

Miami, Florida

By becoming a nurse at Nicklaus Children’s, you will be responsible for the planning and delivery of patient and family centered care that meets the quality of standards at our Magnet designated hospital. We are looking for a nurse to provide compassion and knowledge every day.

Position Type: Full Time

Shift Schedule: Days

Success Profile

What makes a successful Nurse at Nicklaus Children’s Hospital? Check out the top traits we’re looking for and see if you have the right mix.

  • Proactive
  • Compassionate
  • Team Player
  • Empathetic
  • Collaborative
  • Responsible
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Our Culture

  • We are there through all stages of health and life, both physically and mentally.
  • We believe in inspiring hope and promoting lifelong health.
  • We are a trusted partner to children and their families, not only in times of illness, but throughout their life journey.
  • We are guided by the CREATE (collaboration, responsibility, empowerment, advocacy, transformation, empathy) values and behaviors.

Joining a new organization can be daunting or overwhelming. But at Nicklaus, your colleagues make you feel welcomed. They taught me to celebrate our accomplishments and band together during challenging times. This is not easy to find in healthcare these days, so I’m grateful to have found an amazing place to work with people and leadership who have my well-being in mind.

Lova Renee Brunson Manager Accreditation & Regulatory


Part-time and full-time employees receive the same benefits package.

Continuing Education

Encouraging and assisting with online and physical coursework

Professional Development

Course assistance, opportunities for teaching community education and more

Tuition Reimbursement

Options included for professional degree, leadership, technical courses and certificate training programs

Compensation & Success Sharing Programs

Nursing Step Program – Magnet Clinical Ladder

Benefits Package

Healthcare, Dental, PTO, Life Insurance


Job ID 26649 Date posted 05/15/2024


Job Summary

Responsible for leading, planning, and supporting the delivery of high-quality nursing patient care services.  This nursing senior leader works directly with the Chief Nursing Officer and other clinical leaders to plan, coordinate, implement and evaluate nursing operations for assigned services/departments. The ACNO plays a key role in the development and execution of the nursing organizational strategy. In addition, the ACNO serves as the back-up to the Chief Nursing Officer. Supports and upholds the Health System's Mission, Vision, Values, and Guiding Behaviors, Patient Bill of Rights, and the Code of Business and Ethical Conduct.

Job Specific Duties

  • Administrative management for the clinical, operational, and financial outcomes for all assigned departments and clinical services. 
  • Collaborates with customers, administration, medical staff, peers, and subordinates to fulfill job responsibilities, meet performance standards, and achieve departmental goals and objectives. 
  • Collaborates with key physicians and executives providing strategic direction and program planning in alignment with strategic plan.  
  • Leads and establishes standard practice reliability, ensuring high quality care, on-going practice innovation, and healthy work environments for nursing and team members. 
  • Facilitates and monitors strategic priorities, goals, and metrics. 
  • Considers factors related to safety, regulatory compliance, evidence and/or best practice, effectiveness, cost, and impact on practice in the planning and delivery of nursing and other services.  
  • Leads and directs LEAN process and other safety programs; ensures applications and concepts are standardized and reliable processes and sustained in the department. Supports process improvement and incorporates improvement science principles into quality/process improvement activities while working with leadership ensuring application of evidenced based practice in the departments. 
  • Communicates timely and effectively to ensure nursing leadership team is well informed concerning hospital plans, opportunities, and business results.  
  • Promotes an environment of shared decision-making and collaborates with nursing and medical staff, various administrative staff, and leaders in planning for and providing quality and consistent patient care services based on best practice.  Ensuring patient and family centered principles and decision-making. 
  • Accountable for patient experience and employee engagement scores. 
  • Fosters the Magnet culture, supports Nursing Excellence programs and strategies, and ensures clinical staff engagement in shared leadership activities. 
  • Remains current with state and federal associations, professional trends, and by participating in community activities. Actively involved in a professional organization. Shares best practices with nursing leadership. Reviews and revises departmental policies and procedures and assures the department's compliance with DNV, state, and federal regulations, as well as current evidence-based guidelines. 
  • Ensures highest integrity for the business operations of the departments. Oversees the development of nursing capital and operating budgets through collaboration with executive leadership making changes as necessary. Monitors and ensures compliance with department budgets.  
  • Oversees and supports talent development of the leadership team to ensure succession planning, mentorship, and coaching within departments leading to strategic goal accomplishment. Provides ongoing performance feedback, coaching, and mentoring to leaders supporting a high-performance environment.
  • Author articles and stories for the Magnet designation, PTAP designation and Beacon Awards and collaborates with the Magnet Program Manager & Nursing Leaders to fulfill the requirements of the Magnet designation.


Minimum Job Requirements

  • Master's Degree in MSN, MHA, or MBA 
  • Registered Nurse licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
  • CPR - American Heart Association BLS - maintain active and in good standing throughout employment
  • RN specialty certification is required (NE-BC, NEA-BC, CENP preferred)
  • 5-7 years of progressive managerial experience in an acute care environment
  • 2-4 years of pediatric experience
  • Clinical and management experience in pediatric nursing
  • Experience working in a Magnet designated hospital/organization
  • Extensive experience in staffing and budget management

Knowledge, Skills, and Abilities

  • Ability to communicate effectively both verbal and written when representing the Nursing department.
  • Analytical and fiscal abilities to administer complex budgets and short/long range goals.
  • Support for professional and interdisciplinary research and educational activities through collaboration and leadership.
  • Excellent analytical, critical thinking skills to resolve complex administrative issues, demonstrates sound judgment in making decisions related to patient care and employee issues, and able to effectively deal with physicians, peers, superiors, and subordinates.
  • Builds effective working relationships throughout the organization with directors, managers, staff, physicians, patients/families, and suppliers.
  • Possess consultative, collaborative, and effective communication skills necessary to partner with teams in the organization.
  • Demonstrated contributions to department/patient care enhancement and growth, as well as growth of employees under their direction.
  • Actively seeks out self-development and education opportunities. Solicits feedback and applies learning to enhance performance.

Job :

Nursing - Management

Primary Location :

Florida-Miami-Nicklaus Children's Hospital - Main Hospital Campus

Department :


Job Status

:Full Time
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