Associate Chief Nursing Officer - Ambulatory

HonorHealth; Phoenix (AZ); On-site; USD 180,000 - 240,000; Full time

Job summary

HonorHealth seeks an Ambulatory Associate Chief Nursing Officer (ACNO), Ambulatory (System/Floating). This system-level leader will execute and standardize ambulatory nursing practice across HonorHealth locations, operating as an extension of the VP-CNO, Ambulatory.

The role partners with campus nursing and operations to support consistent practice, quality, safety, workforce development, and regulatory alignment.

Qualifications

• 7–10 years of progressive nursing leadership experience.
• Experience in ambulatory and/or specialty nursing environments.
• Experience in integrated health systems with both acute and ambulatory settings.
• Experience supporting shared governance, professional practice models, or Magnet-aligned frameworks.

Responsibilities

• Align ambulatory specialty nursing practice with enterprise standards and guidelines.
• Lead governance structures, councils, competencies, and professional practice expectations across ambulatory domains.
• Partner with campus CNOs and system leaders to maintain unified nursing standards across multiple sites.
• Oversee quality, safety, regulatory alignment, and performance improvement initiatives in ambulatory nursing.
• Support staffing models, workflows, and care delivery processes across sites.
• Foster workforce development, onboarding, education, and competency validation for ambulatory nursing staff.

Education

BSN required

Master's degree in Nursing or related field

Job description

Ideal candidates for this role will have experience in complex multi-site ambulatory leadership.

JOB SUMMARY

The Ambulatory Associate Chief Nursing Officer (ACNO), Ambulatory (System/Floating), is a system level nursing leader responsible for execution, integration, and standardization of ambulatory specialty nursing practice across HonorHealth physical locations. This role operates as an extension of the VP-CNO, Ambulatory and provides enterprise aligned nursing leadership for ambulatory nursing domains that are distributed across multiple sites and are not anchored to a single campus.

The role does not reside at or own operational accountability for a specific campus. Instead, it functions as a floating, system level leader who partners in a matrixed and integrated manner with campus nursing and operational executives to support consistent nursing practice, quality, safety, workforce development, and regulatory alignment across ambulatory settings.

ESSENTIAL FUNCTIONS

Nursing Practice & Professional Governance:

Ensure ambulatory specialty nursing practice is aligned with enterprise professional practice standards, policies, and evidence based guidelines.

Support consistent implementation of shared governance structures, councils, competencies, and professional practice expectations across ambulatory specialty nursing domains.

Partner with campus CNOs, acute nursing leaders, and professional practice leadership to maintain unified nursing standards for dual domain services.

Collaborate with the Vice President of Professional Practice and Clinical Excellence on practice alignment, competency development, and professional advancement pathways.

Clinical Quality, Safety & Regulatory Alignment:

Provide oversight and support for quality, safety, and risk management outcomes within assigned ambulatory nursing domains.

Support compliance with regulatory, accreditation, and licensure requirements applicable to ambulatory nursing services.

Monitor quality metrics, patient experience indicators, and clinical performance trends across ambulatory locations.

Partner with campus and system leaders to support corrective action planning and performance improvement initiatives when gaps are identified.

Operational Leadership & Execution:

Support ambulatory nursing operations across sites by partnering with campus leaders on staffing models, workflows, and care delivery processes.

Provide coaching, escalation support, and operational problem solving assistance to ambulatory nursing leaders and managers.

Partner with operational and service line leaders to align ambulatory nursing execution with service line goals and patient care needs.

Support planning and implementation of new ambulatory services, programs, or specialty nursing models as directed.

Workforce Development & Talent Management:

Support recruitment, onboarding, engagement, and retention strategies for ambulatory nursing staff within assigned domains.

Partner with Human Resources and nursing education teams to ensure effective orientation, ongoing education, and competency validation.

Participate in performance management, succession planning, and leadership development efforts for ambulatory nursing leaders.

Support fiscal stewardship by partnering with operational and finance leaders on labor productivity, resource utilization, and supply management within scope.

Contribute to business planning and evaluation associated with ambulatory nursing service expansion, redesign, or integration.

Serve as a connector between ambulatory, acute, and system nursing leadership for shared or overlapping domains.

Participate in enterprise nursing leadership forums and cross functional initiatives as assigned.

Support communication and change management efforts associated with ambulatory nursing transformation and enterprise integration.

EDUCATION

• Bachelors of Science in Nursing (BSN) required; Master's degree in Nursing or related field strongly Required
• Masters in Nursing, Healthcare Administration, Business Administration, or related field. Preferred

EXPERIENCE

• Minimum of 7-10 years of progressive nursing leadership experience, including ambulatory and/or specialty nursing environments. Required
• Demonstrated experience supporting nursing practice, quality, and operations across multiple sites or programs. Required
• Experience working within integrated health systems with both acute and ambulatory settings. Preferred
• Experience supporting shared governance, professional practice models, or Magnet aligned frameworks. Preferred

LICENSE AND CERTIFICATIONS

• Registered Nurse (RN) - License, Current unrestricted Registered Nurse (RN) license in the state of Arizona. Required