ASSOCIATE DIRECTOR OF NURSING

Cook County Government; Chicago (IL); On-site; USD 100,000 - 140,000; Full time

Job summary

Cook County Government's Associate Director of Nursing at John H. Stroger, Jr. Hospital is a leadership role overseeing patient care services, budgeting, QA&I, and policy development within the Department of Nursing.

The position requires strategic staffing, budget management, and collaboration with medical staff to ensure quality care and compliance with hospital policies.

Responsibilities

• Administers and directs patient care services.
• Develops and implements the Division's QA&I program and monitors outcomes.
• Plans and manages the Division's budget and staffing to meet patient care needs.

Job description

Job Description - ASSOCIATE DIRECTOR OF NURSING (00139649)

Job Number

00139649

Job Posting

Posted: Oct 2, 2026, 6:30:31 PM

Closing Date: Oct 17, 2026, 4:59:00 AM

Contract type: Full-time

Shift Start Time: 8:30 A.M.

Shift End Time: 4:30 P.M.

Organization

Health and Hospital Systems

Job Summary

Location: John H. Stroger, Jr. Hospital

Shift: 8:30am- 4:30pm / Flex

The Associate Director of Nursing Services administers, directs, and coordinates patient care services and is responsible for the recommendation, development and implementation of policies and procedures consistent with the goals of the Department of Nursing and the Hospital. Responsible for establishing, monitoring and evaluating the delivery of patient care services, collection and analysis of data to determine divisional staffing patterns, projecting staffing needs, and ensuring adequate staffing on the divisional units. Prepares and manages the Division’s annual budget and is responsible for developing, implementing, and evaluating the Division's Quality Assessment & Improvement (QA&I) program, and participation in the overall administration of the Department of Nursing.

This position is exempt from Career Service under the CCH Personnel Rules.

General Administrative Responsibilities

Collective Bargaining

• Review applicable Collective Bargaining Agreements and consult with Labor Relations to generate management proposals
• Participate in collective bargaining negotiations, caucus discussions and working meeting
• Document, recommend and effectuate discipline at all levels
• Work closely with labor relations and/or labor counsel to effectuate and enforce applicable Collective Bargaining Agreements
• Initiate, authorize and complete disciplinary action pursuant to CCHHS system rules, policies, procedures and provision of applicable collective bargaining agreements

Supervision

• Direct and effectuate CCHHS management policies practices
• Access and proficiently navigate CCHHS records system to obtain and review information necessary to execute provisions of applicable collective bargaining agreements

Management

• Contribute to the management of CCHHS staff and CHHSS’ systemic development and success
• Discuss and develop CCHHS system policy and procedure
• Consistently use independent judgment to identify operational staffing issues and needs and perform the following functions as necessary; hire. transfer, suspend, layoff, recall, promote, discharge, assign, direct or discipline employees pursuant to applicable Collective Bargaining Agreements
• Work with Labor Relations to discern past practice when necessary

Typical Duties

Assumes responsibilities for Management of Personnel within assigned Division.

• Responsible for the recruitment, interviewing, and selection for the Division.
• Provides guidance to direct reports in their recruitment process.
• Provides leadership and direction in accordance with organizational and department goals and objectives.
• Responsible for completion of regular performance appraisals for direct reports, and oversight of adherence to the evaluation process.
• Coaches, counsels, and evaluates direct reports by interviewing, providing for orientation, counseling, and disciplining as parameters and appropriate incentives.
• Plans and maintains a master staffing pattern for the Division, which meets the patient needs for continuity of care/level of care.
• Provides direction and supervision to Clinical and Leadership staff by:
• Assigning duties and activities
• Approving projects and programs
• Analyzing activities/project summaries relative to their value to the Division and impact on the quality of patient care.

Responsible for Management of the assigned Units/Division

• Develops, justifies, and maintains a fiscal plan for the Division in collaboration with the Director of Nursing for the Division.
• Monitors patient revenues, operating expenses, and provides appropriate reports to Nursing Administration.
  • Submits budget goals and objectives that summarize accomplishments of the current fiscal year, including accumulative units of measurement when appropriate. Submits goals and objectives in behavioral terms and includes all plans/programs for the new fiscal year. Conforms to the formal, technical aspects as authorized by hospital policy.
  • Maintains a system to document and control expenditures.
• Evaluates and sets standards for units within the Division; monitors utilization and maintenance of equipment/supplies.
• Establishes effective working relationships, promotes open communication within/without the Division to ensure an integrated approach to patient care.
  • Ensures collaborative medical staff relations through ongoing contact with medical personnel, enhancing awareness of their needs and concerns, and promoting problem solving.
  • Establishes effective working relations with direct reports to provide support to enhance quality patient care.
• Responsible for the safety and quality care with measurable metrics based on the national benchmark data.
• Responsible for assuring a safe work environment for all staff within the assigned Unit.
  • Communicates and monitors safety practices to enhance awareness of the importance of these procedures.
• Ensures compliance with all regulatory bodies, including hospital and nursing policies and procedures.
  • Communicates regulations/policies and procedures; implements a plan to ensure compliance; documents outcomes and reports to Nursing Administration.
• Demonstrates and promotes an awareness of patient rights and functions as a patient advocate.
• Plans and implements, in conjunction with the Nurse Managers, the goals and objectives of the Division in a manner consistent with hospital/nursing goals.