Associate Chief Nursing Officer Orlando Health Winnie Palmer Hospital for Women & Babies
Reports To: AVP, OH & CNO

As part of our executive leadership team, the Associate Chief Nursing Officer (ACNO), leads one of the largest Neonatal Intensive Care Units (NICU) in the country with an outstanding reputation. Ranked as Florida’s #1 Hospital in Neonatology by U.S. News & World Report 2022-2023, this position reports directly to the Chief Nurse Executive and will lead an incredible team of over 400 team members. Direct reports include the Directors of Nursing for the level II and Level III NICU, Program Manager, Assistant Nurse Managers and Clinical Nurse Managers. Our 142-bed NICU has an array of specialized services including a program dedicated to the care of micro-preemies, neonatal transport and ECMO programs.

Orlando Health Winnie Palmer Hospital is “Magnet” recognized for nursing excellence and high-quality patient care and certified in perinatal care by The Joint Commission. Welcoming over 14,000 babies each year, the hospital’s 350 beds include 142 neonatal intensive care beds and enjoys a stellar reputation through our optimal patient experience scores.

Position Summary
Monitors quality and budgeting standards, while managing to achieve hospital and corporate goals. Works with the Chief Nursing
Officer and Chair of Medical Staff Leadership to address patient care issues by serving as a member of key medical and planning committees of the hospital. Ensures that a continuous improvement approach is implemented to measure actual performance against established standards for nursing and patient care throughout the hospital. Plans, leads, organizes, directs, and evaluates the delivery of patient care.

Essential Functions

  • Develops and implements mechanisms to ensure a uniform quality of nursing and patient care wherever nursing and patient care is provided.
  • Establishes mechanisms to encourage research and to incorporate research findings into standards of practice and policies and procedures.
  • Measures actual budgetary performance (revenue, expense, staffing) against standards, and ensures variances are within established targets.
  • Evaluates performance of persons reporting to the position against organizational, departmental, and personal goals and objectives.
  • Ensures that safety, health, and regulatory standards are attained in the divisions assigned.
  • Ensures that a program is maintained to encourage recruitment and retention.
  • Maintains currency in administrative practice.
  • Participates in professional, collegiate, and community activities.
  • Develops/implements personal goals/objectives that support the organization’s strategic/operating plans and patient care services.
  • Assures the nursing standards are effectively carried out throughout hospital nursing services.
  • Participates in the development and implementation of the hospital’s plan for providing nursing care.
  • Participates in developing hospital-wide patient care programs and policies and procedures that describe how patient’s nursing care needs are assessed, evaluated, and met.
  • Participates in corporate and hospital policy decisions that affect patient care.
  • Participates as a member of the Corporate Nursing Executive Council.
  • Develops, interprets, and promotes the formation of the philosophy, policies, and procedures of Orlando Health.
  • Develops and implements operational plans for the hospital in conjunction and consistent with the overall Orlando Health strategic goals. Establishes system for control of variances.
  • Establishes and maintains an open and positive working relationship with board members, physicians, managers, employees, patients, visitors, and the community.
  • Participates with leaders from the governing body, management, medical staff, and clinical areas in hospital’s decision-making structure and process.
  • Participates in evaluating, selecting, and integrating health care technology and information management systems that support patient care needs.
  • Implements effective, ongoing programs to monitor, evaluate, and improve the quality of nursing care via the corporate nursing quality assessment and improvement program.
  • Provides direct support and assistance to the managers and staff members assigned for the full accomplishments of their assigned duties and responsibilities.
  • Participates in any contract or other negotiations which would affect operations of the hospital, monitors compliance of contracts.
  • Recruits, develops, retains, and evaluates qualified managers and staff members, recognizing the full accomplishments of staff assigned duties and responsibilities.
  • Ensures a method to monitor customer satisfaction with respect to services delivered, utilizing corporate and/or unit specific tools.
  • Participates in the Quality Assessment and Improvement Program of Orlando Health and assures compliance of assigned areas of responsibility.
  • Works with CNO to develop, implement, evaluate, and revise nursing practice, and assures implementation of the nursing process.
  • Assists in the professional development of staff.
  • Maintains, revises, and implements changes in nursing and patient care policies and procedures to meet all licensing agency requirements (e.g., JCAHO, local and state regulatory agencies).
  • Develops hospital budget for patient care area with input from managers and other hospital staff. Develops a nursing budget with other leaders and other hospital staff that addresses the provision of nursing care to patients in each unit, area, or department in which nursing care is provided.
  • Establishes budget requirements and maintains areas of responsibility within budgetary limitation.
  • Speaks on behalf of hospital nursing services in established meetings of hospital leadership, medical staff, and governing bodies.
  • Develops staff to make effective decisions and delegates authority to lowest appropriate level.
  • Acts as resource person and role model for all staff.
  • Demonstrates knowledge of legal issues related to patient care and unit function, and manages situations to reduce risk to patients, staff, and organization.
  • Supports all policies, procedures, goals, and objectives of Orlando Health.

Other Related Functions

  • Participates in meetings where discussion is held regarding hospital’s mission, strategic planning, budget planning, operational planning, and review of policies that directly or indirectly affect nursing care and/or operations of hospital.
  • Serves as a member of hospital Collaborative Practice Committee.
  • Collaborates with CNO and educators to influence curriculum, including clinical and/or management learning experience.


  • Graduate of an approved school of nursing.
  • Graduate degree in Business or health-related field required.
  • It is required that candidate must hold either a baccalaureate or a higher degree in nursing.


  • Current licensure as a registered nurse in the State of Florida or Nurse Licensure Compact (NLC).
  • National leadership board certification through the American Nurses Credentialing Center (ANCC) or American Organization for

Nursing Leadership (AONL) within 2 years.


Six years’ experience in patient care management including nursing management is required. Experience in managing clinical services in a managed care environment, including productivity enhancement, cost reduction, new program development, and quality management is also required. Must demonstrate the ability to affect good medical staff relations while working with highly qualified physicians.

Essential Technical/Motor Skills

Precise eye-hand coordination and finger dexterity.

Essential Mental Abilities

Knowledgeable and competent to perform all essential functions.

Essential Sensory Requirements

Ability to visually and audibly perform all essential functions.

Essential Physical Requirements

Sufficient mobility and strength to ambulate and sit for long periods of time.

Exposure to Hazards

Exposure to infectious diseases, bloods and body fluids, and chemical products.

Job Type: Full-time


  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Professional development assistance
  • Referral program
  • Relocation assistance
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

Medical specialties:

  • Critical & Intensive Care
  • Ob/Gyn
  • Pediatrics


  • 8 hour shift

Supplemental pay types:

  • Bonus pay

Work Location: One location