Appalachian Regional Healthcare

System Chief Nursing Officer

Job Locations US-KY-Lexington
Requisition ID
# of Openings
Business Professional
System Lexington
Posted Date
2 months ago(8/11/2022 2:33 PM)
Position Type
Regular Full-Time
Senior Leadership
Day Shift


System CNO is responsible and accountable for executing her/his duties in a manner that reinforces and optimizes performance along each domain of the “Triple Aim” (patient safety and quality, service, and financial performance):
• Developing, cultivating, and continuously improving a safe and cost-effective clinical culture that produces predictable patient outcomes;
• Developing, cultivating, and continuously improving a service culture that supports and engages employees, medical staff, patients, and the community; and
• Developing, cultivating, and continuously improving a cost-effective operating culture that achieves established objectives.


At all times, System CNO will conduct her/himself in accordance with ARH’s behavioral standards and will execute her/his duties in accordance with established laws, rules, regulations, and standards of all applicable governmental, regulatory and accrediting bodies, and with the policies and procedures of the system.


Beyond those above, the primary duties of System CNO are generally described below.  These essential functions are not intended to be, nor should they be considered to be, a comprehensive list of duties or expectations.

  • System Performance – System CNO is responsible and accountable for positively influencing the performance of the system. As such, System CNO shall develop and implement impactful strategies and plans to achieve established performance objectives along each domain of the Triple Aim. 
    • Patient Safety & Quality – System CNO is responsible and accountable for developing and sustainably improving a nursing culture that is safe, efficient, and consistently produces expected patient outcomes in a cost-effective way.
      • Accreditation – The primary role of accrediting and regulating bodies is to assure that participating providers have sufficient policies, practices, and safeguards in place to assure delivery of safe and predictable services to patients. System CNO is responsible and accountable for adherence to all relevant standards of applicable accrediting and regulatory bodies (e.g., JC, DNV, CMS, OIG, etc.). System CNO will always assure the system’s readiness for accreditation surveys, whether those surveys are announced in advance or unannounced.
    • People, Service & Engagement – System CNO is responsible and accountable for sustainably improving the engagement, loyalty, and recruitment and retention of employees, medical staff, and patients of the appointed hospital. As such, System CNO is consistently visible throughout the system inspiring conversations that lend to understanding, commitment and loyalty of these key groups.  
      • Leadership Development – System CNO is responsible for establishing a leadership development strategy to ensure a culture that continually advances the leadership potential of the system’s employees. System CNO possesses the courage to lead, mentor, and coach so as to develop a high-performing collaborative team. System CNO demonstrates through her/his own behaviors, decision-making and management approaches a culture of learning, growing, performing, and appreciating.
      • Medical Staff Development - System CNO is responsible and accountable for developing, nurturing, and maintaining meaningful relationships with members of the medical staff and other providers, both independent and employed.
      • Patient Experience - System CNO is responsible for development and implementation of impactful strategies that consistently produce exceptional patient experiences, and thus patient loyalty.
    • Financial Effectiveness – System CNO is responsible and accountable for developing and sustainably improving a nursing culture that conducts its daily activities in an efficient and cost-effective manner, and in which achieves established financial performance objectives.
  • Corporate Citizenry – System CNO is responsible and accountable for being a good corporate citizen. In addition to abiding by established policies and procedures, behavioral standards and other expectations, corporate citizenry includes but is not limited to: working effectively within ARH’s matrixed reporting environment; working effectively with regional- and system-level resources; and embracing ARH’s commitment to optimizing the value of its “system-ness” (e.g. regionalization, collaboration, etc.).

Community Citizenry – System CNO is ARH’s appointed representative within the communities served.  As such, System CNO shall be visible throughout the system and shall consistently conduct her/himself in a personal and professional manner consistent with ARH’s behavioral standards.

  • “Systems Thinking” – Beyond her/his appointed departments, System CNO will facilitate or otherwise be engaged in many other endeavors across the system on a regular basis. System CNO will always facilitate collaborative working relationships across the system. System CNO continually searches for meaningful ways to improve upon the status quo by streamlining workflows, integrating novel practices, transparently sharing best practices and lessons learned, and sharing of resources and people across the region and system. System CNO, via her/his behaviors, actions, and execution of day-to-day duties, demonstrates daily her/his commitment to optimizing the value of ARH’s “system-ness”.  “Collaboration”, “integration”, “shared planning” – these and others are terms or ideas that System CNO values as demonstrated through her/his behavior and attitude.

Additionally, System CNO is responsible and accountable for the safe, efficient, and effective practice of nursing across the system.   System CNO is responsible for assuring that nursing practices are contemporary, safe, clinically effective, and efficient.  .


As such, System CNO is responsible and accountable for the following, among other things:

All policies, procedures, practices, and standards referenced above and elsewhere in this document are subject to, and likely will, change from time to time.  Adherence to any such change will continue to be the responsibility and accountability of System CNO. 


Likewise, the responsibilities, duties and reporting relationships referenced above and elsewhere in this document may change from time to time.  System CNO shall be responsible and accountable for any such change, and the general principles of this position description shall apply to any such change.



Required Skills, Knowledge, and Abilities
• Ability to inspire and lead others, the humility to listen to and follow others, and the knowledge and discipline to know when to do which;
• Ability to adapt to and manage change in a timely and effective way;
• Ability to manage and mitigate conflict, including situations where System CNO is a party to said conflict;
• Fortitude to challenge established norms (policies, procedures, practices, directives, etc.) in an appropriate and impactful way;
• Humility to accept and embrace regional- or system-level strategies and endeavors which may from time to time be uncomfortable;
• Ability to ask for resources or help when necessary to accomplish established objectives or other expectations;
• Ability to think strategically to find novel solutions to complex problems;
• Energy, focus and aptitude necessary to effectively fulfil the duties of the role;
• Ability to surround a problem with the right people to affect a timely and effective solution;
• Ability to manage difficulty, chaos and crisis in a measured and effective manner, relying on data and counsel where able;
• Competence to transparently share best practices and lessons learned across the region and system;
• Ability to remain abreast of changes in the local market, the profession, and the industry; and
• Possess an action-oriented disposition, relying on data and counsel where possible.


• System CNO will be a graduate of an accredited college or university with a Bachelor degree in Nursing, though a Master degree in Nursing is preferred.

Minimum Work Experience
• Minimum of ten (10) years of experience in nursing supervision and/or nursing administration. Must possess demonstrated leadership skills and ability to motivate and work cooperatively with individuals and groups.
• Must possess an active nursing license.


Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed