Senior Director/Associate Chief Nursing Officer, Perioperative Services – Boston, MA

Salary: $190,000.00 - $210,000.00


We are looking for an Associate Chief Nurse/Sr. Director of Perioperative Services to lead New England’s first Integrative Procedural Platform (IPP) composed of total procedural and surgical care for our patients. This includes oversight and operational responsibility of Endoscopy, Outpatient Operating Rooms and PACU, Inpatient Operating Rooms and PACU, Cath Lab, Interventional Radiology, Endovascular, and the Central Processing (Sterile Processing) Department. This role reports directly to the Chief Nursing Officer, Sr. VP and directly manages of a team of Nursing Leaders and a Central Processing Director.

The Associate Chief Nurse/Sr. Director of Perioperative Services is an essential member of the both the IPP Leadership team and the Nursing Leadership team. As a member of leadership at the busiest Level 1 trauma center in all of New England this role partners closely with physicians, anesthesiologists, nursing leadership, nurses, techs, and various support teams to strive for clinical

The Associate Chief Nursing Officer(s) (ACNO) shares in the accountability for developing and implementing programs for the Nursing Organization directed toward achievement of the mission, goals and objectives of our medical center. The ACNO collaborates with the Sr. Vice President of Nursing/CNO, senior members of management, physician chiefs, and the clinical/management nursing staff to achieve program goals and objectives. The ACNO assumes 24-hour responsibility and accountability for the delivery of professional nursing care and the allocation of resources for the assigned area of responsibility. The ACNO is responsible for clinical outcomes, productivity/outcomes measure, and adherence to nursing practice standards. This role requires expert broad based clinical and management knowledge and practice. This individual reports to the Chief Nursing Officer and collaborates on strategic planning, developing goals and objectives and priority setting for the nursing department. The ACNO will cultivate and sustain a culture that embraces and exemplifies nursing professional practice and leadership excellence. The ACNO is responsible and accountable for the management of specific clinical areas and may assume responsibility in the absence of the Sr. Vice President of Nursing/CNO.

Job Description

Patient Care Organization: Develops, Maintains and Evaluates Operational Structures and Processes to Support Nursing Practice and Promote Desired Patient Centered Outcomes

  • Collaborates in the development, implementation and monitoring of the philosophy, annual goals, objectives and programs of the Nursing department.
  • Develops and implements a nursing management structure with the Sr. Vice President of Nursing/CNO which is designed to support effective efficient patient care.
  • Promotes and supports collaborative practice and policy and program development within divisions our medical center.
  • Assumes responsibility as on-call Nursing Administrator, as scheduled.


Quality of Care: Promotes Quality Initiatives and Compliance with Standards and Regulations Set Forth

  • Collaborates with the Sr. Vice President of Nursing in the development of standards for professional practice, patient care, and innovative programs designed to facilitate high quality patient care outcomes and a culture of safety.
  • Fosters the development of a work environment conducive to the delivery of superior nursing care and appropriate staff retention and recruitment.
  • Is responsible for the performance of divisional staff for adherence to established   departmental standards of care, standards of practice, policies, procedures and protocols.
  • Develops and implements strategies for ensuring compliance with patient care standards, laws, regulations, collective bargaining agreements, and the standards and requirements of the various professional organizations and regulatory agencies.
  • Gathers, interprets, and disseminates information on hospital-wide policies, new programs and other pertinent information to managers and staff.
  • Provides leadership for and participates in the development of continuous multidisciplinary quality improvement for assigned areas, in collaboration with members of the interdisciplinary team.
  • Seeks to exceed established standards of care and patient satisfaction targets.

Coordination and Collaborative Practice

  • Participates in developing and implementing mechanisms for collaboration between staff members, physicians, and other clinical and administrative staff, in collaboration with the Sr. Vice President of Nursing to plan, implement and achieve process and outcome improvements..
  • Ensures nursing school clinical faculty and students have positive clinical experiences.
  • Collaborates with other agencies and groups within the community to enhance patient care services.
  • Provides leadership to hospital-wide and nursing organization committees through committee participation or direct leadership responsibility.  Encourages staff participation in hospital wide task forces and committees.
  • Assumes a leadership role in a changing healthcare environment and participates in the change process at various levels in the organization.
  • Provides direction, motivation, leadership, problem-solving, and mentoring to managers and other administrative nursing staff.
  • Provides leadership and support to managers in developing and maintaining relationships with the medical staff, nursing staff, administration, and other hospital support services.
  • Provides direction and collaborates with others to enhance a healthy work environment.

Budget: Fosters a Stewardship of Resources to Achieve Fiscal Outcomes

  • Allocates and monitors resources within a division.
  • Provides leadership to divisional nurse managers in the development and management of capital and operational budgets.  Responsible for effective budget development and management across the division.
  • Analyzes available management data to identify opportunities to improve performance i.e. utilization of resources (supplies, overtime); best practice analysis through bench-marking data.
  • Reviews and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state nurse practice act, the professional standards of practice, and bench-marking data.

Personnel Management: Fosters Personal and Professional Development of Staff and Others

  • Demonstrates expert knowledge of labor management practices and relations; participates in the negotiation and administration of union contracts.
  • Provides leadership to assigned divisional nurse managers in the selection, evaluation, promotion, resolution of employee relations/disciplinary concerns, and the termination of employees.
  • Provides and/or coordinates the development of all assigned leadership staff and in collaboration with nurse managers, assures that the developmental needs of patient care staff are met.
  • Respects, appreciates and supports the diversity of ideas, thoughts and competencies among staff, peers, colleagues and customers.
  • Supports employment and drives leadership practices that ensure a culturally diverse workforce.

Education: Professional Growth and Development

  • Evaluates and identifies the educational needs of personnel within division and assures development and implementation of programs that meet these identified needs and offers opportunities to divisional staff.
  • Inspires others to pursue professional certification
  • Identifies areas for own professional growth and assures responsibility for participating in experiences necessary to meet development needs.
  • Participates in appropriate organizations and represents the medical center at appropriate external meetings or organizations.


  • Contributes to improving management information for the Nursing Department using available hospital resources and capabilities.  This information is utilized in forecasting, determining development, facilities, equipment, and relationships with other clinical areas and hospital support services.  Responsible for the interpreting data to develop nursing strategic planning, including but not limited to workforce, facilities/clinical services, operations improvements.
  • Demonstrates high level of political and organizational awareness and the ability to reach a common understanding with other departments and services without compromising the needs of patient and families.
  • Actively uses best practices, research and technology to build organizational capacity and growth.

Work requires a Master’s Degree in Nursing. May consider candidates with a Bachelor’s Degree in Nursing and a Master’s degree in a related field. (May consider candidates matriculated but not yet completed a Master’s program provided they have the equivalent Nursing progressive leadership & clinical experience).

Current registration in nursing in the Commonwealth of Massachusetts. Licensure in good standing. Professional certification strongly preferred.

Minimum of 5 years’ experience in progressive nursing leadership required. Operating Room experience is required. Experience in a collective bargaining environment preferred.

Work requires a broad theoretical knowledge and work experiences that include:

  • models of professional practice,
  • contemporary trends and standards of nursing care,
  • management of personnel and fiscal resources in a patient care setting,
  • management of complex employee relationships,
  • program development, implementation and evaluation,
  • long range program planning that involves complex decision-making tasks,
  • quality improvement/risk management, and,
  • demonstrated leadership, success, and adaptability.

Expert interpersonal and written and oral communication skills.

Must have demonstrated ability in management of diverse activities associated with or pertaining to assigned areas.

Must be able to effectively manage multiple demands related to patient care, changing organizational climate and personnel issues.