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Job description
Job DetailsLevel: ManagementJob Location: Central - Waco, TX 76707Position Type: Full TimeEducation Level: Graduate DegreeJob Shift: DayJob Category: Management
PRIMARY DUTIES
The Chief Nursing Officer (CNO) is Waco Family Medicine's senior nursing executive and a member of the Clinical Leadership Team. The CNO leads nursing practice, clinical support operations, workforce strategy, patient safety, and evidence-based standards across all sites, with oversight of nursing leaders and designated clinical support roles. In partnership with the Chief Medical Officer and Senior Director of Clinical Operations, the CNO shares accountability for access, quality, staffing, productivity, and patient experience and collaborates with clinical, operational, quality, population health, SDoH, HR, Finance, IT, and site leaders.
Lead nursing and designated clinical support services across all sites, setting goals, policies, scopes of practice, protocols, and standardized evidence-based workflows
Ensure safe, high-quality care through competency validation, clinical supervision, performance monitoring, and continuous improvement
Oversee infection prevention, medication and vaccine safety, emergency preparedness, incident response, test-result follow-up, care transitions, and other high-risk workflows
Use clinical, operational, workforce, patient-experience, and equity data to identify variation, drive corrective action, and sustain improvement
Maintain regulatory and survey readiness, including applicable HRSA, FTCA, Texas Board of Nursing, Texas DSHS, OSHA, CMS, payer, CLIA, PCMH/accreditation, and organizational requirements
Supervise nursing leaders and ensure effective recruiting, onboarding, performance management, retention, staffing, and succession planning
Partner with clinical and operational leaders to improve care quality, efficiency, team-based care, staffing, and organizational performanceAchieve annual targets for UDS, HEDIS, value-based care, safety, access, patient experience, utilization, care gaps, and health equity
Manage staffing models, position control, labor productivity, vacancies, turnover, contingency coverage, and leadership development
Lead nursing and interprofessional education, workflow training, competency programs, career pathways, preceptorship, mentorship, and professional development
Lead nursing quality and safety governance, measures, improvement methods, and corrective-action follow-through
Promote a just culture of safety and ensure timely reporting, investigation, learning, disclosure, and follow-up for concerns and adverse events
Prepare and manage the nursing budget, labor and overtime, productivity and variances, equipment and capital needs, vendors, and business cases
Foster a mission-focused culture of quality, transparency, inclusion, and joy in practice
Report regularly to executive leadership and, as requested, the governing board on quality, safety, workforce, access, productivity, regulatory readiness, and clinical risk
OTHER DUTIES
Provide occasional patient care or clinical coverage when needed and within current licensure, privileges, and competency; this is not the position's primary function
Perform other duties as assigned
PHYSICAL AND MENTAL REQUIREMENTS
Frequent sitting, computer and telephone use, and verbal communication
Occasional reaching, walking, squatting, bending, kneeling, twisting and climbing
Occasional carrying, lifting, pushing and pulling of up to 25 lbs.
Ability to conduct regular travel among WFM sites; valid driver’s license and insurability when driving is required
Physical accommodations will be implemented where necessary and feasible
QualificationsREPORTS TO: Chief Clinical Officer
EDUCATION & EXPERIENCE
Bachelor of Science in Nursing from an accredited school of nursing
Current, unrestricted Texas RN license in good standing, or eligibility to obtain one by the start date
Current BLS certification; ACLS certification required only when necessary for assigned clinical duties
Seven years of progressive nursing leadership, including three years in multi-site ambulatory, primary care, or community health operationsDemonstrated leadership in quality improvement, patient safety, clinical risk, and performance improvement
Preferred:Master's degree in nursing, healthcare administration, public health, business, or a related field
CENP or NEA-BC certification
Experience with FQHCs, HRSA, FTCA, PCMH, UDS, HEDIS, and value-based care
SKILLS
Excellent communication, relationship-building, and conflict-resolution skills
Ability to prioritize, solve problems, delegate, and lead projects to completion
Strong team leadership, personnel management, and change-management skills
Proficiency with office software, EHRs (e.g., Epic), clinical analytics, dashboards, and technology-enabled workflows
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Worksite address
waco, TX, 76796, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.