Chief Nursing & Operations Officer

 At Signature Health, our purpose is to provide integrated healthcare for our community specializing in patients with mental illness and/or addiction because we want people to realize their highest potential. If you align with our core values, putting people first, striving for excellence in the work you do each day and have a can do mindset, then Signature Health is the best place for the next step in your rewarding career. As a full-time employee, you will have access to the following employer/employee paid benefits:

• Medical, Dental, Vision, 401k match, HealthJoy - a no cost medical and mental health online resource available Day 1, and much more
• Robust earned paid time off program (PTO)
• Federal Loan Forgiveness Program (available on eligible roles)
• Professional Development Support

SCOPE OF ROLE

The Chief Nursing and Operations Officer (CNOO) is the enterprise executive accountable for shaping and driving the execution of Signature Health’s vision. This leader empowers teams by designing, implementing, and standardizing nursing and medical practice operations systems that ensure reliable performance and excellence across the organization’s continuum of care. The CNOO owns system-wide standards for professional nursing practice, leads clinical access and operational reliability in partnership with Medical Leadership, and directs the safety and readiness systems that protect patients and staff. The CNOO ensures that Signature Health’s strategy is realized and that the systems and leadership structures needed to fulfill the mission, vision, and values are developed and sustained.

HOW YOU’LL SUCCEED

Nursing Leadership:

• Professional Nursing Practice: Establishes and maintains system-wide standards for nursing care, including competencies, policies, and delegated-care frameworks that support safe, efficient, high quality, team-based care.
• Financial and Resource Management: Is responsible and accountable for nursing and practice operations resource planning and budget performance, identifying efficiency opportunities and ensuring investments align with clinical and organizational priorities.
• Scope, Compliance, and Billing Integrity: Ensures scope-of-practice compliance and billing integrity for nursing and related roles in partnership with Compliance, Quality, and Revenue Cycle.

Operations Leadership:

• Strategic Planning and Leadership: Is responsible and accountable for the enterprise vision, priorities, and operating strategy for nursing and practice operations in alignment with organizational goals.
• Operations Management: Designs, implements, and continuously improves the nursing and practice operations systems that drive exceptional access, efficiency, and site-level performance.
• Quality and Safety Assurance: Directs nursing quality and safety readiness, including workplace violence prevention and critical incident response.
• Workforce Strategy and Development: Leads nursing and clinical support workforce strategy in consultation with HR, including staffing models, recruitment priorities, retention approaches, and professional development to ensure stable, high-performing teams.
• Leadership Team, and Trust Development: Drives the development of high-performing teams by creating an environment of trust that encourages honest dialogue, aligns nursing, patient services, and medical leadership across sites, and strengthens interdisciplinary collaboration and accountability from frontline leaders through senior leadership.
• Payment Innovation: In collaboration with clinical leadership, champions the transition to alternative payment models, aligning clinical and operational strategies to improve outcomes, value, and organizational performance.

Patient Services Leadership:

• Patient Access: Provides executive oversight of patient access and flow performance, partnering with Medical Leadership and other departments to align capacity, demand, and front-end workflows to achieve optimal productivity and clinical quality.

Safety Services Leadership:

• Quality and Safety Assurance: Directs nursing quality and safety readiness, including workplace violence prevention and critical incident response.

Laboratory Leadership:

• Laboratory: Provides executive oversight of laboratory services (point-of-care, internal, and external testing), ensuring compliance with administrative, legal, and accrediting standards and reliable clinical integration.

KNOWLEDGE & EXPERIENCE Current Ohio RN license; AHA Basic Life Support (BLS)

• Bachelor’s degree in nursing - Required; Master’s or Doctorate degree in healthcare field or business administration - Preferred.
• Five years' experience as a practicing RN - Required; Ten years - Preferred. 
• Five years APRN experience - Preferred.
• Minimum five years of progressively responsible, relevant senior or executive leadership-level experience - Strongly preferred.
• Proven ability to utilize healthcare informatics and data analysis to support evidence-based decision-making and strategic initiatives.
• Experience in a Federally Qualified Health Center or Community Mental Health Center preferred.

WORKING CONDITIONS

• Work is normally performed in a typical interior/office/clinical work environment.
• While hours of operation are generally standard, flexibility to work evenings, weekends and extended hours may be required as needed by the organization.
• Requires periods of sitting, standing, telephone, and computer work.  
• Hearing: adequate to hear staff, clients or patients in person, over the telephone or through virtual technology.
• Speaking: adequate to speak to staff, clients or patients in person, over the telephone or through telehealth technology.
• Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.
• Physical effort required: occasional lifting and carrying items weighing up to 15 pounds, unassisted.
• Possible exposure to blood borne pathogens while performing job duties.
• Frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular workday.
• Sufficient dexterity to operate a PC and other office equipment.

This Success Profile is not an exhaustive list of all functions or requirements that you may be required to perform; you may be required to perform other job-related assignments as requested by your supervisor or the company. You must be able to perform the essential functions of the position satisfactorily; however, if requested, reasonable accommodations may be made to enable you to perform the essential functions of this job, absent undue hardship. Signature Health may revise this Success Profile at any time, with or without advanced notice. 

All employees of Signature Health are required to comply with the Signature Health Annual Influenza Vaccination Policy. This policy requires employees to obtain an annual flu vaccination. A medical and/or religious exemption may be submitted for review by the Signature Health Review Committee. Exemption requests are not guaranteed to be approved. Signature Health is a drug-free workplace. After receiving a conditional job offer, all applicants must successfully pass a pre-employment drug screen.

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