Associate Chief Nursing Officer- Physician Organization

Houston Methodist Specialty Physician Group · Houston, TX Full Time
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Job Description

At Houston Methodist, the Assc Chief Of Nursing, Sr Director position is responsible for working under the direction of the Chief Nursing Officer (CNO) to create an environment in which nurses are able to perform their jobs effectively to create excellent patient outcomes and a professional nursing culture. As a member of the administration team, this position has direct operational responsibility for various departments and service, and is responsible for planning as defined by the strategic direction established by CNO and senior leadership which includes the development of policies and procedures related to practice operations, staffing models, patient safety and quality, training and customer service. The ACNO position works closely with the directors of patient care services and partners with medical staff leadership to coordinate and integrate services aligned with the strategic plan, mission and vision of Houston Methodist. This position is responsible for ensuring that patient services are in compliance with nursing care standards, evidence-based practice, as well as state and federal regulations. The ACNO position has responsibility and authority for enhancing and integrating systems, programs, support, and human resources, such as nurse recruitment and retention, across operational areas of responsibility with a particular focus on excellent patient care, staff engagement, patient satisfaction, financial performance, and integration of service delivery across the network. This position must be able to leverage technology to achieve system goals and to ensure linkages between the ancillary and acute care settings. In the absence of the CNO, the ACNO assumes responsibility for the entire scope of the CNO's responsibilities. The position responsibilities include overseeing the activities of the department staff, ensuring quality, productivity, functional excellence and efficiency to accomplish strategic and operational objectives. In addition, this position is accountable for employee engagement, adequate staffing levels, budget development and compliance, staffing decisions such as hiring and terminating employment, coaching and counseling employees on work related performance, and developing and implementing policies and procedures to ensure a safe and effective work environment. This position also ensures training, monitoring and operations initiatives are implemented which secure compliance with ethical and legal business practices and accreditation/regulatory/government regulations. FLSA STATUS Exempt QUALIFICATIONS EDUCATION Bachelor’s and Master’s degree, one of which must be in Nursing EXPERIENCE Five years of progressively responsible leadership roles within an acute care, public and/or academic healthcare system that demonstrates a high level of understanding of the required knowledge, skills and abilities Experience must include demonstrated leadership ability, preferably working in a related nursing management position in a healthcare setting. LEAN/Six Sigma training preferred LICENSES AND CERTIFICATIONS Required RN - Registered Nurse - Texas State Licensure - Texas Board of

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $10.97/hr ($22,818/yr). The typical range is $10.60 – $13.28/hr (25th–75th percentile).

Entry Level (10th) $20,613/yr
Houston Median $22,818/yr
Experienced (90th) $30,597/yr
vs. National Median -34.6%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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