System Chief Nursing Executive (CNE / CNO)

UNC Health
Chapel Hill, North Carolina
Apr 02, 2024
Apr 04, 2024
Position Type
Full Time
Practice Setting
Hospital / Medical Center
Work Mode
Employment Type
Organization Type
Academic, Hospital / Health System
Job Description


Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.


The System Chief Nursing Executive is responsible for planning, organizing, and leading nursing through matrixed relationships, across the healthcare system. This position has responsibility, authority, and accountability for nursing practice, nursing education, and nursing research activities. Provides consultation services to other departments and entities within the health system. The System Chief Nursing Executive will be a recognized thought leader within UNC Health in areas including but not limited to:
  • Nursing practice
  • Hospital quality improvement
  • Workforce development
  • Magnet certification and re-certification
  • Nursing education and research
The System CNE will be a knowledgeable and engaged leader to entity CNOs across the organization, as well as be an effective subject matter expert on nursing issues when working with C-suite leadership at hospital and physician entities as well as at the system level.

The System CNE will manage Nursing Operations, Inpatient Experience, and (hospital at home), through a matrixed relationship structure.

The System CNE will report to the System COO and will also have an appointment with the UNC School of Nursing as Associate Dean for Nursing Practice.


  • Direct clinical and administrative operations; oversee development and implementation of plans, operations, and programs across nursing. Develops and implements objectives, policies and procedures.
  • Provide oversight and direction in establishing and maintaining a system for developing, reviewing, approving, disseminating, and assuring the quality of standards of clinical practice.
  • Assure effective communication and coordination of initiatives among various councils and committees with the health care system, the nursing infrastructure and other hospital medical staff committee councils, and work groups.
  • Provide oversight and direction to the clinical service units in developing specialty practice councils within the organization and establish departmental direction consistent with hospital and health system strategic plan and objectives.
  • Prepares clinical annual report, plans for and ensures competent care for patient and families and develop/monitor programs to facilitate meeting goals of department, hospital, and health system.
  • Assist in leading system wide strategic planning process, business development in collaboration with the senior leadership team. Participates in the effective utilization of balanced scorecards to connect entity level activity to the system strategic plan.
  • Directs the deployment of resources to effectively manage strategic relationships with key physicians. Activity includes Collaboration with the Physicians Relations Liaison and staff in the development of operational plans to support physician engagement strategies.
  • Foster positive relationships with key members of medical staff, hospitals, employed physicians, employees to solicit input and collaborate with them on strategy development and implementation of clinical programs, business and service line programs, procedures, and plans.
  • Incorporate market leading trends in all levels of the strategic planning process. Track and maintain an awareness of market trends in the healthcare, research, regulatory environment to identify threats and opportunities in the competitive landscape. Work closely with Senior Executive team and consultants for the Certificate of Need process and incorporate regulatory issues into strategic plan. Remain current on CON issues that affect the organization and assists in reporting to leadership on competitive activity.
  • Leading People:
    • Leads people toward meeting the organization's vision, mission, and goals.
    • Provides an inclusive workplace that fosters the development of others, facilitates cooperation and teamwork, and supports constructive resolution of conflicts.
    • Encourages workforce engagement by building a commitment to excellence and by promoting the organization's vision internally and externally.
    • Delegates responsibilities clarify expectations and hold others accountable for achieving results related to their area of responsibility.
    • Leads in a deliberate and predictable way and operates with transparency. Treats sensitive or confidential information appropriately.
    • Develops the ability of others to perform and contribute to the organization by providing ongoing feedback and opportunities to learn through formal and informal methods.
    • Manages and resolves conflicts and disagreements in a constructive manner.
    Leading Change:
    • Acts as a catalyst for organizational change. Influences others to translate vision into action.
    • Brings about strategic change, both within and outside the organization, to meet organizational goals.
    • Establishes an organizational vision and implements it in a continuously changing environment.
    • Is open to change and new information and rapidly adapts to new information, changing conditions, or unexpected obstacles. Deals effectively with pressure and remains optimistic and persistent, even under adversity. Recovers quickly from setbacks.
    • Formulates objectives and priorities and implements plans consistent with the organization's long-term interests.
    • Capitalizes on opportunities and manages risks. Takes a long-term view and builds a shared vision with others.
    Results Driven:
    • Exceeds organizational goals and customer expectations. Makes decisions that produce high-quality results by applying technical knowledge, analyzing problems, and calculating risks. •
    • Holds self and others accountable for measurable, high-quality, timely, and cost-effective results.
    • Delivers high-quality services and is committed to continuous improvement. Fosters a culture of safe and compassionate patient care.
    • Makes well-informed, timely decisions, even when data are limited or solutions produce unfavorable results.
    • Positions the organization for success by identifying new opportunities and builds the organization by developing and improving services.
    • Leads the budgeting process. Uses cost-benefit thinking to set priorities, monitors expenditures in support of programs and policies, and identifies cost-effective approaches.
    Qualifications Education Requirements:
    • Master s degree required.
    Licensure/Certification Requirements:
    • Licensed to practice as a Registered Nurse in the state of North Carolina or ability to obtain.
    Professional Experience Requirements:
    • Requires a minimum of twelve (12) years of nursing leadership experience within a complex academic health system, with at least ten (10) years of management experience. Including a minimum of 3 years of experience as a CNO at one or more medium to large hospitals.
    • History of engagement with AONE and other national professional organizations is preferred. History of research/publication in nursing practice and related fields preferred.
    Knowledge/Skills/and Abilities Requirements:
    The CNE should have demonstrated experience/expertise across the care continuum (inpatient, procedural, outpatient, post-acute) and should be able to apply that expertise to proactively explore, develop, and champion new models of care that will enhance patient safety and experience, staff recruitment and retention, and operational/financial efficiency. Ability to articulate a clear vision for nursing excellence, fostering innovation, and driving strategic initiatives. Leading and building high-performing teams, fostering collaboration with diverse stakeholders across departments. Staying current with healthcare regulations and ensuring compliance within the nursing department. Championing patient safety initiatives and implementing quality improvement programs. Building trust and open communication with nurses, physicians, executives, and board members. Understanding and appreciating diverse patient populations and fostering a culturally sensitive work environment.

    Job Details Legal Employer: NCHEALTH

    Entity: Shared Services

    Organization Unit: UNC HCS Administration

    Work Type: Full Time

    Standard Hours Per Week: 40.00

    Work Assignment Type: Onsite

    Work Schedule: Day Job

    Location of Job: US:NC:Chapel Hill

    Exempt From Overtime: Exempt: Yes

    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

    Our Mission

    Our mission is to improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education, and research.

    Who We Are

    UNC Health is a not-for-profit integrated healthcare system owned by the state of North Carolina and based in Chapel Hill. With 15 hospitals across the state, UNC Health is committed to empowering health, not just health care . click apply for full job details