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VUMC
Nashville, Tennessee

Associate Chief Nursing Officer, Children's Enterprise

Registered NurseFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1h ago · Verified live

Job Description

Discover Vanderbilt Health: With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system.

Vanderbilt Health has a long tradition of providing world-class care to the people of the Mid-South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research.

Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated.

We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization

MCC Nursing Administration

Job Summary

Vanderbilt Health – Executive Search Team is conducting a national search for an Associate Chief Nursing Officer (ACNO), Children's Enterprise (Monroe Carell Jr. Children's Hospital).

The Associate Chief Nursing Officer (ACNO) reports to the entity Chief Nursing Officer (CNO) in accomplishing strategic priorities for clinical nursing services at the entity level as well as supporting the advancement of clinical programming across the enterprise. Develops and leads clinical nursing practice, operational, and strategic infrastructure through effective and coordinated leadership.

As a member of the entity executive team, the ACNO is responsible for all aspects of clinical practice, clinical operations, and compliance for nursing units and ambulatory nursing clinics. This role requires strong leadership, strategic vision, and a commitment to nursing excellence

Monroe Carell Jr. Children’s Hospital at VUMC is a 378-bed hospital with a 100+ bed level IV (highest level) NICU, as well as a 48-room Emergency Department, 3 surgical locations, 21 operating rooms, and over 400,000 clinic visits annually. Net revenues are approximately $1B.

Located on the Vanderbilt Health campus, Monroe Carell is rapidly growing, along with the Nashville, Tennessee market. Further, the Children’s Enterprise network, within the Vanderbilt Health network, serves a population well beyond the Nashville market through a robust and growing ambulatory network serving Middle Tennessee and expanding..

Key Responsibilities:

Strategic & Operational Leadership

Under the supervision of the Chief Nursing Officer, develops and leads nursing clinical practice in inpatient and ambulatory environments and provides operational oversight of nursing care delivery units.

Integrates nursing strategic plan and organizational strategic plan into strategic alignment for large and complex care delivery systems. Holds primary responsibility for overseeing the health of practice of nursing at Vanderbilt Health affiliate programs and member hospitals ensuring standardization of nursing practice across the enterprise.

Leads activities related to performance improvement and risk management in clinical programs.

Clinical Excellence & Institutional Integration

Ensures high-quality, cost-effective care through competency, evidence-based clinical practice and research.

Leads multidisciplinary clinical teams in the department of nursing and serves as an entity partner to physician and APP partners in the excellence outcomes.

Interfaces appropriately with regulatory agencies and leads clinical environments that ensure compliance with regulatory and policy standards.

Builds effective relationships with Vanderbilt Health affiliate CNO’s to drive excellence in nursing care delivery in Vanderbilt Health affiliate programs and member hospitals.

Professional Development & Expertise

Cultivates a culture of nursing excellence which supports ongoing professional development and leadership growth. Promotes education and professional development for teams in partnership with the Office of Nursing Education and Professional Development.

Builds environments of care which are supportive of workforce durability and health, ensuring workforce stability and robust workforce planning in partnership with various partners.

Executive Collaboration & Key Roles

Collaborates and communicates with health system partners, Vanderbilt Health affiliate programs and Regional Member Hospital Entities.

Collaborates and communications with Advanced Practice and Physician leaders to develop and implement strategic programs.

Accountable for quality and highest standards of care across the entity.

Qualifications

Bachelor’s, Master’s Degrees in Nursing and/or related fields required. Doctorate preferred.

  • Eligible for RN licensure in the state of Tennessee.
  • Nurse Executive Certification (NEA-BC) or Certification in Executive Nurse Practice (CENP) is preferred.

A minimum of 10 years of administrative experience with increasing scope of responsibility in an academic health care setting.

Our Nursing Philosophy

We believe highly skilled and specialized nursing care is essential to Vanderbilt University Medical Center’s mission of quality in patient care, education and research. We believe nursing is an applied art and science focused on helping people, families and communities reach excellent health and well-being.

As a Vanderbilt University Medical Center employee, you make a difference to our patients and their families by bringing compassion and care to those in need of hope and healing. Please see our current employee benefits offered:

  • Affordable High Quality Health Plan Options
  • Dental and /or vision plan
  • 403 (b) retirement plan
  • Paid Time off (flex PTO)
  • Tuition Reimbursement and adoption assistance (maximums applied)
  • Short-Long term disability

Subsidized Backup Childcare

And many more... Ask us about our current inpatient nursing supplemental Pay Program!

Achieve the Remarkable

Learn more about VUMC Nursing here.

Core Accountabilities

  • Organizational Impact: Establishes function strategies with direct impact on the function results.* Problem Solving/ Complexity of work: Directs the resolution of numerous strategic issues that affect own function and the broader organization.* Breadth of Knowledge: Applies in-depth business knowledge across multiple areas of the business. * Team Interaction: Leads a function serving the organization at large.

Core Capabilities

Supporting Colleagues: - Develops Self and Others: Acts upon constructive feedback from all levels of the organization and initiates strategies to develop talent in others. - Builds and Maintains Relationships: Leverages relationships and insight to forecast potential future needs and influence delivery of work to exceed expectations. - Communicates Effectively: Anticipates difference audience concerns, styles and finds mutually beneficial solutions across conflicting and sensitive issues.

Delivering Excellent Services: - Serves Others with Compassion: Demonstrates in-depth knowledge of broad-based issues and considers the interests of others to improve satisfaction of services. - Solves Complex Problems: Critically evaluates complex information and identifies trends/risks to make recommendations to improve processes across areas. - Offers Meaningful Advice and Support: Provides ongoing feedback and development discussions to motivate and support team members to maximize performance.

Ensuring High Quality: - Performs Excellent Work: Anticipates problems or obstacles which may interfere with quality standards and develops plants to ensure area's quality standards are met. - Ensures Continuous Improvement: Routinely draws upon valuable learning from others, past experiences, and new information to determine key opportunities. - Fulfills Safety and Regulatory Requirements: Develops appropriate corrective actions for unsafe environments in order to ensure operational and safety compliance.

Managing Resources Effectively: - Demonstrates Accountability: Identifies potential obstacles to goal achievement and develops solutions to address those obstacles. - Stewards Organizational Resources: Creates the appropriate systems and processes to effectively manage resources. - Makes Data Driven Decisions: Applies in-depth knowledge of data to recommend and implement new approaches to improve decision making capabilities.

Fostering Innovation: - Generates New Ideas: Identifies opportunities and leads development of new initiatives that create value across areas. - Applies Technology: Creates the energy and drive for self/others to identify and leverage technology in new, innovative ways to drive greater efficiencies. - Adapts to Change: Anticipates the change process and clearly communicates impact on others/own team(s), assisting them in embracing the change.

Position Qualifications

Responsibilities:

Certifications

LIC: Registered Nurse - State Required

Work Experience

Relevant Work Experience

Experience Level

10 years

Education

Master's

This role offers the opportunity to make a meaningful impact within Vanderbilt Health, supported by a comprehensive benefits package which may include health, disability, retirement and/or wellness offerings to enhance your well-being and professional growth.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Strategic LeadershipRegulatory ComplianceHealthcare AdministrationTeam LeadershipEvidence-based PracticeClinical ResearchQuality AssuranceStakeholder ManagementStrategic Planning

Nursing Administration — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 36% are remote, 62% have no call, 60% require no weekends.

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Listed paynot listedNursing Leadership median $118k (middle half $99k–$140k)108 comparable listings, Nov 2026
Cost of livingTennessee index 91.9US average = 100BEA Regional Price Parities (2024)
Nursing Leadership listings in Tennessee169 active5,864 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 36% remote · 62% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTennessee Registered Nurse listings: 10% state a sign-on bonus · <1% offer loan repayment169 active listings, Nov 2026
New Nursing Administration listings91 in the last 30 days67 the 30 days before (+36%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Registered Nurse Jobs

42 matches · ranked by pay

Salary Distribution

38 jobs · 32 employers
10
<$100k
11
$100k-120k
10
$120k-140k
7
$140k-160k

Annual compensation range

Benefits & Perks

28 jobs
401k / retirement match
100% this job
Loan repayment
14%
CME allowance
14%
Sign-on bonus
7%
PSLF eligible
4%

Share of similar jobs offering each benefit

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Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

VUMC logo

About VUMC

Hospitals and Health Care
Nashville, Tennessee
10,000+ employees

Benefits & Perks

Health Insurance
Dental
Vision
403(b) Retirement Plan
Paid Time Off
Tuition Reimbursement
Adoption Assistance
Short/Long Term Disability

Living in Nashville

Typical 3-bedroom home value
$409k
Typical market rent
$1,820/mo
Metro price indexU.S. average = 100
96.3
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

BEA 2024 · Nashville-Davidson--Murfreesboro--Franklin, TN metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.