Chief Nursing Officer - Montana
Listed compensation
$86.13-$159.06/hr
The week · per this posting · weekdays assumed
Ask the employer about weekend coverage, nights and shift pattern and time off.
Job Description
Calling all Esteemed Leaders! Are you a transformational nursing executive who excels at leading across complex healthcare environments, advancing clinical excellence, and building strong partnerships with physicians, caregivers, and operational leaders?
Do you thrive in highly matrixed organizations where strategic vision, operational execution, and exceptional patient care must be balanced across multiple facilities and communities? This leadership opportunity invites your expertise.
The Role
The Service Area (SA) Chief Nursing Officer (CNO) provides leadership to a variety of nursing, ancillary and support departments and is responsible for nursing operations at both St. Patrick Hospital in Missoula and St. Joseph Hospital in Polson.
The SA-CNO works with operational/clinical leaders and medical staff to assure efficient and effective operations, implementation of the strategic plan, recruitment/retention of staff as well as being a key driver of quality and patient satisfaction initiatives.
Works closely with the Chief Operating Officer in operational activities, including strategic plan development and growth initiatives. The SA-CNO is an integral member of the Executive Team, as well as a participant in Market and System initiatives.
Performs all duties in a manner that promotes teamwork and collaboration.
The SA-CNO will operate in a highly matrixed environment with accountability to the SA-CE, Ministry-CE (if applicable) and the Division CNO.
The SA-CNO is accountable for the provision and quality of all nursing services in support of Service Area, Market, and System goals.
This includes strategically ensuring a balance of optimal and efficient patient care; staff, patient, and physician satisfaction; and cooperative partnerships with other organizational departments and professional groups.
With a constant focus on patient-centeredness and staff and patient safety, the SA-CNO creates and maintains standards and systems for care delivery at their facility.
These systems of care delivery promote evidence-based practice and are designed to support the management of productivity targets, patient acuity, and available resources.
Through leading in patient care delivery and planning strategically, consistently supports efficient and effective patient care services, and achieving organizational and system goals. This includes advancing the strategic vision and goals of Nursing. Constructively manages change and promotes a team-based approach.
In addition, the SA-CNO is accountable for the coordination and implementation of strategic goals and initiatives in all facilities in the defined service area.
This will be achieved through partnership with the Division CNO and division teams to ensure consistent practices and implementation of key initiatives is achieved in all facilities in the Service Area.
The SA-CNO will act as a mentor to all CNOs in their service area and ensure each CNO has the knowledge and skills to implement clinical strategic plans.
The Mission, Vision and Core Values of the Sisters of Providence are demonstrated and promoted daily by this individual. Open discussion and problem solving, frequent regular communications and a respectful and caring approach to staff, patients, families and medical staff are required.
What You'll Do
- The SA-CNO is accountable to achieve the following in their ministry and to act as a resource to the CNOs in their service area to ensure goals are met throughout the service area in partnership with Division leadership.
- Sits on ministry and service area leadership decision making councils and committees to ensure the voice of the clinician is represented in critical decision making and strategic planning.
- Sits on the SA-CNO council to guide and contribute the clinical decision making via the division CNO.
- Provides direction for the development of short and long-term strategic initiatives to assure achievement of the ministry, service areas, division and system initiatives and goals. This includes providing strategic direction and assures implementation of ministry, service areas, divisional and system nursing initiatives.
- Effectively coordinates the integration efforts of divisional and site based programs to maximize existing resources and expands services to meet community needs. Works closely with Program Leaders and site Administrators during planning and implementation phases of clinical or business changes for all services.
- Provides for the development and effective operation of all inpatient care units, and other facility departments as assigned.
- Works collaboratively with the Chief Executive, COO, CMO and departmental directors to assure quality and patient safety and satisfaction goals are achieved.
- Supports physician partners by knowing and understanding the medical staff issues and works with the physician in order to provide appropriate operational environment necessary for optimum physician practice.
Participates on Medical Staff Committees and recruitment of key physicians.
- Participates actively in strategic planning and budgetary formation in conjunction with the COO, finance director and site managers to ensure strong and focused operational and financial management of the acute care business.
- Keeps patients/the people we serve at the center of what we do and assures the needs/voice of the patient/customer are heard. Displays consistent commitment to customer service.
- Works to assure the effective and efficient delivery of services and works collaboratively to develop coordinated systems of care which fulfill our vision of a connected experience of care across the continuum.
- Reduces variation and error through implementation of evidence based practice models.
- Lead efforts to support the effective and comprehensive implementation of the Quality Strategic Plan, including responsibility for health care outcomes.
- Ensures the development of policies and programs that are economically feasible and conducive to the development of ministry.
- Responsible for coordination or support of regulatory agency compliance readiness and audit checks in programs and service lines.
- Participates in coordination of business development and service line priorities by working closely with Finance, Human Resources, Nursing Administration, Medical Staff Leaders, department directors and Service Area and Market leaders on planning, financial and resource management.
- Serves as administrative sponsor or provides leadership to various site councils, committees and task force based at hospital. Is an administrative representative at various councils in the Service Area, Market and System level.
- Enhances professional growth and development through literature reviews, conferences, etc., as they pertain to acute care operations in a matrix environment. Maintains professional affiliations.
- Coordinates service excellence initiatives by reviewing appropriate surveys, helps establish quality improvement goals and insures issue resolutions on all customer driven feedback. Looks for opportunities to advance the seamless concepts for patients and families as it applies to service lines.
- Works closely with the information system teams to ensure appropriate technological support is in place as planned. Plans for and supports the implementation of technology to support clinical practice.
- Exhibits achievement and learning orientation to work and organizational life by maintaining a broad outlook, demonstrating personal responsibility for keeping up with current information, expanding knowledge and skill, and ensuring contribution to organizational success.
- Attends and supports leadership meetings and assists in the education of core leaders and other appropriate groups as may be indicated by organizational needs.
- Provides mentoring/coaching for core leaders as well as professional development opportunities.
- Creates a work environment that attracts and retains skilled staff and physicians.
- Completes annual mandatory education review and competency program.
- Building a Successful Team: Uses appropriate methods and a flexible interpersonal style to help build a cohesive team; facilitates the completion of team goals.
- Building Partnerships: Identifies opportunities and takes action to build strategic relationships between one’s area and other areas, teams, departments, units, or organizations to help achieve business goals.
- Business Acumen: Uses economic, financial, market, and industry data to understand and improve business results; uses one’s understanding of major business functions, industry trends, and own organization’s position to contribute to effective business strategies and tactics.
- Coaching: Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
- Communication: Clearly conveys information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the message.
- Driving for Results: Sets high goals for personal and group accomplishment; uses measurement methods to monitor progress toward goals; tenaciously works to meet or exceed goals while deriving satisfaction from that achievement and continuous improvement.
- Delegating Responsibility: Allocates decision-making authority and/or task responsibility to appropriate others to maximize the organization’s and individuals’ effectiveness.
- Facilitating Change: Encourages others to seek opportunities for different and innovative approaches to addressing problems and opportunities; facilitates the implementation and acceptance of change within the workplace.
- Gaining Commitment: Using appropriate interpersonal styles and techniques to gain acceptance of ideas or plans; modifying one’s own behavior to accommodate tasks, situations, and individuals involved.
- Leadership Disposition: Demonstrates the traits
Key Responsibilities
The Chief Nursing Officer provides leadership for nursing and ancillary operations across multiple facilities, driving clinical excellence and strategic initiatives. They collaborate with executive teams to ensure high-quality patient care, staff engagement, and financial performance within a matrixed environment.
Requirements
Candidates must possess a Bachelor's degree in Nursing and a Master's degree in Nursing, Healthcare Administration, or Business. A minimum of 10 years of progressive clinical leadership experience in a complex healthcare delivery organization is required.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 10+ years of experience
Key Skills
Nursing Leadership — Registered Nurse Career Context
Of the 50 active Registered Nurse listings this role was benchmarked against, 28% are remote, 60% have no call, 62% require no weekends — this position is remote.
Registered Nurse pay on WeekdayDoc is up 6.4% vs. the prior quarter (through Sep 2026).
The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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