Assistant Chief Nursing Officer (ACNO) - Laredo, TX

Registered NurseFull-Time

Compensation

Pay not disclosed

Listing transparency0 of 6 stated

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

Employment & setting
Full-Time · on_site
Call expectations
Not specified
Weekends
Not specified
Posted 1mo ago

Job Description

Laredo Medical Center is Laredo's largest hospital — a 326-bed licensed acute
care facility offering a range of inpatient and outpatient services. Laredo
Medical Center's quality of care has been recognized by respected agencies and
national accrediting bodies. LMC is an accredited hospital by the Joint
Commission. LMC also earned advanced certification as a Primary Stroke Center by
the Joint Commission, and it received the designation as a Level III Neonatal
Intensive Care service provider from the Texas Department of State Health
Services. Additionally, LMC has just been conferred the designation of Chest
Pain Accredited v6 with Primary PCI Accreditation from the American College of
Cardiology. LMC is also accredited as an MBSAQIP for its bariatric program, the
first hospital in Laredo to achieve the Center for Excellence designation for
this program. The hospital also is home to the largest emergency center in the
community with an Advanced Level III Trauma Designation. LMC grew its footprint
in the region by constructing its first stand-alone emergency room, Laredo
Medical Center - North Central ER, in early 2020 at 9811 McPherson Road.

Additionally, LMC is the only hospital in the community with a dedicated unit
for bone and joint services, including robotic-assisted surgery for total knee,
partial knee and total hip replacements. The LMC primary care residency programs
for family medicine and internal medicine are making an impact on the care
patients receive in the community. Now with a second cohort of residents, this
is the city's first nationally accredited graduate medical education programs to
train future generations of physicians.

We believe in the power of people to create great care. We're 1,200 healthcare
professionals strong, and work hard every day to be a place of healing, caring
and connection for patients and families in the community we call home.

Job Summary

The Assistant Chief Nursing Officer (Assistant CNO) supports the Chief Nursing
Officer (CNO) in the overall leadership, coordination, and management of nursing
operations across the facility. This role assists in developing and executing
strategies that promote high-quality, safe, and efficient patient care while
ensuring compliance with regulatory and accreditation standards. The Assistant
CNO helps lead nursing staff engagement, professional development, and
operational performance initiatives that support the hospital's mission, vision,
and values. This position also serves as part of a nursing leadership
development pathway, preparing incumbents for future advancement to a Chief
Nursing Officer role within the network.

Essential Functions

* Assists the CNO in providing strategic and operational leadership to nursing
services, ensuring quality patient outcomes, safety, and satisfaction.
* Supports the development, implementation, and evaluation of nursing
standards, policies, and procedures to align with evidence-based practice and
regulatory requirements.
* Collaborates with interdisciplinary leadership to align nursing goals with
hospital objectives and organizational strategy.
* Supports preparation for accreditation surveys and ensures compliance with
The Joint Commission, CMS, and other regulatory requirements.
* Creates and supports initiatives that foster a positive work environment and
encourage recruitment and retention of high-performing nursing professionals.
* Represents nursing services in committees, community events, medical staff
meetings, and board of director meetings as requested.
* Maintains visibility in clinical areas to monitor quality of care, support
staff, and engage with patients and families.
* Develops leadership, operational, and clinical acumen necessary to advance to
a Chief Nursing Officer position within the network.
* Performs other duties as assigned.
* Maintains regular and reliable attendance.
* Complies with all policies and standards.

Leadership Responsibilities

* Supervision and Staff Management
* Provides leadership, mentorship and professional development opportunities
for departmental staff.
* Schedules employees to ensure effective use of resources. Consults with
leadership on any potential staffing issues.
* Conducts performance evaluations, sets goals and provides feedback to staff
on their performance and development.
* Strategic Planning and Financial Oversight
* Collaborates with hospital leadership to set the strategic direction for
the department, including budgeting, resource allocation and long-term
planning.
* Monitors expenditures, ensuring cost-effective delivery of services.
* Evaluates and implements new technologies to enhance operational
efficiency.
* Develops and implements departmental policies and procedures and protocols
to optimize quality and overall efficiencies.
* Quality Assurance and Regulatory Compliance
* Ensures compliance with all relevant regulatory bodies. May oversee the
accreditation process with relevant agencies ensuring that services meet or
exceed industry standards.
* Participates in audits, inspections and accreditation processes as
applicable.
* Follows established quality control practices to ensure accuracy,
consistency and safety.
* Collaboration and Communication
* Works closely with leadership teams to coordinate and improve service
delivery.
* Stays up-to-date with industry advancements, new technologies, and
regulatory changes.
* Staff Responsibilities
* May work in a staff role, when required. Ensures that duties and
responsibilities are fulfilled while meeting all competencies established
for that job.

Qualifications

* Bachelor's Degree in relevant field required or
* Eight (8) plus years of direct experience in lieu of a Bachelor's degree
required
* Master's Degree preferred
* 4-6 years of experience in closely related field with Bachelor's degree
required
* 5-7 years of previous leadership experience preferred

Knowledge, Skills and Abilities

* Strong leadership, organizational, and communication skills.
* Ability to collaborate with interdisciplinary teams and manage
cross-functional relationships.
* Foster a positive work environment that promotes teamwork, professionalism,
and continuous improvement.
* Communicate effectively with leadership, team members, and stakeholders.
* Ability to work effectively with others, delegate responsibilities, and
independently manage tasks while meeting established deadlines.
* Problem-solving and critical thinking skills.
* In depth knowledge of industry best practices and regulatory compliance (if
applicable).
* Strong organizational and time management skills.
* Proficiency with Google and Microsoft platforms, healthcare software systems,
and data analysis tools. 

Licenses and Certifications

* RN - Registered Nurse - State Licensure and/or Compact State Licensure
required

Key Responsibilities

Supports the Chief Nursing Officer in leading nursing operations, ensuring high-quality patient care and compliance with regulatory standards. Focuses on staff engagement, professional development, and the execution of strategic operational initiatives.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
10+ years of experience

Key Skills

Strategic LeadershipNursing Operations ManagementStaff MentorshipInterdisciplinary CollaborationPerformance EvaluationHealthcare Software Proficiency

Nursing Administration — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 16% are remote, 60% have no call, 76% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

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

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Annual compensation range

Benefits & Perks44 jobs · 41 employers

401k / retirement match
86%
Sign-on bonus
25%
CME allowance
23%
Loan repayment
7%
Relocation assistance
2%

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Work-life snapshot

1.5/ 10
Listing-based score
  • On-site

Living in Laredo

Typical 3-bedroom home value
$240k
Typical market rent
$1,191/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
87.0
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Laredo, TX metro prices. Housing figures are city-level.

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

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About Community Health Systems Professional Services

Hospitals and Health Care
Franklin, TN
10,000+ employees