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Rochester Regional Health
Rochester, New York

Associate, Chief Nursing Officer - Specialty Services - Ambulatory

Registered NurseFull-Time

Pay as listed: $120k-$185k · Rochester, New York · pays below the median of 9 Registered Nurse listings (47th percentile).

Listed compensation

$120k-$185k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Associate, Chief Nursing Officer - Specialty Services - Ambulatory

Rochester, NY

Summary

The Associate Chief Nursing Officer (ACNO) reports to the Vice President and Chief Nursing Officer. The ACNO is the Senior Nursing Leader accountable for one or more service lines within the Patient Care Services Division. Has full responsibility for nursing operations, people management, strategic/clinical goals, and budget responsibility.

Responsibilities

Formulates the vision and strategic plan for their service line, in accordance with the Patient Care Services strategic plan

  • Attract, retains, and develops the best and brightest Nursing Leadership Team
  • Establishes and maintains an environment conducive to excellence in patient care

Continually evaluates patient quality, safety, and performance, identifies improvement opportunities, and plans and implements improvement programs

Establishes and maintains an environment that promotes a spirit of inquiry and is supportive of professional nursing practice and a evidenced based practices

Promotes multi-disciplinary collaboration

Engages in Professional Development Activities

  • Directs the development and implementation of standards, policies and programs to ensure excellence in nursing practice
  • Assures compliance with applicable local, state, and federal regulations and accrediting agencies.

Responsible for compliance in practice aligned with nursing excellence programs (Magnet, Beacon, Lantern, etc.)

Prepares, administers, and monitors revenue, capital, expense, and personnel budgets for assigned departments in collaboration with department directors and finance team.

  • Participates in establishing financial plans, integrating the institution’s mission and goals.
  • Advocates for resources necessary for the optimal work environment and exceptional patient care

Mentors and develops nursing staff at all levels to ensure appropriate succession plans are in place at all levels of the nursing organization and that a strong pipeline exists for future nursing leaders.

Required Qualifications

Bachelor’s Degree in Nursing Is Required

  • A Master’s degree in Nursing, Healthcare Administration, Business Administration, or a related field is also required.
  • Current New York State Registered Nursing License.
  • At least 5 years of progressive management experience with a clinical focus in a healthcare system.

Preferred Qualifications

Results driven leader with experience in developing, designing and executing clinical programs that create measurable outcomes in quality, service, finance, growth and people.

Education

LICENSES / CERTIFICATIONS:

Physical Requirements

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability.

Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Pay Range

$120,000.00 - $185,000.00

City

Rochester

Postal CODE

14617

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Requirements

Candidates must hold a Bachelor's degree in Nursing and a Master's degree in a related field, along with a current New York State Registered Nursing License. A minimum of 5 years of progressive management experience in a healthcare system is required.

Qualifications

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

Key Skills

Strategic planningBudget managementClinical operationsQuality improvementPatient safetyStaff developmentSuccession planningRegulatory complianceEvidence-based practicePerformance managementFinancial planning

Ambulatory Care Nursing — Registered Nurse Career Context

Of the 50 active Nursing Leadership listings this role was benchmarked against, 36% are remote, 54% have no call, 66% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$153k midpoint carries the purchasing power of roughly $141k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Rochester Regional Health ranks #7 of 10 employers hiring Registered Nurse on WeekdayDoc by average advertised pay.

Top Registered Nurse Jobs

34 matches · ranked by pay

Salary Distribution34 jobs · 24 employers

16
<$120k
11
$120k-160k
1
$165k
5
$238k
1
$277k

Annual compensation range

Benefits & Perks26 jobs · 24 employers

401k / retirement match
88%
Loan repayment
19%
Sign-on bonus
12%
CME allowance
12% this job
PSLF eligible
12%

Share of similar jobs offering each benefit

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+ 32 more · ranked by pay

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.

Living in Rochester

Typical 3-bedroom home value
$247k≈ 2.1× annual pay
Typical market rent
$1,476/mo≈ 15% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
97.0
State income tax
Up to 10.9%
Sources & methodology

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

BEA 2024 · Rochester, NY metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.