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Chief Nurse Jobs (NOW HIRING)

Associate Chief Nurse

Hanford, CA · On-site

$116K - $151K/yr

Bachelor's Degree in nursing, business, or other healthcare related field or equivalent combination of education/related experience: Requir * edMaster's Degree: Preferr * edTen years' technical ...

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Chief Nurse information

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$74K

$135.6K

$187.5K

How much do chief nurse jobs pay per year?

As of Jun 12, 2026, the average yearly pay for chief nurse in the United States is $135,579.00, according to ZipRecruiter salary data. Most workers in this role earn between $118,000.00 and $153,500.00 per year, depending on experience, location, and employer.

What is a Chief Nurse?

A Chief Nurse, also known as a Chief Nursing Officer (CNO), is the highest-ranking nursing administrator in a healthcare organization. They are responsible for overseeing the nursing staff, developing policies and procedures, ensuring quality patient care, and managing budgets related to nursing services. Chief Nurses also play a vital role in strategic planning, staff education, and compliance with healthcare regulations. Their leadership ensures that nursing standards are maintained and that patient outcomes are optimized.

What are some common challenges Chief Nurses face when leading a diverse nursing team?

Chief Nurses often encounter challenges such as balancing administrative duties with clinical oversight and ensuring effective communication across a multidisciplinary team. They must address staffing shortages, support professional development, and maintain high standards of patient care. Additionally, navigating regulatory changes and fostering a positive workplace culture are key responsibilities that require strong leadership and adaptability.

What are the key skills and qualifications needed to thrive as a Chief Nurse, and why are they important?

To thrive as a Chief Nurse, you need advanced clinical expertise, leadership experience, and typically a master's or doctoral degree in nursing along with active RN licensure. Familiarity with healthcare management software, accreditation standards, and quality improvement systems is essential. Excellent communication, strategic thinking, and the ability to mentor and inspire nursing teams are standout soft skills. These competencies are crucial for ensuring high-quality patient care, driving organizational goals, and leading nursing staff effectively.

What Does a Chief Nurse Do?

A chief nurse is a registered nurse (RN) that works at the management level. They are responsible for coordinating nurses that work in a hospital or other large health care facility. Job duties include maintaining care standards, hiring nurses, helping form budgets and policies, and making sure that all of the nurses under their supervision are providing quality care to patients. The chief nurse also works closely with hospital administrators and physicians.

What cities are hiring for Chief Nurse jobs? Cities with the most Chief Nurse job openings:
What are the most commonly searched types of Chief Nurse jobs? The most popular types of Chief Nurse jobs are:
What states have the most Chief Nurse jobs? States with the most job openings for Chief Nurse jobs include:
What are popular job titles related to Chief Nurse jobs? For Chief Nurse jobs, the most frequently searched job titles are:
Infographic showing various Chief Nurse job openings in the United States as of June 2026, with employment types broken down into 3% As Needed, 55% Full Time, 17% Part Time, and 25% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $135,579 per year, or $65.2 per hour.
Chief Nurse-Acute Care

Chief Nurse-Acute Care

Veterans Health Administration

Louisville, KY • On-site, Remote

$166K - $221K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago


Veterans Health Administration rating

8.0

Company rating: 8.0 out of 10

Based on 963 frontline employees who took The Breakroom Quiz

88th of 871 rated healthcare providers


Job description

Summary
Robley Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Chief Nurse-Acute Care Louisville, Kentucky 603.
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Duties
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The Chief Nurse of Acute Care functions as an advisor, administrator, educator, consultant, and mentor who possesses a wide range of experience and leadership ability.
The Chief Nurse of Acute Care provides senior leadership and oversight for daily clinical and administrative operations within nursing as directed by the Associate Director for Patient Care Services (ADPCS.) They are a key member of the nursing executive leadership team and are responsible for all aspects of care that fall under the operations service line, providing administrative oversight and direction in the programs within the service. The Chief Nurse of Acute Care possesses solid knowledge of Nursing and Emergency Nursing regulations, Veterans Health Administration (VHA) guidelines, medical review criteria, clinical practice and documentation requirements, current standards of care, and compliance guidelines.
The Chief Nurse of Acute Care supports the integration and collaboration of nursing with other professional disciplines and functional areas in the mutual achievement of patient-centered and organizational goals. They champion a High Reliability Organization (HRO) with a culture of safety founded on a systems approach to developing evidence-based health care solutions based on prevention, not punishment, with collective mindfulness.
The Chief Nurse of Acute Care collaborates with interdisciplinary team members, including other programs and service leaders at the facility and network. They work closely to establish and maintain effective relationships with all levels of Veteran Affairs (VA) staff nationwide.
The Chief Nurse of Operations relates effectively with customers, families, and the community as well as program and service leaders at the local and network levels. They assist the ADPCS with healthcare operations and the functions and activities expected of them. The Chief Nurse of Operations contributes ideas and recommendations for the establishment of standards of care, policies, and objectives for the enhancement of nursing.
The Chief Nurse of Acute Care assumes 24/7 responsibility for the service line(s) for which they are responsible for. They may be required to assist in patient care roles as needed, maintain flexibility within their tour of duty, and may be assigned other tasks or roles based on the needs of the service.
VA offers a comprehensive total rewards package: VA Nurse Total Rewards
Pay: Competitive salary, regular salary increases, potential for performance awards
Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
Licensure: 1 full and unrestricted license from any US State or territory
Work Schedule: Monday-Friday, 7:00am-3:30pm
Telework: Ad-hoc
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives: Not authorized
Permanent Change of Station (PCS): Not authorized
Pay Schedule: NF48
Requirements
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Conditions of employment
  • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
  • Selective Service Registration is required for males born after 12/31/1959.
  • Subject to background/security investigation.
  • Selected applicants will be required to complete an online onboarding process. Acceptable form(s) of identification will be required to complete pre-employment requirements (https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents). Effective May 7, 2025, driver's licenses or state-issued identification cards that are not REAL ID compliant cannot be utilized as an acceptable form of identification for employment.
  • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
  • You may be required to serve a probationary period.
  • Complete all application requirements detailed in the "Required Documents" section of this announcement.

Qualifications
Basic Requirements:
  • English Language Proficiency. In accordance with 38 U.S.C. 7403(f), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English.
  • Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE); OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. Upon achievement of a State license, the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program. (Reference VA Handbook 5005, Appendix G6); OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active, and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program. Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD).
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements, but do not possess the required licensure, may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.)

NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification.
The following Scope, Education and Dimension criteria must be met to qualify for Nurse IV:
  • Scope: Executes leadership that is characterized by substantial and continuous responsibility and accountability for population groups or integrated programs that cross service and/or discipline lines and influence organizational mission and health care.
  • Education: Master's degree in Nursing (MSN) and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR Master's degree in a *related field with a BSN and 4 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in nursing and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV; OR a Doctoral degree in a *related field with a BSN and 3 years of professional nursing experience, one of which is specialized nursing experience equivalent to Nurse III and meets all dimension requirements for Nurse IV. *Note: Foreign education programs/degrees are not creditable as related degrees.
  • Dimensions:
    • Leadership. Leads health care delivery by leveraging evidence-based practices, industry-leading research, and innovative care models. Drives a shared vision and successfully leads change to improve performance and attain measurable outcomes at the program or service level.
    • Business Acumen. Transforms health care by implementing new processes, technology, informatics, and data analytics using business models and fundamental concepts of resource management at the program or service level.
    • Inspiring an Industry-Leading Lifestyle. Employs an industry leading, shared decision-making lifestyle. Cultivates a workforce that serves Veterans, families and caregivers of all backgrounds and builds trust, lifestyle competencies and catalyzes dynamic teams at the program or service level.
    • Communication and Relationship Management. Directs the effective use of relationship management principles to achieve positive customer service experiences that are consistent with professional organizational values, beliefs and practices at the program or services level.
    • Professional and Social Responsibility. Operationalizes a lifestyle of holistic care, health advocacy and health equity. Applies ethical principles in decision-making at the program or service level. Advances nursing knowledge through health science research and the translation and dissemination of evidence into practice to maximize the value to Veterans and the community.

Preferred Experience:
  • 5 years of progressive leadership experience preferred
  • Previous experience in Acute Care preferred
  • Experience in executive leadership preferred
  • DNP/PHD preferred
  • Experience in leading multidisciplinary teams preferred
  • Experience with contract management and vendor management preferred

Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/.
Physical Requirements: It is VA policy to ensure that all selected applicants and employed personnel are physically, mentally and emotionally fit to perform the duties of the position to which assigned. A pre-placement physical examination is required for all fulltime, part-time and intermittent employees identified by VA Directive and Handbook 5019. The pre-placement physical examination shall be completed prior to appointment to determine the physical and mental fitness for candidates for appointment in VA. The examination will be concerned with the mental and physical ability of the applicant to satisfactorily perform the duties of the proposed assignment and will include requisite laboratory and other screening as required by Federal regulatory agencies. This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing. This position requires that you are able to lift at least 50 lbs. Transferring patients and objects may be required. The incumbent may be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent may occasionally be exposed to patients who are combative secondary to delirium, dementia, or psychiatric disorders. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on organizational needs. Must complete annual Employee Health requirements, such as annual Influenza vaccination, TB screening or testing, as a condition of employment.
Additional information
This job opportunity announcement may be used to fill additional vacancies.
This position is in the Excepted Service and does not confer competitive status.
VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.
If you are unable to apply online or need an alternate method to submit documents, please reach out to the Agency Contact listed in this Job Opportunity Announcement.
Under the Fair Chance to Compete Act, the Department of Veterans Affairs prohibits requesting an applicant's criminal history prior to accepting a tentative job offer. For more information about the Act and the complaint process, visit Human Resources and Administration/Operations, Security, and Preparedness (HRA/OSP) at The Fair Chance Act.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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About Veterans Health Administration

Sourced by ZipRecruiter

The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, serving millions of Veterans each year. Located in Phoenix, AZ, and many other parts of the US, the VHA operates under the Department of Veteran Affairs, as suggested by their official website va.gov. The VHA is dedicated to providing the highest level of comprehensive care to its veterans. The organization offers a broad spectrum of medical, surgical, and rehabilitative care, including mental health services, research, and pharmacy benefits.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Phoenix, AZ, US