Chief Nursing Officer/Chief Operating Officer

Requisition ID
Employment Type
Full Time
Hours / Pay Period
Standard Hours
Monday - Friday
Facility / Process Level : Name
CHI Mercy Health of Roseburg


CHI Mercy Health is a vibrant complex of quality health care services that includes a Trauma III, 174 bed hospital, an outpatient surgery center, an outpatient therapy clinic, outpatient lab and imaging, a sleep lab, and home health and hospice.  With over 1000 employees, Mercy was named a 2017 Top 100 Rural and Community Hospital in the U.S. by the Rural Health Policy Institute, has been honored as a Top Performer on Key Quality Measures® by The Joint Commission, the leading accreditor of health care across America, and has been voted the area’s #1 employer for three years in a row. Employees enjoy outstanding pay, a rich benefit package, high levels of employee engagement and a family-like environment.

Mercy is located in Roseburg, OR, a land of outdoor adventure and unrivaled beauty.  Nestled in the heart of the Umpqua Valley, it is surrounded by majestic mountains and pristine rivers.  Equally distant to sleepy coastal villages, winter resorts and metropolitan entertainment, Roseburg is home to an historic downtown, boasts a budding microbrewery industry, produces internationally acclaimed wines, and showcases multiple artistic and musical events throughout the year.

Douglas County, earning the distinction as Oregon’s most beautiful county, is noted for its world class fishing, hiking and mountain biking trails.


Under general direction, the Chief Nursing Officer/Chief Operating Officer will exercise management responsibility, for a variety of departments, including day-to-day operations over the hospital.  CNO/COO will provide planning, problem solving, development of policies and procedures, ensuring efficient services are designed to meet the needs of patients, physicians, public, staff and hospital.  Assure the hospital is in compliance with established objectives and the realization of quality, economical health care services that are consistent with the values and mission of the hospital. This will either be done directly, or through delegation of responsibility to the management staff.


The CNO/COO is responsible for evaluation and coordination of the functions and activities of assigned departments and medical staff committees and will participate as a member of the administrative team in the overall administration of the hospital.  The CNO/COO serves as the Nurse Executive for the organization and is responsible for leading and facilitating efforts in the execution and delivery of strategic goals involving clinical transformation, the enhancement of patient care services, improving clinical quality and safety, and developing nursing leadership.  The CNO/COO is the advocate and representative for nursing and the patient care delivery for the facility.


The CNO/COO consults with and advises the CEO on problems relating to the operation of the hospital; recommends changes in policy, facilities, equipment, and programs in order to achieve the hospital’s objectives.

In the absence of the CEO, represents the CEO in the coordination of the entire or portions of the hospital organization, speaking and acting within the scope of objectives set forth in the practice and/or policy of the hospital. Second highest level executive within the organization.


It is the responsibility of the COO/CNO to ensure that Department Leaders are in full compliance with Mercy Medical Center’s Business Ethics, Policies, and Procedures as they relate to Corporate Compliance.  Each Department Leader is considered a Corporate Compliance Associate, responsible for the business conduct within his/her department.  Department Leaders shall participate, when requested, in the functions and processes of the Corporate Compliance Committee.

It is the responsibility of all employees to read, accept, and follow the initiatives of Mercy Medical Center as outlined in the publication Our Values and Ethics at Work.  Corporate Compliance is the duty and responsibility of everyone employed by Mercy Medical Center and its related organizations.

Working with and through others, the COO/CNO will:

  • Promotes a strong belief in Mercy’s Mission and has respect for and compliance with Mercy’s Patient Rights Statement.
  • Demonstrates behavior consistent with Mercy and CommonSpirit Health's Core Values: Compassion, Inclusion, Integrity, Excellence, and Collaboration.
  • Incumbent has access to restricted or confidential patient information including peer review information and must comply with the terms of the Mercy Medical Center Security Policies as it applies to their job role.
  • Collaborates with immediate supervisor to establish, define, and refine department goals and objectives consistent with facility’s Mission and Values, and demonstrates satisfactory progress towards these goals and objectives.
  • Exhibits the ability to make effective decisions based on verifiable and measurable data/criteria.
  • Promotes positive customer relations with internal and external customers.
  • Demonstrates respect and sensitivity to cultural/social differences in interactions with others.
  • Completes assigned tasks in a timely manner.
  • Demonstrates initiative and problem solving skill using sound judgment.
  • Assumes additional responsibilities as needed with little or no direction; shows initiative in assisting others within the department.


  • Participates with executive team on all strategic planning activities.
  • Develops and maintains productivity and quality standards.
  • Works through the management team and medical leadership of the hospital, serving as a resource to help reduce costs, enhance revenues, achieve effective utilization and quality goals and objectives, analyze and utilize information to develop and support management decisions.
  • Builds, develops and manages operations leadership team capable of carrying out needed operations, problem resolution to facilitate faster improvements, strategies and improving employee relations.
  • Develop and maintain a nursing service philosophy, objective, standards of practice, policy and procedure manuals, and job descriptions for each level of nursing personnel.
  • Develop and maintain personnel policies of recruitment, orientation, inservice education, supervision, evaluation, and termination of nursing services staff or ensure it is done by another department.
  • Develop and maintain policies and procedures of determining nursing staff capacity for providing nursing care for any patient seeking admission to the facility.
  • Develop and maintain a quality improvement program for nursing services.
  • Coordinate nursing service department function and activities with the function and activities of other departments.
  • Develop and administer standards of patient care.
  • Develop and administer standards of nursing practice.
  • Evaluates the performance of department staff to provide for professional development and to maximize contributions towards established goals.
  • Provides direction, development and coaching to direct reports.
  • Encourages and assists department heads in establishing measures of performance.
  • In conjunction with department heads, provides for the identification, analysis, development and recommendation of operating policies, systems, programs and standards, and, as approved, insures documentation, implementation and compliance.
  • Enhance and/or develop, implement and enforce policies and procedures of the hospital by way of systems that will improve the overall operation and effectiveness of the hospital.
  • Enhance and/or develop, implement and enforce nursing policies, procedures and standards and guide how the nursing staff provides nursing care required by all patients and patient populations served.
  • Ability to work with physicians, staff and professionals in multiple settings and locations and to promote diversity in the workplace.
  • Ability to generate respect and trust from staff and external constituencies.
  • Appraises and evaluates the results of overall operations and periodically reports these results to the CEO.
  • Maintains compliance with regulations governing hospitals and the rules of accrediting bodies by monitoring operations and initiating changes where required.
  • Establishes credibility throughout the organization and with the Board as an effective developer of solutions to administrative business challenges.
  • Performs other related duties incidental to the work described herein as may be assigned or delegated.
  • Problem analysis and problem resolution at both a strategic and functional level.



  • Develops financial plans and authorizes operating budgets.
  • Promotes complete involvement of department heads in the preparation of the department’s budget and educates them in the importance of the budget, forecasting and planning process.

Medical Staff

  • Provides and maintains effective communication with medical staff, the community and all levels of supervision and staff.
  • Attends medical staff meetings and/or medical staff committee meetings as assigned or requested. Informs the CEO of proceedings at meetings attended and recommends action, as necessary. 
  • Works with the medical staff to ensure proper medical/technical operation of professional service departments



Masters degree in Business, Hospital Administration, or Public Administration with a Bachelors degree in Nursing.  Current nursing license in Oregon.  Minimum of five years prior experience at a senior executive level in a hospital or healthcare system.  Excellent verbal ability is required to express ideas and views effectively when speaking to groups, hospital directors and personnel. 

Leadership:  A demonstrated ability to lead people and get results through others.

Planning:  An ability to think ahead and plan over a 1-2 year time span.

Management:  The ability to organize and manage multiple priorities.

Broad knowledge of the fundamentals of hospital organization and administration, legislation and regulation applicable to healthcare and major healthcare functions.  Broad knowledge of healthcare operations, financial management, strategic planning and human resources management.  History of effective physician relationships.  Work requires a high degree of analytical, original or evaluative thinking in dealing with more complex problems.


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