Division Sr. Vice President - Chief Nursing Officer

Requisition ID
Employment Type
Full Time
Hours / Pay Period
Standard Hours
Day Shift
Facility / Process Level : Name
CHI Franciscan


In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health. Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers. Together, we are empowered to make an even greater impact on the health and well-being of our communities. 

CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest. That means a seamlessly connected system offering quality care close to home. From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the region’s most prestigious experts and innovative treatments and technologies.  



This is a key leadership job responsible for providing executive oversight and direction in support of the implementation, delivery and evaluation of high-quality and cost-effective patient care services that align with Virginia Mason Franciscan Health’s (VMFH) mission, values, goals and priorities and in accordance with standards set forth by state, federal and hospital regulatory/accreditation agencies.  

As a key member of the VMFH Leadership Team, incumbent provides strategic leadership in assessing, developing and implementing initiatives encompassing LEAN-based principles to improve patient outcomes and service satisfaction of all identified customer groups, improve financial performance, maximize effective utilization of resources, and generate a sustainable competitive advantage for VMFH.  Incumbent is responsible for creating an environment of innovation and creativity through transformational leadership, serving as a change agent in driving enhancements and to facilitate timely, informed and proactive positioning for health care evolution.  Work involves fostering a focused culture of patient and family-centered care and service excellence designed to improve the patient experience and bring about outcomes that have a lasting and sustainable positive impact for the organization.  In this capacity, incumbent will exercise the leverage, visibility and accountability to drive a mission-critical cultural change in promoting both superior experience for patients and their families, as well as a satisfying and energizing work environment for staff and medical providers. 

Work also includes:

1)      Leading the implementation of strategically-based initiatives, standards and programs that positively transform patient, provider and employee satisfaction and result in a competitive advantage for the organization;

2)      Overseeing the development and management of operations/capital budgets for the assigned functions;

3)      Evaluating organizational structure/workforce needs and modifying as necessary to meet changing priorities;

4)      Overseeing the development and implementation of evidence-based standards for nursing practice, performance and management; leading quality improvement initiatives to enhance and streamline current standards, policies and procedures and take advantage of division-wide synergies;

5)      Establishing and ensuring that division-wide objectives relating to consistency of standards and customer service are achieved;

6)      Collaborating with key stakeholders in identifying emerging technologies and innovations with potential to optimize patient outcomes; and

7)      Directing and evaluating the work of subordinate management of assigned functions.

Key contacts include VMFH/CommonSpirit Health Leadership, independent physician group leaders, community and legislative leaders and other stakeholders to ensure the continued growth of a strong health network and gain acceptance of recommendations regarding new programs, systems and policies while maintaining financial sustainability.  Requires the ability to influence and persuade others to action and hold management accountable for gains and follow-through.  Requires a high degree of professionalism and ability to interact effectively with a wide variety of diverse stakeholders to significantly increase the growth, visibility and reputation of VMFH.

Job duties require extensive knowledge of the specialized principles and practices related to clinical change management, performance improvement and customer satisfaction to evaluate and recommend service excellence enhancements for nursing effectiveness and efficiency. Requires knowledge of clinical operations and considerable management expertise relating to business planning, process improvement, and budget administration. Incumbent must be sufficiently knowledgeable to recognize important synergies and opportunities in clinical outcomes, nursing best practices, patient safety/satisfaction, regulatory compliance and cost containment.


ESSENTIAL JOB FUNCTIONS:  The following section contains representative examples of job duties and/or percentages that might be performed in positions allocated to this job class.  Virginia Mason Franciscan Health is a dynamic organization, and the environment can be fluid.  Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of it’s employees.  Accordingly, employees may be asked to perform duties that are outside the specific work that is listed.  It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described.  Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.

Operational Accountability

Provides, executive oversight of patient care delivery, to include ensuring the consistent application of evidence-based patient care policies and standards throughout the organization; oversees the establishment of evidence-based nursing standards of patient care (outcome measures), standards of nursing practice (nursing interventions) and standards of performance (performance criteria); collaborates with medical staff leadership to develop and implement new clinical systems/programs to enhance existing services, raise the standard of care for the patient population served and ensure compliance with accreditation and regulatory agency standards.


Studies trends and developments in nursing practice and integrates new techniques for patient care delivery; maintains current knowledge of professional literature in clinical nursing, leadership, disease states, and human behavior, and models of continuous teaching/learning/education.


Represents nursing and/or administration at medical staff meetings and on other hospital-wide committees and at CommonSpirit Health. Chairs Nurse Practice Council meetings and serves as a member of the Professional Affairs committee of the VMFH Board; attends Board meetings and presents nursing information and updates.


Leads and oversees through subordinate management, the programs, systems, operations and resources of the assigned functions to ensure the safe and appropriate delivery of diagnostic and therapeutic patient care, achievement of clinical core measurement scores, and that all activities are conducted in a timely and cost-effective manner and in compliance with organizational values, professional standards, internal policies/standards/procedures and applicable regulatory requirements; produces and presents reports on key performance indicators and other significant benchmarking metrics.


Provides effective VMFH strategic vision, leadership and direction in the overall management of the organization; collaborates with other Leadership Team members in the common goal of standardization, integration and enhancement of the continuum of services available within the specialty area/service line; participates in the enterprise-wide evaluation of processes and practices to determine the need for change to accommodate shifting business priorities, conditions and objectives.


Strategic Business Planning

Anticipates and recognizes the evolving factors that affect current and future needs. Leads development of strategies and initiatives to meet anticipated and future growth of clinical areas. Addresses: provision of new services, standardization of policies and practices across the organization, defining professional nurse practice; increasing market share, maximizing revenues, enhancing patient outcomes and satisfaction and others of similar complexity and consequence. Understands and ensures full optimization of available information technology to achievement of overall business objectives; directs the development of formal strategic/tactical business plans, to include both short- and long-term planning, with full accountability for achievement of plan objectives; gains Leadership Team support for recommendations and oversees project management efforts to develop and implement planning objectives. 


Maintains close ties with CommonSpirit Health national and stakeholders/teams engaged planning and implementing an overarching and consolidated approach to the patient and employee experience across the enterprise.


Resource Management

Determines operating and capital resources needed to accomplish the business objectives of the assigned functions and leads/oversees activities and resources in a manner that is fiscally responsible and in accordance with VMFH requirements; leads/oversees the development of the annual operating/capital budget, ensuring alignment/optimization of resources towards achievement of financial goals; exercises effective cost control by monitoring and directing the adjustment of expenses as necessary to stay within budget; directs the preparation of complete and accurate financial, budget, activity and productivity information, including variance reports, financial projections and other statistical reports; keeps appropriate parties apprised of all issues with potential for budgetary/financial impact.


Regulatory Compliance

Ensures full compliance with internal and external legal and regulatory standards and requirements, and that effective control procedures are in place and fully functioning to preclude improprieties from occurring; monitors the effectiveness of current practices in meeting expectations and producing desired results.


Keeps abreast of changing regulatory requirements, clinical/professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current strategies, programs and resources; determines nature/scope of impact on existing activities and determines effective response/solution while maintaining acceptable service levels and work quality.


Performance/Quality Improvement and Service Recovery

Leads and oversees the development, implementation and evaluation of systems, initiatives and programs to facilitate quality improvements in keeping with strategic objectives and regulatory requirements. Leads the ongoing assessment of strengths and weaknesses of the assigned functions to better identify future needs, priorities and challenges; evaluates existing programs and future potential to make recommendations for growth, quality enhancement, new services and viability of existing services based on market demographics and volume projections; develops and presents comprehensive recommendations regarding the viability of specific initiatives and projects; oversees the execution of quality process improvement projects to ensure achievement of business objectives.


Ensures the timely availability of an expedited process of problem identification/analysis and service recovery for resolving escalated customer issues; collaborates with a variety of departments/stakeholders to ensure care is consistently patient-centered and focused on exceeding the expectations of patients/families.


Monitors national and local benchmarks and trends to identify how the top performing hospitals/clinics identify and maintain successful operations and outcomes.


Staff Management/Development and Succession Planning

Directs and evaluates the work of management staff in accordance with the content, spirit and intent of applicable internal/external regulations and standards for human resource management; ensures adequate management staffing levels for appropriate coverage to meet budgetary/operational objectives and that staff are qualified/properly trained to perform assigned job duties; makes succession planning recommendations and employment decisions, establishes performance standards and evaluates management staff performance; counsels/develops management staff and addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of authority.

Leads the development/implementation new/revised practices and guidelines, training materials and/or general communications in support of the assigned functional area to ensure consistency with the philosophy and values of the organization and compliance with applicable regulatory/accreditation requirements; ensures that all functional activities are fully documented in accordance with the standards and practices of the organization; ensures that employees understand and apply internal guidelines appropriately. 

Performs related duties as required.


Education/Work Experience Requirements

Master’s Degree in Health or Hospital Administration, Business Administration or related field and minimum seven years of executive level experience that would demonstrate attainment of the requisite job knowledge/abilities. Bachelor’s degree is Nursing is required.  Advanced nursing degree preferred.  Executive oversite in a multi-campus, matrixed organization preferred.


Current licensure as a Registered Nurse by the Washington State Board of Nursing.

Job Knowledge/Abilities

  • Knowledge of the principles, standards, practices and organizational design methodologies relating to healthcare business/product lines sufficient to provide effective executive leadership and evaluate ongoing direction and operations in line with strategic objectives.
  • Knowledge of health care reform initiatives and legal issues pertaining to health care sufficient to apply to product line strategic planning, operations and programs.
  • Knowledge of the content, intent and application of federal and state standards and regulatory requirements pertaining to matters within designated scope of responsibility.
  • Knowledge of the principles, practices and methodologies pertaining to healthcare delivery systems.
  • Knowledge of the theory, principles, standards and practices relating to healthcare administration, patient delivery systems and continuum of care integration.
  • Knowledge of nursing/patient care principles, standards, systems, practices and tools.
  • Knowledge of the principles, standards, processes, tools and accepted practices of the service quality improvement field, and of performance-based payment initiatives (e.g. Value-Based Purchasing).
  • Knowledge of the content, intent and application of policies, standards, operations and requirements applicable to the business function(s) under designated scope of responsibility.
  • Knowledge of satisfaction survey instruments and methodologies for consolidating/analyzing respondent data.
  • Knowledge of the concepts, practices and tools relating to statistical analysis and the development of program metrics.
  • Knowledge of the concepts, methods and tools of project management sufficient to organize, plan and/or facilitate teams engaged in performance improvement activities in a cross-functional environment.
  • Knowledge of VMFH policies, standards and requirements applicable to resource/expense control, employee supervision/evaluation and performance management.
  • Knowledge of change management concepts/practices.
  • Knowledge of safety/risk management and regulatory accreditation/survey processes relating to health care organizations.
  • Knowledge of the practices and requirements relating to employee supervision, evaluation and performance management.
  • Knowledge of the functionality and application of healthcare information systems sufficient to perform the duties of the position.
  • Ability to interprets and maintain adherence to regulations and legislation and to respond effectively to bioethical, public policy and legal issues which may influence the delivery of patient care.
  • Ability to creates systems processes and care standards to support the delivery of patient care in a safe, fiscally-sound environment of service excellence.
  • Ability to apply evidence-based strategic thinking in planning, implementing and evaluating programs tied to future growth of the clinical operations, development of new product lines, and revenue enhancement.
  • Ability to formulate/articulate innovative strategies and/or initiatives, to advance clinical quality to achieve best practice in patient satisfaction, patient safety, and clinical outcomes
  • Ability to evaluate the quality and effectiveness of nursing and related patient care and strategize timely and appropriate improvements.
  • Ability to identify patient/employee/provider satisfaction challenges and/or related systemic weaknesses and implement timely corrective action to forestall or remedy.
  • Ability to influence/persuade others, negotiate effectively with diverse groups of high-level individuals, and create buy-in for services, programs, and initiatives.
  • Ability to lead efforts to build a culture of service excellence in a large, complex healthcare organization.
  • Ability to oversee timely service improvement training and to persuade/motivate managers to implement effective service/quality standards and processes.
  • Ability to plan, direct and evaluate the work of subordinate management staff.
  • Ability to identify compliance deficiencies and/or systemic weaknesses and direct the implementation of timely corrective action to forestall or remedy.
  • Ability to express service excellence concepts and convey information effectively in verbal and written communication, and in group presentations/meetings.
  • Ability to keep abreast of new/current laws, regulations and common/emerging practices relating to the field of service quality improvement, and their impact on assigned operations and activities.
  • Ability to understand financial and/or operational/productivity reports, analyze complex data, identify improvement opportunities and implement effective responses.
  • Ability to implement changes in policies and procedures to accommodate the needs of the organization and its customers.
  • Ability to establish and maintain effective working relations as required by the duties of the position, and to hold executive management accountable for achieving results in meeting service excellence objectives.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.



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