Manager, Ambulatory Nursing

JOB DESCRIPTION

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE: Manager, Ambulatory Nursing

JOB OVERVIEW: The Manager Ambulatory Nursing provides clinical leadership, professional nursing practice oversight, and direct personnel management of Triage and Advice Registered Nurses (RNs) within the ambulatory network. This role also provides clinical guidance, nursing practice oversight, and standardization support for clinic-based RNs. While Clinic RNs report directly to their respective clinic managers, they maintain a dotted-line relationship to the Manager of Ambulatory Nursing and to the Chief Nursing Officer (CNO) ensuring alignment in clinical practice and standards. This role ensures safe, high-quality, patient-centered nursing care across ambulatory settings by promoting evidence-based practice, regulatory compliance, staff development, and consistency in nursing workflows. This role partners closely with medical directors, clinic managers, operational leadership, and system stakeholders to support organizational goals related to access, quality, patient experience, workforce engagement, and financial stewardship.

DEPARTMENT: Ambulatory Education and Training

WORK HOURS: As required to fulfill responsibilities

REPORTS TO: Director, Ambulatory Operations and Education with a dotted line to the SVP Patient Care Services

PREREQUISITES:

• Current, unrestricted Registered Nurse (RN) license in the State of Washington, required.

• Bachelor of Science in Nursing (BSN) required, Master''s degree in Nursing, Healthcare Administration, or a closely related field preferred. An additional four (4) years of relevant and applicable experience may substitute for the degree requirement.

• Minimum five (5) years of progressive nursing experience, including healthcare operations experience in an outpatient ambulatory setting, to include three (3) years of supervisory or nursing leadership experience, required.

• Experience developing and managing budgets, preferred.

• Knowledge of and experience with Washington State labor laws and working in a unionized environment, preferred.

• Demonstrated knowledge of ambulatory nursing workflows, triage protocols, and telephone or virtual advice nursing models, preferred.

QUALIFICATIONS:

• Ability to effectively communicate both verbally and in writing.

• Ability to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in VMC.

• Extensive knowledge of health care delivery systems, particularly ambulatory care models.

• Ability to work independently and take initiative in problem-solving.

• Attention to detail and excellent organizational skills are essential.

• Ability to function effectively in an environment with frequent interruptions and multiple tasks.

• Ability to document information in detail (e.g., composing meeting minutes, creating, and maintaining spreadsheets, etc.)

• Demonstrated team building and interpersonal skills required.

• Demonstrate self-responsibility, accountability for practice and professional development.

• Ability to manage conflict and effectively deliver performance feedback/evaluations.

• Proficiency with Microsoft Office, Excel in particular preferred.

• Familiarity with WA labor laws and union environment.

UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT, AND WORKING CONDITIONS:

• Must be able to sit and work at a computer for extended periods of time.

• Requires ability to travel several miles to various sites on any given day.

• Must be able to function effectively in an environment with frequent interruptions and multiple tasks.

PERFORMANCE RESPONSIBILITIES

• Generic Job Functions: See Generic Job Description for Manager.

• Essential Responsibilities and Competencies:

• Provide direct operational, clinical, and personnel management for Triage and Advice RNs, and provide clinical practice oversight, professional guidance, and nursing standards support for clinic-based RNs across the ambulatory setting.

• Develop, standardize, and implement ambulatory nursing workflows, policies & protocols, and clinical practice expectations across triage, advice, and clinic nursing functions.

• Identifies practice gaps, quality issues, workflow inconsistencies and provides clinical insight into what nurses need to perform effectively.

• Partner with clinic managers and Manager of Ambulatory Education and Training to develop onboarding, competency validation, clinical education, and professional development of clinic-based RNs.

• Recruit, hire, develop, coaches, evaluates, and hold directly supervised staff accountable to performance expectations and standards; provide feedback for improvement and apply corrective action when appropriate. Collaborate with clinic managers regarding clinical performance, competency development, and professional practice of clinic-based RNs.

• Serve as a resource to clinic managers and nursing staff on scope of practice, clinical workflows, triage standards, patient safety, and nursing best practices.

• Promote and enhance consistency of ambulatory nursing practice across clinics while respecting the operational leadership structure within individual clinic sites.

• Identify areas of improvement and implement quality and/or process improvement methodologies.

• Adhere to and monitor compliance with regulatory requirements in all areas of patient care.

• Identify and report safety issues and implement appropriate safety measures.

• Understand and align the principles of a High Reliability Organization with activities within the clinic.

• Collaborate with other VMC clinics/departments/specialties to coordinate service and resolve day-to-day issues.

• Demonstrate awareness of legal issues of patient care and takes action to limit or reduce risks.

• Lead in accordance with VMC''s mission, vision, and care giver commitments.

• Analyze data on healthcare quality, patient experience, productivity, cost, utilization, and employee engagement to direct the overall performance of staff within assigned clinic(s).

• Research and resolve patient complaints in support of excellent customer service and care.

• In partnership with medical directors, clinic leadership and key stakeholders assure that patients have access to high quality care that is delivered efficiently.

• Assure adherence to patient and family rights as identified within the institution.

• Meet the business objectives assigned by the Ambulatory Network.

• Implement strategies to optimize the use of healthcare and nursing services at assigned clinics.

• Represents VMC in local community activities and promotes a positive image within the health system and community.

• Wors collaboratively to optimize the use of resources across the ambulatory network.

• Work collaboratively with the clinic medical director, clinic leadership, and key stakeholders to assure financial viability, operational and clinical excellence.

• Participate in collaborative learning and implement successful practices used in other departments.

• Consistently demonstrate high ethical standards and personal integrity.

• Model and reinforce VMC''s leader and care giver commitments.

• Educate and mentor staff to achieve organizational goals.

• Promote civility, team building, excellent communication, and problem solving.

• Promote employee engagement and supports staff to work to the fullest extent of their license.

• Assure appropriate staffing levels and use efficient labor practices.

• Other duties as assigned.

Created: 5/26

Grade: NC-13

FLSA: E

CC: 8317

Job Qualifications:

PREREQUISITES:

• Current, unrestricted Registered Nurse (RN) license in the State of Washington, required.

• Bachelor of Science in Nursing (BSN) required, Master''s degree in Nursing, Healthcare Administration, or a closely related field preferred. An additional four (4) years of relevant and applicable experience may substitute for the degree requirement.

• Minimum five (5) years of progressive nursing experience, including healthcare operations experience in an outpatient ambulatory setting, to include three (3) years of supervisory or nursing leadership experience, required.

• Experience developing and managing budgets, preferred.

• Knowledge of and experience with Washington State labor laws and working in a unionized environment, preferred.

• Demonstrated knowledge of ambulatory nursing workflows, triage protocols, and telephone or virtual advice nursing models, preferred.

QUALIFICATIONS:

• Ability to effectively communicate both verbally and in writing.

• Ability to interact professionally and effectively with a wide variety of people, including operations staff, providers, the general public, and departments in VMC.

• Extensive knowledge of health care delivery systems, particularly ambulatory care models.

• Ability to work independently and take initiative in problem-solving.

• Attention to detail and excellent organizational skills are essential.

• Ability to function effectively in an environment with frequent interruptions and multiple tasks.

• Ability to document information in detail (e.g., composing meeting minutes, creating, and maintaining spreadsheets, etc.)

• Demonstrated team building and interpersonal skills required.

• Demonstrate self-responsibility, accountability for practice and professional development.

• Ability to manage conflict and effectively deliver performance feedback/evaluations.

• Proficiency with Microsoft Office, Excel in particular preferred.

• Familiarity with WA labor laws and union environment.