Responsible for the administrative and business management of a small (less than 20 FTEs) or medium size (less than 50 FTEs) department providing ambulatory patient care services. Through clinical nurse supervisors and/or assistant nurse managers, ensures patient care staff provides high quality, accessible, cost effective care and patient focused services to members across the continuum which comply with local, state and federal requirements; implements and maintains clinical and patient care practice standards, budgets, and staff development. Manages operations and services that add value and are integrated with nursing standards of practice, service priorities and performance/outcome measures, as well as with strategic, business and organizational goals/objectives.

Manages outpatient operations and through nurse supervisor(s) and/or assistant department nurse manager(s) is responsible for the delivery of nursing services and outpatient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services meet members, physicians and internal clients needs in a changing, competitive health care market. Achieves integrated services across the continuum of care and manages and ensures continuous improvement of all clinical practices, services, and operations by designing and implementing systems, processes and methods to evaluate and improve patient care across the continuum of care. Ensures patient care staff provide the highest quality of care and are in compliance with the Nurse Practice Act, TJC, NCQA, federal, state and local requirements. Collaborates with physicians, nursing and other health care providers in establishing, implementing, and maintaining patient care and quality service standards to meet members and internal clients expectations. Acts as a patient advocate resolving patient care issues. Designs and evaluates processes to improve systems and patient care results across the continuum of care. Develops and monitors budgets and resource allocations. Monitors financial performance and identifies and implements strategies to reduce costs and improve quality of care/service. Determines the appropriate staff mix for department and develops processes to screen, interview, hire, train, and maintain the competency of all department staff. Provides for on going staff development. Develops, implements, and monitors departmental policies and procedures which support the organizations goals and business objectives and ensures they are met. Collaborates with Physician Team Leader and Department Chief in developing the level of patient services and the day-to-day operations of the department. Manages and resolves human resource, labor relations, employee and department safety, and risk management issues.