Nurse Manager - Ambulatory

Job Description

Provides leadership, coordination, and operational oversight for nursing and clinical support services within a pediatric ambulatory primary or specialty care site. The Ambulatory Nurse Manager is accountable for safe, efficient, family-centered care delivery; daily clinical operations; and the effective use of human, material, and financial resources to support quality outcomes, access, and an exceptional patient and family experience.

This role partners closely with providers, practice leadership, and interdisciplinary teams to standardize workflows, support regulatory and accreditation readiness, develop staff, and drive continuous improvement across the site. The manager fosters a culture of accountability, professional growth, collaboration, and evidence-based practice while advancing the goals of Nemours Children’s Health and supporting high-quality pediatric ambulatory care.

• Provides leadership and oversight for daily nursing and clinical support operations within a pediatric ambulatory primary or specialty care site to ensure safe, efficient, and family-centered care delivery.
• Directs, supervises, and evaluates nursing and clinical support staff, including recruitment, onboarding, scheduling, coaching, performance management, and professional development.
• Partners with providers, practice leadership, and interdisciplinary teams to coordinate care delivery, align workflows, and promote a collaborative team environment across the site.
• Ensures compliance with regulatory, infection prevention, licensure, Joint Commission accreditation, Magnet, and organizational standards, and maintains readiness for audits, surveys, and inspections.
• Monitors and improves clinical quality, patient safety, service, and access outcomes by using data, identifying opportunities for improvement, and leading performance improvement initiatives.
• Assures appropriate staffing plans, patient flow, and resource utilization to support efficient operations, timely access, and high-quality patient and family experience.
• Supports development, implementation, and standardization of clinical workflows, policies, procedures, and competencies consistent with evidence-based practice and ambulatory care standards.
• Promotes staff engagement, accountability, shared decision-making, and a culture of respect, inclusion, and continuous learning.
• Participates in operational and fiscal planning, including monitoring labor, supplies, and other site resources to support responsible stewardship and departmental goals.
• Serves as a clinical and operational leader for the site, supporting change management, communication, and strategic initiatives that advance pediatric ambulatory care.

• BSN required.
• Master’s in nursing or related field preferred.
• Five years clinical experience required, preferably at least one year in pediatrics.
• Knowledge of professional nursing theory and practice; knowledge of management theory and change process.
• Previous Management Experience required.
• Active registered nurse licensure for appropriate state (based on location of practice site) or multistate RN licensure.
• Required certification in nursing administration and/or certification in a clinical specialty desired.
• Current AHA Healthcare (HCP) certification required.

Nemours Children’s Health is an internationally recognized pediatric health system serving more than 1.7 million patient encounters each year. We deliver care across six states through two freestanding children’s hospitals—Nemours Children’s Hospital, Delaware and Nemours Children’s Hospital, Florida—along with a network of more than 80 primary, urgent, and specialty care practices and more than 40 hospital partnerships.

Backed by the Nemours Foundation and Alfred I. duPont Trust, our $1.7B nonprofit system is dedicated to improving children’s health through clinical care, research, education, advocacy, and prevention. Our Whole Child Health approach focuses equally on prevention and treatment, partnering with communities to help every child thrive.

Inclusion and belonging guide our strategy and growth. We are committed to culturally relevant care, reducing health disparities, and fostering an environment where every associate, patient, and family feels supported and valued.

Learn more .