Nurse Manager, AC - Duke Outpatient Clinic

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

• Duke University Health System is designated as a Magnet organization
• Registered nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification
• Duke University Health System has 6000+ registered nurses
• Quality of Life:
  Living in the Triangle!
• Relocation Assistance (based on eligibility)

The Nurse Manager – Ambulatory provides clinical and operational leadership for nursing and patient care services in one or more ambulatory clinics. This role is responsible for ensuring high standards of patient care, regulatory compliance, and operational excellence in alignment with DUHS policies and service line goals. The Nurse Manager reports to the Practice Administrator to integrate overall clinic and nursing priorities into operational workflows, promote quality improvement initiatives, and support provider teams.

This role actively participates in strategic planning, resource allocation, and change management efforts within the assigned clinics.

Take leadership, oversight, and accountability for all clinic practice in the assigned ambulatory clinic(s), ensuring evidence‑based standards of care. Partner with operational leaders to align staffing models, workflows, and clinical processes that optimize patient flow, access, and quality outcomes. Supervise and evaluate all clinic staff, including administrative staff, nurses, medical assistants, and other licensed/unlicensed personnel; ensure competency, performance, and professional development.

Monitor and ensure compliance with all regulatory, accreditation, and infection prevention standards. Collaborate with physician and APP leaders to support clinical care delivery, patient safety initiatives, and service recovery. Participate in the development and monitoring of clinic budgets, including labor and supply costs, and identify cost‑containment opportunities. Lead quality improvement and population health initiatives, using data to track progress and implement corrective actions as needed.

Support onboarding, orientation, and training for new administrative staff, and ensure ongoing development for existing team members. Serve as a resource and liaison for patients, staff, and providers regarding nursing and operational concerns, escalating as appropriate to the Practice Administrator or Ambulatory Operations Director.

Demonstrated leadership in ambulatory nursing and clinical operations; knowledge of ambulatory care standards, regulatory requirements, and quality improvement methods. Ability to lead interdisciplinary teams and influence change in a complex healthcare environment. Strong communication, conflict resolution, and coaching skills. Financial and operational acumen, including budgeting and resource allocation. Proficiency with electronic health records and clinical reporting systems.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Bachelor's degree in nursing (BSN) required. Master’s degree in nursing or related field preferred.