About The Position

The Ambulatory Divisional Registered Nurse provides, develops, coordinates, and manages clinical duties for a specialty service line. The role supports clinical care across multiple outpatient locations and partners with multiple providers, Ambulatory Leadership, the Division Chair, and the Medical Director to develop and manage processes that provide safe, timely ambulatory care. The nurse applies working knowledge of outpatient specialty care, including general and complex medical management and preoperative and postoperative care. The position serves as a nursing clinical role model and division subject matter expert, supporting continuity and quality of care across clinic sites. The nurse contributes to education, evidence-based practice, research, and process improvement, and maintains professional growth through ongoing education and training. Travel between clinic sites is required; long-distance or air travel may be needed and will not exceed 10%.

Requirements

  • Bachelor’s degree in nursing from an accredited program.
  • Current Registered Nurse license.
  • BLS Certification.
  • At least 3 years of nursing experience.
  • Strong communication and time-management skills.
  • Ability to set priorities, make timely decisions, and meet multiple deadlines.
  • Ability to work collaboratively in a large, complex, fast-paced environment.
  • Ability to travel between clinic sites; long-distance or air travel may be required, not to exceed 10%.
  • Ability to meet the role’s physical demands, including lifting or carrying 0–50 lbs., pushing or pulling 50–100 lbs., and stooping, kneeling, squatting, climbing, balancing, and bending.
  • Ability to perform the listed work activities, including sitting, walking, standing, manual dexterity, reaching above the shoulder, repetitive arm and hand movements, and finger dexterity.
  • Ability to work amid periods of high stress and fluctuating workloads, interruptions, frequent and intense customer interactions, and frequent change.
  • Ability to work in conditions that may include exposure to physical altercations or verbal abuse, high noise, hazardous substances or body fluids, blood and potentially infectious materials, chemicals or detergents, moving mechanical parts, dust, and fumes.

Nice To Haves

  • Master’s degree in nursing from an accredited program.
  • Nursing specialty board certification.
  • 1–2 years of preferred experience in the designated pediatric or adult division.

Responsibilities

  • Follow documented physician or licensed-provider orders within the Nurse Practice Act, licensure, and established standards, policies, and practice guidelines.
  • Triage patient calls and in-basket messages according to ambulatory and division-specific standards.
  • Facilitate training to strengthen specialty knowledge across ambulatory clinic locations.
  • Partner with the care team to prepare charts for return visits and review laboratory work, imaging, and diagnostic reports before visits.
  • Complete new-patient referrals, ensure outside records are available, and review and prepare charts so patients are scheduled in the correct clinic.
  • Provide disease- and procedure-specific patient education and create educational materials for common division topics.
  • Assist providers with clinical procedures across the division as needed.
  • Partner with providers, the Assistant Clinical Manager, Program Coordinators, and Nurse Navigators to support continuity of care across clinic sites, including service, preoperative, postoperative, and medical management for specific patient populations.
  • Perform multi-site nursing visits as directed by providers, including education, treatments, and assessments.
  • Support prior authorization needs, including emergent or same-day authorizations and denial appeals.
  • Partner with the Assistant Clinical Manager and clinic nursing staff to help providers obtain clinic testing and treatment.
  • Monitor patient satisfaction and customer feedback and promptly address issues to promote service excellence.
  • Serve as a clinical nursing role model and subject matter expert in ambulatory patient management across multiple sites.
  • Develop collaborative relationships that support research, evidence-based practice, and process improvement.
  • Contribute to developing and revising clinical practice and nursing care guidelines using current best evidence, and share evidence syntheses at the department or division level.
  • Take appropriate action to enhance positive outcomes and anticipate needs to provide quality, efficient care.
  • Maintain specialty professional growth through formal and informal education and training.
  • Perform other assigned duties and special projects in support of VCUHS and the division, and accept alternate assignments as required.
  • Provide equitable, age-appropriate care across the lifespan, from neonates through geriatric patients, applying knowledge of growth and development and assessing and interpreting patient data in accordance with departmental policies and procedures.
  • Follow universal precautions, use personal protective equipment and devices, and learn and follow infection-control policies.
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