About The Position

The Ambulatory Divisional Registered Nurse provides, develops, coordinates, and manages clinical duties for the Thoracic/Cardiovascular Surgery Division. The role supports clinical care across multiple outpatient locations and partners with providers and interdisciplinary teams. In collaboration with Ambulatory Leadership, the Division Chair, and the Medical Director, the nurse helps develop and manage processes that support safe, timely ambulatory care. The position requires working knowledge of outpatient management for specialty patients, including general and complex medical care and preoperative and postoperative care. The nurse serves as a clinical resource and role model across clinic sites, supports continuity of care, and contributes to evidence-based practice, patient education, quality improvement, and specialty training. The role includes required travel between clinic sites and may involve periods of high stress, fluctuating workloads, interruptions, and exposure to infectious materials and other listed workplace hazards.

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.
  • Ability to exercise universal precautions, use personal protective equipment and devices, and follow infection-control policies.

Nice To Haves

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

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 inbox messages according to ambulatory and division-specific standards.
  • Facilitate training to improve specialty knowledge across ambulatory clinic locations.
  • Partner with the care team to prepare charts for return visits and review laboratory, imaging, and diagnostic records before visits.
  • Complete new-patient referrals, ensure outside records are available, and prepare charts to help ensure patients are scheduled in the correct clinic.
  • Provide disease- and procedure-specific patient education and create educational materials for common topics within the division.
  • Assist providers during clinical procedures as needed.
  • Partner with providers, the Assistant Clinical Manager, Program Coordinators, and Nurse Navigators to maintain continuity of care across clinic sites, including service, preoperative, postoperative, and medical management.
  • Perform multi-site nursing visits as directed by providers, including education, treatments, and assessments.
  • Support prior authorization requirements, 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 take prompt action to support service excellence.
  • Serve as a nursing clinical role model and division subject matter expert for ambulatory patient management across multiple sites.
  • Build collaborative relationships that may support research, evidence-based practice, or process improvement.
  • Contribute to the revision and development of clinical practice and nursing care guidelines using current best evidence, and share evidence syntheses at the department or division level.
  • Take appropriate actions to enhance positive outcomes and anticipate needs to provide quality, efficient patient care.
  • Maintain professional growth and specialty development 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, applying knowledge of growth and development and assessing patient status and needs.
  • Travel between clinic sites; long-distance or air travel may be required as needed, not to exceed 10%.
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