Specialty Supervisor, Registered Nurse

San Ysidro Health•Chula Vista, CA

21h•$59 - $79•Onsite

About The Position

Under the direction of the Specialty Ambulatory Care Manager, the Specialty Ambulatory Care Supervisor, RN oversees daily clinical operations and patient care activities for assigned specialty care teams. The supervisor balances direct patient care with supervisory responsibilities to ensure high-quality, patient-centered specialty services consistent with the San Ysidro Health Model of Care. The role supports safe, cost-effective care and improved health outcomes by meeting the population health management needs of the communities served. The supervisor provides operational leadership and standardizes clinical processes across specialty departments and clinic locations. Specialty services include Cardiology, Acupuncture, Optometry, Podiatry, Rheumatology, Hematology, Endocrinology, Nephrology, Pulmonology, Gastroenterology, Allergy, and future service lines. The role leads care teams in achieving health outcome, patient safety, satisfaction, and clinical quality goals; develops and implements evidence-based protocols; supervises and develops nursing and medical assistant staff; manages staffing and performance; and supports patient care as needed. The position monitors operational and access performance, including staffing productivity, labor utilization, overtime, budget performance, wait times, referral conversion, template utilization, provider productivity, and continuity of care. It supports departmental planning, specialty program expansion, strategic initiatives, continuous quality improvement, regulatory compliance, infection control, medication safety, audit readiness, and care coordination. The supervisor serves as a nursing and operational subject matter expert for ambulatory specialty EMR workflows, partnering with information services and clinical informatics teams to optimize workflows, documentation, reporting, and referral management. The role also oversees specialty program activities such as coordinating treatment plans, monitoring medications and test results, arranging referrals and authorizations, supporting procedures and infusion therapies, facilitating triage and patient education, and coordinating continuity of care. The role requires travel to multiple sites within the San Ysidro Health network. The schedule is varied and totals 40 hours per week, with work between 8 a.m. and 8 p.m., including evenings and/or weekends. The position involves frequent prolonged standing and walking, occasional patient transfers and lifting supplies or equipment, and responding to emergencies or crises.

Requirements

At least 2 years of Registered Nurse experience; the posting specifies a minimum of 2–3 years.
At least 1 year of supervisory or leadership experience in ambulatory care, specialty care, care management, or outpatient clinical operations.
Associate degree in Nursing (ADN).
Active California RN License.
Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification from the American Heart Association.
Excellent written and verbal communication skills.
Ability to read, write, and comprehend medical information and terminology.
Flexible, organized, motivated, able to multitask, and skilled in time management.
Ability to present information effectively in writing and verbally.
Demonstrated knowledge of the RN scope of practice.
Strong interpersonal and leadership skills.
Proficiency in Microsoft Office and strong mathematical computation skills.
Ability to travel to multiple sites within the San Ysidro Health network.
Ability to work a varied 40-hour-per-week schedule between 8 a.m. and 8 p.m., including evenings and/or weekends.
Ability to meet pre-employment requirements, including Form I-9, physical examination, background check, favorable reference checks, completed application, new-hire orientation, and pre-employment TB screening.

Nice To Haves

FQHC experience.
Bachelor's degree in Nursing (BSN) or a healthcare-related field.

Responsibilities

Oversee clinical operations, staffing, workflows, and nursing practice across specialty care departments and multiple clinic locations.
Lead care teams in achieving organizational health outcomes, patient safety, patient satisfaction, and clinical quality goals.
Develop, implement, and monitor evidence-based specialty protocols, policies, procedures, medical management protocols, and care pathways.
Select, train, orient, supervise, and develop nurses and medical assistants; assess clinical competencies and complete performance reviews in collaboration with the Specialty Ambulatory Care Manager.
Maintain appropriate staffing schedules and provide direct patient care as needed.
Partner with specialty leadership and providers to optimize schedules, clinic capacity, patient throughput, and visit completion rates.
Monitor missed opportunities and implement corrective action plans to improve access and patient experience.
Collaborate with the Specialty Ambulatory Care Manager and Clinical Services Manager on problem-solving and disciplinary action as needed.
Work with specialty physicians and advanced practice providers to improve workflows, reduce administrative burden, and enhance provider satisfaction.
Participate in provider onboarding and support operational readiness for new specialty programs.
Monitor staffing productivity, labor utilization, overtime, and budget performance; assist with budget planning and resource allocation.
Use operational dashboards and reports to monitor performance and identify improvement opportunities.
Assist with specialty service line expansion, new clinical programs, and regulatory requirements; support strategic initiatives related to specialty growth, population health, and value-based care.
Monitor and improve specialty access metrics, including wait times, third-next available appointments, referral conversion, template utilization, provider productivity, and continuity of care.
Represent specialty nursing at site and organizational quality meetings; coordinate and implement nursing and medical assistant workflow improvements.
Ensure patient care readiness, regulatory compliance, audit preparedness, infection control, medication safety, care coordination, and high-quality care delivery.
Serve as a nursing and operational subject matter expert for ambulatory specialty EMR workflows.
Collaborate with information services and clinical informatics teams to optimize specialty workflows, order sets, documentation templates, registries, and reporting tools.
Monitor workqueues, In Basket management, specialty clinical messaging, and referral management workflows, ensuring timely scheduling, authorizations, and completion of specialty services.
Monitor referral leakage and implement strategies to improve patient retention within San Ysidro Health specialty services.
Ensure staff coordinate disease-specific treatment plans; monitor specialty medications, laboratory results, diagnostics, and treatment adherence; and coordinate referrals, procedures, diagnostics, and prior authorizations.
Coordinate and support infusion therapies, specialty procedures, and post-procedure care.
Ensure timely triage, new patient intakes, follow-up visits, and provider co-visits to support clinical workflows and patient access.
Review specialty laboratory, imaging, and diagnostic results; communicate significant findings to providers and coordinate follow-up.
Provide specialty-specific patient education on treatment plans, medication instructions, and self-management.
Facilitate continuity of care among primary care providers, specialty providers, hospitals, and external healthcare organizations.
Maintain professional growth through seminars, workshops, and professional affiliations.
Organize time efficiently, work independently and collaboratively, adapt to changing priorities, follow safety procedures, report unsafe conditions, attend required meetings, travel to multiple sites, and perform other related duties as assigned.