Sr. Director, Ambulatory RNs

UT Southwestern Medical Center • Dallas, TX

25d • Onsite

About The Position

Under the direction of Ambulatory executive leadership, the Sr. Director, Ambulatory RNs partners with department and health system nursing, physician, and operational leaders to manage an assigned clinical portfolio across multiple programs, specialties, and sites. The role works with local nursing leadership to advance nursing practice, patient safety, regulatory compliance, and financial stewardship.

The position provides senior nursing oversight for a multispecialty, multisite ambulatory portfolio and ensures care delivery models address the complexity of an academic medical center, regulatory standards, and system growth. The Sr. Director develops nursing strategies and staffing models, supports access, quality, safety, patient experience, and financial sustainability, and guides leaders and teams in delivering high-reliability, patient-centered care. The role also contributes to portfolio governance, budgeting, performance improvement, Magnet and ANCC standards, facility planning, and clinical workflow optimization.

The work is performed in an office setting. Salary is commensurate with education, skills, and relevant experience.

Requirements

• Master's degree in Nursing (MSN), Healthcare Administration, Business Administration, Public Health, or a related healthcare field.
• Eight years of progressive healthcare leadership experience, including five years of manager-level or above nursing leadership experience.
• Registered Nurse (RN) licensure in the state of Texas.
• Ability to work effectively and positively with management, physicians, and other professionals.
• Strong interpersonal communication skills and analytical ability to evaluate data and make sound judgments and recommendations.
• Strong project management and problem-solving skills, including the ability to work independently, meet tight deadlines, and take initiative across multiple projects.
• Ability to work with departments to design and document operational procedures supporting transaction processing and regulatory compliance.
• Ability to develop, monitor, and maintain a budget.
• Ability to manage and direct staff.

Nice To Haves

• Experience in an academic medical center.
• Experience leading multisite ambulatory care networks.
• Magnet experience.
• ANCC Board Certification (NEA-BC, RN-BC, or specialty certification).

Responsibilities

• Provide nursing oversight for a multispecialty, multisite ambulatory portfolio with significant annual visit volumes.
• Ensure ambulatory nursing care delivery models align with academic medical center complexity, regulatory standards, and system growth initiatives.
• Partner with service line Medical Directors, Department Chairs, and Ambulatory Operations leadership to align clinical care models with strategic growth plans.
• Develop and sustain staffing models for RN, LVN, MA, and clinical support roles; oversee nursing labor management, workforce efficiency, resource allocation, recruitment, retention, engagement, and succession planning.
• Develop and execute nursing strategies that support access, quality, safety, patient experience, and financial sustainability.
• Recommend and oversee initiatives to improve patient safety, throughput, regulatory readiness, care responsiveness, and telephone triage effectiveness.
• Represent nursing in portfolio or service line governance structures, present to senior-level audiences, and serve on committees as appropriate.
• Ensure nursing practice aligns with state licensure, regulatory standards, and evidence-based ambulatory care guidelines; promote top-of-license practice across clinical roles and support Magnet designation and ANCC standards.
• Assist in developing, implementing, and optimizing clinical workflows, triage models, care management processes, and scope-of-practice clarity.
• Oversee standardization of clinical documentation, decision support tools, and specialty-informed protocols.
• Promote customer service, an optimal patient experience, and a collaborative work environment; help develop recognition tools for exemplary performance.
• Analyze data to develop or revise programs, prepare project proposals, coordinate stakeholder review and approval, and recommend policies and procedures.
• Partner with departmental and physician leadership on clinical space utilization and facility development.
• Develop and coach nursing leaders in performance management, fiscal stewardship, and leadership competencies; foster accountability, psychological safety, and professional growth.
• Develop and monitor final budgets for assigned areas and collaborate with Ambulatory Operations on budgeting, productivity targets, and performance improvement.
• Use dashboards and analytics to improve patient access, call management and triage metrics, revenue-cycle impacts of clinical workflows, and clinical quality indicators.
• Lead event review, just-culture initiatives, and safety-culture improvement; partner with Risk Management and Compliance on clinical investigations and process redesign.
• Perform other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage.
• 100% coverage for preventive healthcare with no copay.
• Paid Time Off, available day one.
• Retirement programs through the Teacher Retirement System of Texas (TRS).
• Paid Parental Leave Benefit.
• Wellness programs.
• Tuition Reimbursement.
• Public Service Loan Forgiveness (PSLF) Qualified Employer.
• On-site childcare.
• Paid holidays.
• Healthcare benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior