The Ambulatory Nurse Manager is accountable for the delivery of quality patient care in the Cardiology outpatient practices. S/he continually assesses clinical practice including scope of practice guidelines, protocols, and workflows, program regulatory compliance, and ensures consistent clinical practice across multiple sections and locations within the Cardiology Division.

The Nurse Manager will lead team building, scheduling, quality improvement, patient program management, and staff development. S/he will establish and maintain a professional practice model that supports high quality efficient care in an environment that fosters professional mentorship, collaboration, and support. The Nurse Manager will also advise clinical practice and decision making and manage quality outcomes in patient programs. This essential leadership position encompasses personnel management and development, business administration, and development of collaborative partnerships.

This role reports to the Administrative Director for Clinical Operations of the Cardiology Division and receives general direction from the Associate Chief Nurse of Ambulatory Care. This role also collaborates with the Cardiology Division Associate Chief, Medical Directors, Associate Chief Nurse of the Heart Center, Director of Advanced Practice Providers, Administrative Managers, Practice Managers, and other leaders in the Heart Center, Department of Medicine, and Department of Nursing.

1.Provides an environment for effective patient-focused nursing and clinical care

1.1Responsible for high quality care with positive patient/program outcomes

1.2Supports independent practice of professional nurses through collaborative, consultative and role-modeling activities

1.3Evaluates and implements approved policies, procedures, and standards of care necessary for the coordination and delivery of excellent patient-focused care

1.4Promotes consistency in nursing practice and develops standard protocols for ambulatory nurses across the division

1.5Develops and promotes consistent clinical competencies and practices in the Medical Assistant position across ambulatory Cardiology settings

1.6Promotes an environment that is sensitive to the culturally diverse needs of patients and staff

1.7Applies innovative approaches and utilizes available resources and personnel to identify, address, and resolve complex problems

2.Personnel Management

2.1Manages and supervises direct patient care providers and support personnel

2.2Interviews, hires and evaluates clinical staff

2.3Facilitates training for new nurses and medical assistants

2.4Monitors staffing patterns and adjusts personnel to fit practice needs

2.5Delegates responsibility and authority to appropriate staff

2.6Promotes the development of patient care teams engaging in the decision-making process

2.7Explores the feasibility of placement and progression of staff nurses in the clinical recognition program. Maintains a knowledge of other MGH/MGB opportunities to promote clinical practice

2.8Maintains confidentiality, as appropriate related to personnel management issues

3.Administration/Business

3.1Accountable for maintaining the labor budget as it relates to nursing/MA/EP/RD salary expense and overtime use. Uses operational data and metrics to evaluate appropriate utilization of clinical staff and advocate for additional staff when needed

3.2Promotes, develops and evaluates processes and systems for patient care. Advocates for resources and system improvements when necessary

3.3Accountable for compliance with hospital and regulatory standards

3.4Negotiates interdepartmental resources, communicates and plans with managers of other practices and directors and managers to ensure an effective level of service

4.Operations Management

4.1Maintains a safe environment for patients and staff

4.2Reviews the appropriate use of equipment, supplies, and physical facilities; holds staff accountable for safe and efficient practice

4.3Participates in planning and carrying out the completion of projects to improve clinical operations

5.Collaboration

5.1Forms collaborative, inter and intradepartmental partnerships with clinical and administrative leaders across the institution to plan the delivery of care and develop efficient processes

5.2Collaborates with leadership to identify current and future service needs and shares responsibility for meeting these needs

5.3Participates on committees and task forces of the Department of Nursing, the Heart Center, MGH, and MGB

6.Leads and/or participates in performance improvement activities

6.1Continually evaluates quality and safety; identifies improvement opportunities and implements programs for improvement

6.2Evaluates patient care/program outcomes; uses patient satisfaction surveys to recommend and integrate appropriate changes

6.3Applies new technology, nursing theories, research findings and experiential knowledge to improve nursing/clinical practice

6.4Responds to change in clinical practice by planning, designing, implementing and evaluating guidelines, protocols and standards in collaboration with others

7.Professional Development

7.1Engages in self-performance appraisal on a regular basis, identifying areas of strength as well as areas for professional/practice development

7.2Maintains necessary clinical and managerial skills through continuing education and direct clinical practice

7.3Participates in Department of Nursing leadership groups and Heart Center and ambulatory committees

7.4Establishes self as a resource in the Heart Center where expertise may be required

8.Other responsibilities as defined by Cardiology and Ambulatory Nursing leadership

22 nursing FTEs in four ambulatory settings (Boston, Danvers, Waltham, and New Chardon Street) and five subspecialties (Prevention, General Cardiology, Heart Failure, Interventional Cardiology, and Electrophysiology). Indirect support for Medical Assistants.

Collaborates with Administrative/Practice Managers and the Administrative Director in the development of annual operating and capital budgets. Participates in ongoing financial monitoring.

Busy, high-volume cardiology clinics. Minor amount of walking and standing. Driving/commuting to offsite locations

Demonstrates leadership/managerial skill including interpersonal competence, organizational skills, financial management, personnel management, patient program management, and adaptability.

Current licensure as a registered nurse in the Commonwealth of Massachusetts.

Certification in specialty area is desired.

Bachelor's degree required.

At least 3 years of managerial experience, preferably in an ambulatory setting.

Massachusetts General Hospital is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.