The posting
Position Summary: Under the direction of the Specialty Ambulatory Care Manager, the Specialty Ambulatory Care Supervisor, RN oversees the daily clinical operations, and patient care activities of assigned care teams. Within the supervisor role, will carefully balance direct patient care and supervisory duties to ensure the highest quality service and care is provided. Responsible for the delivery of patient-centered specialty services in accordance with the San Ysidro Health Model of Care designed to deliver safe, high-quality, cost-effective care, and improve health outcomes by meeting the population health management needs of the communities served.
Essential Functions of the Job:
Oversees clinical operations, staffing, workflows, and nursing practice across all Specialty Care Departments within San Ysidro Health, including but not limited to Cardiology, Acupuncture, Optometry, Podiatry, Rheumatology, Hematology, Endocrinology, Nephrology, Pulmonology, Gastroenterology, Allergy, and future specialty service lines. Provides operational leadership and standardization of clinical processes across multiple clinic locations. Lead care teams in the achievement of organizational goals for health outcomes improvement, patient safety, satisfaction, and clinical quality goals. Follow evidence-based guidelines to assist in the development of Specialty Department protocols, policies and procedures to optimize clinical outcomes across the continuum of care. Implement and monitor approved medical management protocols and pathways to optimize clinical outcomes. Select, train, orient, supervise and develop nurses and medical assistants. Evaluate clinical competencies on hire, annually, and as needed and complete performance reviews in collaboration with Specialty Ambulatory Care Manager. Maintain optimal staffing schedules and provide direct patient care as needed to support clinic operations. Partner with Specialty Care leadership and providers to optimize provider schedules, clinic capacity, patient throughput, and visit completion rates. Monitor missed opportunities and implement corrective action plans to improve access and patient experience Utilize effective problem-solving techniques and collaborate with Specialty Ambulatory Care Manager/Clinical Services Manager to provide disciplinary action as needed to improve employee relations. Partner with specialty physicians and advanced practice providers to identify workflow improvement opportunities, reduce administrative burden, and enhance provider satisfaction. Participate in provider onboarding and support operational readiness for new specialty programs.
Operational Performance Accountability
Monitor staffing productivity, labor utilization, overtime, and budget performance. Assist Specialty Ambulatory Care Manager with departmental budget planning and resource allocation. Utilize operational dashboards and reports to monitor performance metrics and identify improvement opportunities. Assist in the implementation and expansion of specialty service lines, new clinical programs, and regulatory requirements. Support strategic initiatives related to specialty growth, population health, and value-based care performance. Monitor and improve specialty access metrics including new patient wait times, third-next available appointment, referral-to-appointment conversion rates, template utilization, provider productivity, and continuity of care. Serve as the Specialty Department nursing representative at site Continuous Quality Improvement meetings, and organizational clinical quality meetings assuming accountability for identifying, coordinating, and implementing improvements in the nursing and medical assistant workflow that impact overall patient care/workflow improvements. Ensure patient care readiness, regulatory compliance, audit preparedness, infection control, medication safety, care coordination, and high-quality care delivery through staff development, oversight, and continuous leadership presence in patient care areas, in compliance with Nurse Practice Act, TJC, federal/state/local, and health plan requirements. Actively participates in the development, implementation, and monitoring of departmental protocols, policies and procedures that support achievement of organizational goals and objectives.
EMR Leadership
Serve as nursing and operational subject matter expert for EMR Ambulatory Specialty 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, and specialty clinical messaging processes. Oversee referral management workflows to ensure timely scheduling, authorizations, and completion of specialty services. Monitor referral leakage and implement strategies to improve patient retention within SYHealth specialty services.
Specialty Programs:
Ensure staff appropriately perform duties in the Specialty Department as assigned, and act as a resource for, including by not limited to:
Coordinating disease-specific treatment plans in collaboration with specialty providers. Monitoring specialty medications, laboratory results, diagnostic studies, and treatment adherence. Coordinating specialty referrals, procedures, diagnostics, and treatment-related prior authorizations. Coordinating and supporting infusion therapies, specialty procedures, and post-procedure patient care. Care Team provides timely patient triage, new patient intakes, follow-up visits, and provider co-visits to ensure effective clinical workflow and maximize patient access to care. Reviewing and monitoring specialty-related laboratory, imaging, and diagnostic results; communicate significant findings to providers and coordinate appropriate follow-up. Providing specialty‑specific patient education, including treatment plans, medication instructions, and self‑management strategies.
Facilitate continuity of care between primary care providers, specialty providers, hospitals, and external healthcare organizations.
Additional Duties and Responsibilities:
Maintains professional growth and development of department through seminars, workshops and profession affiliations to keep them abreast of latest trends in field of expertise. Utilizes and organizes time efficiently to maximize productivity, while maintaining a collaborative team environment. Follows safety procedures and reports unsafe conditions. Works both independently and in a team-oriented, collaborative environment. Adapts to shifting priorities, demands and timelines. Attends and participates in meetings as required. Ability to travel to multiple sites within SYHealth network. Performs other related duties as assigned or requested.
Job Requirements
Experience Required:
Minimum 2-3 years of Registered Nurse experience with at least 1 year of supervisory or leadership experience in ambulatory care, specialty care, care management, or outpatient clinical operations.
Experience Preferred:
FQHC experience preferred.
Education Required:
Associate degree in Nursing (ADN)
Education Preferred:
Bachelor's degree in nursing (BSN) or health care related field
Certifications Required:
Active California RN License Current BLS for Healthcare Provider CPR or CPR/AED for the Professional Rescuer certification (American Heart Association)
Verbal and Written Skills Required to Perform the Job:
Excellent communication both written and verbal. Ability to read, write and comprehend medical information and terminology. Flexible, organized, motivated, multi-tasker and excellent time management skills. Ability to effectively present information, both verbal and written.
Technical Knowledge and Skills Required to Perform the Job:
Demonstrated knowledge of the RN scope of practice. Strong interpersonal and leadership skills are required. Proficient in Microsoft Office, and excellent mathematical computational skills.
Equipment Used:
Office equipment such as computers, copiers, telephones, fax machines, etc. Medical equipment includes emergency equipment, defibrillator (AED), nebulizer, cardiac stress test/treadmill, etc.
Working Conditions and Physical Requirements:
Employee will have frequent prolonged standing/walking. Occasionally lifts, positions, pushes, and/or transfers patients. Occasionally lifts supplies and equipment. Handle emergencies or crisis. Occasionally one is subjected to multiple calls, and inquiries. The Employee is exposed to occasional unpleasant elements (accidents, injuries and illness). Ability to work a varied, 40 hours per week schedule to include evenings and/or weekends, between the hours of 8 am to 8pm. Home Base Location: 480 Downtown Chula Vista Specialty Center. Travel required throughout the San Ysidro Health network to support specialty clinics and providers
Universal Requirements: Pre-employment requirements include 1-9, physical, clean background and favorable reference check results, complete application, new hire orientation, pre-employment TB screening.
