Nurse Manager - Heart and Vascular / Neurology

About the role

The Nurse Manager, Ambulatory provides clinical and operational leadership for nursing and patient care services in one or more ambulatory clinics at Duke Health Lake Norman Hospital in Mooresville, North Carolina. This 123-bed hospital offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties. The role is responsible for ensuring high standards of patient care, regulatory compliance, and operational excellence in alignment with DUHS policies and service line goals. The Nurse Manager reports to the Practice Administrator to integrate both overall clinic and nursing priorities into operational workflows, promote quality improvement initiatives, and support provider teams. This role actively participates in strategic planning, resource allocation, and change management efforts within the assigned clinics.

Duke University Health System is designated as a Magnet organization. Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6,000+ registered nurses.

Responsibilities

• Provide leadership, oversight, and accountability for all clinic practice in the assigned ambulatory clinic(s), ensuring evidence-based standards of care.
• Partner with operational leaders to align staffing models, workflows, and clinical processes that optimize patient flow, access, and quality outcomes.
• Supervise and evaluate all clinic staff, including administrative, nurses, medical assistants, and other licensed/unlicensed personnel; ensure competency, performance, and professional development.
• Monitor and ensure compliance with all regulatory, accreditation, and infection prevention standards.
• Collaborate with physician and APP leaders to support clinical care delivery, patient safety initiatives, and service recovery.
• Participate in the development and monitoring of clinic budgets, including labor and supply costs; identify cost-containment opportunities.
• Lead quality improvement and population health initiatives, using data to track progress and implement corrective actions as needed.
• Support onboarding, orientation, and training for new administrative staff, and ensure ongoing development for existing team members.
• Serve as a resource and liaison for patients, staff, and providers regarding nursing and operational concerns, escalating as appropriate to Practice Administrator or Ambulatory Operations Director.

Qualifications

Education:

• Bachelor's degree in nursing (BSN) required
• Master's degree in nursing or related field preferred

Experience:

• Minimum of three years of nursing experience with at least one year of leadership experience required
• Experience in ambulatory or outpatient clinic operations preferred

Licensure & Certification:

• Current RN licensure in the state of NC or compact state
• BLS certification required; additional certifications may be required based on specialty

Knowledge, Skills & Abilities:

• Demonstrated leadership in ambulatory nursing and clinical operations
• Knowledge of ambulatory care standards, regulatory requirements, and quality improvement methods
• Ability to lead interdisciplinary teams and influence change in a complex healthcare environment
• Strong communication, conflict resolution, and coaching skills
• Financial and operational acumen, including budgeting and resource allocation
• Proficiency with electronic health records and clinical reporting systems

Benefits

• Relocation assistance (based on eligibility)
• Quality of life in the Triangle region