Senior Director of Nursing - Ambulatory Registered Nurses

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
Under the direction of Ambulatory executive leadership, works in partnership with department and health system nursing, physician, and operational leadership to effectively manage an assigned clinical portfolio across multiple programs, specialties, and sites. This role collaborates with local nursing leadership to promote excellence in nursing practice, patient safety, regulatory compliance, and financial stewardship. 

EXPERIENCE AND EDUCATION

Required

• Education
  Master's Degree in Nursing (MSN), Healthcare Administration, Business Administration, Public Health, or related healthcare field 
   

• Experience
  8 years of progressive healthcare leadership experience, including 
  5 years of manager-level or above nursing leadership experience 
   

• Licenses and Certifications
  (RN) REGISTERED NURSE licensure in the state of Texas 
   

Preferred

• Experience
  Experience in an academic medical center 
  Experience leading multisite ambulatory care networks 
  Magnet experience 
   

• Licenses and Certifications
  ANCC Board Certification (NEA-BC, RN-BC, or specialty certification) 
   

JOB DUTIES

• Provides nursing oversight for a multispecialty, multisite ambulatory portfolio generating significant annual visit volumes.
• Ensures that ambulatory nursing care delivery models align with academic medical center complexity, regulatory standards, and system growth initiatives while fostering a high reliability, patient-centered culture. Partners with service line Medical Directors, Department Chairs, and Ambulatory Operations leadership to align clinical care models with strategic growth plans.
• Develops and sustains optimal staffing models across RN, LVN, MA, and clinical support roles. Accountable for nursing labor management, workforce efficiency, and resource allocation. Leads recruitment, retention, engagement, and succession planning initiatives.
• Develops and executes nursing strategies that support access, quality, safety, patient experience, and financial sustainability. Makes recommendations, oversees activities, and drives initiatives to improve patient safety, throughput, regulatory readiness, care responsiveness, and telephone triage effectiveness.
• Serves as the senior nursing voice within portfolio or service line governance structures. Presents to various senior-level audiences. Serves on other committees as representative of assigned program as appropriate.
• Ensures nursing practice aligns with state licensure, regulatory standards, and evidence-based ambulatory care guidelines. Ensures top-of-license practice across all clinical roles. Supports Magnet designation and ANCC standards for professional practice.
• Assists in developing, implementing, and optimizing clinical workflows, triage models, care management processes, and scope-of-practice clarity. Oversees standardization of clinical documentation, decision support tools, and specialty-informed protocols.
• Promotes a culture of customer service aimed at creating an optimal patient experience and a collaborative work environment. Assists with the development of reward and recognition tools to promote exemplary performance in keeping with institutional core values.
• Analyzes data to develop new and/or revise existing programs. Develops project proposals and coordinates vetting and approval with stakeholders. Recommends new policies and procedures for improvement of program activities.
• Partners with departmental and physician leadership to advise on clinical space utilization and ongoing facility development.
• Develops and coaches nursing leaders on performance management, fiscal stewardship, and leadership competencies. Fosters a culture of accountability, psychological safety, and professional growth.
• Responsible for development and monitoring of final budgets in assigned areas. Collaborates with Ambulatory Operations on budgeting, productivity targets, and performance improvement initiatives.
• Interprets data dashboards and analytics to drive performance improvements across patient access, call management and triage metrics, revenue cycle impact of clinical workflows, clinical quality indicators.
• Leads event review, just culture initiatives, and safety culture improvement. Partners with Risk Management and Compliance on clinical investigations and process redesign.
• Performs other duties as assigned

Knowledge, Skills and Abilities

• Work requires ability to demonstrate the ability to work well with management, physicians, and other professionals in a direct and positive manner.
• Work requires strong interpersonal communication skills and analytical ability sufficient to evaluate data, make sound judgments and recommendations.
• Work requires strong project management and problem-solving skills with the ability to work independently, achieve tight deadlines and take initiative on multiple projects.
• Work requires working with departments to design and document operational procedures to support transactions processing and compliance with established regulations.
• Work requires ability to develop, monitor and maintain a budget.
• Work requires ability to manage and direct staff.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Working Conditions

• Office Setting

Salary Information
Salary is commensurate with education, skills, and relevant experience.
 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include\:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-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
• Learn more about these and other UTSW employee benefits!

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.
 

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
Under the direction of Ambulatory executive leadership, works in partnership with department and health system nursing, physician, and operational leadership to effectively manage an assigned clinical portfolio across multiple programs, specialties, and sites. This role collaborates with local nursing leadership to promote excellence in nursing practice, patient safety, regulatory compliance, and financial stewardship. 

EXPERIENCE AND EDUCATION

Required

• Education
  Master's Degree in Nursing (MSN), Healthcare Administration, Business Administration, Public Health, or related healthcare field 
   

• Experience
  8 years of progressive healthcare leadership experience, including 
  5 years of manager-level or above nursing leadership experience 
   

• Licenses and Certifications
  (RN) REGISTERED NURSE licensure in the state of Texas 
   

Preferred

• Experience
  Experience in an academic medical center 
  Experience leading multisite ambulatory care networks 
  Magnet experience 
   

• Licenses and Certifications
  ANCC Board Certification (NEA-BC, RN-BC, or specialty certification) 
   

JOB DUTIES

• Provides nursing oversight for a multispecialty, multisite ambulatory portfolio generating significant annual visit volumes.
• Ensures that ambulatory nursing care delivery models align with academic medical center complexity, regulatory standards, and system growth initiatives while fostering a high reliability, patient-centered culture. Partners with service line Medical Directors, Department Chairs, and Ambulatory Operations leadership to align clinical care models with strategic growth plans.
• Develops and sustains optimal staffing models across RN, LVN, MA, and clinical support roles. Accountable for nursing labor management, workforce efficiency, and resource allocation. Leads recruitment, retention, engagement, and succession planning initiatives.
• Develops and executes nursing strategies that support access, quality, safety, patient experience, and financial sustainability. Makes recommendations, oversees activities, and drives initiatives to improve patient safety, throughput, regulatory readiness, care responsiveness, and telephone triage effectiveness.
• Serves as the senior nursing voice within portfolio or service line governance structures. Presents to various senior-level audiences. Serves on other committees as representative of assigned program as appropriate.
• Ensures nursing practice aligns with state licensure, regulatory standards, and evidence-based ambulatory care guidelines. Ensures top-of-license practice across all clinical roles. Supports Magnet designation and ANCC standards for professional practice.
• Assists in developing, implementing, and optimizing clinical workflows, triage models, care management processes, and scope-of-practice clarity. Oversees standardization of clinical documentation, decision support tools, and specialty-informed protocols.
• Promotes a culture of customer service aimed at creating an optimal patient experience and a collaborative work environment. Assists with the development of reward and recognition tools to promote exemplary performance in keeping with institutional core values.
• Analyzes data to develop new and/or revise existing programs. Develops project proposals and coordinates vetting and approval with stakeholders. Recommends new policies and procedures for improvement of program activities.
• Partners with departmental and physician leadership to advise on clinical space utilization and ongoing facility development.
• Develops and coaches nursing leaders on performance management, fiscal stewardship, and leadership competencies. Fosters a culture of accountability, psychological safety, and professional growth.
• Responsible for development and monitoring of final budgets in assigned areas. Collaborates with Ambulatory Operations on budgeting, productivity targets, and performance improvement initiatives.
• Interprets data dashboards and analytics to drive performance improvements across patient access, call management and triage metrics, revenue cycle impact of clinical workflows, clinical quality indicators.
• Leads event review, just culture initiatives, and safety culture improvement. Partners with Risk Management and Compliance on clinical investigations and process redesign.
• Performs other duties as assigned

Knowledge, Skills and Abilities

• Work requires ability to demonstrate the ability to work well with management, physicians, and other professionals in a direct and positive manner.
• Work requires strong interpersonal communication skills and analytical ability sufficient to evaluate data, make sound judgments and recommendations.
• Work requires strong project management and problem-solving skills with the ability to work independently, achieve tight deadlines and take initiative on multiple projects.
• Work requires working with departments to design and document operational procedures to support transactions processing and compliance with established regulations.
• Work requires ability to develop, monitor and maintain a budget.
• Work requires ability to manage and direct staff.

PHYSICAL REQUIREMENTS/WORKING CONDITIONS

Working Conditions

• Office Setting

Salary Information
Salary is commensurate with education, skills, and relevant experience.
 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include\:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-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
• Learn more about these and other UTSW employee benefits!

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.