Sr. Nursing Director, Ambulatory Non-Oncology

Department Overview

The Senior Nursing Director, Ambulatory Non‑Oncology provides enterprise nursing leadership for ambulatory clinical services across OHSU, ensuring consistent, high‑quality, safe, and patient‑centered nursing care for adult and pediatric non‑oncology populations. This role supports a large, complex ambulatory enterprise inclusive of primary care, specialty care, procedural services, and medically complex populations.

 

• Requires prioritization of multiple projects, activities, and assignments.
• Frequent interruptions in an environment of frequent change and fluctuations.
• May be exposed to excessive auditory and visual stimulation.
• For inpatient units: accepts 24/7 accountability and responsibility to include possibility of stepping into patient care or clerical role, as needed. For outpatient or special service-type units: accountability and responsibility for overall program during and after hours of operation and overall program coordination, including stepping into a clinical or clerical role as needed.
• May be required to attend out of town conferences according to hospital travel and reimbursement policies.
• Subject to computer work for several hours as needed
• Must be able to deal with competing needs and priorities of internal and external customers including ensuring safe conditions for patients, families and staff.
• Exercises the ability to implement a flexible work schedule to meet the unit needs and to create a work-life balance

Function/Duties of Position

As a Registered Nurse leader, the Senior Nursing Director advances professional nursing practice through OHSU’s Professional Practice Model and professional governance structures, aligning nursing clinical accountability with ambulatory operational performance in partnership with Ambulatory Operations and Medical Leadership. The role establishes and oversees ambulatory nursing standards, care delivery models, staffing frameworks, competency pathways, escalation structures, and workforce governance to ensure reliability, safety, and consistency across clinics.

 

The Senior Nursing Director provides direct leadership and accountability for designated ambulatory nursing and programmatic leaders, including the Oregon Poison Center Nurse Manager and the Oregon Poison Center Program Director, and holds director‑level responsibility for adult and pediatric non‑oncology ambulatory nursing practice across the enterprise. The role exercises both direct and dotted‑line oversight of leaders to ensure coherent execution of nursing standards, workforce strategies, and performance expectations while preserving essential operational partnerships.

 

The Senior Nursing Director partners with physician leaders, Ambulatory Operations executives, and Quality, Finance, and Strategy teams to translate clinical nursing expertise into sustainable operational performance, strengthening access, workforce engagement, productivity, regulatory readiness, and cost stewardship. As the ambulatory enterprise continues to mature, this role supports a future state in which selected dotted‑line relationships may transition to solid‑line reporting to simplify accountability and further strengthen nursing governance, consistent with the OHSU Health Strategic Plan.

 

Decisions and actions adhere to the American Nurses Association Code of Ethics; the ANA Nursing Administration: Scope and Standards of Practice; the Oregon State Board of Nursing Nurse Practice Act; and the Nurse Executive Competencies developed by the American Organization for Nursing Leadership (AONL). The Senior Nursing Director models OHSU’s Culture of Safety by fostering a Just, Reporting, Learning, and Engaged/Informed culture.

 

Leadership, System Governance & Enterprise Strategy•Provide enterprise nursing leadership to design, lead, and mature ambulatory nursing governance   structures, including planning and facilitating leadership forums, councils, and workgroups that enable   informed, timely, and accountable decision making across the system.•Chair or co-chair system level ambulatory nursing councils, setting strategic direction, aligning priorities, reducing unwarranted variation, and ensuring accountability across clinics, service lines, and regions.•Serve as a senior escalation and decision-making layer, reinforcing appropriate nursing governance, clarifying decision rights, and enabling timely issue resolution while optimizing escalation to the Ambulatory   CNO.•Advance interdisciplinary alignment by partnering with medical, operations, ancillary, informatics, and   enterprise leaders to drive integrated, patient centered ambulatory care models and shared accountability   for outcomes.•Lead practice driven clinical informatics strategy for ambulatory nursing, ensuring nursing workflows,   documentatio