Ambulatory RN

What you'll actually do

This is a clinical leadership role in an ambulatory practice. You're overseeing both clinical and support staff while still seeing patients yourself. It's not just management from behind a desk; you'll be in the room assisting physicians with procedures, taking vitals, drawing blood, running EKGs, and giving injections. The job balances direct patient care with coordinating how the practice runs day to day.

You'll adjust schedules and appointments as patient needs change, often on the fly. You're the one making sure patient wait times don't get out of hand. You'll triage all incoming patient calls, figure out how urgent someone's need is, and decide if they need an appointment now or can wait. You'll call in prescription refills after clearing it with the physician. When critical or abnormal results come in, you notify the right doctor, and you tell patients what they need to know as directed. Every conversation and task gets documented in the patient's electronic medical record.

On the operations side, you develop goals and objectives that align with the hospital's business strategy. You spot roadblocks and deal with them. You set work schedules, make daily assignments, and delegate tasks. You help interview and hire staff, evaluate their performance, handle promotions, and discipline when necessary, always in coordination with the Medical and Administrative Director.

You build systems for handling referrals according to different insurance rules. You get authorizations for admissions, surgical procedures, specific tests, and specialist referrals from insurance companies and HMOs. Patient education happens based on what the clinic needs. When conflicts come up between patients, physicians, and staff, you resolve them either on your own or with the director's help.

You'll keep a continuing education program running for your staff. That means arranging inservices and finding training opportunities. You develop and update policies, procedures, and operating protocols to keep quality high. You report statistics, evaluate problems, and propose solutions. You monitor and control the unit's budget with input from the physicians and Administrative Director, forecasting costs and activities. You handle procuring equipment, instruments, and supplies, and you recommend new gear when it's needed. You stay current on technical and business trends and share what matters with your team. And you support National Patient Safety Goals, nursing sensitive indicators, regulatory requirements (like DC Health and TJC), and Pathway to Excellence standards through your daily work.

What you need to qualify

• A Bachelor's degree in nursing is required.
• 3 4 years of increasingly responsible nursing and medical office experience, ideally in a multi physician practice, is required.
• You need a current RN license for the District of Columbia (or a compact state license covering DC).
• CPR certification for healthcare providers (BLS or NRP) from the American Heart Association or American Red Cross is required within 90 days of starting.
• Additional unit or specialty certifications might be needed depending on the department.

Pay and benefits

The hiring range for this position is $102,606.00 to $196,996.00 per year.

Disclaimer: Benefits, if any, are not specified in this posting. MedStar Health typically offers a standard package, but you'd confirm specifics during the interview process.

How to apply

Submit your application through JobXi. Make sure your resume reflects your nursing leadership experience, your years in medical office settings, and your DC RN license.