VP Nursing - Ambulatory Patient Care Operations

Salary Range $200,000

• $300,000 Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert.

We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members. Employees of Confluence Health receive a wide range of benefits in addition to compensation. Medical, Dental & Vision Insurance Flexible Spending Accounts & Health Saving Accounts Paid Time Off Generous Retirement Plans Life Insurance Long-Term Disability Gym Membership Discount Tuition Reimbursement Employee Assistance Program Adoption Assistance Shift Differential For more information on our Benefits & Perks, click here! Summary The Vice President (VP) Nursing, Ambulatory Patient Care Operations provides clinical leadership and strategic oversight for all ambulatory and outpatient nursing services across the continuum of care. This role is accountable for the quality, safety, operational performance, financial stewardship, and regulatory compliance of ambulatory patient care services, including home infusion services, home health and hospice, palliative care, case management, value-based care initiatives, and population health programs. The VP serves as the senior nursing and patient care operations leader for ambulatory services and is responsible for standardizing outpatient nursing competencies, scope of practice, standards of care, and professional practice models across all ambulatory settings. This leader partners closely with physician leaders, operational executives, and system nursing leadership to advance care transformation, improve outcomes, and drive value for patients, families, and the community.

Position Reports To:

Chief Nursing Officer Essential Functions Serves as a senior executive clinical leader for ambulatory patient care operations across all outpatient settings. Represents ambulatory nursing and patient care operations on executive councils, governance committees, and clinical leadership forums. Partners with system and entity leadership to develop and execute short

• and long-term strategic plans aligned with organizational mission, vision, and value-based care objectives.

Partners as a clinical expert on ambulatory care transformation initiatives that improve access, quality, care coordination, patient experience, and affordability. Provides executive oversight for all outpatient nursing practice, ensuring alignment with system-wide nursing standards, regulatory requirements, accreditation standards, and evidence-based practice. Promotes a culture of professional accountability, engagement, safety, and continuous improvement. Partners with Clinical Development to ensure deployment of ambulatory nursing education, onboarding, and ongoing competency assurance programs. Provides operational leadership and accountability for Home Health & Hospice, Palliative Care, Case Management & Care Coordination, Value-Based Care & Population Health. Is an operational resource for Home Infusion Services. Partners with the Quality and Risk Departments for quality outcomes, patient safety, and risk management across all ambulatory nursing services. Ensures compliance with federal, state, and local regulations, accreditation standards, and payer requirements. Oversee ambulatory quality metrics, nursing-sensitive indicators, patient experience outcomes, and performance improvement initiatives Oversees capital planning, business cases, and return-on-investment analyses for ambulatory services. Builds strong, collaborative partnerships with physicians, advanced practice providers, and interdisciplinary leaders. Aligns nursing operations with physician practice goals and service line strategies. Supports team-based care models and interdisciplinary collaboration across the continuum. Leads retention, engagement, and professional development strategies for ambulatory nursing leadership and staff. Fosters an inclusive, respectful, and high-performing culture aligned with organizational values. Serves as a coach, mentor, and role model for executive nursing and operational leaders. Performs other duties as assigned. Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications Required:

Bachelor's Degree in Nursing (BSN). Master's Degree in Nursing, Healthcare Administration, or related field. Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Minimum of 7 years of progressive senior nursing or healthcare leadership experience. Strong financial acumen and experience managing complex operational portfolios. Demonstrated leadership experience in ambulatory, outpatient, or continuum-based care delivery.

Desired:

Doctoral degree (DNP, PhD, or equivalent). Experience with value-based care, population health, and risk-based payment models. Prior system-level or multi-entity leadership experience. Experience overseeing home health, hospice, or infusion services. Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday. F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday. C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position:

Walking

• F Sitting/Standing

• F Reaching:

  Shoulder Height

• O Reaching:

  Above shoulder height

• O Reaching:

  Below shoulder height
• O Climbing

• O Pulling/Pushing:

  25 pounds or less

• O Pulling/Pushing:

  25 pounds to 50 pounds

• O Pulling/Pushing:

  Over 50 pounds

• O Lifting:

  25 pounds or less

• O Lifting:

  25 pounds to 50 pounds

• O Lifting:

  Over 50 pounds

• O Carrying:

  25 pounds or less

• O Carrying:

  25 pounds to 50 pounds

• O Carrying:

  Over 50 pounds
• O Crawling/Kneeling
• O Bending/Stooping/Crouching
• O Twisting/Turning
• O Repetitive Movement

•

O Working Conditions:

Not specified.

Job Classification:

FLSA :

Exempt Hourly/Salary :

Salary Physical Exposures For This Position:

Unprotected Heights

• No Heat
• No Cold
• No Mechanical Hazards
• No Hazardous Substances
• No Blood Borne Pathogens Exposure Potential
• No Lighting
• Yes Noise
• Yes Ionizing/Non-Ionizing Radiation
• No Infectious Diseases

•

No Qualifications:

Required:

Bachelor s Degree in Nursing (BSN). Master s Degree in Nursing, Healthcare Administration, or related field. Current licensure in the state of Washington (RCW 18.88) or licensure through Multistate Nurse Licensure Compact (SSB 5499). Minimum of 7 years of progressive senior nursing or healthcare leadership experience. Strong financial acumen and experience managing complex operational portfolios. Demonstrated leadership experience in ambulatory, outpatient, or continuum-based care delivery.

Desired:

Doctoral degree (DNP, PhD, or equivalent). Experience with value-based care, population health, and risk-based payment models. Prior system-level or multi-entity leadership experience. Experience overseeing home health, hospice, or infusion services.