**Job Summary:** Under the supervision of director and in collaboration with support staff (e.g., supervisors, leads, clinical nurse specialists and nurse educators), plans, implements and evaluates processes related to performance improvement, staffing effectiveness, fiscal management, staff competence and customer service outcomes within area of responsibility. Ensures that regulatory requirements/standards, policies and procedures are communicated to subordinate staff and integrated into practice. Collaborates with other members of the healthcare team to plan, implement and monitor clinical activities within assigned service area. Monitors activities for and ensures compliance with laws, government regulations, JCAHO requirements, regulatory agencies and Karmanos Cancer Center (KCC) policies. As directed, implements external and internal audit recommendations. **Responsibilities:** + Assures quality and appropriateness of care in assigned service area. Communicates approved performance improvement initiatives, goals and trended report findings to subordinate staff to ensure understanding and compliance. Uses processes and metrics to measure/manage assigned unit compliance. Delegates data collection activities, compiles & analyzes data as outlined in approved staffing effectiveness and performance improvement plans. Provides corrective action plans as required. + Creates an environment of shared decision-making. Promotes multidisciplinary collaboration on patient care and related issues. Serves as a facilitator by removing barriers that prevent staff from effectively and efficiently performing their roles. Conducts regularly scheduled meetings with subordinate staff. Maintains high visibility in assigned area. + Promotes positive customer relations with physicians, patients, families, visitors and employees. Follows up on complaints and reports and provides feedback to impacted parties. Monitors level of patient, staff and physician satisfaction via administration/review of surveys, conducting interviews and formal/informal rounds. + Provides input into review/revision of staff development and competency maintenance programs/plans. Responsible for timely execution of approved plans and for documenting results. Supports professional growth and development of subordinate staff by coordinating schedules for attendance at conferences, committee meetings. Seeks opportunities to enhance staff competence and professional growth through mentoring and gradually increasing responsibilities. + Participates in development of capital and operating budget for assigned service area. Analyzes actual to budget performance and creates variance reports as requested. Seeks opportunities to identify cost-reduction initiatives in areas such as supply/equipment usage. Monitors human resource indicators such as patient/staff ratios, skill-mix and overtime/agency utilization. Creates balanced staffing schedules. Adjusts staffing ratios and skill-mix according to current volume. Monitors payroll practices, including time and attendance for assigned personnel. Supervises creation and implementation of staff assignments. **Qualifications:** 1. Bachelor Degree in a clinical health care field required. 2. Ambulatory experience preferred. 3. Two to three years of progressively more responsible management experience in a healthcare environment preferred.