Manages  a single department or multiple small departments providing ambulatory patient care services. Ensures staff provides high quality, accessible, cost effective care, and patient focused services to members across the continuum which comply with local, state, and federal requirements. Develops and maintains clinical and nursing practice standards, budgets, and staff development.  Manages the planning, development, implementation, delivery and evaluation/improvement of quality out-patient/nursing services that add value and are integrated with nursing standards of practice, service priorities and performance/ outcome measures, as well as  with strategic, business and organizational goals/objectives.