Ambulatory Care Nurse - RN
Bear, DE Nursing
Job Type


$10,000 SIGN ON BONUS!



Westside Family Healthcare is a nonprofit organization that provides high quality primary medical care without regard to ability to pay. The Ambulatory Care Nurse (RN) is an on-site nurse RN serving as an integral member of the patient care team, supporting assigned care teams by managing high and rising risk patients, coordination services throughout the continuum of care and serves as the in-office nurse. The Ambulatory Care Nurse RN supports patients by facilitating implementation of the prescribed medical treatment plan through patient-centered education of disease processes and wellness opportunities and through patient self-management skill development.

Since opening our doors in 1988, Westside has been driven by our mission to improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay. With 240 team members, five health centers, one mobile health unit and over 27,000 patients all across Delaware, Westside is committed to improving health, one patient, one family, one community at a time.  

WORKING AT WESTSIDE MEANS WORKING IN A PRIMARY CARE MEDICAL HOME.A Primary Care Medical Home is not a special building. It is a way to provide healthcare that puts the patient at the center of health care decision-making. As a community health center, Westside Family Healthcare provides care for everyone who walks through our doors, regardless of ability to pay, immigration or citizenship status, national origin, religion, race, ethnicity, gender identity, or sexual orientation.  

Our Mission: To improve the health of our communities by providing equal access to quality healthcare, regardless of ability to pay 

Our Vision: Achieve health equity for all

Our Values:

  • Compassion: Lead with compassion
  • Service: Serve with humility
  • Excellence: Be exceptional
  • Empowerment: Empower all people

OUR BENEFITS: Our benefit package includes medical insurance (two plans to choose from), dental insurance (through Guardian Dental), vision insurance, life insurance paid by Westside with the option to purchase more paid, short-term disability paid for by Westside, long term disability paid by the employee, a 401(k) retirement plan with a match, and supplemental insurances. We offer a generous PTO package and flexibility to provide work/life balance. Westside Family Healthcare is an Equal Opportunity Employer that values diversity.   


  1. Manage a caseload of patients identified as at risk for health deterioration, sentinel events and/or poor outcomes using the nursing process and established protocols/workflows. Ongoing evaluation of care coordination efforts by measuring interventions effectiveness and fostering a continuous improvement mentality. Partners with the patient and family, the primary care provider, and other team members to implement an interdisciplinary plan of care.
  2. Participates in daily huddles with the Clinical Operations team, and other team meetings/trainings as scheduled
  3. Proactively and continuously reviews patient medical records to identify any care needs requiring intervention or follow up during patient interactions
  4. Works with patients and families to ensure both medical and psychosocial needs are met in order to promote health and well-being and to identify any barriers that inhibit the patient from adhering to the prescribed plan of care
  5. Assesses and documents progress towards goals based on provider’s plan of care; utilizing clinical judgment, established protocols, review of patients’ self-monitory tools and trends in clinical data (i.e., HbA1c, LDL, BP)
  6. Promotes timely access to appropriate care, increasing the utilization of preventative care and healthy behaviors to improve the health of the population at risk
  7. Provides ambulatory care support as a member of the care team, which may include, but is not limited to walk-in and/or telephone triage utilizing established protocols



  1. Graduate of an accredited nursing program with an associate degree in Nursing
  2. Active RN licensure in the State of Delaware (or compact state) with no restrictions or disciplinary action
  3. Current BLS certification
  4. Active Ambulatory Care Certification (AMB-BC) – must commit to obtaining within 1 year of hire