Director of Ambulatory Care Nursing Services

The Position

Why Join Contra Costa Health Services?
With more than 1 million people living in communities stretching from the Delta to the Bay, Contra Costa is a large and diverse county. Serving the health needs of such a big, complex place demands a health department that is experienced, skilled, flexible and integrated. That’s what Contra Costa Health (CCH) delivers.

Our bold mission is to care for and improve the health of all people in Contra Costa County with special attention to those who are most vulnerable. And when we say all people, we mean it! You will join us if you are ready to actively contribute to our mission alongside more than 4,700 like-minded colleagues across our system.
We are looking for someone who is:

• A strong leader. Leads by example and develops and maintains effective working relationships with their team
• An effective communicator. Has exemplary communication skills to effectively convey complex policies and procedures across all levels of the organization, while fostering open dialogue and feedback and maintaining confidentiality and discretion in sensitive matters
• Able to balance department needs and County interests. You will need to demonstrate your understanding of organizational partnership and aligning CCH priorities needs with County objectives
• Able to handle stress well. Remaining calm under pressure while addressing demands from multiple sources
• A team leader. You will lead a team through service while supporting their work
• Flexible and adaptable. Able to adjust quickly during periods of prolonged stress or change

What you will typically be responsible for:

• Providing oversight of care delivery, quality, & service at each clinic
• Implementing strategic plan and working closely under the direction of CNO, CMO, and ACMDs to accomplish assigned goals
• Ensuring compliance and adherence to healthcare regulations, standards, and CCRMC policies
• Coordinating and consulting with Medical Directors to develop strategies to meet community needs such as standing up new services or clinics
• Providing efficient and effective financial management, including adherence to budget and productivity goals, as well as strategizing business development and enhancing care delivery through innovative approaches
• Utilizing HRO and Lean Management principles to implement change, oversee daily management systems and strengthen the huddle culture

A few reasons you might love this job if you:

• Are mission-driven and enjoy working with diverse populations, including caring for vulnerable communities
• Take pride in solving complex problems
• Promote a collaborative, interprofessional environment
• Support nursing excellence
• Find joy and meaning in a teaching and learning environment
• Keep caring and service excellence at the core of care delivery

A few challenges you might face in this job:

• Implementing change in a challenging financial environment
• Navigating the nuances of different labor unions
• Prioritizing limited resources
• Leading teams through shifting priorities

Competencies Required:

• Professional Integrity & Ethics: Displaying honesty, adherence to principles, and personal accountability
• Leading Cross-Divisional Collaboration: Demonstrating cooperation and teamwork while working within and across divisions and teams
• Valuing Diversity: Appreciating the benefits of varied backgrounds and cultures in the workplace
• Managing Organizational Complexity: Maneuvering through complex political situations and functions within the organization
• Teamwork: Collaborating with others to achieve shared goals
• Action & Results Focused (Taking Initiative): Initiating tasks and focusing on accomplishment
• Displaying Ownership and Accountability: Holding self and others accountable for measurable high-quality, timely, and cost-effective results
• Safety Focus: Showing vigilance and care in identifying and addressing health risks and safety hazards
• Adaptability: Responding positively to change and modifying behavior as the situation requires

• Establishing Credibility: Doing what he/she commits to doing and respecting the confidentiality of information and concerns shared by others
• Leadership: Guiding and encouraging others to accomplish a common goal
• Involving Others (Engaging Teams): Engaging others for input, contribution, and shared responsibility for outcomes

To read the complete job description, please visit the website: https://www.cccounty.us/hr
The eligible list established from this recruitment may remain in effect for six (6) months.

Minimum Qualifications

License and Certification Required: Candidates must possess and maintain throughout the duration of employment: a current, valid and unrestricted Registered Nurse license issued by the California Board of Registered Nursing; valid Basic Life Support (BLS) certification issued by the American Heart Association or CPR certification issued by the American Red Cross (Healthcare Provider).

Education: Possession of a master's degree in nursing, hospital or health care administration or a closely related field from an accredited college or university.

Experience: Five (5) years of full-time experience, or its equivalent, as a Registered Nurse, two years of which were in an ambulatory care setting or acute care hospital. Two (2) years of this experience must have been in the capacity of a charge nurse, nurse supervisor or nurse manager.

Substitution: A bachelor's degree in one of the fields noted above plus two (2) additional years of supervisory experience of the type noted above may be substituted for the master's degree.

Desirable Qualifications:

• Experience working in a large public multiple clinic system serving the underserved communities
• Experience navigating organized labor and civil service environments
• Experience applying a Lean leadership philosophy with demonstrated success in continuous improvement practices

Selection Process

Selection Process:

Application Filing and Evaluation: Applicants will be required to complete a supplemental questionnaire at the time of application; applications will be evaluated to determine which candidates will move forward in the next phase of the recruitment process.Remote Oral Assessment:Candidates who possess the minimum qualifications will be invited to participate in an online oral assessment. The assessment will measure candidates' competencies as they relate to the job. In the assessment, candidates must achieve an average passing score of 70% or higher on each of the competencies, as well as an overall passing score of 70% or higher. These may include but are not limited to: Professional Integrity & Ethics, Leading Cross-Divisional Collaboration, Valuing Diversity, Managing & Facilitating Change. (Weighted 100%)

TENTATIVE DATES
Remote Oral Assessment: April 1-5, 2026The examination steps noted above may be changed in accordance with the County’s Personnel Management Regulations and accepted selection practices.

For recruitment questions, please contact Health Services Personnel, Recruitment Team at Exams@cchealth.org . For any technical issues, please contact the Government Jobs’ applicant support team for assistance at +1 855-524-5627.

CONVICTION HISTORY
After you receive a conditional job offer, you will be fingerprinted, and your fingerprints will be sent to the California Department of Justice (DOJ) and the Federal Bureau of Investigation (FBI). The resulting report of your conviction history (if any) will be used to determine whether the nature of your conviction conflicts with the specific duties and responsibilities of the job for which you have received a conditional job offer. If a conflict exists, you will be asked to present any evidence of rehabilitation that may mitigate the conflict, except when federal or state regulations bar employment in specific circumstances. Having a conviction history does not automatically preclude you from a job with Contra Costa County. If you accept a conditional job offer, the Human Resources department will contact you to schedule a fingerprinting appointment.

DISASTER SERVICE WORKER
All Contra Costa County employees are designated Disaster Service Workers through state and local law. Employment with the County requires the affirmation of a loyalty oath to this effect. Employees are required to complete all Disaster Service Worker-related training as assigned, and to return to work as ordered in the event of an emergency.

EQUAL EMPLOYMENT OPPORTUNITY
It is the policy of Contra Costa County to consider all applicants for employment without regard to race, color, religion, sex, national origin, ethnicity, age, disability, sexual orientation, gender, gender identity, gender expression, marital status, ancestry, medical condition, genetic information, military or veteran status, or other protected category under the law.

To find more information on Benefits offered by Contra Costa County, please go to https://www.contracosta.ca.gov/1343/Employee-Benefits

Closing Date/Time: 3/22/2026 11:59 PM Pacific

• 

• Contra Costa County Human Resources Department

• 925-655-2100

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