I have been a nurse for over 31 years and an ambulatory care nurse for 29 of those years. After 17 years in the University of Chicago pediatric trauma center I transitioned to supervision of pediatric and adult medicine in a managed care organizations ambulatory care center. For the past 14 years I have been employed at Humana, Inc. and held various administrative positions including Director of Patient Care Services for 14 ambulatory care centers. I classify my current position as an ambulatory care role. I am currently the Clinical Process Manager for delegation compliance, responsible for oversight of groups delegated to perform Utilization and Quality Management and member rights & responsibilities for both medical management and behavioral health. I am responsible for assuring delegated groups and national Humana markets are compliant with regulatory and accrediting body standards. This position allows me the opportunity to influence quality and utilization programs for ambulatory care providers and facilities. Overall, my career in ambulatory care has provided a variety of leadership and professional growth opportunities. As health care increasingly moves into the ambulatory care arena I can vision opportunities continuing to arise and expand. I am currently a doctoral candidate at Loyola University Chicago with a focus on nursing leadership and research in ambulatory care nursing outcomes.