Director of Nursing

We are seeking an experienced, hands‑on, and highly motivated ASC Administrator / Director of Nursing to lead the clinical and operational functions of a growing Ambulatory Surgery Center in Peoria, Arizona!

This is an exciting leadership opportunity for an accomplished nursing professional who enjoys combining clinical excellence with operational oversight, team development, regulatory compliance, and strategic growth.

In this dual leadership role, you will serve as the ASC's senior operational and clinical leader, overseeing daily operations, nursing services, patient safety, staffing, quality improvement, financial stewardship, credentialing, personnel records, and coordination of all services provided by or through the center.

You will work closely with the Medical Director, Governing Body, physicians, anesthesia professionals, Human Resources, administrative staff, and perioperative teams to deliver safe, efficient, and patient-centered care.

Why is this an exciting opportunity?

The center is in an early stage of growth, has recently secured Medicare contracting, and is actively pursuing agreements with additional insurance carriers. With an expanding provider roster and anticipated increases in patient volume, this position offers the opportunity to help shape clinical operations, strengthen processes, develop the team, and support the center's continued growth.

If you are a dedicated nursing leader who thrives in a hands‑on environment and enjoys building successful clinical teams, this could be an excellent opportunity!

Duties & Responsibilities

ASC Administration & Operational Leadership

Serve as the designated ASC Administrator, accountable to executive leadership and the Governing Body for daily operations and all services provided by or through the center.

Direct administrative and clinical operations across pre‑operative services, procedure and operating rooms, PACU, recovery, discharge, scheduling, business‑office support, and contracted services.

Implement Governing Body decisions and maintain required policies, licenses, permits, agreements, administrative records, patient‑rights processes, and continuous survey readiness.

Oversee contracts, vendors, purchasing, facility readiness, equipment, information technology coordination, security, maintenance, and continuity‑of‑operations needs.

Coordinate operations exclusively for the assigned Ambulatory Surgery Center.

Clinical & Nursing Leadership

Maintain sufficient qualified staffing based on case volume, patient acuity, procedure type, and the center's scope of services.

Provide clinical coverage when needed and when competent to do so.

Supervise and develop clinical staff through scheduling, orientation, competency validation, education, performance management, and ongoing coaching.

Directly oversee Registered Nurses, radiology technicians, scrub technicians, Medical Assistants, and administrative staff.

Ensure safe nursing practices, complete clinical documentation, effective patient handoffs, appropriate discharge processes, and compliance with facility policies and professional standards.

Quality Assurance, Patient Safety & Regulatory Compliance

Lead or participate in Quality Assessment and Performance Improvement (QAPI) activities.

Oversee incident reviews, chart audits, corrective‑action plans, clinical data tracking, monthly PACU and pre‑operative statistics, and Governing Body reporting.

Maintain continuous readiness for Arizona, CMS, accreditation, pharmacy, infection‑control, life‑safety, and other regulatory surveys or inspections.

Oversee infection‑prevention practices, environmental safety, emergency preparedness, clinical drills, medication safety, and controlled‑substance accountability.

Promote a culture focused on patient safety, quality outcomes, regulatory compliance, and operational efficiency.

Develop and monitor budgets, staffing costs, case volume, productivity, supply and medication expenses, vendor performance, facility needs, and other financial and operational indicators.

Manage clinical equipment, emergency supplies, medications, controlled substances, inventory, maintenance, expiration monitoring, purchasing, and vendor coordination.

Manage provider and allied health credentialing, including initial and renewal files, primary‑source verifications, privileges, expirable documents, and Governing Body approvals.

Maintain confidential, audit‑ready personnel files for W‑2 ASC employees.

Maintain separate files for 1099 contractors, including applicable agreements, W‑9s, licenses, certifications, insurance, health clearances, orientation, competencies, training, and acknowledgments.

Support staffing and workforce development as the center's provider roster, insurance participation, and patient volume grow.

Partner with physicians, anesthesia professionals, leadership, Human Resources, business‑office staff, and administrative teams to resolve clinical, financial, staffing, scheduling, documentation, equipment, and workflow concerns.

Collaborate with the Medical Director and Governing Body to support operational priorities and clinical excellence.

Promote a professional, accountable, and collaborative work environment.

Required Qualifications

Education & Licensure

Graduate of an accredited nursing program.

Current, active, and unrestricted Arizona Registered Nurse (RN) license OR valid multistate compact privilege.

Current BLS and ACLS certifications.

PALS certification required when applicable to the center's patient population or services.

Clinical & Leadership Experience

Minimum of 5 years of recent perioperative, operating room, PACU, critical care, emergency, procedural, or comparable nursing experience.

Minimum of 2 years of clinical supervisory, nursing management, or ASC administrative leadership experience in an Ambulatory Surgery Center, surgical department, procedural setting, or comparable environment.

Required Knowledge & Skills

Working knowledge of ASC administration and nursing operations.

Knowledge of pre‑operative care, circulating, PACU, medication management, infection prevention, and emergency response.

Understanding of clinical documentation, staffing, credentialing, budgeting, contracts, staff competencies, and quality improvement.

Strong leadership, communication, organizational, problem‑solving, and regulatory‑compliance skills.

Ability to work on‑site and support early, late, or unscheduled operational needs when required.

Desired Qualifications

Bachelor of Science in Nursing (BSN).

Advanced degree in Nursing, Healthcare Administration, Business, or a related field.

Previous experience as an ASC Administrator, Director of Nursing, Clinical Director, or Nurse Manager.

Combined ASC Administrator and Director of Nursing experience is strongly preferred.

CNOR, CAPA, CPAN, CASC, CIC, or another relevant perioperative, recovery, ASC, quality, or infection‑prevention certification.

Experience with pain‑management procedures, anesthesia services, and fluoroscopy‑supported procedures.

Experience with credentialing, QAPI, accreditation surveys, and Governing Body reporting.

Physical & Environmental Requirements

Ability to stand and walk for extended periods.

Ability to assist with patient movement or emergency response using appropriate assistance.

Ability to lift and carry up to 25 pounds routinely.

Ability to operate clinical equipment.

Ability to work in environments with potential exposure to blood, body fluids, infectious materials, radiation environments, anesthetic agents, and clinical chemicals.

Current Clinical & Operational Environment

Physician Team: Six physicians currently on staff.

Nursing Team: Three 1099 nurses currently providing support, with recruitment underway for one dedicated full‑time RN.

Administrative Support: Recruitment underway for a Front Office/Surgical Administrative staff member.

Additional Staffing: Remaining support staff currently work as 1099 contractors.

Growth Plans: Additional staffing anticipated as provider participation, insurance contracts, and patient volume increase.

Location, Schedule & Work Type

Job Title: ASC Administrator / Director of Nursing
Location: Peoria, AZ
Work Setting: Ambulatory Surgery Center
Employment Type: Full-Time
Salary: $120,000–$130,000 Annually
Schedule: Monday–Friday, including non‑procedure days
Work Arrangement: Fully On‑Site
Location Coverage: Float Between Locations