Director of MedSurg

Position Summary

The Director of Inpatient Services provides strategic, operational, and clinical leadership for all inpatient/outpatient medical surgical nursing services within a physician-owned acute care surgical hospital. This role ensures safe, high-quality, patient-centered care while maintaining regulatory compliance, fiscal responsibility, and a positive interdisciplinary culture. The Director collaborates closely with physicians, executive leadership, and ancillary departments to optimize patient outcomes and operational efficiency in a resource-conscious environment.

• Direct daily operations of inpatient nursing services.
• Ensure safe staffing models aligned with census, acuity, and budget.
• Oversee clinical workflows for surgical and acute care patients.
• Lead patient throughput and care coordination initiatives.
• Monitor and improve quality metrics, patient satisfaction, and clinical outcomes.
• Develop, implement and oversee adherence to nursing policies, protocols, and evidence-based practices.

• Ensure compliance with state and federal regulations.
• Maintain readiness for accreditation surveys and audits.
• Oversee infection prevention standards and clinical documentation integrity.
• Monitor adherence to scope of practice and hospital policies.

• Manage departmental budgets.
• Monitor labor costs and resource utilization.
• Identify and improve operational efficiencies without compromising patient safety.
• Participate in capital planning and equipment acquisition decisions.

• Recruit, hire, and participate in the onboarding of nursing staff.
• Provide coaching, performance evaluations, and professional development.
• Address performance concerns and disciplinary actions as needed.
• Foster a culture of accountability, collaboration, and professionalism.
• Lead workplace culture initiatives to improve engagement and create teamwork.

• Partner with physicians to optimize patient care pathways.
• Collaborate with surgical services, pharmacy, case management, therapy, and ancillary departments.
• Serve as liaison between frontline staff and executive leadership.
• Lead and/or participate in interdisciplinary committees and quality improvement teams as required.

• Track and analyze key performance indicators (KPIs).
• Implement corrective action plans when quality metrics fall below benchmarks.
• Champion patient advocacy and service excellence initiatives.
• Lead or participate in root cause analyses and risk mitigation efforts as needed.

• Graduate from an accredited school of Nursing.
• Registered Nurse (RN), active state license.
• Bachelor’s degree in nursing required.
• Minimum 5–10 years acute care experience.
• Prior leadership experience in hospital setting.
• Strong knowledge of medical surgical inpatient workflows.
• Demonstrated ability to lead in resource-limited environments.
• Basic Life Support (BLS) certification.
• Advanced Cardiac Life Support (ACLS) certification.
• Strong verbal and written communication skill.
• Computer skills (Microsoft, PowerPoint, Word, Excel).

• Strategic Thinking.
• Emotional Intelligence.
• Conflict Resolution.
• Fiscal Management.
• Problem solving.
• Change Management.
• Interdisciplinary Collaboration.
• Regulatory Knowledge.

• Ability to read and write (legibly).
• Ability to communicate appropriately and effectively.
• Ability to understand and resolve simple to complex problems.
• Ability to understand simple to complex instructions.
• Ability to constantly walk, stand, and/or lift items weighing up to 50lbs.
• Ability to frequently utilize full range of motion, including crouching, stooping, reaching, bending and twisting.
• Ability to frequently lift, pull, push with assistance of one other person, the weight of the average patient.
• Ability to see and hear and distinguish color.
• Ability to prioritize and handle multiple tasks.
• Ability to function independently without constant supervision.
• Frequent exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions.

Category 1-Occupational exposure.