Director of Ambulatory Surgery Center

Job Summary

The Director of Ambulatory Surgery Center (ASC) is responsible for the strategic, operational, and clinical leadership of a newly established orthopedic-focused ambulatory surgery center. This role ensures the delivery of high-quality surgical services while maintaining regulatory compliance, optimizing patient outcomes and supporting physician satisfaction and engagement. The Director will play a critical role building the operational components including staffing, workflow and culture development.

This position reports to the Director of Operations.

• Oversee daily operations of the ASC, ensuring efficiency, patient safety, and exceptional patient experience
• Develop and implement policies, procedures, and clinical protocols tailored to orthopedic surgical services
• Establish workflows, scheduling processes, and throughput optimization strategies
• Monitor key performance indicators (KPIs) including case volume, turnover times, and utilization rates
• Ensure adherence to clinical standards, infection control protocols, and patient safety initiatives
• Collaborate with surgeons, anesthesia providers, and nursing staff to maintain high-quality care delivery
• Support ongoing clinical competency and staff education programs
• Ensure compliance with all federal, state, and local regulations, including CMS and accrediting bodies such as Accreditation Association for Ambulatory Health Care
• Lead accreditation readiness efforts and maintain survey compliance
• Implement risk management and quality assurance programs
• Recruit, hire, and onboard clinical and administrative staff
• Foster a culture of accountability, teamwork, and patient-centered care
• Conduct performance evaluations, coaching, and professional development planning
• Ensure appropriate staffing models to meet patient demand

• Exceptional leadership, communication and interpersonal skills to build consensus among physicians, staff and stakeholders
• Ability to thrive in a fast-paced, physician driven environment while maintaining focus on patient safety and satisfaction.
• Proven track record of achieving operational and financial goals in a physician owned ASC environment.
• The preceding examples are representative of the assignments performed by this position and are not intended to be all-inclusive.

• Bachelor’s Degree in Nursing required

• 5–7 years of progressive leadership experience in an ambulatory surgery center or hospital surgical services preferred
• Prior experience in orthopedic surgery strongly preferred
• Experience launching or managing a new ASC is highly desirable
• Current Registered Nurse (RN) license required
• Experience with accreditation surveys and maintaining compliance preferred

• Frequent walking throughout the facility, including operating rooms, pre‑op, PACU, and administrative areas
• Ability to respond quickly in high‑pressure or urgent clinical situations
• Emotional resilience and professionalism when managing complex interpersonal dynamics or operational challenges
• Fast‑paced environment driven by daily surgical schedules, case volume targets, and turnover time expectations
• Early mornings are typical to support first‑case on‑time starts; occasional extended hours may be required to meet operational demands or address urgent issues