Director of Nursing

We are seeking an experienced and highly skilled Director of Nursing (DON) to lead clinical operations in a fast‑paced Ambulatory Surgery Center with a strong focus on orthopedic procedures. This role requires a hands‑on leader with Operating Room (OR) expertise, capable of overseeing all perioperative services while ensuring exceptional patient outcomes, physician satisfaction, and operational efficiency.

The DON will play a critical role in optimizing surgical workflows, particularly in orthopedic cases, including joint procedures, sports medicine, and pain management procedures.

Provide direct oversight of OR operations, ensuring efficient case flow, on-time starts, and turnover optimization.

• Serve as the clinical subject matter expert for orthopedic surgical services, including instrumentation, implants, and case coordination.
• Collaborate closely with surgeons to support procedural efficiency and preference standardization.
• Ensure appropriate staffing, competencies, and training specific to orthopedic procedures.
• Knowledge of sterile processing and ensure proper handling of orthopedic instrumentation and implants.

• Lead all perioperative areas:
  Pre‑op, OR, PACU, and Sterile Processing; including Front Office.
• Drive process improvements to enhance surgical throughput and patient safety.
• Monitor clinical quality metrics, including infection prevention and surgical outcomes.
• Implement evidence‑based practices specific to orthopedic care.

• Ensure compliance with CMS, AAAHC, and state regulations.
• Lead quality assurance, infection control, and performance improvement initiatives with a focus on surgical excellence.
• Maintain survey readiness and oversee accreditation processes.

• Recruit, train, and develop a high‑performing perioperative nursing team.
• Maintain education and competency programs for all staff.
• Promote a culture of accountability, teamwork, and continuous improvement.

• Build strong relationships with orthopedic surgeons and anesthesia providers.
• Participate in budgeting, case costing, implant management, and vendor relations.
• Support growth of orthopedic service lines and efficiency initiatives.

• BSN required

• Active RN license in California required
• Minimum 5+ years of perioperative nursing experience with strong OR background required

• Minimum 3–5 years of leadership experience in surgical services or ASC setting
• Strong knowledge of OR workflows, sterile technique, and surgical instrumentation
• Proficient in Microsoft Office Suite
• Current BLS, ACLS required

• CNOR certification strongly preferred

• Significant orthopedic surgery experience preferred (e.g., total joints, sports medicine, spine)
• Experience managing high‑volume orthopedic cases in an ASC setting

• Experience with implant systems, vendor coordination, and cost containment
• Proven success improving OR efficiency metrics (turnover times, block utilization)

• Electronic Medical Record experience; EPIC experience preferred

• Expertise in Operating Room operations
• Strong orthopedic clinical knowledge
• Leadership and team development
• Physician relationship management
• Operational and regulatory excellence

• Competitive salary
• Comprehensive health benefits (medical, dental, vision)
• Employer Sponsored Life & AD&D Insurance and Long‑Term Disability Plan
• 401(k)
• Various Time Off Banks, including 7 paid holidays
• Continuing education and certification support