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Job description
Position Summary
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.
Responsibilities
Operating Room Leadership
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.
Clinical Operations
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.
Regulatory Compliance & Quality
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.
Staff Leadership & Development
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.
Physician Partnership & Business Operations
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.
Qualifications
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
Preferred Qualifications
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
Skills
Expertise in Operating Room operations
Strong orthopedic clinical knowledge
Leadership and team development
Physician relationship management
Operational and regulatory excellence
Benefits
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
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Worksite address
redwood city, CA, 94061, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.