Director of Nursing

Peninsula Surgery Center, LLC; Redwood City (CA); On-site; USD 150,000 - 190,000; Full time

Benefits offered by this job

Competitive salary

Comprehensive health benefits

Life & AD&D Insurance

Long-Term Disability Plan

401(k)

Paid time off including holidays

Continuing education and certification

Job summary

Peninsula Surgery Center, LLC (PSC) is seeking an experienced Director of Nursing (DON) to lead clinical operations in a fast-paced ambulatory surgery center with OR expertise, capable of overseeing perioperative services while ensuring exceptional patient outcomes and physician satisfaction.

The DON will optimize orthopedic workflows, including joint procedures, sports medicine, and pain management, and will lead perioperative areas, quality initiatives, staff development, and collaborative

Qualifications

• BSN is required and active CA RN license.
• Minimum 5+ years perioperative nursing with OR background.
• 3–5 years leadership in surgical services or ASC setting.
• Strong OR workflow, sterile technique, and instrumentation knowledge.
• Current BLS/ACLS.

Responsibilities

• Lead OR leadership for orthopedic services, implants, and case coordination.
• Oversee Pre-op, OR, PACU, and Sterile Processing and Front Office.
• Drive quality, infection prevention, and patient safety metrics.
• Ensure regulatory compliance with CMS/AAAHC and audits.
• Recruit, train, and develop perioperative nursing staff.
• Foster physician partnerships and budget/cost management.

Skills

OSR operations

Orthopedic clinical knowledge

Leadership & team development

Physician relationship management

Regulatory excellence

Education

BSN

RN license CA

Job description

Peninsula Surgery Center, LLC (PSC) is a free-standing surgery center with two operating rooms and one procedure room, open Monday through Friday. We are a close-knit team guided by a simple belief: every patient deserves the same safe, compassionate, high-quality care we would want for our own family members.

We're looking for experienced professionals who bring both skill and heart to their work; people who thrive in a collaborative, fast-paced environment and take pride in supporting patients during some of their most vulnerable moments. In return, we value our team’s well-being by offering a predictable weekday schedule with no weekend, no call, and closed most holidays. At PSC, you’ll find a mission-driven culture where teamwork, respect, and genuine care for one another and our patients comes first.

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

• 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