Director of Surgical Services

Green Key Resources; San Antonio (TX); On-site; USD 140,000 - 190,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation bonus

Excellent benefits package

Job summary

Green Key Resources is recruiting a Director of Surgical Services for a nonprofit San Antonio hospital. The role oversees OR and GI services, guiding staffing, budgeting, and operations with significant autonomy.

You will collaborate with senior nursing leadership while maintaining strong unit presence, driving quality and safety across service lines in a high-volume setting.

Qualifications

• Current RN license in Texas or compact state.
• BSN degree is required.
• Minimum 3–5 years of clinical patient care experience.
• At least 2 years of healthcare leadership experience (supervisor or manager).
• BLS certification (AHA) is required.
• Master’s degree in Nursing or Health Administration is preferred.

Responsibilities

• Lead and develop OR and GI nursing teams, including staffing, scheduling, coaching, and performance evaluations.
• Manage the department budget, productivity, and variance analysis.
• Ensure quality, patient safety, and compliance with regulatory and accreditation standards.
• Monitor patient outcomes and drive performance improvement initiatives.
• Partner with physicians, department heads, and administrators on service line strategy.
• Manage conflict, resolve issues quickly, and foster a healthy, collaborative work environment.
• Support patient flow and resource planning for a high-volume surgical service.

Skills

Leadership experience

Staff development

Budgeting

Staffing

Regulatory compliance

Education

BSN

Master’s degree (Nursing/Healthcare Administration)

Job description

Director of Surgical Services | San Antonio, TX

Full-Time | Day Shift (5 x 8 hours) | Relocation Assistance Available

Are you a Nurse Manager or Nurse Supervisor ready to step into a Directorship? This is a rare opportunity to lead a high-volume surgical service with real autonomy, a seat at the table, and the freedom to make decisions for your department.

About the Role

We’re seeking a Director of Surgical Services to lead Operating Room and GI services at a 250+ bed nonprofit hospital in one of San Antonio’s fastest-growing areas. The hospital recently expanded with a new patient tower and continues to grow its surgical programs.

This is an administrative and operations-focused leadership role. You’ll partner closely with senior nursing leadership while running your departments independently, and you’ll stay connected to your team through regular presence on the unit.

Scope at a glance:

• 48 direct reports
• 7 operating rooms and a GI department
• Approximately 500 cases per month
• Service lines include CVOR, robotics, neurology (newer program), pediatrics, general surgery, and orthopedics

Why This Job

• True independence. You’ll have real decision-making authority over OR and GI operations, not a director title with manager-level control.
• Administrative focus. This role centers on leadership, staffing, budgeting, and operations rather than hands-on bedside work.
• Be an "open door" leader. You’ll have the time and visibility to connect with your staff regularly, mentor them, and build a strong culture.
• A step up. This is an excellent path for a Nurse Manager or Supervisor ready to move into a Directorship, and leadership can be developed on the job.

Key Responsibilities

• Lead and develop OR and GI nursing teams, including staffing, scheduling, coaching, and performance evaluations
• Manage the department budget, productivity, and variance analysis
• Ensure quality, patient safety, and compliance with regulatory and accreditation standards
• Monitor patient outcomes and drive performance improvement initiatives
• Partner with physicians, department heads, and administrators on service line strategy
• Manage conflict, resolve issues quickly, and foster a healthy, collaborative work environment
• Support patient flow and resource planning for a high-volume surgical service

Qualifications

Required:

• Current RN license (Texas or compact state)
• BSN
• 3-5 years of clinical patient care experience
• Minimum 2 years of healthcare leadership experience (supervisor or manager)
• BLS certification (AHA)

Preferred:

• Master’s degree in Nursing, Health Administration, Business Administration, or a related field

Why This Organization

• Significant opportunities for career growth and advancement across the organization
• Well known for an excellent employee culture and a mission-driven environment

Compensation and Benefits

• Sign-on and relocation bonus
• Up to 12.5% annualized leadership bonus
• Excellent benefits package and many additional employee perks

Why San Antonio?

• Affordable living. Housing and everyday costs are lower than in many major metros, and Texas has no state income tax, so your paycheck goes further.
• Culture and food. Enjoy a rich mix of history, Tex-Mex and world-class dining, the River Walk, and a thriving arts scene.
• Outdoors. The Texas Hill Country, rivers, state parks, and mild winters are all within easy reach.
• Sports and entertainment. Home of the Spurs, with year-round festivals and events.
• Growth. San Antonio is among the fastest-growing cities in the country, with a vibrant healthcare community and a welcoming, family-friendly feel.