Director - Surgical Services

ScionHealth; Tennessee; Hybrid; USD 180,000 - 240,000; Full time

Job summary

Livingston Regional Hospital, part of the ScionHealth network, seeks a Director of Surgery to lead Ambulatory Surgery, OR, and PACU. You will drive clinical excellence, ensure regulatory compliance, and oversee finances while developing staff and shaping patient care strategies.

The role requires strong perioperative leadership, collaboration with surgeons and anesthesiologists, and a focus on safety and efficiency in a high-stakes environment.

Qualifications

• ASN required for RN licensure.
• BSN preferred but not required.
• Experience in surgical/ambulatory care settings.

Responsibilities

• Provides strategic leadership to the surgical services department, ensuring alignment with organizational goals.
• Develops and implements policies and procedures to maintain clinical and operational standards.
• Oversees budgeting, financial management, and resource allocation for the surgery department.
• Manages staff recruitment, training, and performance evaluation.
• Ensures regulatory compliance with state, federal, and Joint Commission standards.
• Collaborates with surgeons, anesthesiologists, and nursing staff to coordinate patient care.
• Monitors patient care delivery to ensure optimal clinical outcomes and patient satisfaction.
• Implements quality improvement initiatives to enhance patient safety and operational efficiency.
• Conducts staff meetings and participates in hospital leadership committees.
• Responds to emergencies and provides guidance during critical situations.

Skills

Perioperative nursing

Leadership

EMR proficiency

Financial management

Communication

Staff development

Patient-centered care

Physical stamina

Education

ASN

BSN preferred

Tools

EMR

Microsoft Office

Job description

Description

Join Livingston Regional Hospital, a 114-bed, community hospital certified for sepsis care by the Joint Commission and accredited for chest pain by the American College of Cardiology. As part of the ScionHealth network, Livingston Regional proudly delivers quality care covering all aspects of healthcare, from 24-hour emergency services to inpatient and outpatient rehabilitative, a Level I neonatal nursery, a 16-bed gero-psych unit, and many other specialty services. Livingston serves a five-county area in central Tennessee and southern Kentucky. Grow your career where your work touches your neighbors.

Job Summary

The Director-Surgery is responsible for the overall management and leadership of surgical services, including Ambulatory Surgery, Operating Room, and Post-Anesthesia Care Unit (PACU). The Director ensures optimal patient care, regulatory compliance, and operational efficiency while maintaining a focus on clinical excellence, staff development, and financial oversight.

Essential Functions

• Provides strategic leadership to the surgical services department, ensuring alignment with organizational goals
• Develops and implements policies and procedures to maintain clinical and operational standards
• Oversees budgeting, financial management, and resource allocation for the surgery department
• Manages staff recruitment, training, and performance evaluation
• Ensures regulatory compliance with state, federal, and Joint Commission standards
• Collaborates with surgeons, anesthesiologists, and nursing staff to coordinate patient care
• Monitors patient care delivery to ensure optimal clinical outcomes and patient satisfaction
• Implements quality improvement initiatives to enhance patient safety and operational efficiency
• Conducts staff meetings and participates in hospital leadership committees
• Responds to emergencies and provides guidance during critical situations

Knowledge/Skills/Abilities/Expectations

• Strong clinical knowledge in perioperative nursing and surgical services
• Excellent leadership and communication skills
• Proficiency in electronic medical records (EMR) and Microsoft Office Suite
• Strong analytical and financial management skills
• Ability to work effectively in a high-stress, fast-paced environment
• Demonstrates professionalism, integrity, and a commitment to patient-centered care
• Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity

Qualifications

Education

• Associate of Science in Nursing (ASN) required
• Bachelor of Science in Nursing (BSN) preferred

Licenses/Certifications

• Current RN license in the state of practice or compact state required
• Basic Life Support (BLS) Certification within timeframe required by facility policy
• Advanced Cardiovascular Life Support (ACLS) Certification within timeframe required by facility policy
• Neonatal Resuscitation Program (NRP) Certification within timeframe required by facility policy
• Pediatric Advanced Life Support (PALS) Certification within timeframe required by facility policy

Experience

• Minimum of three (3) years of clinical nursing experience in a surgical or ambulatory care setting required
• Minimum of three (3) years of leadership experience preferred