Registered Nurse (RN) - Director of Surgical Services

Homeland Talent Solutions; Hickory (NC); On-site; USD 144,000 - 195,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Annual bonus

Benefits package

Job summary

Homeland Talent Solutions, partnering with a regional healthcare system, seeks a Director of Surgical Services to lead perioperative operations, drive efficiency, and partner with physicians to advance surgical excellence.

The role oversees ORs, ambulatory surgery, PACU, and central sterile, with a focus on staffing, budgeting, quality, and capital projects. Requires RN license and 5+ years in perioperative leadership; salary up to $170,000 plus bonus and relocation.

Qualifications

• Current RN license in good standing.
• Bachelor's degree in Nursing; Master's degree preferred.
• 5+ years of leadership experience as a Director of Surgical Services or similar perioperative role.
• Proven leadership of large perioperative departments in an acute care hospital.
• Strong budgeting, contracts, capital planning, and operational performance experience.
• Demonstrated ability to build collaborative relationships with physicians and executives.
• Excellent communication and decisive, collaborative leadership.

Responsibilities

• Provide strategic, operational, and financial leadership for all perioperative services, including ORs, ASC, Pre-Admission Testing, Same Day Surgery, PACU, and Central Sterile Processing.
• Drive operational excellence by optimizing staffing, productivity, call coverage, and resource utilization.
• Partner with physicians, nursing leaders, and executive leadership to grow the surgical program.
• Ensure regulatory compliance, patient safety standards, infection prevention, and clinical best practices.
• Mentor and develop department leaders while fostering accountability and teamwork.
• Lead process improvements, standardize workflows, and implement new technologies and systems.
• Oversee contracts, vendor relationships, equipment utilization, and supply management.
• Support capital projects, including Sterile modernization and instrument-tracking systems.
• Identify opportunities to expand surgical volume and strengthen physician partnerships.
• Maintain a visible leadership presence while delivering high-quality patient care and strong financial performance.

Skills

Leadership

Strategic planning

Financial management

Regulatory compliance

Collaboration with physicians

Communication

Education

Bachelor's in Nursing

Master's degree

Job description

Homeland Talent Solutions is partnering with a leading regional healthcare organization to hire an experienced Director of Surgical Services. This is an exceptional opportunity for a proven perioperative leader who excels at improving operations, building high-performing teams, and collaborating with physicians to drive surgical excellence.

The ideal candidate enjoys balancing clinical leadership with strategic business operations while maintaining a strong presence within the department and fostering relationships with surgeons, staff, and executive leadership. The Director of Surgical Services provides operational, financial, and strategic oversight for a comprehensive perioperative service line that includes a 15-room Main Operating Room with two dedicated Open Heart suites, a 4-room Ambulatory Surgery Center, Pre-Admission Testing, Same Day Surgery, PACU, and Central Sterile Processing.

The department performs approximately 18 to 34 surgical procedures each day across multiple specialties, including general surgery, orthopedics, gastrointestinal, cardiovascular, pediatrics, and more. Leading approximately 130 employees through multiple department managers, the Director partners closely with surgeons, anesthesia providers, nursing leadership, and executive administration to deliver exceptional patient care, optimize operational efficiency, enhance physician satisfaction, and achieve strong financial performance.

Responsibilities

• Provide strategic, operational, and financial leadership for all perioperative services, including the Main OR, Ambulatory Surgery Center, Pre-Admission Testing, Same Day Surgery, PACU, and Central Sterile Processing
• Drive operational excellence by optimizing productivity, staffing models, call coverage, and resource utilization
• Partner with physicians, nursing leaders, and executive leadership to enhance collaboration, physician satisfaction, and surgical program growth
• Ensure compliance with regulatory requirements, patient safety standards, infection prevention protocols, and clinical best practices
• Mentor and develop department leaders while fostering a culture of accountability, teamwork, and continuous improvement
• Lead process improvement initiatives, standardize clinical workflows, and implement new technologies and operational systems
• Oversee contracts, vendor relationships, equipment utilization, and supply management to improve efficiency and control costs
• Support capital projects, including Central Sterile modernization and implementation of a surgical instrument tracking system
• Identify opportunities to expand surgical volume, strengthen physician partnerships, and improve financial performance
• Maintain a visible leadership presence while delivering exceptional patient care, operational performance, and long-term departmental success

Requirements

• Current Registered Nurse (RN) license
• Bachelor's degree in Nursing required; Master's degree preferred
• 5+ years of leadership experience as a Director of Surgical Services, Operating Room Director, or in a similar perioperative leadership role
• Proven experience leading large perioperative departments within an acute care hospital
• Strong knowledge of staffing optimization, productivity management, scheduling, and call coverage models
• Experience managing departmental budgets, contracts, capital planning, and operational performance
• Demonstrated ability to build collaborative relationships with physicians, executive leadership, and multidisciplinary teams
• Excellent communication, leadership, and decision-making skills with a collaborative and accountable management style

Additional Information

This is a full-time, onsite leadership role requiring a visible presence throughout the department, active engagement with staff and physicians, and participation in daily leadership huddles to support ongoing operations.

This opportunity offers a competitive base salary of up to $170,000 annually, plus a sign-on bonus, relocation assistance for qualified candidates, and the opportunity to earn an annual performance bonus of up to 10%. The organization also provides a comprehensive benefits package that includes medical, dental, and vision insurance, generous paid time off, a retirement savings plan, tuition assistance, professional development opportunities, and a variety of employee wellness programs.

Summary

This is a strong opportunity to join a Surgical Services department that is already stabilized and ready for growth. The next leader will focus on advancing strategy, strengthening physician relationships, expanding ambulatory surgery services, improving operational and financial performance, and continuing to build on an improving culture while partnering with an experienced executive leadership team.

EEO Notice

Homeland LLC is an Equal Opportunity Employer. Homeland LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state, and local laws. Homeland LLC complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.