Director Ambulatory Surgery Center

Essential Job Statements

Regulatory Compliance Summary

Ensures all facilities and departments meet regulatory, accreditation, and licensure requirements (including JCAHO, DNV, and ASC standards) while staying current with legislative and industry changes. Oversees quality improvement and performance initiatives by selecting meaningful indicators, incorporating bestpractice benchmarks, and engaging staff in process design to enhance efficiency and effectiveness. Addresses all regulatory, safety, infection control, and operational concerns, maintaining accurate policies and protocols. Upholds compliance with state and federal regulations as well as professional guidelines such as AORN, AAMI, ASHRAE, and fire/life safety standards to support safe, highquality perioperative operations.

Leadership Summary

Demonstrates strong, supportive leadership by motivating staff, addressing individual and team needs, and fostering a positive, collaborative culture. Manages conflict appropriately and maintains open, twoway communication to strengthen engagement, satisfaction, and retention. Partners effectively with physicians, interdisciplinary team members, and organizational leaders, and leads meetings with clarity and purpose. Oversees planning, workload organization, and efficient delegation while aligning unit goals with broader organizational priorities.

Human Resource Management

Demonstrates strong human resource management by applying progressive discipline appropriately, delivering timely and meaningful performance evaluations, and maintaining turnover and vacancy rates within organizational benchmarks. Collaborates with leadership to develop annual staffing plans and grids, ensuring adequate staffing and resources-such as supplies, medications, and equipment-to support safe, effective patient care and a healthy work environment. Uses a participative management approach that encourages employee input in problemsolving and contributes to policy development, orientation programs, inservice training, and quality improvement initiatives. Ensures staff are properly oriented, supported, and developed by maintaining uptodate competencies, assessing educational needs, and providing access to preceptors, continuing education, and ongoing training.

Financial Management

Effectively controls costs through economical utilization of personnel, materials and equipment as evidenced by, submitting, and managing department budgets within designated timelines and resources. Is fiscally accountable for controllable variances. Utilizes financial resources within established budget. Maintains adequate inventory of supplies and equipment to meet demands of department. Monitors charges and recommends changes when appropriate. Establishes and monitors department capital equipment long-term plan (3 years) for ongoing operational effectiveness. Maintains positive variance to budget on a volume adjusted basis. Arranges and negotiates for services to be provided by contract.

Operations Summary

Oversees operational excellence by ensuring adherence to patient care standards, promptly addressing incidents and complaints, and maintaining current, welldesigned policies and procedures. Monitors compliance activities to support effective departmental and organizational functioning while fostering a healthy, healing environment. Provides informed recommendations to resolve emerging issues, keeps the Senior ASC Administrator updated on key matters, and actively participates in organizational committees. Contributes to the development of corporate goals and objectives by offering expertise and strategic input.

Operations Summary

Oversees all operational functions to ensure compliance with patient care standards, timely resolution of incidents and complaints, and maintenance of current, effective policies and procedures. Monitors regulatory and departmental compliance while fostering a healthy, healing environment. Provides informed recommendations to address operational issues, keeps the Senior ASC Administrator updated on key developments, and actively participates in organizational committees. Directs, coordinates, and manages all operating processes, functions, and staff to deliver efficient, highquality surgical services that enhance both clinical outcomes and financial performance. Maintains an environmental control plan, oversees materials management, and supports ongoing monitoring activities to ensure smooth, safe, and effective facility operations.

Quality Improvement & Evidence Based Practice Summary

Supports continuous quality improvement by monitoring patient, resident, and employee satisfaction data and collaborating with the team to adjust programs based on identified needs. Consistently meets patient satisfaction targets and organizational employeesatisfaction goals while implementing and evaluating customer service initiatives. Ensures clinical policies and procedures are routinely reviewed and updated according to evidencebased practice, partnering with providers to develop effective care protocols. Advocates for patient care needs at the administrative level and encourages staff involvement in policy development and decisionmaking. Leads ASC QAPI activities and facilitates ongoing performance improvement across the organization.

Clinical Services Summary

Oversees the delivery of clinical and surgical services to ensure full compliance with regulatory and accrediting body standards. Collaborates with the Medical Director and Medical Executive Committee to evaluate, enhance, and develop both existing and new surgical programs. Manages key clinical departments-including nursing, central supply, medical records, and housekeeping-and supervises contracted services such as laboratory, radiology, pharmacy, laundry, and biomedical engineering. Ensures surgical and patientcare equipment is properly maintained through monitoring, vendor coordination, and timely repair followup. Identifies opportunities to introduce new services appropriate for an ambulatory surgery center while maintaining a strong understanding of the ASC's fiscal responsibilities.

Miscellaneous Responsibilities:

Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and the Department. Provides assistance to team members. Accepts alternate assignments, as required, graciously.

Patient Population: Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit.Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Neonates (0-4 weeks), Infant (1-12 months), Pediatrics (1-12 years), Adolescents (13-17 years), Adults (18-64 years), Geriatrics (65 years and older)

Employment Qualifications

Required Education: Bachelor's degree in business administration, Healthcare Administration or a related field from an accredited school.

Preferred Education: Master's degree in business administration, Healthcare Administration or a related field from an accredited school

Licensing/ Certification

Licensure/Certification Required: Basic Life Support

Licensure/Certification Preferred: N/A

Minimum Qualifications

Years and Type of Required Experience: Seven years (7) of relevant experience with three (3) years of leadership experience in a surgery center and/or perioperative setting required.

Other Knowledge, Skills and Abilities Required: Minimum of 5 years in progressive leadership role. Preferred Experience in academic medical center environment.

Other Knowledge, Skills and Abilities Preferred: Physician relations, risk management, ability to build a positive team culture, dealing appropriately with staff conflict. Effectively communicating with staff and promoting two-way communications. Proactively promoting staff satisfaction and retention and taking prompt action to address concerns or issues. Maintains current knowledge of patient care delivery systems and innovations.

Working Conditions: Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to physical altercations and verbal abuse. May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.Required to car travel to off-site locations, occasionally in adverse weather conditions.Long-distance or air travel as needed- not to exceed 10% travel. May be exposed to high noise levels and bright lights. May be exposed to limited hazardous substances or body fluids. * May be exposed to human blood and other potentially infectious materials. * May have periods of constant interruptions.
* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements

Physical Demands: N/A

Work Position: N/A

Additional Physical Requirements/ Hazards

Physical Requirements: Manual dexterity (eye/hand coordination), Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Finger Dexterity, Color Vision,Acuity - far, Acuity - near

Hazards: Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts,Exposure to x ray/electromagnetic energy

Mental/Sensory -Emotional
Mental/Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking

Emotional: Fast paceenvironment, Able to Handle Multiple Priorities, Able to Adapt to Frequent Change

EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.