As our network of Ambulatory Surgery Centers (ASCs) continues to grow, we are seeking a dedicated and experienced Director of Nursing / Administrator (DON) to join our talented and passionate care team.
NOW HIRING
Director of Nursing / Administrator - FT
ABOUT US
Blue Cloud is the nation’s largest pediatric Ambulatory Surgery Center (ASC) company, specializing in dental restorative and exodontia procedures for pediatric and special needs patients under general anesthesia. As a mission-driven organization, we are committed to providing safe, high-quality, and accessible care while helping reduce costs for families and payors.
Blue Cloud’s ASC-based model offers an exceptional working environment supported by a close-knit surgical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants, and other dedicated healthcare professionals. We would welcome the opportunity to discuss these positions in greater detail and explore how Blue Cloud can become a meaningful part of the important work you do.
OUR VISION & VALUES
At Blue Cloud, our vision is to be the leader in safety and quality for pediatric dental patients receiving care in a surgery center environment. Our core values guide the decisions of our talented team every day, shaping how we care for our patients, support their families, and work together toward achieving that vision.
- We cheerfully work hard.
- We are individually empathetic.
- We keep our commitments.
ABOUT YOU
You demonstrate a strong work ethic, a positive attitude, and a genuine commitment to delivering exceptional patient care. You thrive in a fast-paced, team-oriented environment and are dedicated to supporting a culture of collaboration, professionalism, and excellence. You value working alongside others to ensure every patient receives the highest quality care and service throughout their experience with the Surgery Center.
ESSENTIAL FUNCTIONS
The Director of Nursing (DON)/Administrator is responsible and accountable for the overall day-to-day operations and financial performance of the surgery center. This role oversees the planning, organization, direction, and evaluation of all clinical and administrative programs, services, and activities to ensure the delivery of high-quality patient care, regulatory compliance, operational efficiency, and achievement of organizational goals. The DON/Administrator provides leadership to staff, manages resources effectively, and promotes a culture of excellence, safety, and continuous improvement throughout the surgery center.
Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions of the position.
Governance and Leadership
- Provide leadership and direction to a team of clinical and administrative professionals, fostering a culture focused on exceptional patient care, physician satisfaction, patient satisfaction, and employee engagement.
- Develop, implement, and execute the Surgery Center’s strategic plan, goals, and objectives, ensuring alignment with organizational priorities and key performance indicators (KPIs).
- Monitor progress toward established goals and objectives, proactively implementing corrective actions and improvement initiatives to ensure successful outcomes.
- Promote and maintain a culture of safety by ensuring the consistent use of processes for identifying, reporting, analyzing, and preventing adverse events and incidents.
- Ensure ongoing compliance with all applicable federal, state, and local licensure, accreditation, certification, and regulatory requirements.
- Oversee and maintain compliance with credentialing and privileging standards for all physicians, allied health professionals, and nursing staff.
- Regularly evaluate patient, physician, and employee satisfaction metrics, addressing concerns promptly and implementing solutions to enhance the overall experience and service quality.
- Ensure the delivery of high-quality clinical outcomes while achieving staffing efficiencies, operational excellence, and sustainable growth in surgical volume.
- Direct the day-to-day operational and financial management of the surgery center, including budgeting, resource allocation, productivity management, and financial performance oversight.
- Collaborate with physicians and organizational leadership to identify opportunities for growth, service enhancement, and continuous quality improvement.
- Develop, mentor, and evaluate staff performance to promote professional growth, accountability, and retention.
- Ensure efficient utilization of personnel, equipment, and facility resources while maintaining high standards of patient care and customer service.
ADMINISTRATION – FINANCIAL
- Completes and monitors the facility operating and capital budgets, submitting reports as required and taking appropriate actions to ensure all budget targets are achieved.
- Manages the annual budget and reporting for the assigned surgery center to maximize EBITDA (Earnings Before Interest, Taxes, Depreciation, and Amortization) and identify trends and opportunities to achieve financial objectives.
- In conjunction with leadership, negotiates, monitors, updates, renews, and terminates contracts as necessary.
- Collaborates with other Blue Cloud Pediatric Surgery Center Administrators and corporate leadership to leverage resources and vendor relationships, ensuring the best possible pricing and value for the organization.
ADMINISTRATION – HUMAN RESOURCES
- Creates and maintains a fair and inclusive work environment through an open-door policy, empowering associates to share their successes, concerns, and needs with leadership to improve individual and team performance, promote safety, and maintain standards of excellence.
- Provides oversight for the hiring of qualified associates in sufficient numbers to meet the needs of both the clinical and administrative departments.
- In conjunction with Human Resources, ensures that new associate orientation includes competency assessment and appropriate initial job training.
- Through the leadership team of the center, ensures the ongoing assessment, maintenance, and improvement of associate competency in partnership with the Director of Nursing.
- Encourages and supports associate professional development and continuous learning.
- Ensures compliance with all applicable federal and state labor laws.
RIGHTS OF PATIENTS & QUALITY OF CARE
- Ensures that all members of the organization recognize and uphold the fundamental rights of patients, ensuring that every patient is treated with respect, consideration, and dignity.
- Works closely with the Medical Director, Dental Director, and Regional Vice President of Nursing to direct, monitor, and evaluate patient care and related processes, initiating actions as necessary to ensure clinical standards are met and all environmental safety requirements are maintained.
QUALITY MANAGEMENT & IMPROVEMENT
- In conjunction with the Governing Body, Medical Executive Committee, and Regional Vice President of Nursing, ensures that the Quality Management and Improvement Program maintains an active, integrated, organized, and peer-based approach to quality management and performance improvement.
- Ensures that peer review, quality improvement activities, and risk management processes are linked in an organized and systematic manner to support continuous improvement, patient safety, and clinical excellence.
CLINICAL RECORDS & HEALTH INFORMATION
- Partners with the Director of Nursing and Patient Services Team to ensure a medical record is initiated and maintained for every patient treated, while maintaining the confidentiality, security, and integrity of medical records in accordance with applicable laws, regulations, and record retention requirements.
- Works with the Director of Nursing to ensure medical records are reviewed for completeness, accuracy, and timely completion in accordance with facility policies and procedures.
- Collaborates with the Director of Nursing to ensure appropriate data is collected, analyzed, interpreted, and transformed into meaningful information that supports clinical decision-making, facility operations, patient and family education, research, and performance improvement initiatives.
FACILITIES & MANAGEMENT
- Ensures, with support from the Governing Body, that the surgery center provides a safe, functional, and sanitary environment for patients, associates, and visitors.
- Ensures the proper management and control of hazardous materials and waste.
- Ensures associates are appropriately oriented and educated regarding emergency preparedness procedures.
- Ensures that safety systems, life safety components, medical equipment, and utility systems are properly maintained, tested, and inspected.
- Ensures a coordinated process is utilized to reduce the risk of endemic and epidemic healthcare-associated infections among patients and associates through collaboration with the Director of Nursing and the Quality Improvement Committee.
MARKETING
- Partners with the Sales and Marketing team to develop, implement, monitor, and evaluate internal and external marketing programs for the surgery center.
- Collaborates with the Sales and Marketing team to develop and maintain effective strategic and targeted marketing initiatives designed to grow and maximize referral and patient volume.
COMPETENCY
- Communication Proficiency
- Leadership
- Learning Orientation
- Ethical Conduct
- Collaboration
- Quality Improvement
- Stress Management / Composure
- Customer / Client Focus
- Discretion
- Problem Solving / Analysis
SUPERVISORY RESPONSIBILITIES
- Provide direct leadership, supervision, and performance management for nursing staff and Registered Dental Assistants (RDAs).
- Foster a collaborative, accountable, and patient-focused work environment through coaching, mentoring, and staff development.
- Support recruitment, onboarding, training, competency validation, and ongoing professional growth of clinical personnel.
WORK ENVIRONMENT
- Position is based in an ambulatory surgery center and involves regular interaction with patients, physicians, clinical staff, medical equipment, and healthcare technologies.
- Work is performed in a clinical environment where exposure to bloodborne pathogens, infectious diseases, hazardous materials, and other healthcare-related risks may occur.
- Requires adherence to established infection prevention, safety, and regulatory guidelines.
PHYSICAL REQUIREMENTS
- Requires strong visual and auditory acuity to assess patient conditions and respond promptly to clinical situations.
- Ability to stand, walk, bend, reach, and move throughout the facility for extended periods.
- Must be able to respond quickly to patient and operational needs in a fast-paced clinical environment.
- Ability to lift, move, or assist with patients, equipment, and supplies, including occasional lifting of up to 50 pounds and heavier assistance with appropriate equipment or team support.
- Requires sufficient physical stamina and mobility to safely perform essential patient care and supervisory responsibilities.
TRAVEL REQUIREMENTS
- Occasional travel to other Surgery Center locations, meetings, training programs, or corporate events may be required.
POSITION TYPE AND EXPECTED HOURS
- Full-time position.
- Day shift schedule, Monday through Friday.
- Additional hours may be required based on operational needs, staffing requirements, or organizational priorities.
POSITION REQUIREMENTS
- Graduate of an accredited nursing program required.
- Current, active Registered Nurse (RN) license in the state of practice.
- Minimum of two years of nursing experience, preferably in a surgical, perioperative, ambulatory surgery, or acute care setting.
- Knowledge and understanding of the nursing process, including patient assessment, care planning, implementation of care, and evaluation of patient outcomes.
- Ability to apply clinical judgment and evidence-based practices to deliver safe, effective, and compassionate patient care.
- Advanced Cardiovascular Life Support (ACLS) certification required within 30 days of hire.
- Pediatric Advanced Life Support (PALS) certification required within 90 days of hire.
- Current Basic Life Support (BLS) certification required.
PREFERRED
- Bachelor of Science in Nursing (BSN) preferred.
- Previous experience in an Intensive Care Unit (ICU), perioperative setting, operating room (OR), post-anesthesia care unit (PACU), or ambulatory surgery center (ASC) strongly preferred.
- Working knowledge of preoperative, perioperative, and postoperative nursing practices, clinical protocols, and facility policies and procedures.
- Previous experience as a Director of Nursing (DON), Nurse Manager, Clinical Manager, or other healthcare leadership role within an ambulatory surgery center, surgical services, or acute care setting preferred.
- Strong knowledge of healthcare regulatory and accreditation standards, including CMS, Department of Health (DOH), OSHA, AORN, and AAAHC requirements.
BENEFITS
- Comprehensive health insurance, including Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), disability coverage, and additional voluntary benefit options.
- 401(k) retirement plan with company matching contributions.
- Generous Paid Time Off (PTO).
- Eligible for a performance-based bonus program, rewarding individual and organizational achievement.
- Pay Range $120,000 - $135,000
EQUAL EMPLOYMENT OPPORTUNITY
Blue Cloud is an equal opportunity employer. Consistent with applicable federal, state, and local laws, we provide equal employment opportunities to all qualified applicants and employees without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable law.
Blue Cloud is committed to providing reasonable accommodations to qualified individuals with disabilities throughout the application and hiring process. Applicants who require assistance or accommodation may request support during the application process.
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