The Senior Director of ASC Operations will be responsible for ensuring directing, authorization, scheduling, and coordinating all aspects of the of the national special procedures program. This will include liaising with device representatives, other outside organizations, patients, providers and internal staff.

Essential Duties and Responsibilities (As VP of ASC Operations):

• Ensures continual delivery of high-quality ASC care.
• Adopts and implements innovative nursing practices to improve facilities.
• Ensures that surgical staff remains in compliance with professional development, Company, and regulatory standards.
• Ensures appropriate personnel are fulfilling duties as safety officer and infection control officer.
• Fills in as Infection Control and Safety Officer, as needed.
• Ensures appropriate staffing levels through the maintenance of the ASC facilities.
• Maintains a healthy, collaborative team environment.
• Mentors/trains all ASC staff
• Creates, maintains and updates reports, as directed.
• Ensures operation of medical and administrative equipment by verifying emergency equipment availability; completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques.
• Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
• Maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods.
• Fills in for nursing vacancies, as needed; performing the roles and responsibilities of an ASC Nurse Administrator.
• Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
• Deals compassionately, professionally, and courteously with patients, their families, physicians, and fellow employees.
• Implements, creates, and follows safety and infection control procedures.
• Adheres to all federal, state and nursing regulations and protocols including but not limited to patient safety procedures such as verification of patient identification prior to procedures.
  • Ensures that immediately prior to the start of any procedure in the procedure room, initiate a time-out and ensure correct patient, procedure, site and side, and that there are no additional concerns.
  • Identifies every patient with three identifiers: full name, date of birth, and zip code.
  • Documents this information in the Procedure Safety Checklist, including the time of the time-out.
• Identifies an emergency situation and is able to appropriately intervene.
• Understands and administers regulatory policies (i.e.: Joint Commission, AAAHC, Medicare, CDC, and State), and assists in the preparation for appropriate audits.
• Develops goals and objectives for the quality assurance division of the Compliance Department and its components.
• Serves as the designated patient infection control subject matter expert.
• Serves as the Infection Control Officer.
• Develops, coordinates, and administers ASC-wide systems for risk identification, investigation and reduction.
• Develops, reviews, and revises policies and procedures related to Quality/Compliance/Risk Management, Infection Control in relation to ASC’s.
• Deploys, monitors, and ensure that the facilities’ operational processes are appropriately integrated within the facility’s quality programs.
• Implements a program of job-based orientation, training, and on-going evaluation for all employees.
• Promotes the implementation of positive customer relations by the employees and physicians.
• Ensures staff complete daily, quarterly, annual and QAPI reports and paperwork and submitted to management.
• Identifies areas that require additional reinforcement through education, consultation, or practicum.
• Maintains patient, physician, and employee privacy and confidentiality in accordance with HIPAA, Company and other regulatory standards.
• Ensures that the surgical programs and clinical services are in compliance with the respective components of regulatory body and accrediting body standards.
• Maintains working knowledge of all equipment and procedures.
• Leads and actively participates in safety, infection control, and quality control committees/meetings.
• Monitors and enforces staff compliance to established safety policies.
• Undergoes annual competencies specific to safety surveillance and monitoring.
• Conducts annual apron and thyroid shield inspections.
• Monitors and enforces staff compliance to established Infection Control policies.
• Oversees infection control surveillance and task related responsibilities that have been delegated to others to ensure effective and desired results.
• Undergoes annual competencies specific to infection control surveillance and monitoring.
• Checks work e-mail on a regular basis throughout the workday.
• Participates in and complete all required trainings and in-services.
• Performs other duties as assigned.

Essential Duties and Responsibilities (As Infection Preventionalist):

• Responsible for the infection prevention and control program/activities in all outpatient surgical settings for the assigned region. This direct oversight includes but is not limited to staff education and training, surgical site infection tracking, annual risk assessment, analysis, improvement plan and implementation.
• Assists both Human Resources and Quality Assurance to ensure that all staff maintain up to date medical files, including vaccination status and communicable disease tracking and reporting.
• Actively participates in the Infection Control meetings.
• Conducts annual infection prevention risk assessment.
• Conducts annual TB/PPD Policy & Procedures assessment.
• Monitors infection control in each ASC, reviews data and records results to the Quality Dashboard for presentation to the MQA Committee.
• Monitors or oversees the internet for Infection Control related issues in an effort to remain current on Infection Control Standards and community, state, and federal requirements.
• Develops Infection Control policies applicable to the Surgery Center setting.
• Provides in-services and other educational opportunities for Surgery Center staff on Infection Control issues.
• Monitors and enforces staff compliance to established Infection Control policies.
• Delegate’s infection control surveillance and task related responsibilities to other staff members appropriately.
• Oversees infection control surveillance and task related responsibilities that have been delegated to others to ensure effective and desired results.
• Monitors flu vaccine program, reports results to NHSN (CDC), reviews Policy and Procedures annually.
• Undergoes annual competencies specific to infection control surveillance and monitoring.
• Manages and reports on annual hazardous risk assessments.
• Manages incident reports and completes annual trend analysis.
• Performs other duties as assigned.

Minimum Qualifications:

• Bachelor’s Degree from an accredited college or university in a related field of study WITH a minimum of five (5) years’ experience as a Registered Nurse AND at least one (1) year in an administrative nursing role; OR an equivalent combination of education and/or experience.
• Three (3) years of prior experience working in an Operating Room or Ambulatory Surgical Center.
• Must have knowledge of Internet and Microsoft Office software (MS Word, MS Excel, MS PowerPoint, MS Outlook).
• Must possess and maintain current licensure as a Registered Nurse in the State of Maryland.
• Must possess a current ACLS and BLS certification.
• Must possess and maintain Infection Control Training as an Infection Preventionist.
• Must have excellent written and oral communication skills, including exceptional customer service.
• Must be able to establish and maintain effective working relationships with doctors, clinical staff, other co-workers and the public.
• Must be able to work individually as well as within a team.
• Must be able to follow both verbal and written instructions.
• Must be able to work a flexible schedule.
• Must be able to respond with patience and understanding during stressful conditions related to patient health and emergent situations.
• Must be able to multi-task and prioritize.
• Must demonstrate extreme attention to detail.
• Must possess strong organization skills.
• Must be able to problem solve and use reasoning.
• Must be able to meet predefined quality standards.
• Must maintain and project a professional attitude and appearance at all time.
• Must have a working knowledge of the healthcare field and medical specialty, as well as medical terminology.
• Must provide proof of influenza vaccination annually.
• Must complete two (2)-step PPD.
• Must complete all regulatory competencies prior to beginning work in the ASC.
• Must be able to effectively oversee, manage and direct a team of nursing professionals.
• All staff are expected to have a strong desire to provide excellent customer service; to comply with the rules and regulations of those organizations to which we are accountable; to have high ethical and professional standards of conduct; and to have an attitude of wanting to continuously improve their own professional performance.

Preferred Qualifications:

• Master’s Degree from an accredited college or university in a related field of study.
• One (1) year of prior experience working in a Pain Management practice.
• Five (5) years of prior experience working in an Operating Room or Ambulatory Surgical Center.
• One (1) year of prior experience working with an Electronic Medical Record (EMR).

Driving/Travel: