Business Administrator / Director of Nursing (ASC)

Business Administrator / Director of Nursing (ASC)

Outpatient Cardiovascular Surgery Center – Rockledge, Florida

Position Overview

The Business Administrator / Director of Nursing (DON) is responsible for the full operational, clinical, and financial management of the outpatient surgery center. This leader ensures safe, high‑quality patient care; regulatory and accreditation compliance; strong physician and staff engagement; and efficient, profitable operations.

This role reports directly to the VP of Operations and the Facility Medical Director and serves as a key liaison between clinical staff, non‑clinical staff, physicians, and the Governing Body.

***Monday through Friday, No Weekends and No Holidays***

Key Responsibilities: Operational & Administrative Leadership

• Oversee day‑to‑day operations of all clinical and non‑clinical services.
• Serve as primary liaison to the Medical Staff and Governing Body.
• Lead planning, organizing, directing, and evaluating all programs and services.
• Ensure compliance with all licensure, certification, and regulatory requirements (AHCA, CMS, AAAHC).
• Maintain and update policies, procedures, and organizational plans.
• Report adverse events, infections, HIPAA breaches, medication issues, and patient/staff complaints through the appropriate channels.

Financial Management

• Manage annual operating and capital budgets in collaboration with the Medical Director.
• Oversee scheduling, insurance authorizations, coding, and reimbursement workflows.
• Monitor case profitability and resource utilization.
• Support negotiation and renewal of vendor and managed care contracts.
• Identify opportunities to increase revenue and reduce expenses.

Human Resources & Staff Development

• Recruit, hire, onboard, evaluate, and, when necessary, terminate staff.
• Maintain compliant personnel files and ensure adherence to federal and state labor laws.
• Promote staff education, competency development, and performance improvement.
• Oversee employee health, infection control, and OSHA compliance programs.

Patient Care Quality & Safety

• Uphold clinical standards of care and ensure patient rights, dignity, and safety.
• Participate in patient care committees and report quality outcomes to the Governing Body.
• Ensure compliance with Environment of Care, Life Safety, and Emergency Management standards.
• Maintain competency to assist clinically when needed.

Quality Management & QAPI

• Lead the QAPI program and participate in committees for:
• Infection Control
• Quality Indicators
• Peer Review
• Pharmacy & Medication Management
• Risk Management
• Report findings to the Medical Director at least quarterly.

Clinical Records & PHI Compliance

• Ensure confidentiality, integrity, and security of medical records.
• Oversee data collection, analysis, and reporting for clinical and operational decision‑making.
• Respond immediately to any PHI breach in coordination with the Risk Manager.

Environment of Care & Safety

• Maintain a safe, clean, and hazard‑free environment for patients and staff.
• Oversee equipment maintenance, life safety systems, and utility systems.
• Ensure staff are trained and compliant with the Emergency Management Plan.
• Monitor infection prevention processes and escalate concerns appropriately.

Pharmacy & Medication Management

• Oversee pharmacy operations in collaboration with the Pharmacy Consultant and DON.
• Ensure compliant ordering, storage, security, and handling of pharmaceuticals and controlled substances.

General Expectations

• Demonstrate professional conduct, leadership presence, and strong communication.
• Support marketing and business development initiatives to grow case volume.
• Promote a culture of accountability, teamwork, and continuous improvement.

QualificationsRequired

• RN license (for DON responsibilities) or equivalent clinical leadership experience.
• Experience in ASC operations, preferably in a procedural or cardiovascular environment.
• Strong knowledge of AHCA, CMS, and AAAHC regulatory requirements.
• Demonstrated leadership in operations, finance, and staff management.

Preferred

• Prior experience as an ASC Administrator / DON.
• Experience with managed care contracting and revenue cycle workflows.
• Strong analytical, communication, and problem‑solving skills.

Job Type: Full-time

Pay: From $115,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Relocation assistance
• Vision insurance

Application Question(s):

• ASC or Hospital Leadership Experience?

Work Location: In person

Salary : $115,000