ASC Director
Advanced Spine and Pain, Gilbert, AZ, United States
ASC Director (Ambulatory Surgery Center)
Location Reports To VP of Nursing/Clinical Operations
FLSA Status Exempt, Full-Time
Position Summary The ASC Director is responsible for the overall leadership, operational performance, regulatory compliance, and strategic direction of the Advanced Spine & Pain Ambulatory Surgery Center in Gilbert, Arizona. This role ensures safe, high‑quality surgical care, efficient workflow, staff development, and an exceptional patient experience in accordance with AZDHS, QUAD A, CMS, and internal organizational standards.
The Director serves as the primary on‑site leader, collaborating with surgeons, anesthesia providers, clinical staff, and administrative teams to maintain an environment of clinical excellence, financial stewardship, and continuous quality improvement.
Key Responsibilities
Leadership & Operations Management Provide day‑to‑day oversight of ASC operations, including pre‑op, intra‑op, PACU, sterile processing, and patient flow. Ensure safe staffing models and efficient room turnover. Lead morning huddles, safety briefings, and daily operational direction. Support case scheduling, resource allocation, and readiness for all procedures. Maintain full survey readiness and compliance with all regulatory bodies.
Regulatory & Compliance Oversight Ensure adherence to:
Arizona Department of Health Services (AZDHS)
QUAD A (AAAASF) Accreditation Standards
CMS Conditions for Coverage
OSHA, CDC, AORN, and ASPAN guidelines
Lead internal audits, documentation review, incident reporting, and corrective actions. Oversee policy development and annual review processes. Partner with clinical leaders to uphold sterile processing, infection control, and medication management standards.
Clinical Collaboration Partner closely with the Charge Nurse, Director of Nursing, or Clinical Leader (if applicable) to ensure:
Evidence‑based perioperative practices
Safe patient care standards
Effective clinical communications
Serve as an escalation point for operational or clinical workflow concerns. Support anesthesia and surgical teams to ensure safe and efficient environment of care.
Financial & Business Operations Manage the ASC budget, productivity, supply chain, cost controls, and forecasting. Monitor and report on KPIs (case volume, on‑time starts, cancellations, turnover times, and patient safety metrics). Collaborate with revenue cycle on chart completeness, documentation accuracy, and coding/billing workflows. Identify growth opportunities and operational improvements to enhance financial performance.
Staff Management & Development Recruit, hire, onboard, and coach ASC staff. Conduct performance reviews, address skill gaps, and support ongoing professional development. Develop staffing models that align with volume, acuity, and efficiency needs. Foster a culture of accountability, clinical excellence, teamwork, and respect.
Patient Experience & Safety Oversee patient communication, satisfaction, and service recovery processes. Review patient feedback and incident trends, implementing improvements where needed. Lead QAPI projects, safety initiatives, and performance improvement activities.
Qualifications Required
Bachelor’s degree in healthcare administration, business, nursing, or related field. RN license not required.
Minimum 3–5 years of leadership experience in an ASC, surgical services, perioperative operations, or healthcare practice management.
Demonstrated knowledge of ASC regulations (AZDHS, QUAD A/AAAASF, CMS).
Strong leadership skills with experience managing multidisciplinary teams.
Proven ability to manage operations, budgets, scheduling, and performance metrics.
Preferred
Master’s degree (MBA, MHA, MSN, or related).
Experience in spine, pain management, or orthopedic ambulatory surgery.
CASC certification or pursuit of certification.
Experience leading in a multi‑site or rapidly expanding healthcare organization.
Core Competencies
Leadership & Accountability
Operational Excellence
Regulatory & Compliance Knowledge
Critical Thinking & Problem Solving
Communication & Relationship Building
Professionalism & Integrity
Physical Requirements
Ability to sit, stand, or walk for extended periods.
Ability to assist with non‑clinical tasks in patient care areas as needed.
Light lifting up to 25 lbs with reasonable accommodations.
Fast‑paced ambulatory surgical setting. Requires flexibility with changing daily priorities.
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Location Reports To VP of Nursing/Clinical Operations
FLSA Status Exempt, Full-Time
Position Summary The ASC Director is responsible for the overall leadership, operational performance, regulatory compliance, and strategic direction of the Advanced Spine & Pain Ambulatory Surgery Center in Gilbert, Arizona. This role ensures safe, high‑quality surgical care, efficient workflow, staff development, and an exceptional patient experience in accordance with AZDHS, QUAD A, CMS, and internal organizational standards.
The Director serves as the primary on‑site leader, collaborating with surgeons, anesthesia providers, clinical staff, and administrative teams to maintain an environment of clinical excellence, financial stewardship, and continuous quality improvement.
Key Responsibilities
Leadership & Operations Management Provide day‑to‑day oversight of ASC operations, including pre‑op, intra‑op, PACU, sterile processing, and patient flow. Ensure safe staffing models and efficient room turnover. Lead morning huddles, safety briefings, and daily operational direction. Support case scheduling, resource allocation, and readiness for all procedures. Maintain full survey readiness and compliance with all regulatory bodies.
Regulatory & Compliance Oversight Ensure adherence to:
Arizona Department of Health Services (AZDHS)
QUAD A (AAAASF) Accreditation Standards
CMS Conditions for Coverage
OSHA, CDC, AORN, and ASPAN guidelines
Lead internal audits, documentation review, incident reporting, and corrective actions. Oversee policy development and annual review processes. Partner with clinical leaders to uphold sterile processing, infection control, and medication management standards.
Clinical Collaboration Partner closely with the Charge Nurse, Director of Nursing, or Clinical Leader (if applicable) to ensure:
Evidence‑based perioperative practices
Safe patient care standards
Effective clinical communications
Serve as an escalation point for operational or clinical workflow concerns. Support anesthesia and surgical teams to ensure safe and efficient environment of care.
Financial & Business Operations Manage the ASC budget, productivity, supply chain, cost controls, and forecasting. Monitor and report on KPIs (case volume, on‑time starts, cancellations, turnover times, and patient safety metrics). Collaborate with revenue cycle on chart completeness, documentation accuracy, and coding/billing workflows. Identify growth opportunities and operational improvements to enhance financial performance.
Staff Management & Development Recruit, hire, onboard, and coach ASC staff. Conduct performance reviews, address skill gaps, and support ongoing professional development. Develop staffing models that align with volume, acuity, and efficiency needs. Foster a culture of accountability, clinical excellence, teamwork, and respect.
Patient Experience & Safety Oversee patient communication, satisfaction, and service recovery processes. Review patient feedback and incident trends, implementing improvements where needed. Lead QAPI projects, safety initiatives, and performance improvement activities.
Qualifications Required
Bachelor’s degree in healthcare administration, business, nursing, or related field. RN license not required.
Minimum 3–5 years of leadership experience in an ASC, surgical services, perioperative operations, or healthcare practice management.
Demonstrated knowledge of ASC regulations (AZDHS, QUAD A/AAAASF, CMS).
Strong leadership skills with experience managing multidisciplinary teams.
Proven ability to manage operations, budgets, scheduling, and performance metrics.
Preferred
Master’s degree (MBA, MHA, MSN, or related).
Experience in spine, pain management, or orthopedic ambulatory surgery.
CASC certification or pursuit of certification.
Experience leading in a multi‑site or rapidly expanding healthcare organization.
Core Competencies
Leadership & Accountability
Operational Excellence
Regulatory & Compliance Knowledge
Critical Thinking & Problem Solving
Communication & Relationship Building
Professionalism & Integrity
Physical Requirements
Ability to sit, stand, or walk for extended periods.
Ability to assist with non‑clinical tasks in patient care areas as needed.
Light lifting up to 25 lbs with reasonable accommodations.
Fast‑paced ambulatory surgical setting. Requires flexibility with changing daily priorities.
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