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ASC Ambulatory Surgery Center DON

Advanced Cardiovascular

Houston, TX

Eligibility
RNExecutive Nurses & Nurse AdministratorsAdministrative & Consulting NursesDirectors of Nursing
Shift
Days
Unit
Cath-Lab

Posted Jun 10 · Not open to new grads

What the listing says

Role

Schedule
Days · 5 a week
Weekends
No weekends
Term
Permanent
Setting
Ambulatory Surgery
Accepts
RN
Experience
3+ years

Ratio not posted. Ask in the interview.

Pay

Against the board
Above most TX staff postings

TX staff postings that state pay run $25/hr to $60/hr, the middle half $33/hr to $47/hr, across 898 postings.

Overtime
$100/hr

About this role

*ASC Director of Nursing — Job Overview*

*Performance and Retention Bonus Options Available*

*Monday through Friday (No Weekends or Holidays)*

We are seeking an exceptional, forward‑thinking ASC Director of Nursing (DON) to lead our clinical team in an outpatient surgical center with confidence, clinical expertise, and a deep commitment to outstanding patient care. This is a pivotal leadership role for a nurse who thrives in a fast‑paced environment and is ready to shape the future of our cardiac-focused ASC.

Read the full posting

As the DON, you will oversee all nursing operations across the Cath Lab, Pre‑Op, PACU, and the faility. Your leadership will ensure regulatory compliance, elevate clinical excellence, and cultivate a culture where staff feel supported, patients feel safe, and physicians feel confident in the quality of care delivered. This is a rare opportunity to make a meaningful impact in a growing, innovative surgical center.

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*Job Summary*

The Director of Nursing is responsible for the full scope of nursing care delivery and clinical operational management across the facility. This leader ensures exceptional patient outcomes, physician satisfaction, and seamless workflow across all perioperative areas. The DON oversees quality programs, education, and infection control, while also demonstrating and participating in hands‑on clinical expertise in assessing, planning, implementing, and evaluating patient care from admission through discharge.

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*Duties and Responsibilities*

*Clinical Excellence & Patient Care*

  • Provides and oversees high‑quality nursing care to ensure patient safety and optimal outcomes.
  • Ensures strict adherence to aseptic and sterile techniques.
  • Functions as OR circulator, scrub, Pre‑Op/PACU RN, and clinic/triage RN as needed.
  • Confirms OR readiness for each patient and procedure.
  • Verifies pre‑operative preparation, documentation, and surgical prep completion.
  • Completes all OR documentation, requisitions, and charting with accuracy.
  • Supervises safe patient positioning and performs all surgical counts.
  • Ensures proper handling and documentation of surgical specimens.
  • Supports teammates, surgeons, and anesthesia to maintain smooth case flow.
  • Ability to function in patient care as needed

*Leadership & Department Oversight*

  • Directs nursing care according to professional standards and facility policies.
  • Coordinates patient flow to maximize efficiency and safety.

Develops and implements strategies to improve communication, workflow, and adherence to policies, protocols, and physician preferences.

  • Promotes a culture of continuous quality improvement and critical thinking.
  • Maintains communication with the Administrator, Anesthesia, Medical Director, and Board of Managers.
  • Ensures staff competency in standing orders and physician preference files.
  • Continuously evaluates staff performance and identifies opportunities for improvement.

*Staffing & Personnel Management*

  • Ensures appropriate staffing levels based on caseload and operational needs.
  • Assigns daily responsibilities, delegates tasks, and monitors completion.
  • Participates in interviewing and selecting candidates.
  • Provides coaching, performance evaluations, and recommendations for advancement or corrective action.
  • Leads staff meetings, huddles, and committee activities.

*Supply Chain & Equipment Oversight*

  • Assists in managing inventory, supplies, equipment, and narcotics.
  • Maintains equipment logs, repair records, and ensures proper functioning of all devices.
  • Identifies supply needs and educates staff on proper handling to reduce waste.
  • Ensures cleanliness, organization, and readiness of all clinical areas.

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*Position Characteristics*

This role requires a high level of responsibility, accountability, and resilience. Occasional extended hours may be necessary to meet caseload demands or support staff. The DON must be comfortable making timely decisions, managing competing priorities, and leading confidently in a dynamic, sometimes high‑pressure environment.

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*Qualifications*

  • Associate’s degree in Nursing required; Bachelor’s degree preferred
  • Current RN licensure in Florida or Multistate Compact
  • Minimum 3 years of Cath Lab or cardiac nursing experience *REQIURED*
  • ACLS certification required
  • 2 years of nursing management experience preferred
  • 2 years of cardiology experience preferred
  • ASC experience and AAAHC familiarity strongly preferred

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Core Competencies

  • Communication: Clear, persuasive verbal and written communication; strong listening and comprehension.
  • Professionalism: Composure under pressure; respectful, accountable, and dependable.
  • Problem Solving & Judgment: Strong critical thinking; timely decision‑making; collaborative approach.
  • Quality Focus: Commitment to accuracy, continuous improvement, and high clinical standards.
  • Productivity: Efficient, organized, and able to meet deadlines.
  • Attendance & Reliability: Consistently punctual and dependable.

Pay: $100,000.00 - $125,000.00 per year

Benefits

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Retirement plan
  • Vision insurance

Application Question(s)

  • Do you have cath lab experience?
  • DO you have ASC experience?

Work Location: In person

Sourced from a public job board.

ate’s degree in Nursing required; Bachelor’s degree preferred * Current RN licensure in Florida or Multistate Compact * Minimum 3 years of Cath Lab or cardiac nursing experience *REQIURED* * ACLS certification required…· from this posting

Requirements

  • RN

Place

City
Houston, TX
Median rent
$1,361/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$64,813/yr

all local households, not nurse pay · Census ACS 2024

Metro price level
1% below the national average

Houston area index 98.6, where 100 is the national average.

Houston is a sprawling, diverse metro where world-class medical centers anchor a booming healthcare economy. The nation's fourth-largest city offers no state income tax, year-round warmth, and a food scene as varied as its population. Bayou-side greenways and museum districts balance the urban energy for nurses seeking opportunity in a place that never stops growing.

Map showing the location of Houston, TX
Approximate location in Houston, TX. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024.

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