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Director of Nursing - Ambulatory Surgical Center

Urology Specialists

Sioux Falls, SD

Posted/Updated: Today

Job Description
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Clinical Director – Urology Ambulatory Surgery Center (ASC)

Full-Time, Exempt | Leadership Position
Reports to: Chief Operating Officer
Department: Urology Specialists Ambulatory Surgery Center


About the Role

Our high-performing, specialty-focused Urology Ambulatory Surgery Center is seeking an experienced Clinical Director to oversee all clinical operations.

This leadership role blends deep urology surgical knowledge with operational excellence and technology-driven practice improvement. The Clinical Director will shape the patient experience, working closely with urologists, nursing personnel, and support teams.


Key Responsibilities

Urology-Specific Clinical Operations

  • Provide daily leadership and oversight of all urology ASC clinical functions including pre-op, intraop/procedural care, and sterile processing.
  • Ensure evidence-based care for urology procedures such as cystoscopy, prostate biopsy, minimally invasive BPH procedures, and other endoscopic or outpatient surgeries.
  • Partner with surgeons and team to ensure efficient case flow, turnover times, OR block utilization and facility schedule.
  • Oversee urology equipment and technology, including scopes, implants, ultrasound, and specialty disposables.
  • Lead ongoing optimization of sterile processing workflows, ensuring compliance with AORN, AAMI, and manufacturer guidelines for delicate urological instruments.
  • Direct urology-specific staff competency development, including training in endoscopic equipment, sterile processing, fluoroscopy, and specialty perioperative protocols.

Regulatory Compliance & Quality Programs

  • Maintain continuous readiness for accreditation surveys (AAAHC and SD DOH) and CMS Conditions for Coverage.
  • Oversee infection prevention systems, including cystoscopy-specific reprocessing compliance and water quality management.
  • Track and report urology-relevant outcomes such as surgical site infections (SSI), unplanned returns to the OR, and unplanned admissions.
  • Lead root-cause analyses and performance improvement initiatives tailored to urology care pathways.

Leadership, Staffing, & Culture

  • Recruit, hire, train, and mentor nursing and clinical support staff with a focus on urology competencies.
  • Maintain appropriate staffing models supporting surgeon schedules, procedural mix, and patient acuity.
  • Foster a culture of safety, collaboration, service excellence, and continuous improvement.

Financial & Operational Management

  • Optimize supply chain and equipment utilization, calculate case cost data, identify opportunities for cost savings.
  • Assist with vendor evaluation, capital planning, and technology assessment (e.g., scopes, image systems, disposables, sterile processing).

Clinical Informatics & Technology Oversight

  • Serve as a clinical informatics leader, ensuring seamless integration of technology and documentation with urology workflows throughout USC.
  • Lead documentation standardization for urology procedures to support accuracy in coding, quality metrics, case costing, and regulatory reporting.
  • Partner with IT and clinical teams to maintain data integrity, troubleshoot system issues, and drive workflow innovation.
  • Develop and monitor dashboards tracking OR efficiency, case duration trends, equipment utilization, and urology-specific quality indicators.
  • Ensure cybersecurity awareness, HIPAA compliance, Emergency Preparedness/Disaster Planning, and proper handling of digital imaging and diagnostic data.

Qualifications

  • RN required; BSN required; MSN, MHA, or MBA preferred.
  • Minimum 5 years of perioperative or ASC experience, with at least 2 years in a urology environment strongly preferred.
  • Minimum 2 years leadership experience in surgical services, ASC management, or similar role.
  • Experience with clinical informatics, perioperative workflow, EHR optimization, or workflow redesign preferred.
  • Demonstrated knowledge of urology surgical procedures, sterile processing of delicate instruments, and perioperative safety standards.
  • Excellent communication, leadership, project management, and problem-solving skills.

Benefits

Urology Specialists Clinic offers a comprehensive and generous benefits package, including:

  • Health, Dental, and Vision insurance

  • Paid Short-Term and Long-Term Disability

  • Paid Life Insurance

  • Generous 401(k) with Profit Sharing

  • Flexible Spending Account (FSA) – Dependent Care

  • Health Savings Account (HSA)

  • Generous Paid Time Off (PTO)

  • Paid Holiday Leave

  • Extended Sick Leave

  • Fun, supportive, and collaborative workplace culture


If you're an engaged and compassionate leader looking to contribute to a high-quality outpatient surgical environment, we encourage you to apply and join our team at Urology Specialists Clinic