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MidAmerica Spine Center

Director Clinical Operations and Director of Nursing

Career Insights for Clinical Nursing Manager / Director

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Based on Missouri data

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What they do

A Clinical Nursing Manager or Director provides direction to a nursing staff and coordinates health services at a hospital or other clinical healthcare facility. Supervises nursing staff and oversees patient care along with administrative functions such as record keeping and budgeting. Reports to high-level staff at the facility.

$78,788 / year median in Missouri

+4% projected growth

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Job Description

About Us We are a premier, state-of-the-art multi-specialty practice and Ambulatory Surgery Center (ASC) located in St. Louis, MO . Our clinical focus centers on delivering advanced care across four core specialties: Interventional Pain Management, Orthopedics, Neurology, and Plastic Surgery . We pride ourselves on delivering cutting-edge, patient-centered care, minimizing recovery times, and maintaining the highest standards of surgical and clinical excellence. Position Summary We are seeking an experienced, dual-hatted Director of Clinical Operations and Director of Nursing (DON) to provide visionary leadership and day-to-day oversight of both our outpatient clinic operations and our multi-specialty surgical suite. In this critical executive-level role, you will bridge clinical excellence with operational efficiency. You will manage nursing workflows, direct perioperative and ambulatory care services, ensure strict regulatory compliance (AAAHC/CMS/State of Missouri), optimize patient throughput, and collaborate directly with our physician partners and executive team. Key Responsibilities Nursing Leadership & Clinical Oversight Direct all nursing and clinical operations across pre-op, operating rooms (OR), post-anesthesia care unit (PACU), and our outpatient clinic specialties. Supervise, mentor, and evaluate Registered Nurses (RNs), surgical techs, and clinic support staff. Oversee patient safety initiatives, infection control protocols, and clinical quality metrics. Maintain absolute readiness for state, federal, and
AAAHC/JCAHO
accreditation surveys. Oversee clinical competencies, ongoing staff education, orientation programs, and performance evaluations. Clinical Operations Management Streamline daily facility workflows, patient scheduling, and room turnover efficiency across pain, ortho, neuro, and plastic surgery service lines. Manage supply chain logistics, inventory control, and high-value equipment maintenance specific to implants, specialized surgical tools, and pain management fluoroscopy suites. Monitor financial performance, assist in operating budget development, and control labor/supply costs. Implement practice "best practices" and workflow enhancements to support strategic business growth and high patient satisfaction. Serve as a primary liaison between administration, medical staff, anesthesiology partners, and clinical teams.
Qualifications & Requirements Education:
Bachelor of Science in Nursing (BSN) required; Master's degree in Nursing, Healthcare Administration, or Business Administration (MSN, MHA, MBA) preferred.
Licensure:
Active, unencumbered Registered Nurse (RN) license in the State of Missouri.
Certifications:
BLS and ACLS required; CNOR or similar leadership certification is a strong plus.
Experience:
Minimum of 5 years of progressive clinical management experience in an Ambulatory Surgery Center (ASC), outpatient surgical clinic, or hospital perioperative setting. Demonstrated background or deep clinical familiarity working with Orthopedic, Spine/Neuro, Interventional Pain Management, or Plastic Surgery specialties. Proven track record of successful regulatory survey navigation (AAAHC/CMS).
Skills:
Exceptional leadership, financial acumen, conflict resolution, and working knowledge of ASC billing, compliance, and EMR systems.
Pay:
$145,000.00 - $165,000.00 per year
Benefits:
401(k) matching Dental insurance Health insurance Paid time off Vision insurance
Work Location:
In person