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Director of Nursing - Ambulatory Surgery Center
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Sphere Surgery Center
Irving, TX (In Person)
$135,000 Salary, Full-Time
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Job Description
Director of Nursing - Ambulatory Surgery Center Sphere Surgery Center Irving, TX Job Details Full-time $120,000 - $150,000 a year 12 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off 401(k) 4% Match Vision insurance 401(k) matching Life insurance Qualifications Outpatient surgery experience PACU experience Nursing department supervision Nursing Pain management OR experience Team development Hiring Bachelor of Science in Nursing Bachelor's degree in nursing Clinical team leadership Nursing manager experience Clinical quality assurance standards Orthopedics Legal compliance Nurse management Nursing Full Job Description Sphere Surgery Center | Irving, TX | Physician-Owned | AAAHC Accredited About Us Sphere Surgery Center is a physician-owned ASC in active startup phase in Irving, TX. We have 2 procedure rooms and 2 ORs, with expansion to 4 ORs planned. We're looking for a proven nursing leader who has done this before — someone ready to build systems, teams, and culture from the ground up. The Role The DON is our senior clinical leader, with full accountability for nursing and clinical operations. This is a hands-on, ground-floor role reporting directly to the Vice President of Operations and physicians. You'll move between strategic planning and day-to-day operational execution. What You'll Do Design and implement clinical policies, procedures, and standards aligned with AAAHC, CMS, and TAC requirements Oversee OR, procedure rooms, pre-op, and PACU operations Lead QAPI, quality metrics, and regulatory compliance (AAAHC, 42 CFR §416, Texas DSHS) Operationalize the ASC — staffing models, credentialing workflows, EHR setup, supply protocols Recruit, hire, and build a high-performing clinical team (RNs, CSTs, and SPD, etc) Build scheduling frameworks scalable from 2 to 4 ORs Partner with physician owners on budgeting, resource utilization, and service line growth Required Qualifications BSN required; MSN preferred Active, unrestricted Texas RN license (or compact) 5+ years OR/surgical clinical experience; 3+ years in nursing leadership ASC startup or de novo launch experience — firm requirement; please address in cover letter Working knowledge of AAAHC standards, 42 CFR §416, and Texas ASC licensure rules Preferred Pain management, orthopedics, or multi-specialty ASC background CRNA-only anesthesia model familiarity HST Pathways, eClinicalWorks, ModernMed, or similar ASC EHR experience Why Sphere Direct access to physician owners — fast decisions, real voice Build something that lasts — startup energy with AAAHC structure Growth opportunity as we expand to 4 ORs and multi-locations Competitive compensation for a startup leadership role Central DFW location Sphere Surgery Center is an equal opportunity employer.