DON Administrator

Blue Cloud•Cincinnati, OH
•Onsite

About The Position

The Administrator / Director of Nursing (DON) is accountable for the surgery center’s day-to-day operations and financial performance. The role plans, organizes, directs, and evaluates clinical and administrative programs, services, and activities to support high-quality patient care, regulatory compliance, operational efficiency, and organizational goals. The DON/Administrator leads staff, manages resources, and promotes safety, excellence, and continuous improvement. Blue Cloud operates pediatric ambulatory surgery centers focused on dental restorative and exodontia procedures for pediatric and special needs patients under general anesthesia. The position works in an ambulatory surgery center alongside patients, physicians, nursing staff, and other clinical professionals, and may involve occasional travel to other center locations, meetings, training programs, or corporate events. The schedule is full-time, Monday through Friday on the day shift; additional hours may be required based on operational needs. The role requires graduation from an accredited nursing program and an active RN license in the state of practice. It also requires at least two years of nursing experience, current BLS certification, ACLS certification within 30 days of hire, and PALS certification within 90 days of hire. A BSN and experience in relevant clinical or healthcare leadership settings are preferred. The position directly supervises nursing staff and Registered Dental Assistants.

Requirements

  • Graduate of an accredited nursing program.
  • Current, active Registered Nurse (RN) license in the state of practice.
  • Minimum of two years of nursing experience; surgical, perioperative, ambulatory surgery, or acute care experience is preferred within this requirement.
  • Knowledge and understanding of the nursing process, including patient assessment, care planning, implementation of care, and evaluation of patient outcomes.
  • Ability to apply clinical judgment and evidence-based practices to deliver safe, effective, and compassionate patient care.
  • Advanced Cardiovascular Life Support (ACLS) certification required within 30 days of hire.
  • Pediatric Advanced Life Support (PALS) certification required within 90 days of hire.
  • Current Basic Life Support (BLS) certification.
  • Ability to communicate, lead, collaborate, learn, act ethically, focus on quality improvement and customer service, maintain discretion, solve problems, and manage stress.
  • Ability to assess patient conditions using visual and auditory acuity; stand, walk, bend, reach, and move around the facility for extended periods; respond quickly in a fast-paced clinical setting; and occasionally lift up to 50 pounds.
  • Full-time, Monday through Friday day-shift availability; additional hours may be required based on operational needs.
  • Occasional travel to other Surgery Center locations, meetings, training programs, or corporate events may be required.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Experience in an Intensive Care Unit (ICU), perioperative setting, operating room (OR), post-anesthesia care unit (PACU), or ambulatory surgery center (ASC).
  • Working knowledge of preoperative, perioperative, and postoperative nursing practices, clinical protocols, and facility policies and procedures.
  • Previous experience as a Director of Nursing (DON), Nurse Manager, Clinical Manager, or other healthcare leader in an ambulatory surgery center, surgical services, or acute care setting.
  • Strong knowledge of healthcare regulatory and accreditation standards, including CMS, Department of Health (DOH), OSHA, AORN, and AAAHC requirements.

Responsibilities

  • Lead clinical and administrative teams to promote patient care, patient and physician satisfaction, and employee satisfaction.
  • Develop and execute strategic plans, goals, and objectives aligned with organizational priorities and performance indicators.
  • Monitor organizational performance and implement corrective actions as needed.
  • Promote safety through incident reporting, analysis, and prevention processes.
  • Ensure compliance with regulatory, accreditation, licensure, and credentialing requirements.
  • Evaluate patient, physician, and employee satisfaction and address improvement opportunities.
  • Drive quality outcomes, operational efficiency, staffing effectiveness, and surgical volume growth.
  • Oversee daily operations, financial performance, resource utilization, and facility operations.
  • Collaborate with physicians and organizational leadership on growth and continuous improvement.
  • Develop, mentor, and evaluate staff to support performance, accountability, and retention.
  • Develop, monitor, and manage operating and capital budgets; oversee budgeting, reporting, and financial initiatives to maximize EBITDA.
  • Manage contract negotiations, renewals, modifications, and terminations.
  • Work with corporate leadership and other surgery center administrators to optimize purchasing and vendor relationships.
  • Foster an inclusive and collaborative workplace culture that supports communication, engagement, and professional growth.
  • Oversee recruitment and staffing to maintain adequate clinical and administrative coverage.
  • Support onboarding, training, competency validation, and ongoing staff development.
  • Ensure compliance with federal and state labor laws.
  • Ensure patients are treated with dignity, respect, and consideration.
  • Partner with clinical leadership to monitor patient care, maintain clinical standards, and support environmental safety requirements.
  • Support an integrated quality management program incorporating peer review, performance improvement, and risk management.
  • Promote continuous improvement, patient safety, and clinical excellence through organized quality initiatives.
  • Ensure complete, accurate, secure, and compliant patient medical records and oversee timely, accurate medical record review.
  • Support collection and analysis of clinical and operational data for decision-making and performance improvement.
  • Maintain a safe, functional, and sanitary environment for patients, staff, and visitors.
  • Oversee hazardous materials management, emergency preparedness, equipment maintenance, and life safety programs.
  • Support infection prevention initiatives and facility-wide risk-reduction strategies.
  • Partner with Sales and Marketing to develop and evaluate marketing initiatives and support referral development and patient volume growth.
  • Directly supervise and support nursing staff and Registered Dental Assistants; provide coaching, mentoring, performance management, and professional development.
  • Support recruitment, onboarding, training, and competency validation of clinical personnel.

Benefits

  • Comprehensive health insurance, including Flexible Spending Accounts (FSA), Health Savings Accounts (HSA), disability coverage, and additional voluntary benefit options.
  • 401(k) retirement plan with company matching contributions.
  • Generous paid time off (PTO).
  • Eligible for a performance-based bonus program.
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