RN Administrator / Director of Operations -OBL & ASC | PAM Health Corporate

PAM Health Specialty Hospital of San Antonio•San Antonio, TX

6d•Onsite

About The Position

PAM Health is seeking a highly experienced RN Administrator / Director of Operations to lead the launch and ongoing management of a newly developed, multi-specialty Ambulatory Surgery Center (ASC) and Office-Based Lab (OBL). This leader will operationalize a fully built procedural platform and drive clinical, financial, and strategic performance from day one, working in close partnership with the Medical Director, Governing Body, and PAM Health enterprise leadership. The facility includes two fully equipped cath labs (cardiac and vascular) with a shared control room, one fully functional operating room, six pre-operative bays, and five PACU bays. The RN Administrator / Director of Operations directs and coordinates all functions of the facility, including clinical operations, financial performance, staffing, marketing, accreditation and inspection readiness, capital equipment, and patient safety and satisfaction. The Administrator works closely with the Director of Nursing, Business Office Manager, Quality Improvement Coordinator, and the broader management team to advance the philosophy and vision of the Medical Director and Governing Body, and serves as the operational liaison between the facility and PAM Health.

Requirements

Bachelor of Science in Nursing (BSN), with an Associate degree in Nursing at minimum.
Active, unrestricted Registered Nurse (RN) license in the state of practice.
Five or more years of management experience in a surgical services environment.
Seven to ten years of healthcare operations leadership experience.
Experience in ASC and/or OBL operations.
Demonstrated experience launching or scaling a healthcare facility.
Strong knowledge of regulatory and accreditation requirements (CMS, AAAHC, Joint Commission).
Demonstrated physician alignment experience.
Strong financial acumen with full profit and loss responsibility.
Basic Life Support (BLS) certification.
Knowledge of medical terminology, business accounting systems, medical billing and collections, payer contracts and negotiations, federal, state, and local regulatory guidelines, ASC and OBL accreditation standards, HIPAA compliance, credentialing requirements for healthcare providers, and human resources and employment guidelines.
Proficiency in MS Word, MS Excel, accounting and payroll systems, electronic health records, and medical billing platforms.
Executive-level management skills.
Business acumen.
Strong written and verbal communication skills.
Ability to manage multiple priorities efficiently.
Ability to meet deadlines.
Ability to maintain accurate financial, personnel, and facility records.
Ability to communicate and apply policies consistently.
Ability to respond decisively in crisis and emergency situations.

Nice To Haves

Cardiovascular or vascular procedural experience.
Cath lab or surgical services clinical background.
MBA, MHA, or other relevant advanced degree.
Private equity or high-growth healthcare environment experience.
Advanced Cardiac Life Support (ACLS) certification.

Responsibilities

Lead full activation of the ASC and OBL, including staffing, policies, workflows, and go-live readiness.
Develop and implement clinical and operational protocols across cath labs, OR, pre-op, and PACU.
Establish readiness for initial cases, regulatory inspections, and accreditation surveys.
Build scalable systems to support future growth in case volume, payer mix, and procedural specialties.
Demonstrate initiative and provide direction to patients, physicians, staff, and visitors in all situations, including crises and emergencies.
Ensure compliance with all federal, state, and local regulations, including CMS, AAAHC, Joint Commission, and applicable state ASC and OBL standards.
Lead the accreditation process and maintain continuous survey readiness.
Maintain policies and procedures aligned with ASC and OBL standards of care.
Oversee quality assurance, infection control, patient safety, and risk management programs.
Ensure compliance with HIPAA and federal Fraud and Abuse guidelines.
Enforce Medical Staff rules and regulations in coordination with the Governing Board, Medical Executive Committee, and Medical Director.
Partner with PAM Health leadership to recruit high-quality interventional cardiology, vascular, and surgical specialists.
Develop physician alignment strategies (block scheduling, governance participation, and performance-based incentives).
Serve as the primary operational liaison to physicians to drive engagement and satisfaction.
Support onboarding and ramp-up of new physician partners.
Maintain rapport with physicians and their office staff to streamline scheduling and case flow.
Drive case volume through physician relationships, referral development, and service line expansion.
Identify new procedural opportunities across cardiovascular, vascular, and surgical specialties.
Collaborate with PAM Health Innovation and marketing on community outreach and physician engagement.
Optimize utilization of cath labs, OR, and perioperative capacity through scheduling discipline and block management.
Demonstrate working knowledge of payer contracts and participate with the Business Office Manager in contract completion and negotiation.
Ensure accurate CPT coding, charge capture, and clinical documentation.
Evaluate accounts payable, accounts receivable, electronic claims processing, coding, denials, and delinquent accounts as reported by the Business Office Manager.
Monitor payer mix, reimbursement performance, and net realization against contracted expectations.
Oversee payroll and accounts payable processes in coordination with administrative support staff.
Own facility profit and loss performance, including operating budget development and cost containment.
Drive operational efficiency across staffing, supply chain, and clinical throughput.
Implement performance metrics such as case times, room turnover, on-time starts, utilization, and case mix.
Improve EBITDA and operational leverage through disciplined cost management and growth execution.
Monitor staff utilization across departments (overtime, clinical hours, and clerical hours worked).
Ensure correct procedures are followed for all financial transactions and that center deadlines are met.
Supervise management personnel and provide for staff development by communicating facility goals and fostering team cohesion.
Evaluate management and staff performance and provide counseling or disciplinary action when necessary.
Assign projects (including quality improvement initiatives) to management team members based on ability and capacity.
Maintain harmonious working relationships with other PAM Health facilities, physicians and their office personnel, the Governing Board, and the Medical Director.
Hold regular management and staff meetings to communicate facility information and priorities.
Actively participate in the quality improvement program and monitor compliance with all facility policies and procedures.
Facilitate policies and procedures that protect patient and facility records.
Oversee implementation of QI studies and apply findings to enhance patient care and facility efficiency.
Participate in committees including Quarterly Medical Review, Credentialing, and OR Advisory.
Investigate and resolve patient, visitor, vendor, employee, or physician complaints, escalating to the Medical Director or Governing Body when appropriate.
Report financial indicators, contract negotiations, and other matters affecting the financial or legal status of the facility to the Medical Director and Governing Body.
Promote public relations for the facility and maintain a positive image in all customer, physician, vendor, and community communications.