Director of Surgical Services

Director of Surgical Services

Fredericksburg, TX (Hill Country Region)

Employment Type: Full-Time

Schedule: Days | Weekdays Only | No Weekends

Compensation:

• $97,052 – $145,000 annually (based on experience)

• Incentive Bonus: Up to 17.5% annually

• Sign-On Bonus: Case-by-case

• Relocation Assistance: Case-by-case

Overview

A community-focused acute care hospital in the Texas Hill Country is seeking a Director of Surgical Services to provide strategic, clinical, and operational leadership across all perioperative departments. This role reports directly to the Chief Operating Officer and carries full accountability for surgical services performance, quality outcomes, staff engagement, and financial stewardship.

This is a high-impact leadership opportunity for an experienced Surgical Services Director or a strong Surgical Services Manager ready to step into a director-level role within a collaborative, patient-centered environment.

Responsibilities

Clinical Quality & Patient Safety

• Ensure delivery of high-quality, patient-centered surgical care through evidence-based practice

• Standardize clinical workflows to reduce variation, improve outcomes, and control costs

• Maintain compliance with regulatory, accreditation, and legal requirements

• Oversee equipment readiness, maintenance, and regulatory compliance

• Optimize patient throughput, scheduling efficiency, and perioperative flow

Operations & Service Excellence

• Direct daily operations of all surgical services departments

• Partner with physicians and interdisciplinary leaders to enhance patient experience

• Monitor quality metrics, patient satisfaction data, and operational benchmarks

• Implement improvement initiatives to elevate service delivery and outcomes

People Leadership

• Lead, develop, and retain a team of 50–60 FTEs across perioperative services

• Foster a culture of accountability, collaboration, and professional growth

• Provide coaching, performance feedback, and succession development

• Ensure appropriate staffing models and clinical competencies

Growth & Strategy

• Collaborate with administrative and physician leadership to expand surgical services

• Identify opportunities for new programs, technologies, and service lines

• Support growth initiatives that increase surgical volume and market differentiation

Financial Management

• Lead annual budgeting, forecasting, and expense management for surgical services

• Manage labor productivity, scheduling efficiency, and premium pay utilization

• Identify cost-reduction opportunities while maintaining quality and safety standards

Required:

• Bachelor’s degree in Nursing

• Active RN license

• Minimum 3 years of perioperative or surgical services experience

• Prior leadership experience in surgical services (Director or Manager level)

Preferred:

• Master’s degree

• Experience overseeing OR departments in acute care or ambulatory surgery settings

• Background managing multi-specialty surgical services

Candidates with recent Surgical Services Manager experience or Ambulatory Surgery Center leadership will be considered.

Program Highlights

• 5 Operating Rooms

• Approximately 4,000 surgical cases annually

• Services include: General Surgery, Orthopedics, Urology, ENT, GYN, Ophthalmology, Breast Surgery, Robotics

• Direct report to the COO

• No layer of manager beneath this role

Compensation & Benefits

• Competitive executive salary with performance-based incentive bonus

• Comprehensive medical, dental, and vision coverage

• 401(k) with employer match

• Paid time off and paid family leave

• Leadership development and advancement opportunities

Ideal For

• Surgical Services Directors seeking community hospital leadership

• OR Managers ready to advance into a director role

• Leaders who value autonomy, collaboration, and visible impact

• Professionals interested in high-quality care within a growing regional market

Keywords / Hashtags

Director of Surgical Services, Surgical Services Director, Perioperative Director, OR Director, Operating Room Leadership, RN Surgical Leadership

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