Clinical Administrator

Position Overview

We are seeking a highly motivated and experienced Administrator to lead the development and ongoing operations of a new, orthopedic-focused Ambulatory Surgery Center (ASC) in Grand Prairie, Texas. This is a de novo leadership opportunity for a clinically grounded operator to work alongside the corporate de novo team to build an ASC from the ground up—including strategy, operational execution, physician engagement, and financial performance. The ideal candidate is a licensed Registered Nurse in Texas with orthopedic experience, bringing both clinical credibility and strong business acumen.

Key Responsibilities

• Operational & Business Leadership

• Provide full operational oversight of the ASC, including clinical, financial, and administrative functions
• Lead start-up execution: licensure, accreditation, vendor selection, equipment procurement, and go-live readiness
• Develop and manage the center’s operating budget, P&L performance, and cost controls
• Implement processes to optimize surgical case volume, block utilization, and operational efficiency

• Clinical & Patient Care Oversight

• Ensure delivery of safe, high-quality patient care in alignment with orthopedic best practices
• Partner with clinical leadership to establish workflows across pre-op, OR, and PACU
• Maintain compliance with all regulatory and accreditation standards (CMS, state of Texas, and AAAHC)

• Physician Partnership & Growth

• Build and maintain strong relationships with orthopedic surgeons and stakeholders
• Drive physician satisfaction, engagement, and case growth

• Team Leadership & Culture

• Recruit, hire, and develop a high-performing, patient-centered team
• Establish a culture of accountability, collaboration, and operational excellence
• Oversee staffing models, productivity expectations, and performance management

• Compliance & Quality

• Ensure ongoing regulatory compliance, survey readiness, and risk management
• Lead quality improvement initiatives and monitor key performance indicators
• Oversee infection prevention, patient safety, and clinical outcomes programs

Qualifications

• Required:

• Active Registered Nurse (RN) license in the state of Texas (in good standing)
• Bachelor’s degree (BSN or healthcare-related) or equivalent experience required
• 5+ years of progressive leadership experience in an ASC or surgical services environment
• Demonstrated experience in orthopedic procedures and workflows
• Proven ability to manage operations, budgets, and multidisciplinary teams
• Strong understanding of ASC regulatory, accreditation, and compliance requirements

• PREFERRED:

• Prior ASC Administrator experience
• Experience leading a de novo, startup, or turnaround environment
• Experience with physician partnerships/joint ventures

Working Environment

Fast-paced, orthopedic-focused ambulatory surgery setting
Monday–Friday schedule with case-dependent hours
Start-up environment requiring adaptability, hands-on leadership, and problem-solving

Benefits

• Comprehensive health, dental, and vision insurance

• Health Savings Account with an employer contribution

• Life Insurance

• PTO

• 401(k) retirement plan with a company match