At Snoqualmie Valley Health, we’re not just in the business of healthcare; we’re in the business of empowering our community to live boldly and live well. Our commitment to excellence and innovation calls for team members who will build trust, obsess over excellence, lead innovation, and deepen connections within our community. We are guided by our core values, and we’re looking for someone who can embody those principles as part of our dynamic and growing team.

Located in a trailblazing, adventure-loving town at the base of the Cascades, Snoqualmie Valley Health is an independent public hospital district serving a vibrant community that thrives on both adventure and connection. This is more than a job—it’s an opportunity to be part of something bigger.

JOB TITLE: Director of Outpatient Surgery

POSITION SUMMARY:
The Director of Outpatient Surgery presents an exciting opportunity to play a key role in opening the new HUB Surgery Center as part of the Snoqualmie HUB project. This role will actively contribute to designing and implementing workflows, policies, and procedures to ensure safe, efficient, and high-quality operations from day one. This is a rare chance to help build a surgical program from the ground alongside a highly engaged clinical and administrative team.

This role will provide operational and strategic leadership for outpatient surgical services at Snoqualmie Valley Health. This role oversees all aspects of ambulatory surgical care, including pre-operative services, intraoperative support, post-anesthesia care, and related procedural areas. The role will report to the Chief Nursing Executive (CNE) and will work in partnership with the Outpatient Surgery Medical Director, assuming responsibility for directing, managing, and coordinating all aspects of the Outpatient Surgery Center. The Director will collaborate closely with surgeons, anesthesia providers, nursing leadership, and hospital administration to ensure safe, efficient, high quality surgical services while supporting program sustainability, regulatory compliance, and enhanced community access to care.

ESSENTIAL FUNCTIONS:

Clinical & Operational Leadership

• Provide day-to-day leadership for outpatient surgical services, including staffing, scheduling, patient flow, and case coordination

• Maintain an active presence in clinical operations, providing support and coverage as needed

• Ensure efficient use of resources while maintaining high standards of patient care

• Develop, implement, and maintain policies and procedures appropriate for a CAH setting

Quality, Safety & Regulatory Compliance

• Ensure compliance with CMS Conditions of Participation, CAH regulations, state licensing, and accreditation standards

• Lead quality improvement, patient safety, and infection prevention efforts within outpatient surgery

• Monitor clinical outcomes, patient experience, and performance metrics

• Investigate incidents, near misses, and patient concerns and implement corrective actions

Physician & Anesthesia Collaboration

• Build and maintain strong working relationships with surgeons, anesthesia providers, and procedural staff

• Support block scheduling, case prioritization, and flexible scheduling models typical of CAH environments

• Serve as a liaison between medical staff and hospital leadership for outpatient surgical services

Staffing & Workforce Management

• Recruit, train, schedule, and supervise outpatient surgery staff, often across multiple roles

• Promote cross-training and competency to support staffing flexibility and coverage

• Conduct performance evaluations, coaching, and corrective action as needed

• Foster a culture of teamwork, accountability, and engagement

Financial & Resource Stewardship

• Manage departmental budgets with a focus on cost control, productivity, and sustainability

• Oversee supply utilization, inventory management, and vendor relationships

• Support capital planning for equipment replacement and limited expansions

• Collaborate with Materials Management and Finance to ensure fiscal responsibility

Program Sustainability & Growth

• Evaluate service mix and case volume to support financial and clinical viability

• Identify opportunities to expand or retain services locally to reduce patient outmigration

• Support recruitment and retention of surgeons and anesthesia providers

• Participate in planning for facility upgrades, equipment needs, or limited expansions

Interdisciplinary Collaboration

• Collaborate closely with Nursing, Sterile Processing, Materials Management, Quality, Infection Prevention, Clinics, and Facilities

• Participate in hospital committees, performance improvement initiatives, and leadership meetings

• Serve as a visible, approachable leader within a small, team-oriented organization

Education

• Bachelor's degree in nursing or related healthcare field (required)

• Master's degree in nursing, Healthcare Administration, or related field (preferred)

Licensure & Certification

• Current RN license in Washington (required)

• CNOR or other perioperative certification (preferred)

Experience

• Minimum of 3–5 years of leadership experience in perioperative or surgical services

• Experience running Multispecialty 3-4 room Ambulatory Surgery Center (ASC)

• Experience in Critical Access Hospital or rural healthcare setting preferred

• Demonstrated experience with CMS compliance, staffing flexibility, and resource-limited operations

Skills & Abilities

• Hands-on, adaptable leadership style suited to a small hospital environment

• Strong clinical judgment and operational problem-solving skills

• Ability to balance regulatory requirements with practical operations

• Excellent communication and relationship-building skills

Physical Demands

• Ability to move throughout surgical and clinical areas

• Ability to assist with patient care or equipment positioning as needed

• Ability to respond quickly to emergencies

Work Environment

• Critical Access Hospital outpatient surgical department

• Variable schedule based on surgical volume and staffing needs

OTHER DUTIES: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

BENEFITS: We believe in taking care of those who take care of our community. We’re proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan, you’ll have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley Health, Eastside Health, and First Choice/First Health providers. The best part? Anyone covered under our plan can receive care at SVH at no cost! It's all about giving you the options and support you need to experience life’s great adventures.

• Medical

• Dental

• Vision

• Pharmacy

• Health Reimbursement Account (HRA)

• Life and AD&D

• Retirement Plan

• Employee Assistance Program (EAP)

• Flexible Spending Account (FSA)

• Travel Assistance & ID Theft Protection

• Pet Insurance

• Other Voluntary Benefits

Benefit Eligibility Requirements - Employees regularly scheduled at least 20 hours per week.

Employee Dependents - Your legal spouse or domestic partner; dependent children until age 26.

Waiting Period - 1st of the month from the date of hire.

PLEASE NOTE:

• The flu shot (during flu season) are required for employment, with exemptions available for valid medical or religious reasons.

• Snoqualmie Valley Health is a drug-free workplace. We complete drug screenings as part of our onboarding process.