Director of Surgical Services

Company: Texas Nursing Services
Location: Fredericksburg
Posted on: February 11, 2026

Job Description:

Job Description Job Description Company Description 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 Job Description 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 Qualifications 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. Additional Information 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 TexasLeadershipJobs SurgicalServicesDirector ORLeadership HillCountryHealthcare RNDirectorJobs

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