At Snoqualmie Valley Health,werenot just in the business of healthcare;werein the business of empowering our community to live boldly and live well.Our commitment to excellence and innovation calls for team memberswhowillbuild trust,obsess over excellence, lead innovation,anddeepen connectionswithin our community.We are guided by our core values, andwerelooking 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 jobitsan opportunity to be part of something bigger. JOB TITLE:Director of Outpatient Surgery POSITION SUMMARY: TheDirectorofOutpatient Surgerypresents an exciting opportunity to play akeyrole inopening the new HUBSurgery Centeras part of the Snoqualmie HUB project. This rolewill 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 andadministrative team. This role willprovide 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 reportto the Chief Nursing Executive(CNE)andwillwork in partnership with theOutpatient SurgeryMedical Director, assuming responsibility for directing, managing, and coordinating all aspects of theOutpatient Surgery Center. TheDirectorwillcollaborate closely with surgeons, anesthesia providers, nursing leadership, and hospitaladministration to ensure safe, efficient,high qualitysurgical 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 ofresources whilemaintaininghigh standardsof patient care Develop, implement, andmaintainpolicies and proceduresappropriate fora 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 andmaintainstrong 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 supplyutilization, 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 Identifyopportunities to expand orretainservices 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 Bachelors degree in nursingor related healthcare field (required) Masters degree in nursing, HealthcareAdministration, or related field (preferred) Licensure Certification Current RN license inWashington(required) CNOR or other perioperative certification (preferred) Experience Minimum of 35 years of leadership experience in perioperative or surgical services Experience runningMultispecialty3-4 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 toassistwith 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 orcontaina comprehensive listing of activities, duties or responsibilities that arerequired ofthe 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.Wereproud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan,youllhave 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?Anyonecovered underour plancan receive care at SVH at no cost!Itsall about giving you the options and support you need to experience lifes great adventures. Medical Dental Vision Pharmacy Health Reimbursement Account (HRA) Life and ADD Retirement Plan Employee Assistance Program (EAP) Flexible Spending Account (FSA) Travel Assistance ID Theft Protection Pet Insurance OtherVoluntary Benefits BenefitEligibility 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 fromthedate of hire. PLEASE NOTE: The flu shot (during flu season) arerequiredfor employment, with exemptions available for valid medical or religious reasons. Snoqualmie Valley Health is a drug-free workplace. We complete drug screenings aspartof our onboarding process.