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:
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
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