Job Posted April 21, 2022

ASC Director

Opening with Proliance Puget Sound Orthopaedics
Job Role: Administrative
Job Type: Full Time


Position Summary

Clinic Summary

Established in 1990 as Lakewood Orthopaedic Surgeons, Puget Sound Orthopaedics serves the Puget Sound region with comprehensive orthopaedic care in musculoskeletal disorders. Our team comprises of 18 physicians with specialties ranging from joint replacement, shoulder care, spinal care, hand and upper extremity treatment, to sports medicine and podiatric care. They work with our certified physician’s assistants and a 100-member support staff to ensure a high level of contact and ongoing patient education. We work together with the centralized goal of delivering expert, individualized and compassionate care to every patient.

Position Summary

Oversees 4 room ASC (CON) that supports a single Proliance surgeon practice. Responsible for directing, coordinating and controlling all aspects of the operating functions, processes, and staff of the center while demonstrating the primary goal of efficiently providing surgical services that exceed customer expectations and improve clinical and financial operations. No nights, no holidays, no weekends, no call!

1. Provides leadership and is accountable for

a. The daily operation of the center.
b. Ensuring compliance with government regulatory agencies and accrediting bodies.
c. Serving, along with the Medical Director as a liaison between the Governing Board, the Medical Staff and all departments of the center.
d. Working closely with the Medical Director and reports the pertinent activities concerning the center to the Governing Board at regular intervals.
e. Designating a person responsible for the center in the absence of the Administrator.
f. Conducting planning for the services provided by the center and the operation of the center.
g. Develops and implements a plan to grow center services in accordance with the business plan for the center.

h. Identifies and develops new services defined as appropriate for ambulatory surgery centers in accordance with specific state limitations for the center (if any).
i. Fosters positive public relations.

2. Oversees all Clinical Services

a. Ensures that the surgical programs and clinical services are in compliance with the respective components of regulatory body and accrediting body standards.
b. Works in conjunction with the Medical Director and Governing Board in the evaluation and development of existing and new surgical services at the center.
c. Manages the clinical departments of nursing, central supply, medical records, and housekeeping, and supervises the contracted services to include pathology, janitorial, pharmacy consultant, laundry and biomedical engineering.
d. Participates in patient care as needed.
e. Monitors the adequate function of surgical equipment and patient care equipment through contracted services and follows-up on repairs.

3. Oversees Business Operations

a. Works with revenue cycle leaders to define expectations for business office functions and monitors performance, participates in plan of correction (if needed) and communicates variances to the Governing Body.
b. Monitors and interprets financial statements (Income statement, balance sheet, revenue reports) advising the Medical Director and Governing Body of impact of decisions upon financial results.
c. Develops, monitors and controls the staffing needs, operations budget and capital budget.
d. Develops, monitors and controls the purchasing plan to stay within the proposed budget and maintain compliance with group purchasing initiatives.
e. Negotiate and control all external contracts, such as those with physicians, ancillary services, plant maintenance, and purchasing agreements.
f. Establish pricing for procedures based on cost analysis and local market standards.
g. Foster positive work relationships among all departments of the center and act as liaison between Central Service Office and all staff at the center.
h. Develop and ensure compliance with appropriate departmental policy and procedure manuals for use by the staff.
i. Closely monitor variations in the financial performance of the center to optimize cash flow.

4. Ensures solid human resources practices

a. Holds at least monthly staff meeting outlining goals and priorities of the center.
b. Manages exempt and non-exempt employees in accordance with the center policies utilizing sound principles of practice and fairness.
c. Evaluates performance of direct reports as reviewing staff performance as evaluated by their respective managers, ensuring that reviews occur as scheduled or at least annually for each employee.
d. Reviews and approves the disciplinary action and/or discharge of employees in consultation with Proliance Surgeon Human Resources.

e. With Board approval, approves the addition or deletion of positions.
f. Recruits, evaluates and approves applicants for employment in new or vacant positions.
g. Monitors employee productivity and assures efficiency of staff levels through increases or reductions in the work force as necessitated by changes in surgical case volume.
h. Implements a program of job based orientation, training, and ongoing evaluation for all employees.
i. Manages all employee files and records.
j. Provides educational opportunities for professional staff development.
k. Promotes the implementation of positive customer relations by the employees and physicians.

5. Develops, implements and evaluates a continuous Performance Improvement Program

a. Administers the infection control program and medical staff review of the quality improvement program.
b. Identifies and corrects quality care issues.
c. Develops and monitors statistical indicators to use in evaluating the overall operations and quality of care provided.
d. Submits required reports to CSO team and participates in benchmarking and outcomes programs.
e. Serves as a member of the Quality Improvement Committee.

6. Medical Staff

a. Processes the privileging of practitioners of the ASC.
b. Collaborates with the Medical Director in the review and revision of the Medical Staff Bylaws and Rules and Regulations on a biannual basis.
c. Collaborates with the Medical Director and serves as a liaison in problem areas with the medical staff.
d. Promotes positive relationships between employees and physicians.

7. Administrative Representative

a. Attend Proliance Surgeons administrative meetings representing the center.
b. Act in accordance with the vision, mission, and business philosophy of the center
c. Maintain membership in professional associations relevant to ambulatory surgery facilities and healthcare administration.
d. Stay current in changes in the healthcare environment, such as reimbursement, clinical practice standards, regulatory and legislative issues and laws, and act accordingly in the best interest of the center.


• Skilled leader with a collaborative style who influences change and builds consensus for ideas and recommendations that move teams forward.
• Compassion for colleagues and subordinates and able to sustain collegiality and team orientation in a high performance culture.
• Leverages strengths-based leadership to give effective, meaningful feedback, develop others, and maximize employee engagement
• Ability to serve as both a hands-on manager and a high performing individual contributor.
• Excellent judgment, understands what s/he does not know and what questions to ask to reach well informed decisions that minimize risk.
• Maintains focus on Mission and core values


• Listens with sensitivity and openness
• Actively seeks constructive feedback and remains open and receptive to it
• Anticipates the information needs of others
• Capable communicator who is able to articulate ideas, thoughts and questions clearly and appropriately.

Financial Management

• Reviews and interprets financial statements
• Interpretation of patient accounting software reports
• Monitoring key performance indicators to include: Case volumes, OR Utilization Rates, expense metrics

Customer Service

• Takes personal responsibility for customer satisfaction and service excellence, anticipating the needs of our customers and keeping abreast of current trends that impact our service to them.
• Consistently goes out of the way to listen, understand, and support the needs of others in a sensitive manner


• Performs challenging tasks efficiently and effectively
• Anticipates problems and takes corrective action prior to completing the task
• Sets challenging objectives and works against self-defined standards of excellence to continually improve personal performance


• Demonstrated planning and project management skills
• Proven ability to anticipate and respond proactively in a dynamic environment
• Proven ability to establish and articulate strategic priorities and objectives

Problem Solving

• Passionate and proactive about solving problems, adding value and delivering superior results.


• Demonstrated management skills and ability to work effectively to build relationships with colleagues, customers, and executive management through positive interaction

Flexibility and response to change/Dealing with ambiguity

• Proven ability to organize multiple projects, schedules, demands and to meet shifting priorities.
• Demonstrated ability to study, understand, adapt and respond effectively to a constantly changing environment.


Bachelor’s degree in health care administration, nursing or a business discipline – RN required.


Five or more years of healthcare management experience (ASC preferred), including responsibility for regulatory compliance.
Experience as a circulating or perioperative nurse, specifically in orthopedics or ENT. Demonstrated skills in finance, human resources, marketing, operations and strategy. Strong Microsoft Excel, Outlook and Word skills; EMR and Amkai Office/SIS Complete a plus


Registered Nurse – Washington State License

  • Requires corrected vision and hearing to normal range. 
  • While performing the duties of this job, the teammate is regularly required to talk or hear. 
  • The teammate is required to sit for long periods of time, stand and walk, bend and stretch. 
  • Use of telephone and computer is required. 
  • Manual dexterity required for use of computer keyboard.
  • Occasionally lifts and carries items weighing up to 40 pounds.
  • Requires working under stressful conditions or working irregular hours.

The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This description is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time.

How we are protecting team members from COVID-19?
Employee and patient health and safety is our top priority. At Proliance, we are adhering to CDC, State and local orders regarding COVID-19 and have implemented processes and precautions across our facilities to prevent the spread of COVID-19.

Following the most recent vaccination mandate for healthcare workers in Washington State, and our commitment to the health and safety of our employees and patients, all Proliance employees will be required to provide proof of full vaccination upon hire, or proof of a medical or religious exemption.

Proliance Surgeons offers a generous benefits package including Medical/RX, Dental, Vision, 401k with profit sharing and more! Plus ALL of our employees enjoy the free perks of our employee purchasing program offering a variety of discounts on purchases made every day – including cell phone service!

Proliance Surgeons is proud to be an equal opportunity employer. We are committed to creating an inclusive environment, and we welcome and encourage people of all backgrounds, perspectives, experiences, and skills to apply.

All employment decisions at Proliance Surgeons are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics. 

7308 Bridgeport Way W. Suite 201
Lakewood, WA 98499-8000

(253) 582-1617


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