PAM Health is seeking a highly experienced RN Administrator / Director of Operations to lead the launch and ongoing management of a newly developed, multi-specialty Ambulatory Surgery Center (ASC) and Office-Based Lab (OBL). This leader will operationalize a fully built procedural platform and drive clinical, financial, and strategic performance from day one, working in close partnership with the Medical Director, Governing Body, and PAM Health enterprise leadership.
The facility includes two fully equipped cath labs (cardiac and vascular) with a shared control room, one fully functional operating room, six pre-operative bays, and five PACU bays.
The RN Administrator / Director of Operations directs and coordinates all functions of the facility, including clinical operations, financial performance, staffing, marketing, accreditation and inspection readiness, capital equipment, and patient safety and satisfaction. The Administrator works closely with the Director of Nursing, Business Office Manager, Quality Improvement Coordinator, and the broader management team to advance the philosophy and vision of the Medical Director and Governing Body, and serves as the operational liaison between the facility and PAM Health.
Full-time, salaried, exempt. The position requires flexibility in work hours to meet the needs of the facility, including evenings, after-hours, and weekend work as required for case coverage, inspections, and accreditation activities.
Startup Execution and Operational Launch
The Administrator leads full activation of the ASC and OBL, including staffing, policies, workflows, and go-live readiness. This includes developing and implementing clinical and operational protocols across cath labs, OR, pre-op, and PACU; establishing readiness for initial cases, regulatory inspections, and accreditation surveys; and building scalable systems to support future growth in case volume, payer mix, and procedural specialties. The Administrator demonstrates initiative and provides direction to patients, physicians, staff, and visitors in all situations, including crises and emergencies.
Clinical, Regulatory, and Accreditation Oversight
The Administrator ensures compliance with all federal, state, and local regulations, including CMS, AAAHC, Joint Commission, and applicable state ASC and OBL standards. Responsibilities include leading the accreditation process and maintaining continuous survey readiness; maintaining policies and procedures aligned with ASC and OBL standards of care; overseeing quality assurance, infection control, patient safety, and risk management programs; ensuring compliance with HIPAA and federal Fraud and Abuse guidelines; and enforcing Medical Staff rules and regulations in coordination with the Governing Board, Medical Executive Committee, and Medical Director.
Physician Recruitment and Alignment
The Administrator partners with PAM Health leadership to recruit high-quality interventional cardiology, vascular, and surgical specialists. Responsibilities include developing physician alignment strategies (block scheduling, governance participation, and performance-based incentives); serving as the primary operational liaison to physicians to drive engagement and satisfaction; supporting onboarding and ramp-up of new physician partners; and maintaining rapport with physicians and their office staff to streamline scheduling and case flow.
Business Development and Growth
The Administrator drives case volume through physician relationships, referral development, and service line expansion. This includes identifying new procedural opportunities across cardiovascular, vascular, and surgical specialties; collaborating with PAM Health Innovation and marketing on community outreach and physician engagement; and optimizing utilization of cath labs, OR, and perioperative capacity through scheduling discipline and block management.
Billing, Revenue Cycle, and Payer Strategy
The Administrator demonstrates working knowledge of payer contracts and participates with the Business Office Manager in contract completion and negotiation. Responsibilities include ensuring accurate CPT coding, charge capture, and clinical documentation; evaluating accounts payable, accounts receivable, electronic claims processing, coding, denials, and delinquent accounts as reported by the Business Office Manager; monitoring payer mix, reimbursement performance, and net realization against contracted expectations; and overseeing payroll and accounts payable processes in coordination with administrative support staff.
Financial and Operational Performance
The Administrator owns facility profit and loss performance, including operating budget development and cost containment. Responsibilities include driving operational efficiency across staffing, supply chain, and clinical throughput; implementing performance metrics such as case times, room turnover, on-time starts, utilization, and case mix; improving EBITDA and operational leverage through disciplined cost management and growth execution; monitoring staff utilization across departments (overtime, clinical hours, and clerical hours worked); and ensuring correct procedures are followed for all financial transactions and that center deadlines are met.
Management Supervision and Staff Development
The Administrator supervises management personnel and provides for staff development by communicating facility goals and fostering team cohesion. Responsibilities include evaluating management and staff performance and providing counseling or disciplinary action when necessary; assigning projects (including quality improvement initiatives) to management team members based on ability and capacity; maintaining harmonious working relationships with other PAM Health facilities, physicians and their office personnel, the Governing Board, and the Medical Director; and holding regular management and staff meetings to communicate facility information and priorities.
Quality Improvement and Patient Safety
The Administrator actively participates in the quality improvement program and monitors compliance with all facility policies and procedures. Responsibilities include facilitating policies and procedures that protect patient and facility records; overseeing implementation of QI studies and applying findings to enhance patient care and facility efficiency; participating in committees including Quarterly Medical Review, Credentialing, and OR Advisory; and investigating and resolving patient, visitor, vendor, employee, or physician complaints, escalating to the Medical Director or Governing Body when appropriate.
Reporting and Governance
The Administrator reports financial indicators, contract negotiations, and other matters affecting the financial or legal status of the facility to the Medical Director and Governing Body. Medical and clinical issues are reported to the Medical Director and Medical Executive Committee. The Administrator promotes public relations for the facility and maintains a positive image in all customer, physician, vendor, and community communications.
Required
Candidates must hold a Bachelor of Science in Nursing (BSN), with an Associate degree in Nursing at minimum, and an active, unrestricted Registered Nurse (RN) license in the state of practice. The position requires five or more years of management experience in a surgical services environment, and seven to ten years of healthcare operations leadership experience. Candidates must demonstrate experience in ASC and/or OBL operations; demonstrated experience launching or scaling a healthcare facility; strong knowledge of regulatory and accreditation requirements (CMS, AAAHC, Joint Commission); demonstrated physician alignment experience; and strong financial acumen with full profit and loss responsibility.
Preferred
Cardiovascular or vascular procedural experience, a cath lab or surgical services clinical background, an MBA, MHA, or other relevant advanced degree, and private equity or high-growth healthcare environment experience are preferred.
Certification and Licensure
An active RN license is required. Basic Life Support (BLS) certification is required, and Advanced Cardiac Life Support (ACLS) certification is preferred.
Knowledge, Skills, and Abilities
The Administrator must demonstrate knowledge of medical terminology, business accounting systems, medical billing and collections, payer contracts and negotiations, federal, state, and local regulatory guidelines, ASC and OBL accreditation standards, HIPAA compliance, credentialing requirements for healthcare providers, and human resources and employment guidelines. Required proficiency includes MS Word, MS Excel, accounting and payroll systems, electronic health records, and medical billing platforms. The position requires executive-level management, business acumen, and written and verbal communication skills. The Administrator must be able to manage multiple priorities efficiently, meet deadlines, maintain accurate financial, personnel, and facility records, communicate and apply policies consistently, and respond decisively in crisis and emergency situations.
PAM HEALTH (PAM) based in Enola, Pennsylvania, provides specialty healthcare services through more than 80 locations, as well as wound clinics and outpatient physical therapy locations, in 17 states. PAM Health is committed to providing high-quality patient care and outstanding customer service, coupled with the loyalty and dedication of highly trained staff, to be the most trusted source for post-acute services in every community it serves. Its mission is to serve people by providing compassionate, expert care, and to support recovery through education and research. Joining our PAMily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. Aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our Education Advancement Program. We are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our We Care Program. Please take a moment to visit us online at www.PAMHealth.com for a comprehensive look at how we're able to positively impact our local communities.
PAM Health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or HIV status.
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