Director of Nursing in beautiful Bend, Oregon!

Praxis Health in partnership with Central Oregon Surgical Institute is seeking a full-time Director of Nursing for our Multispecialty Ambulatory Surgery Center in Bend, Oregon!

Position Summary

We are seeking an experienced and strategic Director of Nursing (DON) to lead clinical operations for a high-acuity, multispecialty ambulatory surgery center specializing in Spine, Plastic Surgery, Vascular, Podiatry and Pain management. This role is responsible for ensuring excellence in patient care, regulatory compliance, staff leadership, and operational performance across all perioperative services.

The ideal candidate is a hands-on clinical leader with strong ASC experience, a deep understanding of high-complexity surgical workflows, and a proven ability to lead teams in a fast-paced environment.

Clinical & Operational Leadership

• Provide overall leadership and oversight of perioperative nursing services, including pre-op, intra-op, PACU, and sterile processing


• Ensure safe, high-quality, patient-centered care in accordance with evidence-based practices


• Partner with anesthesia, surgeons, and executive leadership to optimize clinical operations and throughput

Regulatory & Compliance

• Ensure compliance with AAAHC, CMS, state regulations, and accreditation standards


• Lead survey readiness, corrective action plans, and ongoing quality improvement initiatives


• Oversee infection prevention, medication management, emergency preparedness, and life safety compliance

Staff Leadership & Development

• Recruit, onboard, mentor, and retain nursing and clinical staff


• Foster a culture of accountability, teamwork, and continuous improvement


• Conduct performance evaluations, coaching, and competency assessments

Quality & Performance Management

• Lead quality assurance, performance improvement (QAPI), and patient safety programs


• Monitor clinical outcomes, patient satisfaction, and risk management indicators


• Use data and metrics to drive operational and clinical improvements

Financial & Resource Management

• Manage staffing models, scheduling, and labor efficiency


• Support budget development and cost containment efforts


• Ensure appropriate utilization of supplies, equipment, and capital resources

Required Qualifications

• Active Oregon RN license


• Bachelor’s degree in Nursing (BSN)


• Minimum 5+ years of perioperative nursing experience


• Minimum 3+ years in a nursing leadership role, preferably in an ASC


• Strong knowledge of Spine and/or high-acuity surgical services


• Demonstrated experience with accreditation surveys (AAAHC, Joint Commission, or similar)

Preferred Qualifications

• Master’s degree in Nursing, Healthcare Administration, or related field


• CNOR or other perioperative certification


• Experience in Spine, Plastics, Vascular and Cardiology procedures


• Proven success leading high-performing clinical teams in an ASC setting

What We Offer

• Competitive salary and benefits package
  
  
  
  • $120,000 - $130,000 per year
  
  
  • 401(k) & 401(k) matching
  
  
  • Medical, Dental, Vision and Life Insurance
  
  
  • Employee assistance program
  
  
  • Paid Time Off
  
  
  
  


• Leadership role in a growing, high-quality surgical center


• Collaborative physician and executive leadership environment


• Opportunity to make a meaningful impact on patient care and clinical excellence

About Central Oregon Surgical Institute

We are a premier multi-specialty ambulatory surgery center located in Bend, Oregon. We specialize in spine, vascular, and cardiology procedures, offering patients a lower cost, high-quality, safe, and efficient alternative to hospital-based surgery.

Our team of skilled surgeons, dedicated staff, and state-of-the-art facilities ensure that every procedure is conducted with the highest standards of care and efficiency. We are committed to providing accessible, cost-effective surgical options without compromising on quality or patient safety.

As the only ASC in Oregon equipped to support a 48-hour stay, we offer the flexibility and comfort that many patients and their families desire, with extended care options for select cases. Our mission is to make advanced surgical care more accessible to the communities we serve while maintaining a focus on innovation, safety, and patient-centered care.