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Clinical Director - General Surgery

CHRISTUS Health

San Antonio, TX · Posted May 29, 2026

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About the job

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 253-bed hospital serving the fastest- growing area of San Antonio. Specialized care includes orthopedic and surgical care with advanced spine surgery, Intensive Care, complex neurology for treating stroke and other neurovascular issues, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, women’s services, a newborn nursery, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, emergency services, and more. The campus also boasts an Outpatient Imaging Center, an Ambulatory Surgery Center, and four medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

Summary:

Manages the nursing services and staff for a department; ensures quality and full compliance with relevant policies and standards.

Responsibilities:

Implementing and monitoring programs and practices for the delivery of safe and efficient quality nursing care for patients and their families

Ensuring consistent application of nursing services policies and standards throughout the organization

Monitoring patient outcomes and quality and effectiveness of nursing care

Overseeing performance of teams; identifying and addressing staff training and development needs

Apprising medical staff, department heads, and administrators in matters related to nursing service and strategies

Financial Management:

Recognizes the impact of reimbursement on revenue

Understands the relationship between values-based purchasing and quality outcomes with revenue and reimbursement

Creates, monitors, and analyzes a budget, explaining variance

Conducts ongoing evaluation of productivity, forecasting future revenue and expenses

Documents capital appropriations and project authorizations

Human Resources Management:

Evaluates and specifies the critical resources required to accomplish the team's objectives

Initiates requests for required resources based on staff competency with patient acuity

Allocates team resources responsibly and equitably within the scope of labor laws

Calculates resource usage to set a baseline for comparison

Discovers opportunities to improve resource utilization

Implements changes in role consistent with scope of practice

Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

Resolves conflicts in a wide variety of situations, such as workload allocation, schedule overlap etc.

Adjusts management and personal style to fit the needs of different people and different situations

Explores motivational factors and tailors motivational efforts to individual needs and situations for the department

Conducts evaluations on personnel performance at the work place and recommends improvement plans

Coaches others on operating personnel management systems and their processes

Relationship Management and Influencing Behaviors:

Situation Management Identifies issues that require immediate attention

Applies principles of crisis management to handle situations as necessary

Manages conflict

Promotes team dynamics

Mentors and coaches staff

Promotes Professional Management Promotes and encourages stress management

Encourages participation in professional action

Applies principles of self-awareness

Fosters a healthy work environment

Diversity Understands the components of cultural competence as they apply to the workforce

Maintains an environment of fairness and processes to support it

Capitalizes on differences to foster highly effective work groups

Performance Improvement/Safe Practice/Quality Care/Regulations:

Assesses customer and patient satisfaction while developing and implementing strategies to address satisfaction issues

Provides direct service to internal or external customers

Facilitates the resolution of customer problems, issues, or concerns

Monitors and promotes workplace safety requirements resulting in positive patient outcomes

Applies systems thinking knowledge as an approach to analysis and decision-making

Demonstrates accountability for nursing research and quality improvement activities

Provides evidence-based nursing care

Promotes and communicates patient information effectively across the continuum of care

Leadership:

Serves as a leader of patient care

Utilizes an appropriate style of leadership: autocratic, democratic, laissez-faire/free rein, etc.

Demonstrates leadership qualities: intelligence, influence, determination, integrity, confidence

Manages own behaviors during interactions, such as feedback giving, to shape workplace events

Utilizes positive reinforcement to motivate and attain desired behaviors; increases productivity

Employs leadership theories, such as contingency and transformational, and associated techniques

Applies techniques of “action learning” to problem solve and personally reflect on decisions

Clinical Performance Improvement:

Shares experiences with process performance improvements across multiple areas

Recognizes recurring and difficult problems and explores new or innovative solutions

Leverages technology to facilitate the sharing of clinical performance or outcomes data

Compares and contrasts different approaches for performance improvement; highlights pros and cons

Creates a mechanism for ensuring quality and performance measures are understood and valued by nursing staff

Consults on and coaches on developing business cases to justify improvement initiatives

Clinical Policies and Standards:

Monitors different types of clinical practice to ensure compliance with standards

Evaluates existing and evolving standards and procedures and their impact on the organization

Informs others on advanced clinical standards and policies across medical specialties

Collaborates with other functions in establishing and documenting joint standards

Participates in the development of clinical policies and practices

Develops control and monitoring mechanisms for clinical policies adherence

Healthcare Policy and Ethics Compliance:

Shares experiences with addressing diverse problems in healthcare policy compliance

Demonstrates best practices for dealing with complex compliance or non-compliance situations

Guides others in making correct decisions when faced with ethical dilemmas

Designs or revises organizational practices and procedures to ensure compliance with policies

Supports and coaches on mechanisms that encourage attention to compliance issues; all clinical activities

Participates in translating policy changes into operational programs and services

Healthcare Regulatory Environment:

Implements programs as needed to comply with diverse healthcare laws or regulations

Monitors regulatory compliance of all healthcare practices to ensure no violations

Evaluates key aspects of pending healthcare regulations and legislation that may impact the company

Provides recommendations and implements solutions to existing and potential legal problems

Shares main considerations and issues related to laws and regulations in the implementation of healthcare practices

Collaborates and communicates with all departments of the healthcare organization for the preparation of external audits.

Requirements:

Education

Graduate of a Registered Nursing program, Bachelor of Science in Nursing required

Master's degree in Nursing, Health Administration, Business Administration, Nursing, or related advanced degree in health related field preferred

Experience

Minimum of 3-5 years of clinical patient care experience in a relevant setting

Minimum of 2 years of healthcare leadership

Licenses, Registrations, or Certifications

RN license in good standing in the state of employment or a compact state, if applicable

Registered Nurse (RN) required

American Heart Association Basic Life Support required

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time