AMN Healthcare Leadership Solutions | B.E. Smith
Interim Executive Director of Surgical Services
An interim executive director role leading a comprehensive surgical services portfolio across a 52-OR multi-site platform in St Louis, overseeing a large multidisciplinary team and partnering with surgeons and anaesthesia to optimise operations.
This interim engagement requires an experienced perioperative leader to take strategic and operational responsibility across a broad surgical services portfolio at a Missouri hospital. The scope covers the main OR, preprocedural services, surgery centres, sterile processing, surgical technology, and clinical education. The incoming director will manage approximately 486 staff through 12 direct reports, strengthening accountability, communication, and consistency across all service lines.
The role demands close collaboration with surgeons, anaesthesia, and clinical leadership to optimise block scheduling, staffing assignments, surgical workflows, and resource utilisation. The platform spans 52 operating rooms supporting specialties including cardiovascular, orthopaedics, trauma, paediatrics, and neurosurgery. Experience with Epic and robotic or hybrid procedures is highly desirable. The successful candidate must be available to commence within two to three weeks of acceptance.
- Provide strategic and operational leadership across all surgical services lines, including the main OR, preprocedural areas, surgery centres, and sterile processing
- Oversee approximately 486 team members through 12 direct reports, supporting departmental managers and strengthening cross-service accountability
- Direct operations across a 52-OR multi-site surgical platform spanning a broad range of clinical specialties
- Partner with surgeons, anaesthesia, and clinical leadership to optimise block scheduling, staffing assignments, and resource utilisation
- Drive consistency in surgical workflows and clinical education across all departments
- Balance physician preferences with staff competency development and broader operational requirements
- Bachelor's degree required; master's degree strongly preferred
- Active Missouri and/or compact RN licence required
- Active ACLS and BLS certifications required
- Extensive perioperative leadership experience in a complex, large-scale surgical environment
- Familiarity with modern surgical technologies, including robotic and hybrid procedures
- Experience with Epic electronic health record system highly desirable
AMN Healthcare Leadership Solutions, operating through B.E. Smith, places interim and permanent healthcare executives across the United States. The firm supports hospitals and health systems in bridging leadership gaps with experienced clinical and operational leaders, providing benefits, travel support, and tax management for interim placements.
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