Since 2005, Gastro East has been dedicated to delivering exceptional gastrointestinal care to the residents of Eastern North Carolina, one of the most underserved regions in the United States. As the demand for GI care continues to rise and with colon cancer now the second leading cause of cancer‑related deaths nationwide, our work has never been more essential.

At our state‑of‑the‑art endoscopy center, Carolinas Endoscopy, we combine advanced technology, evidence‑based medicine, and a deeply mission‑driven culture to improve access, close care gaps, and elevate patient outcomes across our communities.

We are seeking an experienced Clinical RN Director who is passionate about leadership, patient safety, and operational excellence and who wants to make a lasting impact on both patients and the clinicians who serve them.

Our Mission

To provide high‑quality, accessible gastrointestinal care to the people and communities of greater Eastern North Carolina, while empowering our team to reach their maximum professional and personal potential and standing firm in our commitment to serve those most in need.

Our Vision

To be the most trusted and accessible provider of GI care in Eastern North Carolina and beyond.

Position Summary

The Clinical RN Director is responsible for the day‑to‑day clinical and operational oversight of our ambulatory surgical services. Reporting directly to the ASC Administrator, this role serves as a key member of the leadership team—driving clinical excellence, patient safety, staff engagement, and operational efficiency.

This leader will collaborate closely with physicians, administrators, and clinical staff to promote fiscal responsibility, regulatory compliance, continuous improvement, and an exceptional patient experience throughout the perioperative continuum.

This opportunity is ideal for an experienced Registered Nurse leader with ASC, OR, and clinical management experience who thrives in a fast‑paced, collaborative environment and is motivated by mission‑driven work.

Key Responsibilities

Clinical & Operational Leadership

• Provide leadership for daily operations of the operating room and clinical services
• Implement process improvements to enhance efficiency, patient flow, and patient experience
• Ensure delivery of safe, high‑quality, evidence‑based care

Strategic Planning & Financial Stewardship

• Develop and execute clinical department strategies aligned with organizational goals
• Oversee budgeting, resourcing, and fiscal accountability
• Participate in policy development, revision, and implementation

Team Leadership & Development

• Assign cases and develop staff schedules to support safe and efficient operations
• Provide coaching, feedback, performance evaluations, and corrective action when necessary
• Support ongoing education, clinical competency, and professional development

Compliance, Quality & Risk Management

• Oversee staff credentialing and competency validation
• Monitor compliance with all regulatory, accreditation, and legal requirements
• Lead preventative safety initiatives and risk management activities
• Promote a culture of accountability, teamwork, and continuous improvement

Qualifications & Skills

• Current Registered Nurse (RN) license in good standing
• Proven experience as a Clinical Director, Nurse Manager, or similar leadership role
• Strong background in:
• Ambulatory surgery or procedural settings
• Clinical supervision and staff development
• Program management and operational oversight
• Solid understanding of budgeting, resource allocation, and performance management
• Knowledge of regulatory standards and accreditation requirements
• Proficiency with Microsoft Office and patient management systems
• Exceptional communication, organizational, and leadership skills
• Demonstrated ability to resolve issues, manage change, and lead collaboratively