Results-driven nursing executive and facility administrator with 20+ years' experience leading Med/Surg, ICU, and ambulatory surgery center operations. Skilled in CMS/DNV/AAAHC regulatory readiness, QAPI, infection prevention, staffing optimization and budget stewardship—partnering with executive leadership to deliver safe, efficient ASC start-ups, expansions, and sustained quality improvement.
Strategic nursing executive and facility administrator with 20+ years of progressive leadership across Med/Surg, ICU, and ambulatory surgery centers. Expertise in clinical operations, regulatory compliance (CMS, DNV, AAAHC), QAPI, infection prevention, and risk management. Skilled at building high-performing teams, managing staffing and education programs, and overseeing budgets and supply operations. Proven experience supporting ASC start-ups and expansions, presenting quality and operational metrics to executive leadership and governing bodies. BSN (High Honors) with a strong clinical foundation and commitment to patient safety and continuous improvement.
Overview
20
20
years of professional experience
Work History
Director of Nursing/Administrator
Henry's Fork Surgery Center
Rexburg, Idaho
04.2025 - Current
Leadership & Clinical Oversight: Provide strategic leadership for nursing and clinical operations across multiple ambulatory surgery centers; oversee RNs, surgical technicians, instrument processing, medical assistants, and patient care technicians.
Facility Administration & Regulatory Compliance: Serve as the designated Facility Administrator for CMS, AAAHC and state regulatory agencies; lead surveys, inspections, corrective action plans, and reporting to the Governing Body to maintain continuous compliance.
Quality, Safety & Risk Management: Direct QAPI, infection prevention, medication management, emergency preparedness, OSHA and safety programs; investigate incidents and implement improvement plans to enhance patient outcomes and reduce risk.
Staffing, Education & HR: Manage recruitment, onboarding, competency validation, scheduling, and performance evaluations; maintain staff certifications (BLS/ACLS) and promote continuing education and retention-focused culture.
Operations & Financial Stewardship: Oversee materials and supply management (medications, OR supplies, implants, specialty equipment).
Communication & Governance: Act as liaison between nursing, physicians, administration and external partners; prepare and present quality, regulatory and operational updates to leadership and governing boards.
Growth & Integration: Support start-up, expansion and integration of new ASC locations, including policy development, staffing plans and operational readiness.
Led nursing staff in implementing patient care protocols and best practices.
Oversaw training programs for nursing staff, improving skill competency and knowledge retention.
Developed and enforced policies to ensure compliance with regulatory standards.
Director of Nursing MedSurg/ICU
Madisonhealth
Rexburg, Idaho
07.2022 - 04.2025
Operational Leadership: Direct daily operations, staffing, and resource allocation for Med/Surg and ICU, maintaining 24 hour accountability.
Clinical and Quality Compliance: Ensure compliance with CMS, DNV, and state regulatory requirements. Establish and monitor evidence-based nursing standards.
Staff Management and Development: Promotes a culture of safety and accountability
Financial Stewardship: Develop, monitor and manage operating budgets and capital budgets.
Strategic Planning: Collaborate with executive leadership to implement organizational strategies and improve patient care outcomes
Patient Experience: Address patient concerns and implement improvement strategies to increase satisfaction.
Developed and monitored nursing protocols to ensure compliance with healthcare regulations and standards.
Streamlined operational workflows, resulting in improved patient outcomes and staff efficiency.
Clinical Manager MedSurg/ICU
Madisonhealth
Rexburg, Idaho
06.2017 - 07.2022
Operational Leadership: Direct daily operations of the units, including staffing, scheduling, and patient flow.
Staff Development: Recruit, interview, hiring, training and evaluation of all nursing and support staff.
Clinical Oversight: Mentor staff, ensure competency, act as a clinical resource for all patient care.
Registered Nurse
Madisonhealth
Rexburg, Idaho
05.2006 - 06.2017
Performed detailed assessments, monitor vitals, and implement care plans for diverse medical/surgical patients.
Managed unstable patients, interpret hemodynamics, and operate advanced life support technology.
Coordinate care with physicians, nurses, therapists, and specialists.
Education
Bachelor of Science - Nursing
Northwest Nazarene University
Nampa, Idaho
06.2022
Associate of Science - Nursing
Brigham Young University-Idaho
Rexburg, Idaho
04.2006
Skills
Team management, Budgetary oversight, Regulatory compliance Patient Safety
Accomplishments
Designated Facility Administrator for CMS, AAAHC and state agencies-led survey readiness, inspections, corrective action plans, and reporting to governing bodies to sustain regulatory compliance.
Supported ambulatory surgery center start-ups and expansions by developing policies, staffing plans, clinical workflows, and training to ensure operational readiness and seamless integration.
Built and directed QAPI and infection prevention programs, implementing evidence-based protocols and staff education to strengthen patient safety and clinical outcomes.
Developed staffing models, competency validation and continuing-education programs that improved certification compliance, clinical competency and staff retention across Med/Surg and ICU units.
Managed operating and capital budgets, supply chain, and implant/medication inventory—implemented process improvements to control costs and ensure clinical availability.
Prepared and presented operational, quality, and regulatory metrics to executive leadership and governing boards to inform strategic decision-making.
Led incident investigations, risk mitigation and emergency preparedness initiatives to reduce adverse events and enhance organizational resilience.