HCA Healthcare is seeking an RN Director Med Surg to lead a high-performing Medical-Surgical unit in Nashville, TN. In this role, you will oversee daily operations, staffing, and clinical quality while advancing patient-centered care. You’ll collaborate with physicians and interdisciplinary teams to improve outcomes, ensure regulatory compliance, and drive evidence-based practice. As a key nursing leader, you will mentor and develop staff, manage budgets and resources, and foster a culture of compassion, safety, and continuous learning within a leading healthcare system. Lead and manage the Medical-Surgical nursing unit to ensure high-quality, patient-centered care Oversee staffing, scheduling, and performance management of RN and support staff Develop, implement, and monitor clinical policies, protocols, and quality improvement initiatives Collaborate with physicians, interdisciplinary teams, and hospital leadership on care standards and outcomes Manage unit budget, resource allocation, and operational efficiency Ensure compliance with regulatory standards, accreditation requirements, and hospital policies Coach, mentor, and develop nursing staff, supporting ongoing education and professional growth Use data and metrics to drive improvements in patient safety, satisfaction, and clinical outcomes Medical-Surgical nursing Nursing leadership Staff management and scheduling Clinical operations management Quality improvement and patient safety Budgeting and resource management Regulatory and accreditation compliance Interdisciplinary collaboration Electronic Health Record (EHR) systems Performance metrics and data analysis Medical Insurance Dental Insurance Vision Insurance Life Insurance 401k Active RN license in TN or compact state BSN required; MSN or related advanced degree preferred BLS certification ACLS certification preferred Certified Medical-Surgical Registered Nurse (CMSRN) preferred Prior leadership/management experience in acute care