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SCA Health
Fort Worth, Texas

Director of Nursing - Texas Health Surgery Center Alliance

Registered NurseFull-Time

Listed compensation

$115k-$130k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 51m ago · Verified live

Job Description

At SCA Health, we believe health care is about people – the patients we serve, the physicians we support and the teammates who push us forward. Behind every successful facility, procedure or innovation is a team of 15,000+ professionals working together, learning from each other and living out the mission, vision and values that define our organization.

As part of Optum, SCA Health is redefining specialty care by developing more accessible, patient-centered practice solutions for a network of more than 370 ambulatory surgical centers, over 400 specialty physician practice clinics and numerous labs and surgical hospitals. Our work spans a broad spectrum of services, all designed to support physicians, health systems and employers in delivering efficient, value-based care to patients without compromising quality or autonomy.

What sets SCA Health apart isn’t just what we do, it’s how we do it. Each decision we make is rooted in seven core values:

  • Clinical quality
  • Integrity
  • Service excellence
  • Teamwork
  • Accountability
  • Continuous improvement

Inclusion

Our values aren’t empty words – they inform our attitudes, actions and culture. At SCA Health, your work directly impacts patients, physicians and communities. Here, you’ll find opportunities to build your career alongside a team that values your expertise, invests in your success, and shares a common mission to care for patients, serve physicians and improve health care in America.

At SCA Health, we offer a comprehensive benefits package to support your health, well-being, and financial future. Our offerings include medical, dental, and vision coverage, 401k plan with company match, paid time off, life and disability insurance, and more. Please visit, careers.sca.health, to learn more about our benefits.

Your ideas should inspire change. If you join our team, they will.

Responsibilities

The Director of Nursing is responsible for all aspects of nursing care delivery in the facility. They will assume responsibility as a department lead of the OR, Preop, and PACU. The Director of Nursing is also responsible for overseeing the facilities quality improvement, risk management, infection control, and education of the teammates. The successful candidate will:

Provide leadership oversight to ensure patient needs are met in accordance with instructions of physician and facility’s policies & procedures.

Demonstrate respect for co-workers & leadership and develops positive working relationships within departments.

Provide direction to others that is clear, concise and promotes efficiency throughout the clinical areas of the facility.

Recognize legal policy limits and individual practice.

Qualifications

  • Associates degree in nursing required, a bachelor’s degree in nursing preferred.
  • Current RN licensure.
  • 2 years Nursing Management experience preferred.

Successful completion of BLS Course within 90 days of employment or documentation of current BLS certification.

Successful completion of ACLS Course within 90 days of employment or documentation of current ACLS certification.

USD $115,000.00/Yr. USD $130,000.00/Yr.

Qualifications

Education
Bachelor degree
Experience
2+ years of experience

Key Skills

Clinical leadershipOperating room managementPreoperative carePACU managementStaff educationPatient careRegulatory complianceTeam development

Surgery — Registered Nurse Career Context

Of the 40 active Nursing Leadership listings this role was benchmarked against, 28% are remote, 50% have no call, 75% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$123k midpoint carries the purchasing power of roughly $126k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nursing Leadership by the numbers
MeasureThis jobMarket
Listed pay$115k–$130kNursing Leadership median $114k (middle half $100k–$135k)103 comparable listings, Nov 2026
Cost-of-living adjusted pay~$126k in purchasing powerTexas index 97.1 (US = 100)BEA Regional Price Parities (2024)
Nursing Leadership listings in Texas399 active5,843 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 28% remote · 50% no call · 75% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedTexas Registered Nurse listings: 6% state a sign-on bonus (median $10k) · 4% offer loan repayment399 active listings, Nov 2026
New Surgery listings757 in the last 30 days469 the 30 days before (+61%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$123k midpoint, that is roughly $5k–$9k a year versus a typical 4–7% state rate.

Top Registered Nurse Jobs

19 matches · ranked by pay

Salary Distribution

19 jobs · 17 employers
9
<$100k
4
$100k-120k
3
$120k-140k
2
$140k-160k
1
$161k

Annual compensation range

Benefits & Perks

12 jobs
401k / retirement match
92% this job
Sign-on bonus
33%
CME allowance
8%

Share of similar jobs offering each benefit

#1

Nurse Navigator, Hematology, 40 Hours Days

UMass Memorial Health · Worcester, Massachusetts

$90k-$161k
#2

Registered Nurse - Case Manager w/sign-on bonus - 5403

Vantage Search Group · Twentynine Palms, California

$125k-$156k
#3

Triage Staff Nurse – Days – David H Koch Center GI, Hepatology, Irritable Bowel Disease Clinic - Weill Cornell Medical Center

$134k-$153k
#4

Registered Nurse Navigator

$85k-$129k
+ 17 more · ranked by pay

Work-life snapshot

median 1.5this job 1.5
Better work-life than 30% of Nursing Leadership listings

Listing-based score, 0–10, across 1,187 comparable listings. Shaded area = the share scoring below this one.

SCA Health logo

About SCA Health

Hospitals and Health Care
Birmingham, Alabama
1,001-5,000 employees

Benefits & Perks

Medical, dental, and vision coverage
401k plan with company match
Paid time off
Life and disability insurance

Living in Fort Worth

Typical 3-bedroom home value
$261k≈ 2.3× annual pay
Typical market rent
$1,612/mo≈ 17% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
103.1
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Dallas-Fort Worth-Arlington, TX metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.