Facility Administrator Visa Sponsorship Jobs in Texas
Facility administrator visa sponsorship jobs in Texas are concentrated in Houston's energy and healthcare sectors, the Dallas-Fort Worth medical complex, and San Antonio's growing healthcare network. Major employers include HCA Healthcare, USAA, and large hospital systems. International candidates pursuing sponsorship typically qualify through H-1B visa or employment-based green card pathways.
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INTRODUCTION
This is a full time Facility Administrator role in our San Antonio, TX surgery center.
Sign On Bonus!
In this role, you will be managing the center staff. Must have supervisory experience.
Schedule will be Monday through Friday.
RN Background strongly preferred
Quarterly Bonus Opportunities!
Excellent benefits: Medical, dental, prescription, vision paid maternity & paternity leave, 401K w/ match, PTO, tuition assistance, life insurance, Long Term and Short Term disability, Flexible Spending for Healthcare, Dependent Care & Commuter Expenses
PURPOSE AND SCOPE:
The Facility Administrator is responsible for the leadership of the clinical facility ensuring all clinical, operational, and business objectives are met. The Facility Administrator is authorized to make daily decisions to ensure patient and staff safety; the execution of some tasks may be delegated to the nursing leader where appropriate. Develops a culture of trust, empowerment, and collaboration among all center staff. The Facility Administrator shall ensure that the Center complies with the requirements of any governmental or regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices and procedures meet applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC Governing Body for clinical reporting and for operational oversight.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Environment of Care & Quality
- Manage site employees, environment, clinical processes and procedures, and workflow to deliver high quality of patient care
- Ensure compliance of state requirements and licensure updates including understanding of CLIA requirements, pharmacy requirements, and DEA anesthesia regulations
- Implement and maintain all aspects of Environment of Care requirements for patient safety and NFPA 101: Life Safety Code
- Plan personnel, equipment, and medications needed for medical emergencies; incorporate into Emergency Preparedness Plan; ensure maintenance of equipment
- Ensure proper medical records management and HIPAA compliance
- Oversee the continuous and data driven Quality Assurance and Performance Improvement Program of the center, including collection and analyzing of data per policy
- Through the use of internal tools (SoCA, FA Checklist, etc.) and feedback delivered in external inspections, develop facility-specific action plans to achieve ASC quality standards
- Responsible for managing general liability and risk exposures to patients and employees by conducting risk assessments according to standards, regulations and policies, and then developing and implementing an associated center specific management plan
- Ensure adverse events are reported, documented and necessary follow up is provided in compliance with policy and state requirements
- Ensure effective communication with patients, dialysis clinics, hospitals and physician(s), to address any concerns/issues
Facility Operations
- Participate in Governing Body Meetings; included but not limited to coordination of meetings in compliance with Governing Body Bylaws, documentation preparation and maintaining meeting minutes
- Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws
- Maintain compliance with ASC regulations including CMS conditions for coverage, state regulations, and accrediting agency standards where applicable
- Participate in review business and finances of the site, including financial reports, market trends, and staffing models to ensure efficiencies, manage inventory and expenses, and optimize workflow
- Engage w/ sales partner to develop strategies to find new markets and develop new business opportunities
- Oversee front desk staff to ensure all processes, procedures, and expectations being adhered to, including but not limited to, appropriate scheduling, patient follow-up, and data integrity
- Ensure all staff meet organization's customer service standards
- Collaborate with ancillary departments within center to ensure alignment in meeting center-specific and company-wide goals
- Collaborate with Sales Partner to identify and visit local dialysis clinics as needed to provide information/education on available vascular access services for ESRD patients
- Create and continually enhance internal physician partnerships to optimize patient care and business outcomes
- Act as a liaison between the local dialysis clinics, the Access Center, and physician practices to meet patient needs
- Facilitate the application process for physician privileges and compliance with Medical Staff By-Laws, including assisting with the credentialing process
- Coordinate inventory/supply management and vendor services to ensure cost containment, timely distribution and competitive pricing, as well as maintain the security and integrity of facility
- Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply cost goals as set forth in the annual budget
- Support billing, billing issues and collection activities
- Ensure facility is adequately staffed to meet patient needs and the safety and quality of the employees and patients
- May assist w/ patient care on an as needed basis and in accordance w/ professional licensure (if applicable)
People Management & Leadership
- Lead, coach, and develop employees to optimize performance; partnering with Human Resources on employee matters
- Create a highly engaged and motivated culture, resulting in increased retention and employee morale
- Identify and address performance gaps as appropriate in accordance with company policy
- Drive employee performance review and employee engagement/recognition activities for center
- Participate in the recruitment, interview, and decision-making process to hire new highly-skilled staff
- Ensure appropriate training and oversight of all staff, including front desk employees
- Ensure completion of all employee training, including new hire orientation, compliance training, and mandatory in-service training
- Ensure all required and appropriate documentation is completed, including current licensure
- Other duties as assigned
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Daily work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position may require travel between assigned facilities and various locations within the community. Minimal travel to regional, Division and Corporate meetings may be required as well.
The position may provide direct patient care that regularly involves heavy lifting and moving of patients of up to 200 lbs and assisting with ambulation. Coworkers may provide assistance. The position may require frequent prolonged periods of standing and the employee must be able to bend over. There is a two-person assist program and “material assist” devices for the heavier items.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
Responsible for all staff, which may include direct and indirect patient care staff; if incumbent does not possess a RN license, supervision of nursing staff will be provided by a charge nurse/director of nursing.
EDUCATION AND REQUIRED CREDENTIALS:
- Bachelor’s Degree; Advanced Degree desirable or an equivalent combination of education and experience
- Must meet all state specific requirements for background and education level
- Successfully complete and maintain BLS Certification
- ASC certification a plus
EXPERIENCE AND SKILLS:
- 6-8 years’ related experience or an equivalent combination of education and experience
- Minimum (3) years direct experience or related experience in healthcare supervisory or administrative role
- Experience in outpatient healthcare operations or an ambulatory surgery center setting preferred
- Experience obtaining and maintaining Medicare certification through an accrediting organization is desirable
- Experience reading, analyzing, and acting on financial and business reports
- Proficiency with the Microsoft office suite (Word, Excel, PowerPoint) - experience with medical database software preferred
- Demonstrated leadership/Management skills, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making
- Must be knowledgeable in the operation of all facility equipment and technology, including but not limited to C-arm, patient monitors, defibrillators, medical recording devices and computers, and all emergency equipment
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
Facility Administrator Job Roles in Texas
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Search Facility Administrator Jobs in TexasFacility Administrator Jobs in Texas: Frequently Asked Questions
Which companies sponsor visas for facility administrators in Texas?
Texas-based healthcare systems, energy companies, and corporate campuses are among the more active sponsors for facility administrator roles. HCA Healthcare, Baylor Scott and White Health, and Memorial Hermann have filed employment-based petitions for operations and facilities positions. Large corporate campuses in the Dallas-Fort Worth area and Houston's energy corridor also sponsor international candidates for facility management roles when qualified U.S. workers are unavailable.
Which visa types realistically fit facility administrator roles in Texas?
Facility administrator roles generally qualify for H-1B status when the position requires at least a bachelor's degree in a directly related field such as facilities management, engineering, or business administration. Employers can also sponsor eligible candidates for EB-2 or EB-3 employment-based green cards through the PERM labor certification process. TN visa does not cover facility administrator roles under USMCA. J-1 visa and H-2B visa are not appropriate matches for this professional role.
Which cities in Texas have the most facility administrator sponsorship jobs?
Houston leads in facility administrator sponsorship activity, driven by the Texas Medical Center, one of the largest medical complexes in the world, and the energy sector's extensive corporate campuses. Dallas-Fort Worth follows closely, with major hospital networks, corporate headquarters, and commercial real estate driving demand. San Antonio's growing healthcare and military-adjacent facility management sector also generates sponsorship opportunities, as does Austin's expanding tech campus and university environments.
How to find facility administrator visa sponsorship jobs in Texas?
Migrate Mate lists facility administrator roles in Texas with verified visa sponsorship history, letting you search specifically by role and location rather than sorting through unfiltered postings. Focus your search on Houston, Dallas-Fort Worth, and San Antonio, where healthcare systems, energy companies, and corporate campus operators are most active. Filtering by employers with prior H-1B or PERM filing history significantly narrows the field to companies already familiar with the sponsorship process.
Are there state-specific or industry factors that affect facility administrator sponsorship in Texas?
Texas has no state income tax, which makes compensation packages attractive to international hires, though it does not directly affect sponsorship eligibility. The Texas Medical Center in Houston and the DFW healthcare corridor create concentrated demand for credentialed facility administrators in healthcare settings, where Joint Commission compliance and specialized operations experience often justify H-1B specialty occupation classification. Energy sector employers in Houston also maintain established immigration programs for facilities and operations professionals.
What is the prevailing wage for sponsored facility administrator jobs in Texas?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.