Nurse Manager II, Hospital - Operating Room I Operating Room / Perioperative Nursing Leadership

Nurse Manager II, Hospital - Operating Room I Operating Room / Perioperative Nursing LeadershipHillsboro, OR - OnsiteFull TimeThe Nursing Leader – Operating Room will provide clinical and operational leadership for Operating Room services, overseeing multiple surgical specialties, including:

• Orthopedics (Ortho)
• Gynecology (GYN)
• General Surgery
• Plastic Surgery
• Urology

Strong Operating Room leadership experience is mandatory. The successful candidate must understand the fundamentals of Operating Room operations, perioperative nursing practices, patient safety, surgical workflows, staffing, and clinical quality standards.This role is responsible for leading clinical teams, optimizing patient care delivery, ensuring regulatory compliance, managing resources, and implementing best practices across assigned clinical areas.The position requires a combination of strong nursing knowledge, operational management, employee development, and the ability to lead multidisciplinary teams in a complex, 24/7 hospital environment.

Key Responsibilities

1. Operating Room Clinical and Operational Leadership

• Provide leadership and oversight for Operating Room services across Orthopedics, Gynecology, General Surgery, Plastics, and Urology.
• Ensure safe, efficient, and standardized perioperative patient care delivery.
• Oversee clinical workflows, staffing assignments, resource utilization, and operational performance.
• Maintain strong knowledge of Operating Room fundamentals, nursing principles, and surgical care standards.
• Monitor clinical operations and identify opportunities to improve patient safety, quality, and efficiency.
• Maintain clinical expertise and provide clinical supervision as required.

2. Nursing Leadership and Team Development

• Lead, coach, develop, and motivate nursing staff and clinical team members.
• Establish performance expectations, provide feedback, and support employee development.
• Recruit, train, and develop talent while supporting succession planning.
• Manage performance improvement, employee engagement, and team accountability.
• Address workplace conflicts and support a collaborative working environment.
• Delegate responsibilities according to employee competency and scope of practice.
• Promote professional growth and continuous learning.

3. Patient Safety and Quality Management

• Drive continuous improvement in clinical quality and patient safety.
• Ensure consistent implementation of evidence-based nursing practices.
• Monitor patient care standards and identify risks or gaps in clinical delivery.
• Lead initiatives to improve service quality, patient experience, and operational effectiveness.
• Ensure staff compliance with applicable clinical policies, procedures, and standards.
• Support investigation and resolution of patient and family concerns regarding care and services.

4. Regulatory Compliance and Survey Readiness

• Ensure compliance with the Nursing Practice Act, The Joint Commission (TJC), and applicable federal, state, and local regulations.
• Maintain readiness for regulatory surveys, audits, and inspections.
• Develop and implement survey-readiness activities, including mock rounds.
• Identify compliance gaps and coordinate corrective actions.
• Maintain accurate clinical documentation, records, audit materials, and reports.
• Ensure employees understand regulatory expectations and applicable clinical standards.

5. Resource and Financial Management

• Monitor staffing and resource requirements across assigned clinical areas.
• Ensure appropriate workforce planning, staff assignments, and utilization.
• Oversee the management and maintenance of equipment, supplies, and medications.
• Support departmental budget development, payroll monitoring, cost control, and financial planning.
• Monitor operational performance and identify opportunities for cost reduction and efficiency improvement.
• Ensure resources are aligned with patient care needs and departmental objectives.

6. Hospital Operations and Emergency Preparedness

• Support clinical operations within a 24-hour, seven-day-a-week hospital environment.
• Coordinate with physicians, clinical leaders, and multidisciplinary healthcare teams.
• Ensure emergency preparedness and recovery plans are current and implemented.
• Ensure managers and staff receive appropriate emergency preparedness training.
• Support equitable distribution of clinical resources during normal and emergency operations.
• Lead operational initiatives and monitor implementation against established objectives.

7. Process Improvement and Strategic Initiatives

• Lead cross-functional improvement initiatives focused on quality, safety, service, affordability, and operational efficiency.
• Identify root causes of operational and clinical issues and implement corrective solutions.
• Support the implementation of best-practice care delivery models and standardized clinical processes.
• Collaborate with senior leadership on strategic initiatives and integrated patient care delivery.
• Monitor performance metrics and ensure improvement initiatives align with organizational goals.

8. Stakeholder and Physician Collaboration

• Develop effective working relationships with physicians, outside healthcare providers, clinical leaders, and other stakeholders.
• Facilitate collaboration across clinical departments to achieve safe and effective patient care.
• Coordinate with Nursing Clinical Practice to ensure staff competency and compliance.
• Communicate operational priorities, performance expectations, and clinical issues to appropriate stakeholders.

Required Qualifications

• Bachelor of Science in Nursing (BSN) required.
• Minimum of five (5) years of experience in patient care delivery.
• Minimum of five (5) years of experience in business operations, clinical healthcare, or a directly related field.
• Minimum of four (4) years of experience in a leadership role, with or without direct reports.
• Strong Operating Room leadership experience is mandatory.
• Demonstrated understanding of Operating Room fundamentals and perioperative nursing operations.
• Experience overseeing or supporting surgical service areas.
• Active Oregon Registered Nurse (RN) License required at hire.
• Basic Life Support (BLS) certification required at hire.

Preferred Qualifications

• Pediatric Advanced Life Support (PALS) certification from the American Heart Association.
• Certification from the American Nurses Credentialing Center (ANCC) in a related practice area.
• Experience overseeing multiple surgical specialties, including Orthopedics, Gynecology, General Surgery, Plastics, and Urology.
• Experience leading multidisciplinary clinical teams and managing complex hospital operations.
• Experience with clinical quality improvement, regulatory compliance, and workforce planning.

Knowledge, Skills and Abilities

The successful candidate should demonstrate knowledge and experience in:

• Patient safety and nursing principles.
• Operating Room and perioperative nursing fundamentals.
• Emergency preparedness and response.
• Evidence-based medicine principles.
• Change management and business process improvement.
• Compliance management and healthcare quality standards.
• Employee training, development, and performance management.
• Conflict resolution and stakeholder management.
• Workforce planning and resource utilization.
• Healthcare legal and regulatory requirements.
• Confidentiality and maintenance of clinical records.
• Microsoft Office and healthcare information systems.

Ideal Candidate Profile

The ideal candidate is an experienced nursing leader with a strong background in Operating Room operations and perioperative care.The candidate must have experience leading clinical teams and overseeing surgical services. Experience across Orthopedics, Gynecology, General Surgery, Plastics, and Urology will be particularly relevant.A strong candidate will combine clinical expertise with operational leadership, employee development, patient safety, regulatory compliance, resource management, and process improvement.Candidates with general nursing leadership experience but no substantial Operating Room leadership background should not be prioritized.