Nurse Manager II, Hospital – Operating Room

Job Title: Nurse Manager II, Hospital – Operating Room

Location: Hillsboro, OR (Onsite)

Salary Range: $171,000 – $180,000 / year

Position Type: Full-Time / Regular (New Position)

Job Level: Manager with Direct Reports

Travel: No

Visa Sponsorship: Not Available

Relocation: Nationwide Relocation Available

Job Summary

A leading hospital facility is seeking the expertise of a Nurse Manager II with  Operating Room experience to provide strategic, operational, and clinical leadership over perioperative surgical services in a 24/7 operational hospital environment. This role directly oversees surgical specialties including Orthopedics, Gynecology (GYN), General Surgery, Plastics, and Urology.

The Nurse Manager is responsible for leading the implementation of best practice models, patient care delivery systems, and clinical practice standards across multiple locations. Key duties include managing clinical personnel, driving quality and patient safety initiatives, overseeing departmental budgets and resource allocation, managing equipment and supplies, and ensuring strict compliance with the Nursing Practice Act, The Joint Commission (TJC), and federal, state, and local regulatory requirements.

Key Responsibilities

Operating Room & Clinical Operations Leadership

• Specialty Oversight: Direct daily operations, surgical workflows, and clinical practice standards for Orthopedics, Gynecology, General Surgery, Plastics, and Urology.
• Clinical Excellence: Maintain clinical expertise and provide direct clinical supervision, delegating duties aligned with the nursing scope of practice.
• Care Coordination: Collaborate with Nursing Clinical Practice, physicians, surgical teams, and external healthcare providers to ensure high-quality, safe patient care across the continuum.
• Equipment & Resources: Proactively monitor and manage the assignment, utilization, and maintenance of surgical equipment, clinical supplies, and medications across multiple units.

People Management & Talent Development

• Team Leadership: Direct, hire, train, coach, and evaluate talent; manage performance and build structured succession planning for clinical and support staff.
• Culture & Collaboration: Build cross-functional relationships, solicit performance feedback, foster open communication, and motivate multidisciplinary teams to meet operational goals.
• Labor Relations & HR: Assume accountability for recruitment, onboarding, workforce planning, performance management, training, and labor relations within assigned units.

Administrative, Financial & Operational Management

• Financial Stewardship: Lead the development, monitoring, and control of departmental payroll and non-payroll budgets; manage cost-control strategies and track financial commitments.
• 24/7 Operations: Oversee round-the-clock nursing care and surgical delivery models in alignment with organizational standards for cost, quality, and utilization.
• Workflow & Reporting: Develop ad-hoc reports and performance tracking metrics to analyze workflows, drive efficiency, and achieve operational targets.

Process Improvement, Quality & Safety

• Continuous Improvement: Lead long-term strategic projects using root-cause analysis to enhance operating efficiency, clinical quality, affordability, and patient outcomes.
• Survey Readiness: Design and lead ongoing survey readiness initiatives (including mock rounds) to ensure constant compliance and audit readiness.
• Patient & Workplace Safety: Proactively drive a safe environment for patients and staff, overseeing risk management, incident remediation, and patient concern resolution.

Emergency Preparedness & Strategic Alignment

• Emergency Preparedness: Assist in designing emergency preparedness and recovery programs, ensuring all staff are fully trained on emergency protocols.
• Strategic Alignment: Partner with senior leadership to execute short- and long-term operational initiatives that support broader health system goals.

Minimum Qualifications

• Education: Bachelor of Science in Nursing (BSN) required.
• Clinical Experience: Minimum five (5) years of experience in patient care delivery.
• Healthcare/Business Operations: Minimum five (5) years of experience in business operations, clinical healthcare, or a directly related field.
• Leadership Experience: Minimum four (4) years of experience in a leadership role (with or without direct reports).
• Licensure & Certifications (Required at Hire):
  • Active Registered Nurse (RN) License in the State of Oregon.
  • Basic Life Support (BLS) Certification.

Specialized Experience & Core Competencies

Must-Have Expertise:

• Strong Operating Room Leadership Experience: Demonstrated experience managing OR operations and deep foundational knowledge of surgical unit workflows.
• Surgical Service Line Oversight: Hands-on experience or clinical oversight covering Orthopedics, GYN, General Surgery, Plastics, and Urology.

Knowledge, Skills, and Abilities (KSAs):

• Clinical & Quality: Patient Safety, Nursing Principles, Evidence-Based Medicine, Healthcare Quality Standards, Health Care Compliance.
• Operations & Leadership: Change Management, Business Process Improvement, Workforce Planning, Stakeholder Management, Conflict Resolution.
• Regulatory & Administrative: Legal and Regulatory Requirements (TJC, Nursing Practice Act), Emergency Preparedness, Record/File Management, Confidentiality.
• Technical: Information Systems, Microsoft Office Suite.

Preferred Qualifications

• Pediatric Advanced Life Support (PALS) certification from the American Heart Association (AHA).
• Specialty certification from the American Nurses Credentialing Center (ANCC) or Association of periOperative Registered Nurses (AORN).

Benefits Package

• Comprehensive Benefits Package:
  • Medical, Vision, Mental Health, and Dental Coverage
  • Company-Funded Pension Plan
  • 403(b) Retirement Plan with matching and additional retirement options
  • Generous Vacation, Holiday, and Sick Leave
  • Educational Opportunities and Tuition Reimbursement
  • Disability and Life Insurance Coverage
  • Wellness and Employee Assistance Programs (EAP)
  • Flexible Spending Accounts (FSA) for Healthcare, Dependent Care, and Transit