Surgical Services, OR Manager (Full Time)

Position: Full Time

Status: Exempt

Summary/Objective:

The Surgical Services, OR Manager provides leadership, oversight, and daily operational management of all perioperative services within the Critical Access Hospital Operating Room, including pre-operative, intra-operative, post-anesthesia recovery, sterile processing, and surgical scheduling and all outpatient infusion services provided through Surgical Services or perioperative departments. This position functions as a working manager—actively participating in patient care, circulating, assisting, and troubleshooting equipment and instrumentation while ensuring safe, high-quality surgical care and regulatory compliance.

The Manager is responsible for staffing, performance improvement, inventory management, equipment maintenance coordination, surgeon collaboration, and maintaining efficient patient flow. This role requires strong clinical expertise, hands-on technical ability, and the ability to lead a small, high-performing OR team.

Essential Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

Function as a working manager by circulating, assisting, or scrubbing as needed to maintain safe staffing and workflow.

Facilitate daily huddles, OR scheduling meetings, and communication with surgeons, anesthesia, and hospital leadership.

Ensure regulatory and accreditation readiness, including CMS, OSHA, AORN, AAMI, infection control, and hospital policies.

Oversee perioperative safety processes, including environmental safety, equipment checks, surgical counts, and time-outs.

Coordinate care across pre-op, intra-op, and post-anesthesia recovery, ensuring smooth patient flow and adherence to standards.

Provide real-time troubleshooting for OR equipment including towers, cameras, scopes, autoclaves, anesthesia machines, and electrosurgical units.

Ensure all equipment is functioning properly before each case and support staff with correct setup and usage.

Partner with BioMed and vendors to manage preventive maintenance, repairs, and equipment replacement planning.

Oversee proper functioning, cleaning, storage, and maintenance of all instrumentation and equipment.

Participate in training, simulations, and education related to new equipment or surgical procedures.

Oversee surgical scheduling, case coordination, and block utilization.

Manage procurement, inventory control, implants, instrumentation, and supply maintenance.

Manage vendor relationships, consignment items, and pricing negotiations with Materials Management.

Assist with planning for capital purchases and equipment upgrades.

Oversee outpatient infusion services, ensuring appropriate staffing, clinical oversight, scheduling coordination, infection control, documentation, and compliance with applicable regulations and hospital policies.

Plan, develop, implement, evaluate, and direct Surgical Services programs and activities according to applicable laws and standards.

Develop and update departmental policies and procedures; communicate and ensure compliance.

Supervise and evaluate surgical personnel; administer coaching, performance evaluations, and corrective actions as needed.

Recruit, hire, onboard, and train surgical services staff; ensure adequate staffing levels.

Provide staff education and maintain ongoing competency validation.

Promote positive employee relations, teamwork, communication, and a culture of safety.

Lead or participate in departmental and organizational quality improvement activities.

Maintain infection control standards and ensure safe, clean, and compliant environments.

Support preparation for inspections and surveys; assist with Plans of Correction and follow-up requirements.

Prepare leadership reports on volume, productivity, quality measures, and staffing needs.

Ensure accurate documentation, charge capture, and billing compliance

Coordinate care and communication with patients, families, medical staff, nursing staff, and interdisciplinary teams.

Respond to and resolve patient or family concerns related to surgical services.

Interact with and support surgeons and anesthesia providers to ensure efficient surgical workflow and high-quality care.

Participate in special projects, meetings, and committees as assigned.

Contribute to the growth of surgical services by supporting surgeon recruitment and expansion of case volume.

Work surgical services shifts as necessary to ensure coverage and maintain clinical competency.

Competencies:

Financial Management.

Business Acumen.

Communication proficiency.

Ethical Conduct.

Leadership

Performance Management.

Personal Effectiveness/Credibility

Problem Solving/Analysis.

Strategic Thinking.

Technical Capacity.

Supervisory Responsibility:

This position is responsible for the direct supervision of all surgical services staff. 

This position’s responsibilities include: interviewing, hiring, and training employees, planning, assigning, and directing work; appraising performance, rewarding and disciplining employees; addressing complaints and resolving problems.

Work Environment:

This job operates in a professional office environment along with working in surgical operating suites.  This role routinely uses standard office equipment such as computers, phones, copiers, filing cabinets, and fax machines.   While performing the duties of this job, the employee is frequently exposed to fumes or airborne particles and some mechanical equipment.  The employee is occasionally exposed to a variety of patient conditions and elements.  The noise level is moderate to quiet.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  While performing the duties of this job, the employee is regularly required to talk, hear, and listen.

This position is very active and requires standing, walking, bending, kneeling, stooping, crouching, crawling, and climbing all day.  The employee must frequently lift or move objects and patients weighing over 50 pounds.

Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Position Type/Expected Hours of Work:

This is a full time position.  Days and hours of work are Monday through Friday; hours are flexible based on the job duties demand.  Evening and weekend work may be required based on the needs of the position/job duties.

This position requires administrative “on call” responsibilities to be rotated within nursing management team.

Travel:

This position may require some travel. Travel may be outside the local area and overnight.

Required Education and Experience:

Graduate of an accredited school of professional nursing in the state of Georgia; valid license as Registered Nurse in the state of Georgia.

Current, valid AHA Healthcare Provider training (BCLS and ACLS).

At least four to five years management experience required.

At least three years supervisory experience.

Preferred Education and Experience:

Minimum 3–5 years of perioperative experience in an OR setting; CAH or small rural hospital experience strongly preferred.

Prior leadership or charge nurse experience required; formal management experience preferred.

Strong understanding of sterile processing, instrumentation, and OR equipment troubleshooting.

Advance nursing degree; Masters prepared preferred.

Prefer AORN certification.

Additional Eligibility Requirements:

        None required for this position.

Other Duties:

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee of the job.  Duties, responsibilities, and activities may change at any time with or without notice.