Assistant Nurse Manager, OR

Location: Sacramento, CA
Work Arrangement: Onsite
Job Type: Permanent / Full-Time
Salary: $222,000–$229,000 per year


About the Organization

Our organization is a leading healthcare provider committed to delivering high-quality, safe, and patient-centered care to the communities it serves. The organization emphasizes clinical excellence, operational efficiency, patient safety, regulatory compliance, and continuous improvement.

With a collaborative healthcare environment, the organization works closely with physicians, nurses, clinical teams, and other healthcare professionals to ensure coordinated care and exceptional patient outcomes. Employees are encouraged to develop their leadership capabilities, support best practices, and contribute to initiatives that improve the quality, affordability, and overall patient experience.

Position Overview

We are seeking an experienced Assistant Nurse Manager, Operating Room (OR) to support the daily operations and clinical leadership of the assigned surgical/operating room department.

The Assistant Nurse Manager will help oversee nursing staff, coordinate patient-care activities, allocate resources, promote quality and safety standards, and support operational and clinical initiatives. This position requires a strong nursing leader who can work effectively in a fast-paced, 24/7 hospital environment.

The ideal candidate will have strong OR/perioperative nursing experience, demonstrated leadership capabilities, excellent communication skills, and a commitment to safe, standardized, patient-centered care.

Key Responsibilities

• Support the implementation of best-practice models, patient-care delivery systems, and clinical practice standards.

• Assist with daily supervision and coordination of nursing and clinical team activities.

• Allocate staff, equipment, supplies, and other resources appropriately to support patient care.

• Provide clinical leadership, coaching, mentoring, and performance feedback to team members.

• Delegate duties appropriately according to staff competency and scope of practice.

• Support staff development, training, competency, and professional growth.

• Monitor compliance with organizational policies, clinical standards, and applicable regulatory requirements.

• Support patient and employee safety initiatives and continuous quality improvement.

• Collaborate with physicians, nurses, and multidisciplinary healthcare teams to achieve safe and effective patient outcomes.

• Assist with staffing, scheduling, productivity, utilization, and operational performance.

• Monitor clinical and operational data and take appropriate action based on performance metrics.

• Support quality, risk management, workplace safety, and regulatory readiness activities.

• Assist with survey readiness, mock rounds, audits, documentation, and corrective actions.

• Support emergency preparedness activities and ensure staff understand emergency procedures.

• Participate in strategic and cross-functional projects focused on quality, efficiency, safety, and operational improvement.

• Identify operational challenges and recommend process improvements.

• Support the implementation and improvement of technology and operational processes.

• Help ensure appropriate staffing and resource utilization while maintaining quality patient care.

• Maintain clinical expertise and nursing competencies required for the role.

• Perform clinical nursing duties as required.

Required Qualifications

• Minimum 2 years of experience in patient care delivery.

• Minimum 1 year of experience in a leadership role, with or without direct reports.

• Associate degree or higher in Nursing, Healthcare, Business, or a directly related field with at least 2 years of experience in business operations, clinical healthcare, or a directly related field; OR

• Minimum 3 years of experience in business operations, clinical healthcare, or a directly related field.

• Active California Registered Nurse (RN) License required at hire.

• Basic Life Support (BLS) certification required at hire.

Preferred Qualifications

• Operating Room / OR nursing experience.

• Perioperative or surgical services experience.

• Previous experience as an Assistant Nurse Manager, Nurse Manager, Charge RN, Clinical Nurse Leader, or similar clinical leadership role.

• Experience supervising nursing teams in a hospital environment.

• Knowledge of quality improvement, patient safety, regulatory compliance, and risk management.

• Experience with staffing, resource allocation, productivity, and performance management.

• Familiarity with The Joint Commission and hospital survey-readiness activities.

• Strong communication, leadership, coaching, and problem-solving skills.

Work Environment

This is an onsite leadership position in Sacramento, California, supporting a 24-hour, 7-day-a-week patient-care environment. The position requires approximately 5% travel and may require flexibility to support operational and clinical needs.