Interim OR Director

Surgical Directions LLC•Portland, OR
•$192,000 - $240,000

About The Position

The Interim OR Director provides oversight of perioperative services, financial performance, physician relationships, leadership development, and organizational initiatives. The role manages clinical and support staff, oversees departmental budgets, ensures compliance with regulatory and accreditation standards, and collaborates with surgeons and executive leadership to optimize surgical throughput and patient safety. The ideal candidate has strong operating room leadership experience, including experience overseeing multiple perioperative departments or facilities. The position is a flexible-schedule independent contractor engagement based on facility needs. It may require early mornings, occasional evenings, or on-call availability. Compensation is $16,000–$20,000 monthly based on full-time contracted hours. The contractor is responsible for maintaining licensure, certifications, professional liability insurance, and tax obligations; the position is not eligible for employee benefits.

Requirements

  • Current unrestricted Registered Nurse (RN) license in the applicable placement state.
  • Bachelor of Science in Nursing (BSN).
  • Minimum of 5 years of progressive perioperative leadership experience.
  • Strong knowledge of OR performance metrics, staffing, productivity, and quality improvement initiatives.
  • Excellent organizational, leadership, and communication skills.
  • Ability to work independently as a 1099 contractor.

Nice To Haves

  • Master’s degree preferred.
  • CNOR certification strongly preferred.

Responsibilities

  • Coordinate surgical schedules to maximize efficiency and minimize delays.
  • Ensure compliance with federal and state requirements, OSHA, CMS, Joint Commission, and infection control standards.
  • Monitor patient safety initiatives and quality improvement activities.
  • Develop and enforce OR policies, procedures, and clinical protocols.
  • Conduct chart audits and incident reviews, and implement corrective action.
  • Maintain high standards of perioperative care, infection control, and patient safety protocols.
  • Assist with hiring, scheduling, performance evaluations, and ongoing competency training for OR, PACU, and sterile processing teams.
  • Promote collaboration among physician leadership, anesthesia, surgeons, and perioperative leadership.
  • Support the site’s efforts, in collaboration with Human Resources, to secure a perioperative director.
  • Partner with surgeons and anesthesiologists to streamline block times, case scheduling, and workflow efficiency.
  • Oversee OR hours and staffing to meet surgeons’ requirements while striving to minimize overtime.
  • Mentor staff on an ongoing basis to support safe, quality care across areas of responsibility.
  • Manage operational and capital equipment budgets, supply chain inventory, and cost-containment initiatives.
  • Collaborate with administration on budgeting and cost-containment initiatives.
  • Analyze OR efficiency metrics, turnover times, and case-volume trends.
  • Recommend operational improvements to increase productivity and patient satisfaction.
  • Maintain readiness for accreditation and regulatory inspections.
  • Ensure proper documentation, credentialing, and competency validation.
  • Evaluate staff competencies and value to the department, and address practice patterns through site policies and corrective action plans.
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