Nurse Manager Orthopedics Ambulatory

Pay range: $55.30 - $85.72

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Clinical Nurse Manager - Orthopedics

REPORTS TO POSITION: Director of Ambulatory Care Nursing

DEPARTMENT: Ambulatory Care Nursing Administration

DATE LAST REVIEWED: 07 2025

OUR VISION:                            Creating America’s healthiest community, together

OUR MISSION:                         In the spirit of love and compassion, better health, better care, better value

OUR VALUES:                          Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: St. Charles Ambulatory Care encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, urgent care, cardiology, pulmonology, rheumatology, general surgery, behavioral health, cancer care, sleep medicine, orthopedics, physiatry, and neurosurgery. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care.

POSITION OVERVIEW: The Clinical Nurse Manager of Orthopedics is a key clinical leader for St. Charles Ambulatory Care and is responsible for the quality of care delivered by nurses, techs and medical assistants in orthopedics. Under direction of the Ambulatory Care CNO and the Director of Ambulatory Care Nursing, the nurse manager works in partnership with the Administrative Director and the Clinical Division Director of Orthopedics, Neurosurgery & Physiatry and collaborates with the clinic operational managers. The nurse manager is responsible for ensuring that nurses, techs and medical assistants maintain core competencies, including practice-based learning and improvement; patient care skills; systems-based practice; medical knowledge; interpersonal and communication skills; and professionalism. This leader participates in the orthopedic division annual budget process and considers the financial impact when making clinical decisions. The nurse manager is accountable for the clinic and care team quality, development, implementation, evaluation, and improvement of clinical pathways and the team-based model of care. They are responsible for standardizing clinical practices and workflow efficiencies across all orthopedic clinics. The nurse manager may provide nursing services directly to the patients of the Orthopedics, Neurosurgery & Physiatry Division. This position directly manages the Orthopedic MA Supervisor and the Orthopedic Tech Supervisor.

ESSENTIAL FUNCTIONS AND DUTIES:

Achieves top percentile ranking in surveys of patient experience, with particular emphasis on dimensions of patients’ experiences with clinical teams.

Advances the roles of patients as partners in care through systematic implementation of Shared Decision-making Models.

Promotes and models evidence-based practices in all clinical care.

Helps design and implement standard workflows. Examples - rooming standards, non-stocked medication protocols and universal crash carts.

Leads the development of streamlined cost-effective systems for the management of medications and medical supplies.

Systematically implements standards of clinical practice that achieve or exceed the standards for processes of care of the major professional nursing societies appropriate for ambulatory care.

Achieves top percentile ranking on surveys of professional and Caregiver engagement and resilience.

Ensures that every Caregiver is working at the top of their potential and scope of practice.

Conducts annual check-ins with direct reports to ensure the completion of same for each nurse, medical assistant and tech.

Oversees ongoing education, training, and development of clinical staff from onboarding through the entire tenure of their employment with St. Charles.

Under the direction of the Ambulatory CNO and in partnership with the ambulatory care nursing quality, risk and patient safety team, assists with the planning, design, development, and implementation of a Quality & Patient Safety Program.

Creates a healing environment that supports all aspects of care, respects the wholeness of the individual, and demonstrates therapeutic presence through attitudes and behaviors that enhance the care experience for patients and caregivers.

Facilitates the growth and development of a culturally competent team in the provision of appropriate care to patients and family members who belong to diverse cultural backgrounds.

Responsible for budget development, regular monitoring, accountability and meeting all operational targets for all areas within span of control.

Hires, directs, coaches, and monitors the performance of all direct reports, to develop and maintain a high-performance team that meets organizational and department goals. Provides clear role definition and expectations for clinical staff.

Monitors and ensures all direct reports are current with compliance and safety requirements. Implements and manages all organizational safety directives and goals.

Provides and oversees team’s delivery of customer service in a manner that promotes goodwill, is timely, efficient, and accurate. Assures safe and evidence-based delivery of ambulatory care clinical services.

Collaborates with teams to review processes and identify/implement opportunities for improvements, applying Lean principles, concepts, and tools.

Supports the vision, mission, and values of the organization in all respects.

Supports the Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients, and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

May perform additional duties of similar complexity within the organization, as required or assigned.  

EDUCATION:

Required: Bachelor of Science in Nursing (BSN) from an accredited school.

Preferred: Master’s degree in related field.

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Valid Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. Ability to meet SCHS driving requirements and travel to business functions/trainings/meetings and all SCHS worksites.

Preferred: N/A 

EXPERIENCE:

Required: Minimum five (5) years of related nursing experience to include one (1) year of leadership experience in integrated delivery system medical group or faculty practice departments.

Preferred: Two (2) years’ experience as an orthopedic or neurosurgery RN in an ambulatory setting. Epic EMR software experience. Experience in a team-based care model. Experience teaching/training other health professionals.

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

SKILLS:

Excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.

Strong team working and collaborative skills.

Ability to multi-task and work independently.

Attention to detail.

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.

Intermediate to advanced proficiency with Electronic Medical Record systems.

Intermediate proficiency in Microsoft applications (Word, Excel, PowerPoint, Outlook).

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours:

40

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

Yes

Job Family:

MANAGER

Scheduled Days of the Week:

Monday-Friday

Shift Start & End Time:

8am-5pm