OR Supervisor — Marin Specialty Surgery Center Position Summary The Operating Room (OR) Supervisor provides clinical and operational leadership for Marin Specialty Surgery Center's operating room department. Reporting to the Director and Clinical Manager, the OR Supervisor is responsible for supporting the delivery of safe, efficient, high-quality, and cost-effective surgical care while promoting a collaborative environment for patients, staff, surgeons, anesthesia providers, and other members of the perioperative team. This position functions in a hybrid clinical and administrative capacity, with approximately 50% clinical and 50% administrative responsibilities. The OR Supervisor maintains active clinical competency and provides direct patient care, including circulating, break relief, and clinical support as needed, while also maintaining responsibility for daily OR operations, staffing, employee performance, physician relations, quality improvement, regulatory readiness, operational metrics, data analysis, resource utilization, and clinical informatics initiatives. The OR Supervisor oversees daily operations of three operating rooms and one procedure room supporting orthopedic, urology, ophthalmology, plastic surgery, general surgery, pain management, podiatry, vascular, and spine procedures. The Supervisor works collaboratively with approximately 50-55 multidisciplinary team members, including RNs, CSTs, MAs, SPD personnel, supply chain personnel, office staff, administrative staff, and other MSSC team members. The OR Supervisor serves as a primary operational liaison for surgeons and works closely with anesthesia providers, MSSC leadership, and multidisciplinary departments to identify barriers, resolve operational concerns, improve surgical throughput, and support the continued growth and performance of MSSC. Key Areas of Accountability Clinical & Operational Leadership Direct and coordinate daily OR operations to promote safe, efficient patient care and optimal surgical throughput. Develop daily staffing and room assignments based on case volume, complexity, staff competencies, surgeon needs, and patient acuity. Maintain approximately 50% clinical presence and function as a circulating RN, break relief, clinical resource, or other direct-care support as operational needs require. Monitor daily surgical schedules and proactively address staffing, equipment, instrumentation, supply, and workflow concerns. Coordinate and respond to schedule changes, add-on procedures, cancellations, delays, staffing shortages, and other operational challenges. Monitor first-case on-time starts, room turnover, room utilization, case progression, and end-of-day efficiency. Promote standardized workflows and evidence-based perioperative practices across surgical specialties. Staff Leadership & Workforce Management Provide leadership and operational oversight for multidisciplinary personnel supporting OR operations. Participate in recruitment, interviewing, selection, onboarding, orientation, competency validation, staff development, and retention. Develop and adjust staffing plans based on surgical volume, staff competencies, operational needs, and productivity expectations. Manage staffing changes, overtime, call-offs, daily assignments, breaks, and other workforce needs within established organizational guidelines. Participate in employee performance evaluations, coaching, counseling, recognition, corrective action, and performance improvement. Identify staff educational needs and coordinate appropriate training and competency development. Foster a professional culture emphasizing accountability, teamwork, communication, patient safety, respect, and continuous improvement. Promote cross-training and staff development to support flexible staffing and MSSC operational efficiency. Physician & Anesthesia Relations Serve as a primary operational liaison for surgeons and maintain collaborative relationships with anesthesia providers. Proactively address physician concerns involving scheduling, staffing, equipment, instrumentation, supplies, preference cards, room assignments, turnover, and clinical workflows. Balance physician requests with patient safety, regulatory requirements, staff capabilities, operational efficiency, and organizational policies. Participate in physician meetings and communicate relevant operational concerns, trends, and improvement opportunities. Facilitate onboarding of new surgeons and support introduction of new procedures and service lines. Coordinate with physicians, supply chain, SPD, anesthesia, and leadership to ensure appropriate equipment, instrumentation, implants, supplies, and staffing are available for scheduled procedures. Monitor physician satisfaction and identify opportunities to improve the physician experience while maintaining consistent clinical and operational standards. Quality Improvement & Patient Safety Participate in the MSSC's Quality Assessment and Performance Improvement (QAPI) program. Identify, develop, and participate in quality and process-improvement initiatives related to perioperative services. Monitor trends involving surgical site infections, medication events, patient transfers, cancellations, clinical incidents, near misses, documentation deficiencies, and other patient-safety indicators. Participate in incident review, root-cause analysis, corrective-action planning, and follow-up. Collaborate with leadership, infection prevention, and clinical staff to implement evidence-based patient-safety practices. Evaluate effectiveness and sustainability of improvement interventions through measurable outcomes. Promote a culture in which safety concerns, near misses, and opportunities for improvement are identified and addressed proactively. Data Analytics & Performance Metrics Develop, maintain, analyze, and report an MSSC OR Operational Performance Dashboard. Establish measurable performance goals in collaboration with MSSC leadership. Monitor key performance indicators including, but not limited to: First-case on-time starts; - OR turnover time; OR utilization; Case volume; Surgical delays and delay causes; Case cancellation rates and reasons; Staffing productivity; Overtime utilization; Documentation completion and compliance; Surgical site infections; Medication events; Patient transfers to higher levels of care; Patient satisfaction; Physician satisfaction; Supply utilization and waste; Preference-card accuracy Analyze trends and identify root causes contributing to performance variances. Develop action plans when performance falls outside established targets and monitor progress toward improvement. Present operational and quality data to leadership and applicable committees. Use data to support staffing, workflow, equipment, resource, and process-improvement decisions. Clinical Informatics & Technology Serve as an OR clinical resource for informatics, technology, and digital workflow initiatives. Participate in planning and implementation associated with the potential transition from paper documentation to an electronic medical record (EMR). Assist with current-state workflow assessment, process mapping, documentation standardization, system requirements, configuration, testing, training, implementation, go-live, and optimization as applicable. Represent frontline perioperative workflow needs during technology implementation and process redesign. Support staff adoption of new technology and identify barriers affecting usability, efficiency, documentation accuracy, or patient safety. Promote data integrity and standardized documentation practices. Collaborate with leadership, staff, vendors, IT, and informatics resources to resolve workflow and system issues. Identify opportunities to use technology and clinical data to improve quality, efficiency, regulatory compliance, and operational decision-making. Financial & Resource Stewardship Maintain working knowledge of MSSC financial and operational performance. Understand the relationship between staffing, surgical volume, OR utilization, supply costs, overtime, case efficiency, and financial performance. Monitor labor utilization and staffing productivity in collaboration with MSSC leadership. Collaborate with the Supply Manager, MSSC Administrator and Clinical Manager to develop and maintain a cost-effective supply PAR system to reduce risks of case cancellation directly related to insufficient supplies. Identify opportunities to reduce unnecessary waste and variation without compromising patient safety, clinical outcomes, or physician satisfaction. Participate in evaluation of equipment and capital requests using clinical need, utilization data, safety, and operational impact. Support accurate and current physician preference cards to reduce waste, delays, and unnecessary supply utilization. Regulatory & Accreditation Readiness Maintain continuous readiness for applicable MSSC regulatory and accrediting bodies. Support compliance with organizational policies, CMS Conditions for Coverage, state requirements, infection prevention standards, medication management requirements, and applicable accreditation standards. Participate in audits, tracers, survey preparation, corrective action plans, and follow-up activities. Monitor staff competencies, required education, documentation practices, emergency preparedness, infection prevention, and surgical safety practices. Assist with development, implementation, and review of OR policies, procedures, standards, and workflows. Promote continuous survey readiness rather than episodic preparation immediately before regulatory visits. Process Improvement Lead and participate in process-improvement initiatives involving patient flow, room utilization, turnover, staffing, documentation, supplies, scheduling, and physician experience. Uses data and performance-improvement tools to identify operational and clinical concerns, determine contributing factors, implement improvement strategies, and monitor outcomes for sustained improvement. Identify workflow variation, duplication, delays, and non-value-added activities. Engage frontline staff and physicians in development of practical and sustainable solutions. Establish baseline performance, measurable goals, interventions, and post-implementation outcome measures for improvement projects. Communication & Administrative Leadership Conduct and participate in daily huddles, staff meetings, leadership meetings, physician meetings, and applicable quality committees. Communicate operational priorities, performance expectations, safety concerns, policy changes, and improvement initiatives effectively. Maintain visibility and accessibility to staff and physicians. Serve as a leadership resource and escalation point for clinical, operational, staffing, employee, and physician concerns. Assume additional operational leadership responsibilities in the absence of the Director or Clinical Manager as assigned. Maintain confidentiality and professionalism when managing employee, physician, patient, and organizational information. Administrative Leadership Time Approximately 50% of scheduled work time is designated for administrative and leadership responsibilities, including staffing, employee management, physician relations, quality improvement, data analysis, performance metrics, regulatory readiness in the operating room, meetings, informatics initiatives, education, and operational improvement. Approximately 50% of scheduled work time is designated for clinical responsibilities, including circulating, break relief, direct patient care, clinical support, and serving as a perioperative resource. The distribution of clinical and administrative responsibilities may fluctuate based on patient-care and operational needs; however, sufficient administrative time should be maintained to support the leadership accountability of the position.

Schedule:

Full-time, Monday through Friday (Exempt) Schedule may require flexibility based on surgical volume, staffing, physician needs, regulatory requirements, meetings, and operational priorities.

Pay:

$76.40 - $114.60 per hour

Benefits:

401(k) Health insurance Health savings account Paid time off

Work Location:

In person