Director of Nursing, Perioperative Services

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Salary range: $179,000 - $275,000 This position is eligible for an in-state or out-of-state relocation bonus ST. CHARLES HEALTH SYSTEM JOB DESCRIPTION TITLE: Director of Nursing REPORTS TO POSITION: Chief Nursing Officer DEPARTMENT: Varies DATE LAST REVIEWED: December 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, Teamwork and Safety DEPARTMENT SUMMARY: The Director of Nursing provides leadership for hospital-based clinical services spanning inpatient, outpatient, and procedural areas. These departments deliver care across the lifespan, supporting neonatal, pediatric, adult, and geriatric populations. The scope includes acute, critical, and emergent services, ensuring that patients receive safe, timely, and high-quality care throughout their clinical journey. The Director oversees a portfolio of units or service areas that may include medical-surgical, critical care, emergency services, perioperative & perianesthesia areas, women's and children's services, or other specialty programs. POSITION OVERVIEW: The Director of Nursing provides strategic, operational, and clinical leadership for assigned service areas across the health system. This role is responsible for clinical practice oversight, ensuring consistent, evidence-based, and high-quality care across all inpatient, outpatient, and procedural settings under their leadership. The Director holds 24/7 accountability, ownership, and authority for clinical practice, caregiver performance, and operational reliability within their assigned areas. This leader ensures reliable care delivery, strengthens caregiver engagement, and advances clinical excellence in alignment with St. Charles' mission, vision, values, and strategic priorities. In partnership with nursing leaders, service line administrators, physician dyads, and interdisciplinary teams, the Director drives operational effectiveness, promotes a culture of safety, and supports caregivers in delivering exceptional, patient-centered care. This position directly manages assigned caregivers. ESSENTIAL FUNCTIONS AND DUTIES Strategic & Clinical Leadership Operationalizes the systemwide nursing strategy by aligning it with day-to-day practice, ensuring consistent implementation across areas of responsibility. Ensures alignment with organizational strategic pillars: People; Clinical & Operational Excellence; Transformation, Growth & Innovation. Provides leadership for committees, workgroups, and projects, ensuring disciplined execution and systemwide spread, alignment, and adoption of evidence-based practices, standards, and process improvements. Partners with CNO/CNE to achieve enterprise quality, safety, financial, and caregiver engagement goals. Provides leadership that ensures patient care is consistent with organizational goals, actively participating in the collaborative development of health system and nursing strategies. Oversees nursing and patient care policies, procedures, and standards in accordance with the Oregon Health Authority, CMS, The Joint Commission, and other regulatory agencies, ensuring consistency across all areas of patient care. Analyzes and structures patient care delivery models and service areas for maximum impact on effective, efficient, and patient-centered care. Quality & Patient Safety Oversees clinical practice to ensure evidence-based, consistent, and high-quality care. Leads harm-reduction initiatives including but not limited to; HAPI, falls, hospital acquired infections, workplace violence, and other critical safety priorities. Ensures timely response to safety events and reinforces learning, transparency, and reliability behaviors. Partners with Quality, Clinical Education, Infection Prevention, and Regulatory teams to drive improvement and sustain gains. Ensures compliance with all policies, standards of care, and regulatory requirements (CMS, Joint Commission, OHA). Coordinates operations across campus and system departments to provide evidence-based care that is safe, timely, effective, efficient, equitable, and patient-centered. Monitors and evaluates the quality, appropriateness, and cost-effectiveness of care delivered, and develops quality indicators and improvement strategies for nursing and clinical practice. Implements standards to ensure safe and effective nursing care in accordance with professional, medical, legal, and accrediting standards. Partners closely with the medical staff to integrate care delivery. Provides and maintains a safe environment for caregivers, patients, and guests. People & Culture Leads nurse managers, assistant nurse managers, educators, and frontline caregivers to foster a culture of engagement, belonging, trust, and accountability. Promotes psychological safety, supportive team dynamics, and a collaborative work environment. Champions and actively participates