PACU Supervisor-RN

Pacific Northwest Fertility (PNWF), is seeking a full time, experienced, organized, and compassionate Registered Nurse to lead our PACU team at our Bellevue location. This is a hands-on supervisory role that combines active patient care in the post-anesthesia care unit (PACU) with operational leadership across pre-op, intra-op, and post-op functions.

The PACU & Surgical Services Supervisor is responsible for the day-to-day management of the OR/PACU environment, supervision of the clinical support team, quality assurance and accreditation compliance (AAAHC), staff development, and works in close collaboration with our physician and anesthesia teams. This individual sets the tone for a safe, efficient, and patient-centered surgical experience.

The ideal candidate brings previous PACU or perioperative RN experience, a proven leadership presence, and the exceptional professionalism that our patients and team deserve during some of the most meaningful moments of their lives.

Essential Functions:

Patient Care- PACU/Pre Op/Post Op
• Provides direct, high-quality nursing care to patients in the PACU, ensuring safe and compassionate recovery following fertility-related surgical procedures (egg retrievals, D&Cs, hysteroscopies, and other in-office procedures).
• Conducts pre-operative assessments, patient education, and informed consent verification prior to procedures.
• Monitors patient recovery, manages pain and nausea, assesses for complications, and determines readiness for discharge using evidence-based criteria.
• Administers medications and IV therapy within scope of practice; demonstrates competency in IV placement and relevant pharmacology.
• Communicates clinical updates and any concerns to the physician and anesthesia provider promptly and clearly.
• Maintains a calm, reassuring presence with patients and their support persons throughout the perioperative experience.

Supervisory and Operational Leadership
• Oversees all clinical activity across the OR, pre-op, and PACU areas, ensuring smooth patient flow and appropriate staffing coverage throughout the surgical day.
• Directly supervises PACU nursing staff and Medical Assistants assigned to the surgical services team; provides real-time guidance, feedback, and support.
• Manages day-to-day staff scheduling for the PACU/OR team, including weekday coverage, holiday rotation, and occasional weekend shifts.
• Participates in recruiting, interviewing, and hiring for PACU and clinical support positions in collaboration with the Director of Clinical Services.
• Conducts regular staff performance evaluations and provides ongoing coaching and mentorship.
• Serves as the primary liaison between clinical support staff and the physician and anesthesia teams, facilitating clear communication and rapid problem resolution.
• Leads and attends relevant departmental huddles, leadership meetings, and scheduled 1:1s with the Director of Clinical Services.

Training and Onboarding Develops and implements orientation and onboarding programs for new PACU staff and Medical Assistants rotating through the surgical services area.
• Trains staff on PACU protocols, equipment operation, emergency procedures, documentation requirements, and patient care standards.
• Coordinates ongoing in-service education to keep all team members current with evolving clinical practices, regulatory requirements, and PNWF protocols.
• Maintains current knowledge of BLS/ACLS requirements for the team; coordinates compliance tracking and renewal.

Quality Assurance, Compliance, and Accreditation
• Participates in the Quality Assurance committee and helps lead applicable trainings and studies for quality maintenance at PNWF.
• Serves as a primary contributor to PNWF's AAAHC accreditation preparation,…