Manager, Preop/Pacu

OrthoVirginia; Herndon, Northern (VA, KY); Hybrid; USD 110,000 - 166,000; Full time

Job summary

OrthoVirginia is seeking a PACU Manager to direct perioperative nursing across PAT, Pre-Op, and PACU, ensuring safe, high-quality patient outcomes. The role provides clinical leadership, partners with physicians, and supports financial performance and patient experience.

Responsibilities include staffing, policy development, and regulatory compliance, with a focus on AAAHC and AORN guidelines. Experience in perioperative leadership is preferred, along with Virginia RN licensure.

Qualifications

• Graduate of an accredited school of nursing.
• BSN preferred.
• Current CPR, ACLS, and PALS certifications.
• Virginia RN license required.

Responsibilities

• Lead daily operations across PAT, Pre-Op, and PACU to ensure safe, efficient, patient-centered care.
• Establish and maintain nursing standards aligned with AAAHC and AORN guidelines.
• Recruit, supervise, and evaluate PAT, Pre-Op, and PACU staff.
• Develop staffing schedules and complete annual performance evaluations.
• Ensure compliance with regulations including HIPAA and OSHA.

Skills

Nursing leadership

Staff development

Communication

Education

Graduate of an accredited school of nursing

BSN preferred

Current CPR/ACLS/PALS certifications

Tools

AAAHC standards knowledge

Job description

At OrthoVirginia, you’re part of a team dedicated to delivering expert orthopedic and therapy care across the state. As Virginia’s largest provider of musculoskeletal care, we offer full-time and part-time opportunities in a collaborative, team-oriented environment. With more than 159 physicians in over 35 locations—including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads—OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy. Our nationally recognized specialists treat a full range of musculoskeletal injuries and conditions, helping patients of all ages move, heal, and thrive. Join us and become part of a trusted network committed to excellence in orthopedic care.

The Role

The PACU Manager directs and coordinates perioperative nursing care across the PAT, Pre-Op, and PACU phases, ensuring safe, efficient, and high-quality patient outcomes. This role provides leadership and oversight of nursing practice, serves as a role model for clinical staff, and partners closely with physicians and leadership to optimize clinical quality, patient experience, and financial performance.

Primary Responsibilities

• Lead daily operations across PAT, Pre-Op, and PACU to ensure safe, efficient, patient-centered care.
• Establish and maintain nursing standards aligned with professional practice, AAAHC, and AORN guidelines.
• Make informed decisions related to patient care and communicate effectively with multidisciplinary teams.
• Evaluate patient care programs and identify opportunities for improvement.
• Ensure compliance with all federal, state, and local regulations, including HIPAA, OSHA, and AAAHC standards.
• Ensure accurate and complete clinical documentation.
• Support quality improvement initiatives, audits, and accreditation of readiness.
• Recruit, retain, supervise, and evaluate PAT, Pre-Op, and PACU staff.
• Develop and manage daily, weekly, and monthly staffing schedules.
• Complete annual performance evaluations and provide ongoing coaching and support.
• Foster strong working relationships with physicians, leadership, and ancillary departments.
• Support cost-control initiatives while maintaining high standards of care.
• Recommend medical supplies and equipment based on clinical and operational evaluation.
• Assist with inventory management.
• Oversee pharmacy functions, registration staff, and payroll for direct reports.
• Assist in developing and revising nursing policies, procedures, and staffing models.
• Stay current on professional and regulatory trends impacting perioperative nursing.
• Participate in committees and special projects as assigned.
• Delegate responsibilities during absences as appropriate.

Position Requirements

• Graduate of an accredited school of nursing.
• BSN preferred.
• Current RN license in Virginia.
• Current CPR, ACLS, and PALS certifications.
• At least 5 years of clinical leadership experience in perioperative / PACU environment preferably in an ambulatory surgery setting.
• Working knowledge of AAAHC standards.

What Success Looks Like

• Engaged, high-performing PAT, Pre-Op, and PACU teams.
• Consistent delivery of safe, efficient, patient-focused care.
• Strong regulatory compliance and accreditation readiness.
• Improved operational efficiency and cost awareness.
• Trusted partnerships with physicians, leadership, and support teams.

Compensation

INDOP1 Compensation Range for this position: $110,400.00 - $165,600.00

Compensation for this role will be based on several factors, including the candidate's qualifications, relevant experience, education, skills, certifications, geography/market, and internal equity considerations.

This organization participates in e-Verify. Esta organización participa en e-Verify.

With more than 150 orthopedic specialists in over 35 locations in Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads, OrthoVirginia is Virginia’s largest provider of orthopedic medicine and one of the leading providers of physical, hand and occupational therapy. As one of the largest orthopedic specialty practices in the country, OrthoVirginia’s nationally recognized physicians provide advanced surgical and non-surgical care to patients of all ages.