Principal Duties and Responsibilities

Operational Leadership

· Coordinates and monitors schedules, payroll, and other unit-based systems to support patient care.

· Develops and maintains systems for collecting information to measure unit productivity.

· Monitors management reports on expenditures, reports findings to the Senior Director and Directors of Operations and initiates corrective actions as appropriate.

· Maintains hospital service standards, with particular attention to personal/behavioral conduct, teamwork, and patient–staff interactions.

Financial and Payroll Management

· Completes weekly payroll and enters data for schedules and actual staffing into the system.

· Assists with the collection and analysis of budget information.

Personnel and Records Management

· Maintains staff records including sick time, FMLA, per diem use, schedules, turnover, license renewal, in-services, competencies, and educational documentation.

· Oversees maintenance of confidential personnel records, including status changes, terminations, and requisitions.

· Ensures compliance with regulatory requirements including Annual Infection Control, Fire and Safety, OSHA, and other mandates.

· Responsible for hiring, termination, and performance evaluations of all staff.

· Oversees and coordinates staff orientation, ensuring smooth onboarding and consistent processes.

Sterile Processing Oversight

· Provide leadership and supervision to the Central Sterile Processing (CSP) team, fostering a collaborative and efficient working environment.

· Recruit, train and manage CSP staff, including technicians and support personals.

· Implement and oversee quality control measures to ensure the cleanliness and sterility of medical instrumentation and equipment.

· Oversee the proper functioning and maintenance of sterilization equipment, including autoclaves and other sterilization devices.

· Manage and maintain the inventory of sterile supplies, instruments and equipment.

· Manage the budget for the CSP department, including personal cost, equipment purchases and supplies.

· Collaborate with surgical, medical, and nursing teams to ensure timely and accurate supply of sterile instruments.

· Performs other duties as assigned

· complies with all polices and standards

Supply and Equipment Oversight

· Oversees inventory control, purchasing of supplies, and maintenance of capital equipment.

· Responsible for oversight of inventory control and purchases for DSU. This includes materials and equipment for 4 ORs, Anesthesia, OR Specialty Items, OR Tissue Bank and human tissue products, instrumentation, and all ambulatory clinic locations.

· Establishes and maintains par levels for supply items, ensuring audit trails for all ordered and received equipment.

· Ensures regulatory compliance by development and execution of policies that promote appropriate implant tracking and tissue storage methods.

· Coordinates all implant, supply and equipment recalls for the OR and ensures appropriate communications to the vendor and Risk Management as necessary.

· Ensures equipment is safe, operational, and in proper working condition in collaboration with other departments.

· Works with the patient care team to evaluate and introduce new products, supplies, and technology.

· Monitors and rectifies vendor compliance, performance or non-performance and conducts periodic business review meetings. Directs interactions with vendors to ensure a compliant and safe environment.

· Partners with OR Billing team to ensure supply charge accuracy.

Quality and Compliance

· Collaborates with the Senior Director and Directors of Operations to ensure the unit is regulatory-ready at all times.

· Participates in quality improvement projects and contributes to development of systems and policies that improve unit efficiency and patient care outcomes.

· Develops and maintains systems to ensure confidentiality and integrity of patient records in compliance with hospital standards.

· Ensure compliance with relevant regulatory agencies but not limited to The Joint Commission (TJC), OSHA, and other accrediting bodies.

Communication and Special Projects

· Creates and implements systems for filing and distribution of unit communications (policy changes, announcements, staff meeting minutes, bulletin boards, and email lists).

· Produces and maintains management data related to operational needs and projects.

· Completes assigned special projects and develops initiatives to enhance operations.

Other Duties

· Performs other related duties as assigned to support the effective and efficient functioning of the unit.