Nursing Jobs in Estacada, OR
$114,233 - $194,188 / YEAR
Department Overview The Nurse Manager for Rapid Response, Care Escalation Pathway, and Code Blue Services plays a critical operational and clinical leadership role in ensuring timely and effective care for patients experiencing acute deterioration. This leader starts each day by reviewing activity from the prior shift, including Rapid Response Team (RRT) calls, Code Blue activations, Nurse Consults, and transfers from ICU to acute care. They evaluate documentation compliance, assess outcomes, and initiate follow-up or escalation where needed. Function/Duties of Position Throughout the day, the Nurse Manager serves as the primary liaison between the RRT nurses, ICU leadership, hospital medicine teams, and administrative stakeholders. This involves real-time troubleshooting of emergent issues, facilitating coordination for active RRT calls, and supporting clinical staff through coaching or immediate intervention. The Nurse Manager often participates in post-event debriefs, ensuring that care processes are reviewed, and lessons are translated into practice improvement. The are required to utilize the daily “huddle system” to escalate system barriers when encountered. On any given day, this leader may round on units to evaluate readiness, shadow RRT clinicians for quality assurance, and review the implementation of the adult and pediatric rapid response protocols. They ensure that workflows align with the overarching OHSU policy on RRT activation and location-based response procedures. The Nurse Manager chairs or participates in interdisciplinary huddles, RRT oversight committee meetings, and Code Blue steering groups. These meetings drive system-wide performance metrics, identify trends in adverse events or care delays, and support policy revisions or education plans. They may also coordinate high-fidelity simulations, mock codes, or Just Culture-based discussions related to recent cases. As a leader of both people and processes, the Nurse Manager manages staffing and schedules for the Rapid Response RN pool, ensures staff skills and annual competencies, and leads recruitment and onboarding. They support the emotional wellbeing of the responders, recognizing the high-intensity nature of this work, and may facilitate access to peer support or debriefings after difficult cases. This role is data-informed and improvement-driven. The Nurse Manager Actively: Monitors compliance with clinical practice standards and documentation requirements in the EHR. Conducts data analysis of RRT and Code Blue activations, including timeliness of response, interventions performed, and patient outcomes (ICU transfers, mortality, resuscitation success rates). Partners with Quality Management, Nursing Practice Specialists, Informatics, and Analytics to validate data accuracy and develop outcome dashboards. Identifies gaps in escalation processes, communication, or resuscitation effectiveness, and leads targeted quality improvement initiatives. Tracks and reports outcomes associated with resuscitation and rapid response events to executive leadership and regulatory bodies, ensuring alignment with national benchmarks. Incorporates findings from QI reviews into policy updates, education, and simulation design. In all tasks, the Nurse Manager embodies a culture of safety and urgency, ensuring that the hospital’s rapid response infrastructure is reliable, resilient, and aligned with patient care needs. They are a visible, hands-on leader—responsive to bedside staff, engaged with executive stakeholders, and grounded in both policy and frontline realities. The Nurse Manager provides operational and clinical leadership for Rapid Response, Care Escalation, and Code Blue Services, ensuring timely, coordinated care for patients experiencing acute deterioration. Core Responsibilities Daily Oversight: Reviews prior-shift activity (RRT calls, Code Blue activations, ICU transfers, and nurse consults), evaluates documentation and outcomes, and escalates issues as needed. Clinical Leadership: Serves as the primary liaison between RRT nurses, ICU leadership, hospital medicine, and administrators; provides real-time support, coaching, and debriefing for staff. System Readiness: Rounds on units, shadows RRT clinicians, and monitors adherence to adult and pediatric rapid response protocols and hospital policy. Data & Quality Improvement: Analyzes RRT and Code Blue data for timeliness, interventions, and patient outcomes (ICU transfer, survival, resuscitation success). Develops and monitors dashboards in collaboration with Quality, Informatics, and Analytics. Leads targeted QI initiatives to address trends, gaps, or delays in care. Reports outcomes to leadership and regulatory bodies, ensuring alignment with national benchmarks. Program Development: Chairs or participates in RRT oversight and Code Blue committees; partners with nursing professional development to facilitate mock codes, simulations, and Just Culture reviews to translate lessons learned into practice improvements. Team Management: Oversees staffing, scheduling, recruitment, and competencies for RRT staff; ensures responder wellbeing through support and debriefings. Leadership Expectation This role requires a visible, hands-on leader who integrates frontline realities with policy, drives outcome-based improvements, and fosters a culture of safety and urgency across the hospital. Required Qualifications Unencumbered Oregon RN License. BSN or higher degree in nursing and Master’s degree in nursing or related field, or in process. Five years of experience as a registered nurse in Utilization Management a nd t wo years recent related management/leadership experience. Professional certification in nursing leadership-Nurse Executive/Administrator within 3 years of assuming the manager role. Experience in complex organization environments. Ability to effectively manage multiple conflicting priorities. Proficient with word processing, computational spreadsheet (e.g., Excel), and presentation software. Additional Details Comprehensive health care plans that cover 100% for a full-time employee and 88% for dependents for .75 FTE and higher. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Paid time off- 208 hours per year (full-time), prorated for part-time Extended illness bank- 64 hours per year, prorated for part-time 9 paid holidays per year Three weeks of paid parental leave Adoption assistance program (up to 5k) Substantial Tri-met and C-Tran discounts Tuition Reimbursement Innovative Employee Assistance Program (EAP) All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. $136,635 - $232,252 / YEAR
Department Overview Doernbecher Childrens Hospital (DCH) PACU is a 26 bed combined Preprocedure/PACU. DCH PACU has 40 direct reports both RNs and CNAs DCH Perioperative services has 10 Surgical/Procedural rooms and cares for about 7500 patients a year Pediatric sedation is a 6 bed sedation unit that covers sedations across the Marquam hill campus Sedatoin has 22 direct reports that all RNs DCH has ASC Level 1 Certifications in both Pediatric Trauma and Childrens Surgical Verfication Function/Duties of Position The Nurse Manager (NM) is a Registered Nurse (RN) who is responsible for operational, human resources, quality, and financial management of the assigned inpatient unit. The NM works with the interdisciplinary team to translate and implement organizational and division priorities into the unit’s operations. The NM ensures a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff. The NM partners with the interdisciplinary care team to ensure the delivery of safe, quality patient care and compliance with administrative, regulatory and clinical policies and procedures. The NM implements quality and safety initiatives, leads process improvement, ensures adherence to hospital and clinical standards of performance, and human resource management. The NM ensures adherence to regulatory standards, bargaining unit agreements, hospital and clinical standards of performance, and human resource management. The NM creates and sustains a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff. The NM’s decisions and actions are based on the ethical principles outlined by the American Nurses Association’s Code of Ethics for Nursing. The NM practices in adherence with the American Nurses Association’s (ANA) Nursing Administration: Scope and Standards of Practice for Nurse Administrators, the ANA Code of Ethics for Nursing, the Oregon State Board of Nursing’s Nurse Practice Act, and within the context of the Nurse Executive Competencies developed by the American Organization of Nurse Executives (AONE). The NM exemplifies the principles of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture. Requires prioritization of multiple projects, activities, and assignments. Frequent interruptions in an environment of frequent change and fluctuations. May be exposed to excessive auditory and visual stimulation. For inpatient units: accepts 24/7 accountability and responsibility to include possibility of stepping into patient care or clerical role, as needed. For outpatient or special service-type units: accountability and responsibility for overall program during hours of operation and overall program coordination, including stepping into a clinical or clerical role as needed. May be required to attend out of town conferences according to hospital travel and reimbursement policies. Subject to computer work for several as needed Must be able to deal with competing needs and priorities of internal and external customers including ensuring safe conditions for patients, families and staff. Exercises the ability to implement a flexible work schedule to meet the unit needs and to create a work-life balance Required Qualifications BSN or higher degree in nursing. And Master’s degree in nursing or related field, or in process Five years of experience as a registered nurse in a related specialty And Two years recent related management/leadership experience. Professional certification in nursing leadership-Nurse Executive/Administrator within 3 years of assuming the manager role. Unencumered Oregon RN License BLS for healthcare provider Experience in complex organization environments. Ability to effectively manage multiple conflicting priorities. Proficient with word processing, computational spreadsheet (e.g., Excel), and presentation software. Preferred Qualifications Master’s degree in nursing leadership Experience in nursing management Three years of recent management experience in the related clinical area of practice Additional Details Comprehensive health care plans that cover 100% for a full-time employee and 88% for dependents for .75 FTE and higher. $50K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Paid time off- 208 hours per year (full-time), prorated for part-time Extended illness bank- 64 hours per year, prorated for part-time 9 paid holidays per year Three weeks of paid parental leave Adoption assistance program (up to 5k) Substantial Tri-met and C-Tran discounts Tuition Reimbursement Innovative Employee Assistance Program (EAP) All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu. LinkedIn Job Code 
