Mid Level Registered Nurse Operating Room Jobs
Mid level registered nurse operating room jobs go to nurses ready to own complex cases, mentor newer scrub staff, and manage surgical workflows with minimal supervision. Roles are primarily on-site, concentrated in Healthcare & Medical Services, Science & Research, and Technology & Software, with employers like Ascension, Mary Washington Healthcare, and Orison Solutions hiring at this level now.
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Description
Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.
UNC Health Nash, an affiliated member of the UNC Health system, invites passionate healthcare professionals to join our esteemed team. Governed locally, we proudly serve a diverse patient base, spanning Nash, Edgecombe, Halifax, Wilson Counties, and beyond. With a steadfast commitment to elevating community health through exceptional care, we prioritize excellence, compassion, and innovation, ensuring every individual receives the highest standard of support. Joining our team means becoming an integral part of our dedication to wellness, where we constantly strive to redefine excellence in healthcare through state-of-the-art facilities and pioneering programs. Join us in this transformative journey, where your contributions will make a lasting impact on our community's health and wellbeing.
Summary:
UNC Nash Operating Room (OR) Charge Nurse plays a critical leadership role in ensuring the efficient and effective operation of Operating Room. This position is responsible for overseeing daily workflows, coordinating patient care, supporting clinical staff, and ensuring adherence to established policies and procedures. As a pivotal member of the perioperative team, the Charge Nurse facilitates communication between multidisciplinary teams, monitors patient safety standards, and fosters a culture of excellence, assist with quality and regulatory standard adherence in patient care.
Responsibilities:
Operational Leadership and Staff Management:
- Coordinate and oversee daily operations in the Operating Room to ensure efficient utilization of resources.
- Assign nursing staff and support personnel to surgical cases based on patient needs and staff expertise.
- Ensure timely starts for surgical procedures and resolve issues that may cause delays.
- Ensures that daily case volume is posted on the board along with the monthly budgeted cases. Assuring to staff to the volume and reduce staffing accordingly.
- Provide feedback, assist with performance evaluations, and providing staff with real time performance feedback accordingly.
- Collaborate with surgeons, anesthesiologists, and other healthcare professionals to optimize workflow.
Patient Care and Safety:
- Ensure all patients receive high-quality, safe, and compassionate care throughout the perioperative process.
- Monitor compliance with infection control policies, sterile techniques, and safety protocols.
- Rounds in rooms on team members throughout the day accordingly.
- Act as a resource for complex or challenging patient cases, providing guidance and expertise.
- Oversee accurate documentation of patient care in accordance with regulatory requirements. Performs chart audits as assigned.
Team Support and Supervision:
- Serve as a mentor and leader for nursing staff, fostering professional growth and development.
- Provide real-time support and problem-solving assistance to staff during surgical procedures.
- Conduct pre- and post-shift briefings to ensure seamless communication and alignment among staff.
- Address and escalate staffing or operational concerns to the Nurse Manager as needed.
- Demonstrates the ability to delegate to service line team leads accordingly.
Continuous Improvement:
- Participate in quality improvement initiatives, identifying areas for process enhancement and collaborating on solutions.
- Monitor and evaluate performance metrics such as case start times, turnover times, and compliance with standards of care as evidenced by performing assigned practice/quality audits accordingly.
- Support education and training programs to maintain staff competencies and promote evidence-based practices.
Other information:
Education:
- Graduate of an accredited School of Nursing.
- Bachelor of Science in Nursing (BSN) preferred.
Licensure/Certification:
- Current North Carolina Registered Nurse (RN) license.
- Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications required.
- CNOR certification preferred or willingness to obtain within 1 year of being in the CN role.
Experience:
- Minimum of 3-4 years of clinical nursing experience in the Operating Room or perioperative services.
- Previous leadership or charge nurse experience preferred.
Job Details
Legal Employer: Nash Hospitals
Entity: Nash UNC Health Care
Organization Unit: NGH Operating Room
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type: Onsite
Work Schedule: Day Job
Location of Job: NASH HC
Exempt From Overtime: Exempt: No
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
Qualifications
Primary Location: Rocky Mount, NC, US
Department: Nash Hospitals - Process Level
Shift: DAY JOB
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Top Industries Hiring
- Healthcare & Medical Services21
- Science & Research2
- Technology & Software2
- Consulting & Professional Services2
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Mid Level Registered Nurse Operating Room Jobs: Frequently Asked Questions
How do I get a mid level registered nurse operating room job?
Position your experience around clinical ownership: circulating and scrubbing independently across multiple surgical specialties, managing instrument counts without supervision, and responding to intraoperative complications. Tailor your resume to show specific procedures you handle confidently, any charge or resource nurse responsibilities, and contributions to team efficiency or patient outcomes. Certifications like CNOR strengthen your application significantly at this stage.
Which companies hire mid level registered nurse operating rooms?
Companies hiring mid level registered nurse operating rooms right now include Ascension, Mary Washington Healthcare, and Orison Solutions, based on current listings on Migrate Mate as of November 2026. Hiring at this level covers large health systems, community hospitals, and ambulatory surgical centers that need experienced perioperative nurses who can work independently across multiple service lines.
Are there remote mid level registered nurse operating room jobs?
Yes, though operating room nursing is predominantly on-site given the hands-on nature of surgical care. About 6% of mid level registered nurse operating room openings are remote or hybrid as of November 2026, and those positions typically involve perioperative education, clinical documentation review, surgical services coordination, or travel contracts with flexible assignments between facilities.
How do I move up to a mid level registered nurse operating room role?
Growing into a mid level role means building independence across a broad surgical specialty mix, not just logging hours in one service line. Seek out opportunities to scrub and circulate in trauma, cardiovascular, or orthopedic cases, take on charge responsibilities during shifts, and pursue your CNOR. Employers promoting nurses to mid level want to see consistent clinical judgment, not just tenure.
Which industries hire the most mid level registered nurse operating rooms?
Mid Level registered nurse operating room roles concentrate in Healthcare & Medical Services, Science & Research, and Technology & Software, based on current listings on Migrate Mate as of November 2026. These sectors drive demand because they support high surgical volumes, expanding outpatient procedure capacity, and the need for perioperative nurses experienced enough to function as independent clinical leads during complex cases.