Overview

Job DescriptionJob DescriptionJoin a premier, high-volume tertiary medical center serving a rich and diverse urban patient population. As a Labor & Delivery Manager, you will oversee an expansive, high-acuity perinatal department supported by 24/7 dedicated Anesthesia, Laborist, and Level 4 Neonatology teams.Monthly Birth Volume: 550 - 600 deliveries / monthGestational Viability: Managing deliveries starting from 22-23 weeks gestationUnit Footprint:30 Labor Beds across primary and secondary L&D suites9-Bed OB Emergency Department (OB ED)4 Dedicated OB Operating RoomsOn-Site Level IV NICU: 77 bedsSpecialized Programs: Integrated Perinatal Addiction Recovery Program (for laboring patients and postpartum couplets), active Doula and Cultural Navigator programs, and TEAMBirth equity initiatives.Interprofessional Collaborative Teams: Maternal-Fetal Medicine (MFM), Certified Nurse-Midwives (CNMs), Attending OB/GYNs, Family Medicine, and Clinical Nurse Specialists (CNS).Position SummaryThe Labor & Delivery Nurse Manager provides 24/7 clinical, operational, and strategic leadership for assigned unit sections within the L&D department. Working in close collaboration with the Senior L&D Manager and Clinical Supervisors, you will foster a culture of safety, clinical excellence, staff retention, and continuous quality improvement.This role balances operational administration with active bedside visibility across all shifts to coach, develop, and advocate for front-line nursing teams.Key Responsibilities1. Operational & Clinical LeadershipDirect daily clinical operations, unit workflow, and patient assignments across all shifts in accordance with regulatory and professional nursing standards.Maintain 24/7 accountability for patient care delivery, bed utilization, and emergency triage flow between the main L&D floor, OB ED, and surgical suites.Maintain clinical visibility across day, night, and weekend shifts to assess care delivery, coach nursing staff, and support bedside operations during surge volumes.2. Quality, Safety & Evidence-Based PracticePartner with the Clinical Nurse Specialist (CNS) and Perinatal Educator to implement evidence-based practice changes and clinical protocols.Monitor and drive unit-level quality metrics, with an emphasis on NTSV C-section rate reduction, maternal hemorrhage protocols, and patient safety indicators.Lead unit-based Quality Improvement (QI) committees and implement corrective action plans for identified operational bottlenecks.3. Culture, DEI & Staff EngagementChampion Diversity, Equity, and Inclusion (DEI) initiatives to support a diverse patient population and interprofessional care team (e.g., TEAMBirth, Cultural Navigator integration).Develop and execute targeted staff retention strategies, tracking turnover metrics and cultivating a collaborative, supportive workplace environment.Oversee recruitment, interviewing, and hiring for experienced L&D RNs, traveling staff, and nurse residents/fellows.Handle labor relations tasks, including hearing and adjusting up to step-two grievances as needed.Qualifications & RequirementsRequired:Education: Bachelor of Science in Nursing (BSN) from an accredited program (OR an Associate Degree in Nursing ADN with a signed commitment to complete a BSN within 2 years of hire).Licensure: Active Registered Nurse (RN) License for the State of Washington (or eligible to obtain prior to start).Certifications: Active Basic Life Support (BLS) for Healthcare Providers via the American Heart Association (AHA).Experience: Minimum of 3 years of recent clinical nursing experience in Inpatient Labor & Delivery.Preferred:Education: Master's Degree in Nursing (MSN), Healthcare Administration (MHA), or related leadership field.Leadership Experience: 1+ years of formal first-line nursing management or supervisory experience (e.g., Assistant Nurse Manager, Supervisor, or high-volume Charge RN).Specialty Certification: Inpatient Obstetrics (RNC-OB), Electronic Fetal Monitoring (C-EFM),