High Risk Jobs in Portland, OR (NOW HIRING)

Assistant Nurse Manager - Family Birth Center

Join Our Family Birth Center Team as an Assistant Nurse Manager at Randall Children's Hospital!

Nurses at Legacy embody our mission to make life better for others. Within the Family Birth Center at Randall Children's Hospital, the Assistant Nurse Manager (ANM) plays a critical leadership role in ensuring safe, high-quality care for birthing persons, newborns, and families across the perinatal continuum, including antepartum, labor & delivery, operative birth, and postpartum recovery. 

The ANM leads by example-partnering with the Nurse Manager to oversee daily operations while supporting a culture of compassionate, family-centered care, clinical excellence, and interdisciplinary collaboration. This role is integral to sustaining a high-risk, high-acuity environment within one of the region's referral centers, working closely with OB providers, midwives, neonatology, anesthesia, and the Level IV NICU. 

This is an opportunity to contribute to a dynamic Family Birth Center environment that emphasizes safety, inclusiveness, patient partnership, and evidence-based maternity care practices.

Nurses at Legacy embody our mission to make life better for others. Their expertise, combined with a kind and compassionate approach, sets the standard for exceptional care. The Assistant Nurse Manager leads by example - supporting the Nurse Manager in overseeing patient care and ensuring our mission is reflected in every aspect of their role, from staffing and scheduling to budgeting and collaboration.

Randall Children's Hospital at Legacy Emanuel is a regional center for the care of infants, children and teens. We offer unrivaled pediatric expertise in a state of- the-art facility designed exclusively for children. From routine care to the most complex cases, pediatricians and families trust us to provide the most advanced medical and surgical care for kids.

Why Join the Family Birth Center Team

• High-risk, regional referral center with advanced OB and neonatal capabilities.
• Collaborative environment with strong interdisciplinary partnerships.
• Commitment to professional growth, leadership development, and clinical excellence.
• Inclusive, team-based culture focused on doing the right thing for patients and staff.

Operational Insights

• Dedicated OB Anesthesia and 24/7 OB Hospitalist coverage.
• Teaching hospital with high-risk and low-risk deliveries.
• Waterbirth options available.
• Facilities include 3 Triage rooms, 12 LDRs, 3 OB ORs, and a 24-bed Postpartum unit.
• Robust nurse residency program.

Work Environment

• Newly built unit (2021) with a spa-like atmosphere.
• 360 views of Portland.
• Spacious labor rooms with large windows.
• Collaborate with a Level IV NICU for newborns requiring a higher level of care.

Key Responsibilities

Operational Leadership

• Provide leadership support to the Nurse Manager in overseeing FBC daily operations, including labor, delivery, triage, and postpartum care.
• Manage staffing and scheduling in alignment with AWHONN staffing guidelines and patient acuity needs.
• Support coordination of patient flow across triage, LDR rooms, ORs, and postpartum units.
• Serve as the operational leader in the Nurse Manager's absence.

Clinical Practice & Quality

• Ensure delivery of safe, evidence-based care across the perinatal continuum, including high-risk obstetrics and surgical/operative births.
• Promote adherence to Legacy standards of care, RN Scope & Practice, and patient assessment and transfer protocols.
• Lead and support quality and safety initiatives, including maternal/newborn outcomes, fetal monitoring practices, and emergency readiness.
• Foster clinical excellence through competency validation (e.g., NRP, fetal monitoring, STABLE) and ongoing education.

Staff Development & Engagement

• Oversee orientation, onboarding, and competency development for FBC nursing staff.
• Mentor and develop staff, including charge nurses and emerging leaders.
• Support participation in resuscitation, preceptorship, and residency programs.
• Promote an inclusive, respectful environment where all team members are valued.

Interdisciplinary Collaboration

• Collaborate with physicians, midwives, anesthesia, neonatology, and ancillary teams to ensure coordinated, patient-centered care.
• Support implementation of TeamBirth or similar shared decision-making models to enhance communication and patient engagement.
• Partner with NICU teams to ensure seamless care for newborns requiring higher levels of support.

Patient & Family Experience

• Champion family-centered, culturally responsive care for birthing persons and their support systems.
• Ensure a supportive environment that balances high clinical acuity with comfort, safety, and dignity.
• Support patient education and engagement throughout the birth experience.

Administrative & Financial Management

• Assist with budget monitoring, productivity, and resource utilization.
• Support workflow optimization and process improvement across the Family Birth Center.
•  Contribute to regulatory readiness and compliance with applicable standards.

• Provides support and managerial assistance to the Nurse Manager in overseeing daily unit operations, including:

  • Staffing and scheduling

  • Orientation and onboarding

  • Education and competency assessment

  • Budget monitoring

  • Establishing and maintaining patient care standards

  • Promoting evidence-based practice

  • Implementing quality improvement initiatives

  • Serves as the primary resource for staff and the organization in the Manager's absence
  • Reports directly to the Nurse Manager and assists in overall department management

Education

• Academic degree in nursing (BSN or MSN/MN) required.
• MSN/MN preferred.

Experience

• Clinical expertise in obstetrics, labor & delivery, or Family Birth Center setting required.
• Minimum two years of leadership experience (charge nurse, preceptor, or formal leadership role).
• Experience in high-risk obstetrics or regional referral center preferred.

Skills & Competencies

• Strong clinical knowledge in perinatal nursing, including high-risk labor management and newborn stabilization.
• Demonstrated ability to lead in a fast-paced, high-acuity environment.
• Excellent communication and collaboration skills across interdisciplinary teams.
• Proven ability to support staff engagement, development, and inclusive team culture.
• Strong operational skills in staffing, workflow, and resource management.

Certifications

• Current RN license. 
• BLS and NRP required.
• ACLS, STABLE, and advanced fetal monitoring (or ability to obtain within required timeframe).
• Experience:

• Relevant clinical nursing experience at proficient to expert level of practice required with two years supervisory, leadership, or charge nurse experience in health care.
• Experience in Women's Services/LDRP preferred.

Skills:

• Excellent interpersonal and communication skills, both written and verbal.
• Strong problem-solving, decision-making and time-management skills.
• Demonstrated knowledge of operations, including staffing, scheduling, productivity management, workflow planning and staff development.
• Proficient in use of PC-based computer software including Microsoft Office applications.

• Current applicable state RN license required.
• Current BLS for Provider certification from the American Heart Association required.

#LI

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you