A&R Recruiting Firm LLC
Lead with purpose. Inspire with compassion. Elevate care at one of Seattle’s most dynamic Women & Children’s campuses.
Our client—situated on the hill just above downtown Seattle—serves one of the region’s most diverse patient populations. Their Labor & Delivery service line is powered by deeply collaborative teams, innovative programs, and a shared commitment to equitable, culturally responsive care. They are seeking an engaged, personable, and forward-thinking Labor & Delivery Nurse Manager to help lead this high-volume, high-acuity environment.
About the Department
This is one of the busiest and most comprehensive perinatal programs in the Pacific Northwest:
• Labor & Delivery: 30 labor beds
• OB ED: 9 beds
• OB ORs: 4 operating rooms
• Births: ~550–600 per month
• Gestational Age: Deliveries beginning at 22–23 weeks
• NICU: Level IV, 77 beds
• Multidisciplinary Teams: MFM, Midwifery, OB, Family Medicine
• Specialty Programs: Addiction Recovery for pregnant/postpartum patients, Doula & Cultural Navigator programs
• 24/7 Services: Anesthesia, Laborist, Neonatology
• Unit Breakdown:
o 5 EAST Main L&D: 6-bed OB ED, 14 labor rooms, 2 ORs, Charge RN, Laborist
o 5 South: Scheduled C-sections, overflow labor, occasional Antepartum/Postpartum overflow, Charge RN
The Role
The Labor & Delivery Nurse Manager is accountable for the overall management, leadership, and daily operations of assigned L&D units. This leader ensures the delivery of safe, high-quality, culturally sensitive patient care—24 hours a day—while fostering a healthy, inclusive, and high-performing team environment.
Key Responsibilities
• Provide strategic and operational leadership for all clinical and administrative activities within assigned L&D units.
• Ensure patient care aligns with organizational mission, vision, values, and regulatory standards.
• Establish, implement, and monitor standards of nursing practice and patient care.
• Lead unit-based quality improvement initiatives, including development of goals, metrics, and performance outcomes.
• Conduct patient rounds, evaluate care delivery, and support patient/family satisfaction.
• Serve as a patient advocate, supporting ethical decision-making and cultural practices.
• Drive staff retention through coaching, development, and proactive engagement; monitor turnover and implement retention strategies.
• Maintain clinical competence and spend time across all shifts to support, mentor, and evaluate staff.
• Partner with CNS and Perinatal Educator to develop and implement education and evidence-based practice changes.
• Participate in hiring, interviewing, and onboarding of RNs, travelers, and residency/fellowship candidates.
• Hear and resolve grievances up to step two.
Leadership Qualities We’re Seeking
This role is ideal for a leader who is:
• Engaged and visible—present on the unit, connected to staff, and invested in team success.
• Collaborative—works seamlessly with the Senior L&D Manager, Clinical Supervisor, and W&C leadership.
• People-centered—committed to caregiver experience, patient experience, and team culture.
• Operationally strong—comfortable with staffing, budgeting, quality metrics, and throughput.
• DEI-driven—passionate about equitable care and culturally responsive practices.
Top Priorities & Strategic Goals
• Advance Diversity, Equity & Inclusion initiatives, including TEAMBirth and Doula/Cultural Navigator programs.
• Strengthen quality outcomes, with emphasis on NTSV and other key perinatal metrics.
• Support evidence-based practice adoption in partnership with CNS and Perinatal Education.
• Recruit and retain top nursing talent across all staffing pipelines.
Required
• Bachelor’s Degree in Nursing (BSN) or ADN with commitment to obtain BSN within 2 years.
• Washington State RN license (upon hire).
• BLS (AHA).
• 3 years of recent Labor & Delivery nursing experience.
Preferred
• Master’s Degree in Nursing or related field.
• 1 year of first-line management experience.
Compensation & Benefits
• Full-time, fully benefited leadership role
• Comprehensive medical, dental, vision, retirement
• Relocation assistance available