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Registered Nurse (RN) - Director Perioperative - $169K-253K per year

Adventist Health

Kailua, HI

Health system employer

$169k–$253k/yr

Posted pay

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Adventist Health workplace
RNOR

Posted May 14, 2026 · Last seen active Jun 19, 2026

What this means for you

The posted pay pencils out to roughly $169k–$253k a year. It's a day shift — the busiest hours, the fullest crew, and your evenings back.

What the listing says

Base pay
$169k–$253k/yr
Shift
Days

About this role

Show full description
Adventist Health is seeking a Registered Nurse (RN) Director Perioperative for a nursing job in Kailua, Hawaii. Job Description & Requirements * Specialty: Perioperative * Discipline: RN * Start Date: ASAP * Duration: Ongoing * Employment Type: Staff Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community. Job Summary: Directs 24-hour management of assigned nursing units and departments to ensure delivery of quality nursing care. Plans, organizes, leads and evaluates nursing services within areas of specialty. Provides leadership and oversight to achieve strategic and operational objectives within the nursing department. Provides strategic direction for nursing and business operations. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment. Job Requirements: Education and Work Experience: * Bachelor’s Degree or equivalent combination of education/related experience: Required * Master's Degree: Preferred * Seven years' technical experience: Preferred * Five years' leadership experience: Preferred Licenses/ Certifications: * Registered Nurse (RN) licensure in the state of practice: Required Facility Specific License/ Certifications: * Basic Life Support (BLS OR HS-BLS OR RQI BLS) certification: Required Essential Functions: * Oversees and directs administrative services for Surgery, Outpatient Surgery Unit, Post Anesthesia Care Unit, Medical Ambulatory Care Unit, GI Labs and Central Sterile Processing. Develops and promotes professional growth and performance improvement activities. Participates in development and presentation of programs related to all of the above areas. Demonstrates the ability to meet the needs and provide service to all age groups-infancy through geriatrics. Directs, delegates and oversees work efforts to ensure delivery of quality service, quality outcomes and patient satisfaction. Projects anticipated volume and demand for resources, conducts cost analyses and analyzes and monitors budget reports and variances. Evaluates human and material resource utilization, makes necessary adjustments and collaborates with finance and other business personnel to develop new program initiatives. * Consults senior management to set priorities and goals. Provides leadership to staff, giving direction and guidance to managers and staff, as appropriate. Plans, budgets, organizes and manages the department to ensure operational and strategic objectives are met. Analyzes and interprets complex data sets and reports, like variance analyses, financial and quality information and population specific reports. * Establishes strategic and tactical plans for clinical services, new programs and human resource allocation. Monitors personnel performance within patient care and activities to ensure adequate patient care and work quality. * Directs and implements hiring processes, counseling, discipline and performance management for unit staff. Establishes staffing and scheduling systems and hires and develops staff to ensure sufficient competencies to provide optimum patient care. * Maintains 24-hour accountability and authority for decisions regarding patient care, unit operations and personnel management. Provides leadership for areas involving fiscal control, quality service, staff development and physician relations. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. #AHJOB Adventist Health Job ID #59100. Posted job title: director - perioperative services, full-time, day shift About Adventist Health Adventist Health is a faith-based, nonprofit, integrated health system serving more than 80 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope. We are committed to staying true to our heritage by providing patient-centered, quality care. Together, we are transforming the healthcare experience with an innovative and whole-person focus on physical, mental, spiritual and social healing to support community well-being. Benefits * Continuing Education * Bereavement * Medical benefits * Dental benefits * Vision benefits * Health Care FSA * 403b retirement plan * Employee assistance programs * Life insurance * Holiday Pay * 401k retirement plan * Sick pay * Health savings account

Skills for this role

SurgeryOutpatient Surgery UnitPost Anesthesia Care UnitMedical Ambulatory Care UnitGI LabsCentral Sterile Processing

Certifications

BLS

Requirements

  • RN
  • BLS certification required

Benefits

  • 401(k)
  • CE reimbursement

About the employer

Adventist Health logo
Adventist Health
Health system employer

Adventist Health is a faith-inspired, nonprofit integrated health system serving more than 100 communities on the West Coast and Hawaii with over 400 sites of care, including 27 acute care facilities, clinics, home care agencies, hospice agencies, and joint-venture retirement…

Adventist Health photo

What reviewers appreciate

  • Mission-driven culture with clear sense of purpose and faith-based values
  • 2025 Top Workplaces Culture Excellence recognitions for Employee Well-Being, Professional Development, and Employee Appreciation
  • Malcolm Baldrige National Quality Award recipient (Adventist Health Castle, 2017)

What reviewers flag

  • Management rated relatively low at 3.1 out of 5 on Indeed reviews
  • Job security and advancement opportunities rated below average at 3.2 out of 5
  • Pay and benefits rated moderately at 3.5 out of 5, suggesting compensation may not be highly competitive
mission-drivenfaith-basedcompassionatecommunity-focusedwhole-person carenonprofit

Living in Kailua, HI

Kailua sits on Oahu's windward coast, backed by the Ko'olau Mountains and fronted by the famous sands of Kailua Beach and Lanikai Beach. It's a laid-back beach town with a tight-knit community feel—a world away from Waikiki's bustle, yet close enough to Honolulu for hospital shifts.

Map showing the location of Kailua, HI
Kailua, HI on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Hawaii
10% above the national average
State index 110.0 (100 = national)

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities

Browse open roles in Kailua

On your path

Operating Room is a specialty you move into. Periop programs often train from the ground up.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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