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Directs, plans, controls, and coordinates the operating activities of an organization toward the achievement of established objectives. Responsible for the design, operation, and improvement of the system that creates and delivers the organization's products or services. Oversees and adjusts organization's processes and operations as necessary to ensure efficient and effective execution of policies and procedures. This position is typically the second highest executive in the organization. Title practices differ among organizations. For organizations that use the title of Chief Executive Officer for the highest executive, the second highest executive may have the title of President, President and Chief Operating Officer, or other variations. For organizations who use the title of President for the highest executive position, the title of the second highest position is often Chief Operating Officer. While titles may vary, this position is distinguished as the second highest executive whose responsibilities include operations. This position is nearly always the second highest paid position in the organization and is responsible for the entire operations of an organization related to policies, practices, and attainment of operating goals, while reporting directly to a CEO or Board of Directors.: Provides operational guidance in analyzing and appraising the effectiveness of organizational operations. Participates in the planning, development, implementation, and evaluation of strategic business and performance goals, short- and long-term objectives, plans, budgets, programs, and policies. Evaluates operating results throughout the organization to ensure that organization growth and objectives are being met. Guides and leads other members of management. Monitors the capital expenditure and asset redeployment activities.

Top Facilities Executive

Oversees and directs facilities operations to provide effective facilities management, medical building maintenance, construction projects, equipment upgrades and biomedical engineering.: Plans, organizes, implements and evaluates outcomes of the Facilities Department’s strategic plans. Manages building operations, maintenance and construction projects. Develops new strategies to enhance service and improve overall performance. Assures the ongoing development and implementation of policies and procedures that guide and support the provision of services. Implements and maintains quality control program. Assesses and communicates recommendations for utilization of space, space needs, equipment, personnel and other resources as needed to meet patient needs. Maintains facility plant and equipment in optimal condition. Assists in the enforcement of interim life safety plans and infection control risk assessments. Directs new construction and renovation projects to include interpreting needs of staff, design areas for functionality and optimal space use, development of budgets and justifications, supervision of contractors in the performance of their duties, and working directly with state and local authorities to assure compliance with applicable regulations. Reviews budgetary recommendations, manages, and monitors the department budget. Hires, develops and motivates a qualified facilities services management staff. May coordinate lease arrangements.

Operating Room Services Director

Directs nursing services provided in the operating room and patient holding and receiving areas to provide immediate and professional quality of care. Assists in establishing policies and procedures related to pre-operative, operative, and post-operative nursing functions. Typically requires licensure as a Registered Nurse and a minimum of five years of operating room nursing experience. : Establishes and maintains a clean and safe environment within the operating room suite and patient areas. Monitors care of the operating room suite and equipment to ensure that sterile techniques are used, equipment functions properly, and items are properly positioned. Develops schedules for the operating room suite and ensures proper levels of staffing of professional personnel during surgical procedures and post-anesthesia recovery. Monitors the preparation of patients for surgery and immediate post-operative care. Procures or directs ordering of drugs, materials, supplies, solutions, and equipment needed for successful functioning of the operating and recovery rooms. Ensures timeliness of surgical procedures by providing and controlling material, staffing, supplies, and equipment needed for procedures. Manages the maintenance of records on narcotics. Plans and manages capital needs for the operating room suite as well as departmental supply budgets. Prepares annual budget and monitors expenses. May manage the planning and coordination of the operating room scheduling system.

Operating Room Services Manager

Manages the nursing services in both the inpatient and outpatient operating rooms. Establishes policies and procedures related to nursing and patient care functions within operating rooms and post-operative care areas. Typically requires licensure as a Registered Nurse with two years of post operative or critical care experience.: Manages nursing supervisors who provide nursing services in both the inpatient and outpatient operating rooms. Establishes and maintains a safe and sterile environment. Procures equipment, supplies, and medications for operating rooms and post-operative care. Provides mechanisms for the appropriate control of drugs as provided within facility protocols. Assigns duties and coordinates nursing services. Evaluates nursing activities to ensure patient care, staff relations, and efficiency of service. Directs preparation and maintenance of patients' clinical records. Participates in orientation and training of personnel. Investigates and resolves complaints, or refers unusual problems to superior.

Building & Facilities Manager

Plans, directs, and coordinates, through staff of skilled, semiskilled, and unskilled trade personnel, activities concerned with the operation, repair, maintenance, and construction of facilities, equipment, buildings, and grounds to minimize interruption and improve efficiency. Plans such matters as design and development of plant facilities, formulation of operating rules, regulations, and procedures. Formulates procedures for use in event of accidents, fires, or other emergencies. Inspects plant facilities or reviews inspection reports, to determine repairs, replacement, or improvements required. Hires, trains, and supervises building service personnel. Assigns workers to duties such as maintenance, repair, or renovation and may obtain bids for additional work from outside contractors. : Plans and administers building department budget. Compiles records of labor and material cost for operating building and issues cost reports to owners or management. Reviews reports of expenditures for previous fiscal year and proposed improvements to facilities in order to prepare budget estimates for upcoming fiscal year. Purchases building and maintenance supplies, machinery, equipment, and furniture. May direct contracted projects to ensure adherence to specifications. May be responsible for procurement of utilities or operations of utility systems. May negotiate for acquisition of property for development or lease of buildings and facilities. May prepare construction specifications or plans, obtaining advice from engineering consultants, assemble and analyze contract bids, and submit bids and recommendations to superiors for action.

Hotel Facilities Manager

Manages lodging facility such as motels, small hotels, small apartment houses, or trailer parks to ensure efficient and profitable operation. Excludes full service motels. Typically directs supervisory level personnel. : Establishes standards for personnel administration and performance, service to patrons, room rates, advertising, publicity, credit, and type of patronage to be solicited. Allocates funds, authorizes expenditures, and assists in planning budgets. Interviews, hires, and evaluates personnel. Shows and rents or assigns accommodations. Registers guests. Collects money and records data pertaining to rates and expenditures. Answers patron's complaints and resolves problems. Purchases supplies and may arrange for outside services, such as fuel delivery, laundry, maintenance and repair, and trash collection. Cleans public areas, such as entrances, halls, and laundry rooms, and fires boilers. Makes minor electrical, plumbing, and structural repairs. Mows and waters lawns, and cultivates flowerbeds and shrubbery. Cleans accommodations after guests' departure. Provides daily maid service in overnight accommodations. May provide telephone answering service for tenants, delivers mail and packages, and answers inquiries concerning travel routes, recreational facilities, scenic attractions, and eating establishments. May rent equipment, such as rowboats, water skis, and fishing tackle. May coordinate intramural activities of patrons of park. May arrange for medical aid for park patron. May sell light lunches, candy, tobacco, and other sundry items.

Sewage Facilities Supervisor

Directs and coordinates work of subordinate personnel engaged in installing, maintaining, repairing, servicing, enlarging, and relocating sewage facilities. Studies proposed projects to evaluate most feasible approach for excavations and repairs, using land plats, topographical maps, and other source data. This position typically reports to a manager and is the first level of supervision in the organization.: Determines need for material and equipment required to complete project, such as type and size of pipe, fittings and unions, cranes, bulldozers, welders, or trenching machines, according to size and nature of project. Inspects project to evaluate progress and assure conformance to specifications. Confers with representatives of other utilities to coordinate work schedules for most effective and economic repair activities. Writes reports concerning manpower utilization, work progress, and disposition of materials. Prepares budget estimates based on anticipated material and personnel needs.

Supervisor Operating Systems Programming

Supervises activities of operating systems computer programmers and related staff engaged in the development, installation, maintenance, modification, testing, and control of computer operating system software. Supervises and coordinates activities of operating systems computer programmers and related staff. Supervises activities involving analyzing performance indicators, such as system's response time, number of transactions per second, and number of programs being processed at once, to ensure that system is operating efficiently. Typically reports to manager level in the organization and is a first line supervisor.: Changes system software so that system performance will meet objectives. Reviews computer system capabilities, workflow, and scheduling limitations to determine if requested changes to operating system are possible. Analyzes and resolves work problems, or assists employees in solving work problems. Develops and implements methods and procedures for monitoring work activities, such as preparation of records of expenditures, progress reports, etc., in order to inform management of current status or work activities. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action.

Operating Room Head

Supervises and coordinates all surgical unit and operating room services, including pre-operative and post-operative patient care. Oversees personnel in charge of maintaining cleanliness, sterility, and safety to patients and staff in operating room, and ensures proper functioning of equipment. Coordinates schedules and assigns responsibilities to nurses, technicians, and orderlies to ensure proper patient care. Requires a four-year degree in addition to clinical experience.: Maintains inventory of necessary materials, supplies, equipment, and medications and procures items as needed. Supervises personnel who prepare and file patient records. Coordinates services between surgical and other units in the medical care facility.

Operating Room Nurse

Performs a variety of duties to assist surgical team during surgical procedures. Ensures that all equipment is sterilized and inventoried prior to operation. Requires RN license as well as clinical experience.: Passes items to surgical personnel during procedure as directed. Maintains patient records during time in operating room, including fluids and narcotics administered to patient. Assists in moving the patient prior to and after the operation. Assists in clean-up of operating room after surgical procedure. Prepares reports, documenting operating room processes and performance.

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