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Legacy Health

Assistant Nurse Manager - NICU

Company : Legacy Health

Location : Portland, OR, 97227-1623

Job Type : Full Time

Date Posted : 2 January 2026

Overview

Relocation assistance available to nurses new to Legacy Health!

Nurses at Legacy embody our mission of making life better for others. It’s evident in their expertise as well as in their kind and caring nature. The Assistant Nurse Manager leads by example, providing support to the Nurse Manager in overseeing patient care and carrying the Legacy mission into every responsibility, whether it’s staffing, scheduling, budgeting or collaborating with peers. If you are ready to grow with a healthcare system that values your professionalism and compassion, please consider this opportunity.

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.

 The Neonatal Intensive Care Unit (NICU) is dedicated to caring for critically ill and premature infants. All care is evidence-based, designed and continually updated according to national and international best practices, and represents the leading edge of knowledge on how to best care for fragile newborns. We care for infants born up to 16 weeks early to 28 days old including premature babies, multiples and the very ill. We even have babies weighing under a pound.

Responsibilities

  • 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

  • Acts as a key resource and backup support for unit staff and departmental operations

  • Facilitates departmental workflow in collaboration with the Charge Nurse

  • 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

Qualifications

Education:

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

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.

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.

Licensure

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

Pay Range

USD $68.83 - USD $102.56 /Hr.

Our Commitment to Health and Equal Opportunity

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

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Frequently asked questions

Strong communication, decisive problem-solving, and empathy are vital leadership traits for an Assistant Nurse Manager in the NICU. Managing complex staffing schedules and supporting critical patient care requires not only clinical expertise but also the ability to motivate and guide nursing teams effectively.

While Nurse Managers focus on strategic oversight and budget management, Assistant Nurse Managers in NICU primarily handle day-to-day unit operations like staffing coordination, onboarding, and facilitating workflow. The assistant role acts as a critical support, ensuring seamless patient care and team performance.

NICU nursing professionals champion continuous education by assessing competencies and integrating the latest research into patient care protocols. This commitment ensures that fragile newborns receive care aligned with national standards and advances in neonatal medicine.

Legacy Health emphasizes compassionate leadership intertwined with clinical excellence. Their Assistant Nurse Managers actively participate in quality improvement initiatives and foster an inclusive culture, setting them apart in Portland's competitive NICU nursing landscape.

Candidates with MSN degrees and proven supervisory experience in critical care environments, especially neonatal units, typically stand out. Additionally, holding current Oregon RN licensure and BLS certification aligns well with Legacy Health’s standards.

Pay for this position ranges from approximately $68.83 to $102.56 per hour, reflecting both the specialized skills required and the regional market’s compensation trends for advanced nursing roles in pediatric intensive care.

Portland’s demand for NICU nurse leaders remains robust due to a growing pediatric population and advanced neonatal facilities like Legacy Emanuel. However, candidates with leadership experience and specialized certifications face less competition and better hiring prospects.

Portland's urban layout and public transit options can influence daily commutes. Nurses living near Legacy Emanuel benefit from reduced travel times, enhancing work-life balance, which is a significant consideration given the demanding NICU schedules.

Balancing hands-on care with managerial responsibilities involves juggling patient acuity, staff training, and operational logistics. The role demands adaptability to swiftly shift focus between direct nursing support and strategic planning to maintain unit efficiency.

Legacy Health ensures that Assistant Nurse Managers embody their mission by fostering compassionate leadership, supporting staff development, and prioritizing patient-centered care. This approach encourages nurses to enhance outcomes for vulnerable infants through teamwork and innovation.

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