Organ Administrator on Call (AOC) - Night Shift

At HonorBridge, our mission is to build connections that save and heal lives through organ and tissue donation. Every donation opportunity depends on timely decisions, clinical expertise, and leaders who can navigate complex situations when every moment matters.

We are seeking an Organ Administrator On Call (AOC) to provide real-time clinical and operational leadership across the organ donation continuum. This is an opportunity for an experienced donation professional to serve as the central decision-maker during active donation activity, ensuring donor opportunities progress safely, efficiently, and in alignment with HonorBridge standards and OPTN policy.

This is a remote opportunity for North Carolina residents or individuals planning to relocate to North Carolina. This position works overnight 12-hour shifts, including weekends and holidays.

The Opportunity

The Organ Administrator On Call serves as the operational and clinical leader for donation activity across the HonorBridge service area, from referral through recovery.

Working as a Referral AOC, Case AOC, or both as operational needs require, this role provides direction and oversight for active donation cases, staffing decisions, donor evaluation, organ allocation, and escalation management. The AOC serves as a critical resource for HonorBridge staff, hospital partners, transplant centers, surgeons, and medical directors while ensuring donation activity progresses efficiently, safely, and in accordance with organizational and regulatory standards.

This position combines clinical expertise, operational leadership, critical thinking, and relationship management in a dynamic environment where decisions directly impact donation outcomes and lives saved.

What You'll Be Doing

In this role, you will:

• Provide real-time clinical and operational leadership for organ donation activity from referral through recovery.
• Serve as Referral AOC, Case AOC, or both, directing case progression and ensuring continuity across the donation process.
• Monitor active referrals and donor cases to identify priorities, barriers, follow-up needs, and opportunities to improve outcomes.
• Make staffing and resource allocation decisions during on-call shifts to support safe and effective donation operations.
• Serve as the primary escalation point for on-call staff, transplant centers, hospital partners, surgeons, and internal stakeholders.
• Exercise independent clinical judgment regarding donor suitability and organ allocation while appropriately escalating decisions outside the scope of AOC authority.
• Facilitate huddles and collaborative discussions to address operational, staffing, and case-related concerns.
• Review and oversee documentation within LifeLogics True North (LLTN), DonorNet, and other operational platforms to ensure accuracy, timeliness, and compliance.
• Ensure required checkpoints, quality reviews, and documentation standards are completed throughout the donation process.
• Identify and communicate patient safety concerns, operational risks, performance issues, and quality events requiring leadership review.
• Provide consultation, guidance, coaching, and education to on-call personnel and clinical staff.
• Build and maintain effective working relationships with HonorBridge leaders, clinical teams, physicians, hospital partners, and transplant centers.
• Maintain current knowledge of OPTN policies, regulatory requirements, and HonorBridge standards and apply them in real-time decision-making.
• Participate in case reviews, after-action reviews, quality initiatives, staff meetings, and educational programs that strengthen organizational performance.

What You'll Bring

We're looking for a professional who remains calm under pressure, demonstrates sound clinical judgment, builds trust with others, and can confidently guide teams through complex and time-sensitive situations.

Minimum Qualifications

• Bachelor's degree in a healthcare-related field.
• CPTC certification required.
• Four or more years of clinical experience in organ recovery.
• Strong knowledge of organ donation processes, donor management, allocation, and recovery operations.
• Working knowledge of OPTN policies and procedures with the ability to apply policy in real-time operational situations.
• Demonstrated ability to make independent decisions in high-pressure and high-stakes clinical environments.

Work Environment & Physical Requirements

This is a remote position requiring reliable internet and cellular service.

The role requires availability and response within five minutes during scheduled on-call shifts, including overnight, weekend, and holiday coverage. Candidates must be able to remain alert and responsive during extended shifts and periods of high activity.

Physical requirements include prolonged sitting and computer use, occasional standing and lifting up to 20 pounds, visual acuity, finger dexterity, and frequent use of communication technology.

Why HonorBridge?

Donation is a mission that depends on exceptional people making thoughtful decisions at critical moments.

As an Organ Administrator On Call, you'll serve as a trusted leader during some of the most important moments in the donation process. You'll guide teams through complex situations, support hospital and transplant partners, and help ensure that every potential donation opportunity receives the expertise, attention, and advocacy it deserves.

If you're energized by clinical leadership, operational decision-making, meaningful collaboration, and the opportunity to make a direct impact on lives saved and healed through donation, we'd love to hear from you.

What We Offer

• Medical, Dental, and Vision Insurance
• Health Savings Account
• Flexible Spending Accounts
• 401(k) with Employer Match
• Paid Vacation and Sick Time
• Life Balance Account Reimbursement
• Financial Finesse Program
• Professional Development Opportunities
• Career Growth and Advancement
• The opportunity to make a meaningful difference every day through the gift of life.