Key responsibilities include managing staffing assignments, coordinating case flow and room utilization, overseeing add-on and emergency surgeries, facilitating communication among surgeons, anesthesia, PACU, Sterile Processing, and nursing staff, and addressing operational issues that arise throughout the shift. The role serves as a clinical resource for staff, promotes patient safety and regulatory compliance, monitors throughput and turnover times, manages resource availability, and ensures continuity of operations while supporting staff development and maintaining a positive team environment.