The decision to extend an offer or not rests with the manager with the open position. While others may participate in the interview and have input, it truly does come down to one person. As an educator, I can participate in an interview and provide feedback to the manager, but I cannot extend an offer. Probably not the best thing that the nurse manager with the open position was not able to attend the interview, but it's not unheard of- there are actutally 4 specialty coordinators in my OR (similar to an assistant nurse manager role) who report to the nurse manager. They work as a team when it comes to interviews- if someone is unavailable (needs to assist someone in a surgery/assist during an emergency/etc), another will step in.