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Emergency Services Nursing Director

Location: San Antonio, Texas
Compensation: $110,000 – $150,000 per year + Annual Incentive Opportunity + Full Benefits
Schedule: Full-Time, Days

Position Summary:
The Emergency Services Nursing Director provides visionary and strategic leadership for all nursing and patient care operations within the Emergency Department (ED) at [Hospital Name/Organization]. Reporting directly to the Chief Nursing Officer (CNO), this role holds 24/7 responsibility for clinical and operational management, ensuring the delivery of safe, high-quality, and efficient emergency care services.

The Director will lead a diverse team of nurses, advanced practice providers, and support staff, cultivating a culture of clinical excellence, teamwork, critical thinking, and resilience in this fast-paced environment. Key areas of focus include staff development, patient throughput optimization, resource management, quality improvement initiatives, and adherence to regulatory standards.

Key Responsibilities:

• Provide strategic and operational leadership for the Emergency Department, aligning departmental goals with the hospital’s mission and strategic objectives.

• Oversee daily ED operations, ensuring timely and effective patient triage, assessment, treatment, and discharge.

• Develop, implement, and evaluate evidence-based nursing practices, policies, and procedures specific to emergency care.

• Lead, mentor, and develop nurse managers, charge nurses, and clinical staff, fostering accountability, professional growth, and continuous learning.

• Ensure ongoing competency and training of ED clinical staff, with an emphasis on critical care and emergency protocols.

• Collaborate with physicians, hospitalists, specialists, and interdisciplinary teams to deliver optimal patient outcomes and experiences.

• Drive quality improvement initiatives, monitor key performance indicators (e.g., patient flow, wait times), and implement action plans to enhance patient safety and care effectiveness.

• Manage the department’s budget, ensuring efficient resource utilization, appropriate staffing, and fiscal accountability.

• Maintain a visible leadership presence within the ED, serving as a clinical resource and advocate for patients and staff.

• Ensure full compliance with regulatory and accreditation standards governing emergency care.

• Serve as a liaison between the ED and other hospital departments, as well as external EMS agencies, to promote seamless coordination and communication.

• Lead the development of new programs and services to address community needs and enhance emergency care offerings.

• Oversee disaster preparedness and emergency response initiatives for the department and hospital.

Qualifications:

Required:

• Active and unencumbered Registered Nurse (RN) license in the State of Texas.

• Current certifications in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).

• Bachelor of Science in Nursing (BSN) from an accredited nursing program.

• Minimum of five (5) years of recent clinical experience in an Emergency Department setting.

• At least two (2) years of progressive leadership experience within a hospital ED, such as Nurse Manager, Assistant Nurse Manager, or full-time Charge Nurse with significant leadership responsibilities.

• Strong leadership, critical thinking, and decision-making abilities in high-acuity environments.

• Excellent communication and interpersonal skills, with the ability to effectively engage with patients, families, physicians, and staff, even under pressure.

• Proven experience in budget management and resource allocation.

• Thorough knowledge of regulatory and accreditation requirements for emergency care services.

Preferred:

• Master of Science in Nursing (MSN) or a master's degree in a healthcare-related field.

• CEN (Certified Emergency Nurse) certification.

• Experience with process improvement methodologies such as Lean or Six Sigma.

• Background in high-volume Emergency Departments or Level II Trauma Centers.

Compensation & Benefits:

• Salary: $110,000 – $150,000 per year

• Comprehensive Benefits Package including:

  • 401(k) with employer matching

  • Dental insurance

  • Employee assistance program

  • Flexible spending account (FSA)

  • Health insurance

  • Life insurance

  • Paid time off (PTO)

  • Tuition reimbursement

  • Vision insurance