Administrative Director of Emergency Services

Texas Nursing Services • Houston, TX

37d • $116,251 - $174,366

About The Position

A large, high-volume hospital system in Houston is seeking an experienced Administrative Director of Emergency Services to lead operations across the main Emergency Department and multiple Freestanding Emergency Departments (FSEDs).
With 80,000+ annual systemwide visits, this role offers the opportunity to influence clinical excellence, patient flow, operational efficiency, and long-term strategic growth. Ideal for a seasoned ED leader ready for a system-level impact role.

Requirements

• Bachelor of Science in Nursing (BSN).
• 3+ years of recent experience as an Acute Care ED Director or ED Manager (large-volume preferred).
• Demonstrated success leading high-acuity, high-volume emergency operations.

Nice To Haves

• Master’s degree (MSN, MHA, MBA, or related field).
• Experience overseeing multiple ED locations or complex organizational structures.
• Proven record of measurable performance improvements and operational achievements.

Responsibilities

• Implement evidence-based practices to enhance patient safety and outcomes.
• Ensure compliance with all regulatory and accreditation requirements.
• Monitor and standardize clinical practice to reduce variation and improve efficiency.
• Drive throughput strategies, including capacity planning, flow coordination, admissions, and discharges.
• Oversee nursing practice standards, policies, and service expectations.
• Advance a consistent, exceptional patient experience across all emergency care locations.
• Use patient feedback and performance metrics to guide improvement initiatives.
• Collaborate with patient experience teams to roll out service excellence strategies.
• Build a culture of engagement, accountability, and professional growth.
• Mentor and develop managers, supervisors, and emerging leaders.
• Implement retention and workforce stability strategies.
• Ensure staffing models support safe, effective patient care.
• Partner with executives and physician leadership to expand emergency services.
• Identify opportunities for growth, new service lines, and competitive differentiation.
• Stay current on market trends, reimbursement, and healthcare innovations.
• Lead annual budget planning and monitor financial performance.
• Manage labor resources, productivity, and premium pay.
• Identify cost-saving opportunities and operational efficiencies.
• Ensure appropriate use of supplies, technology, and equipment.

Benefits

• Competitive executive-level salary based on experience.
• Annual bonus eligibility (~17.5%).
• Relocation and sign-on considered individually.
• Comprehensive medical, dental, vision, retirement, and supplemental benefits.
• Tuition assistance, certification support, student loan resources, and dependent scholarships.
• PTO, paid family leave, disability coverage, and wellness programs.
• Leadership development and advancement pathways.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 101-250 employees