Director – Emergency Services

Texas Nursing Services • San Antonio, TX

2d • $130,000 - $150,000

About The Position

A growing acute care hospital in the San Antonio area is seeking an experienced Director of Emergency Services to lead a high-volume Emergency Department through continued growth and expansion. This role provides strategic, operational, and clinical leadership with a strong emphasis on accountability, patient throughput, staff engagement, and quality outcomes. This is an excellent opportunity for a proven Emergency Department leader who thrives in fast-paced environments, values collaboration, and is ready to drive the next phase of departmental performance.

Requirements

• Bachelor’s Degree in Nursing (BSN).
• Active, unencumbered RN license in Texas (or compact eligible).
• Minimum 1 year of recent Emergency Department Director experience (exceptionally strong ED Managers may be considered) .
• Minimum 3 years of recent Emergency Department clinical experience .
• Demonstrated success with operational metrics, quality outcomes, and staff leadership.

Nice To Haves

• Master’s Degree in Nursing, Healthcare Administration, or related field.
• Experience leading high-volume Emergency Departments.
• Strong background in throughput optimization and employee engagement initiatives.

Responsibilities

• Provide overall leadership and operational oversight for Emergency Services.
• Ensure safe, high-quality, patient-centered emergency care delivery.
• Lead staffing strategy, scheduling, productivity management, and position control.
• Drive patient throughput, flow optimization, and surge planning initiatives.
• Develop, implement, and enforce clinical standards, policies, and procedures.
• Monitor regulatory compliance, accreditation standards, and quality benchmarks.
• Foster a culture of accountability, transparency, and interdisciplinary collaboration.
• Lead and develop Emergency Department leadership team, including managers and charge nurses.
• Partner with physicians and hospital leadership to advance departmental and organizational goals.
• Manage departmental budgets, operating expenses, and cost-containment initiatives.

Benefits

• Competitive leadership-level salary with strong incentive potential.
• Sign-on bonus and relocation assistance for qualified candidates.
• Comprehensive medical, dental, and vision coverage.
• Retirement plan with employer contribution.
• Paid time off and holiday benefits.
• Professional development and leadership growth opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Director