Director of Emergency Services

Texas Nursing Services•Marion, NC

55d•$78,894 - $140,000•Onsite

About The Position

Lead emergency services at a 65-bed community hospital with a 15-bed emergency department in Marion, North Carolina, serving McDowell County with 26,000 annual visits. This Director of Emergency Services role oversees 50 FTEs and high-performing Clinical Nurse Coordinators (no managers) in a facility recognized by Leapfrog Group as Best Performer for pediatric imaging and "A" grade for Patient Safety. The hospital treats high-acuity patients and has a pending ER expansion project underway. The facility offers comprehensive services including family medicine, internal medicine, pediatrics, orthopedics, urology, obstetrics/gynecology with 5 labor and delivery suites, and walk-in care. The position reports to the CNO (4-year tenure) with a new Medical Director who started in June. Marion offers Blue Ridge Mountain beauty, low cost of living, outdoor recreation, and small-town community feel with proximity to Asheville.

Requirements

Bachelor's Degree or approved education plan
Current North Carolina RN license in good standing or active multi-state compact license
Minimum 1 year of applicable emergency services leadership experience
Proven track record of strong metrics, performance achievements, and operational improvements (must be documented on resume)
Demonstrated expertise in emergency department operations and high-acuity patient care
Strong leadership, communication, and strategic planning skills
Financial acumen and budget management experience

Nice To Haves

Bachelor of Science in Nursing (BSN)
Master's Degree in Nursing, Healthcare Administration, or related field
3+ years of emergency services leadership experience
Very recent ED Manager experience will be considered
Experience in community hospital emergency departments
Background in ER expansion or facility development projects

Responsibilities

Ensure high-quality, patient-centered emergency care through oversight of staffing, operations, forecasting, planning, and budget monitoring for 15-bed ED.
Foster culture of accountability and collaboration while supporting development and implementation of strategies, policies, and procedures.
Direct emergency department operations serving 26,000 annual visits with high-acuity patient population in community hospital setting.
Oversee 50 FTEs and high-performing Clinical Nurse Coordinators to deliver seamless emergency care and operational excellence.
Develop and implement evidence-based practices, policies, and procedures to advance patient safety and quality outcomes.
Manage departmental budget including revenue forecasting, expense monitoring, labor productivity, and resource allocation.
Monitor key performance indicators, patient satisfaction scores, and quality metrics to drive continuous improvement.
Ensure compliance with Leapfrog, Joint Commission, CMS, and state regulatory standards for emergency services.
Lead ER expansion planning and implementation to meet growing community needs and enhance service delivery.
Collaborate with new Medical Director, CNO, physicians, and interdisciplinary teams to optimize emergency care delivery.
Build and retain high-performing emergency teams through talent acquisition, coaching, performance management, and professional development.
Leverage feedback mechanisms to benchmark performance and identify opportunities to elevate patient experience.
Provide visible, accessible leadership supporting staff engagement and maintaining low turnover environment.
Ensure efficient patient flow, throughput, and care coordination in high-acuity community emergency setting.