Director of Emergency Services

Texas Nursing Services•Austin, TX

3d•$130,000 - $170,000•Onsite

About The Position

Lead comprehensive emergency services at a 368-bed acute care facility in South Austin, Texas (expanding to 500 beds with new tower construction), featuring Level II Trauma Center designation with pursuit of Level I status by 2027. This Director of Emergency Services role oversees 130 FTEs across main campus 45-bed ED plus 3 freestanding emergency rooms (building 4th FSER and satellite hospital) with 220 average daily visits (190-270 range). The facility offers nationally accredited oncology program with adult Transplant and Cellular Therapy, advanced cardiac/stroke/orthopedic programs, robotic surgery institute, maternity services, and comprehensive subspecialties. The position reports to Administrative Director Emergency Services with direct oversight of 1 main ER manager plus CNCs and 2 managers for FSERs. Austin provides vibrant culture, live music capital atmosphere, tech industry growth, outdoor recreation, excellent dining, and no state income tax.

Requirements

Bachelor of Science in Nursing (BSN) from accredited program (required)
Current Texas RN license in good standing or active multi-state compact license
Minimum 3 years of Director of Emergency Department experience in acute care setting
Minimum 1 year of applicable leadership experience
Demonstrated expertise in high-volume emergency operations, Level II Trauma, and multi-site management
Strong leadership, strategic planning, and financial management skills
Experience with emergency services expansion and facility development

Nice To Haves

Master of Science in Nursing (MSN) or Healthcare Administration degree
Experience managing 200+ daily ED visits across multiple sites
Background pursuing Level I Trauma Center designation
CEN (Certified Emergency Nurse) or emergency leadership certification
Experience with Meditech EMR system

Responsibilities

Ensure high-quality, patient-centered emergency care through oversight of function and staffing across main ED and 3 freestanding emergency rooms with expansion planning.
Cultivate superior clinical identity by implementing evidence-based practices advancing patient safety and quality outcomes in Level II Trauma environment.
Manage clinical practice variation to improve efficiency, effectiveness, and cost while ensuring accountability and transparency across 130 FTEs.
Stay abreast of benchmarks, accreditations, and designations while pursuing Level I Trauma Center designation by 2027.
Develop and implement policies ensuring compliance with Joint Commission, CMS, and state regulatory standards for emergency services.
Ensure efficient patient throughput delivering high-quality care through volume forecasting (220 daily average), patient flow coordination, and admission/discharge planning.
Develop care coordination policies promoting improved quality, safety, and efficiency while fostering interdisciplinary collaboration across departments.
Direct nursing practice and unit operations across 45-bed main ED plus 70 total treatment spaces and multiple freestanding locations.
Ensure equipment maintenance performed regularly according to regulatory and accreditation standards across all emergency sites.
Provide leadership executing strategic roadmap enhancing patient experience and achieving optimal outcomes across emergency services network.
Leverage feedback mechanisms to benchmark performance and implement strategies elevating patient satisfaction and service delivery.
Collaborate with subject matter experts and leaders to ensure compliance with evidence-based practices enhancing patient experience.
Oversee expansion projects including 4th freestanding ER and satellite hospital development under Administrative Director guidance.
Manage budget, staffing models, and resource allocation across multi-site emergency operations with growing volume and complexity.
Foster culture inspiring commitment to organizational vision while ensuring employees are recognized, valued, and supported.