Vice President of Emergency Services

Texas Nursing Services•Kingwood, TX

1d•$142,958 - $214,448

About The Position

A large, high-acuity acute care hospital in Houston, Texas is seeking an accomplished Vice President of Emergency Services to provide enterprise-level leadership across adult emergency, pediatric emergency, and multiple freestanding emergency departments. This executive role is responsible for strategic planning, operational performance, quality outcomes, physician engagement, and financial stewardship for a complex, high-volume emergency services platform.

Requirements

Minimum 5+ years of recent Director-level Emergency Services leadership
Experience must be within the last year
Prior leadership in a Level I or Level II Trauma Center
Demonstrated experience managing emergency departments with 80,000+ annual visits
BSN required
Bachelor’s degree required
Master’s degree required (or approved advanced education plan)
Active RN license (Texas or compact state)
BLS certification

Nice To Haves

Executive-level experience overseeing multiple ED sites
Strong background in throughput optimization, quality/regulatory performance, and physician alignment

Responsibilities

Clinical Quality & Operations Lead development and execution of evidence-based clinical strategies to enhance patient safety, quality outcomes, and regulatory compliance
Establish and standardize emergency care practices to reduce variation, improve throughput, and optimize efficiency
Drive patient flow strategies including capacity planning, volume forecasting, admission/discharge coordination, and surge management
Ensure compliance with all legal, regulatory, and accreditation standards
Direct nursing practice, operational policies, and emergency department standards of care
Service & Patient Experience Champion a patient- and family-centered emergency care model
Develop and implement service excellence strategies that improve patient satisfaction and community reputation
Leverage performance feedback, benchmarks, and patient experience data to drive continuous improvement
People Leadership Foster a high-performance, accountability-driven leadership culture
Lead recruitment, development, engagement, and retention of emergency services leadership and staff
Coach and mentor directors and managers to build a deep leadership pipeline
Ensure appropriate staffing models, position control, and labor productivity
Growth & Strategy Lead service line strategic planning and business development initiatives
Partner with physicians and administrative leaders to expand existing services and develop new emergency care offerings
Monitor external healthcare trends, reimbursement changes, and competitive dynamics to ensure market differentiation
Develop and maintain strong external relationships that strengthen referral networks and community presence
Financial Management Develop and manage operating and capital budgets aligned with organizational objectives
Evaluate ROI for capital investments and growth initiatives
Identify cost reduction opportunities while maintaining clinical excellence
Oversee labor management, premium pay utilization, and resource optimization
Oversight of Adult Emergency Department, Pediatric Emergency Department, and multiple Free-Standing Emergency Departments
High-volume emergency operations with annual ED visits exceeding 80,000
Adult ED and Pediatric ED with combined daily volumes exceeding 240+ patients/day (seasonal variability)
Oversight of approximately 160 FTEs
Direct leadership of 3 Emergency Services Directors (Adult ED, Pediatric ED, FSEDs)
Reports directly to the Chief Nursing Officer (CNO)