Director Of Emergency Room

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Director of Emergency Room | Houston, TX

Schedule: Days | No Weekends

Salary: $160,000–$180,000, based on experience

Annual Incentive: 17.5%–26.25%

Facility: Acute care hospital | Level II Trauma Center

The Opportunity

We are seeking an experienced Director of Emergency Room Services to lead a high-volume adult Emergency Department at a large acute care hospital in the Houston area.

This is a significant leadership opportunity overseeing an adult ED with 40 care spaces, approximately 80–85 FTEs, and daily volume of 175–200 patients . Reporting directly to the VP of Emergency Services , the Director will have responsibility for clinical quality, patient experience, staff engagement, operational performance, growth, and financial management.

Key Responsibilities

The Director of Emergency Services provides strategic and operational leadership for the Emergency Department while ensuring high-quality, patient-centered care.

Responsibilities include leading nursing practice and daily department operations; driving patient safety, quality, throughput, and clinical outcomes; managing staffing, productivity, scheduling, labor utilization, and department expenses; and developing and monitoring annual operating and capital budgets.

The Director will also lead efforts to improve patient and employee experience, recruit and retain high-performing team members, coach and develop department leaders, maintain regulatory and accreditation compliance, and collaborate closely with physicians and hospital leadership.

This leader will identify opportunities to improve existing services, support department growth, implement evidence-based practices, and foster a culture of accountability, collaboration, and continuous improvement.

The ideal candidate is a proven Emergency Services leader who has recent Director-level ED experience within a large acute care hospital and is comfortable leading a complex, high-volume department.

Facility & Department Highlights

450+ bed acute care hospital

Adult Emergency Department

40 ED care spaces

Approximately 175–200 ED visits daily

Approximately 80–85 FTEs

Large Graduate Medical Education program

Engaged physician leadership

EMR: Expanse

Reports to VP of Emergency Services

Required Qualifications

Education

Bachelor’s degree in Nursing required

Master’s degree preferred

Experience

Minimum 3 years of recent acute care Emergency Department Director experience

Current/recent ED Director experience within the last year strongly required

Experience must include leadership within a large acute care hospital

Demonstrated experience managing a high-volume Emergency Department

Strong background in quality, staffing, budgeting, patient experience, and operational performance

Benefits

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A comprehensive benefits package is available and may include medical, prescription, dental and vision coverage; retirement plan with employer match; paid time off and family leave; life and disability coverage; tuition and certification assistance; employee assistance and wellness resources; family-building and adoption benefits; and additional voluntary benefit options.

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