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Director of Emergency Services

i4 Search Group

Joshua Tree, CA · Posted October 22, 2026

More in California job market · Healthcare & Hospital Systems

About the job

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Emergency Department Director

Position Summary

The Emergency Department Director is responsible for the overall operations, clinical excellence, financial management, and strategic alignment of the Emergency Department. This leadership role ensures high-quality patient care, regulatory compliance, and a collaborative work environment that promotes staff development and teamwork.

Key Responsibilities

Clinical Quality & Regulatory Compliance

Regulatory Standards: Ensure adherence to CMS, Joint Commission, and relevant state regulatory standards at all times.

Accountability Measures: Implement and monitor hospital-selected accountability measure sets (e.g., Core Measures, HCAHPS, and quality benchmarks) to achieve organizational goals.

Patient Safety: Ensure strict staff compliance with National Patient Safety Goals and drive quality improvement programs consistent with organizational quality frameworks.

Policy Management: Develop, revise, and monitor compliance for departmental policies and procedures in collaboration with staff and physician recommendations.

Leadership & Operations

Staffing & Scheduling: Direct departmental staffing and scheduling by anticipating patient volume and operational needs to maintain adequate, fair, and objective coverage. May require working a shift on the floor as needed.

Personnel Management: Handle recruitment, hiring, performance evaluations, and the professional development of departmental personnel.

Competency Tracking: Ensure all staff maintain current licensure, certifications, and complete annual requirements, orientations, and continuous education programs.

Environment & Resources: Manage departmental budgets, equipment, supplies, and facility cleanliness by conducting regular patient and environmental rounds.

Collaboration & Strategic Alignment

Interdepartmental Communication: Maintain effective communication and cooperation with other departments and the medical staff to solve interdepartmental challenges and ensure continuity of care.

Strategic Execution: Align departmental resources, objectives, and annual goals with the broader mission, vision, and strategic plan of the organization.

Executive Collaboration: Partner closely with executive leadership (CNO/COO) to ensure all leadership responsibilities are met and strategic objectives are advanced.

Qualifications & Requirements

Education & Experience

Licensure: Current RN License.

Experience: Minimum of 7 years of registered nurse experience within an Emergency Department, including prior Charge Nurse and/or Supervisor experience.

Education: Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.

Certifications: Current MICN, ACLS, NRP, and PALS certifications.

Physical Demands

Physical Effort: Moderate physical effort, including lifting and carrying up to 25 lbs, frequent prolonged standing and walking, and occasional reaching, stooping, bending, kneeling, and crouching.

Desk Duties: Moderate sitting at a desk, computer work, and typing.

Mobility: Strong manual dexterity and physical mobility.

Working Conditions

Environment: Exposure to emergency, crisis, and unpredictable situations, including potential contact with infectious diseases, bloodborne pathogens, and body fluids.

Patient Care: Direct involvement in emergent and critical patient care, requiring high-stakes decision-making and judgment.

Pace: Subject to numerous daily interruptions from phone calls, visitors, and staff members.

Position Status & Schedule

Reports To: CNO / COO

Status: Exempt

Schedule: Monday through Friday, with flexibility required to meet operational and departmental needs.

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