Director – Emergency Services

Director – Emergency Services

Location: San Antonio, TX

Employment Type: Full-Time, Permanent

Schedule: Days | No Weekends

Base Salary Range: $130,000 – $150,000 annually (based on experience)

Annual Incentive Bonus: 17.5% – 26.25% (performance-based)

Sign-On Bonus: $20,000

Relocation Assistance: Available (case by case)

Overview

A growing acute care hospital in the San Antonio area is seeking an experienced Director of Emergency Services to lead a high-volume Emergency Department through continued growth and expansion. This role provides strategic, operational, and clinical leadership with a strong emphasis on accountability, patient throughput, staff engagement, and quality outcomes.

This is an excellent opportunity for a proven Emergency Department leader who thrives in fast-paced environments, values collaboration, and is ready to drive the next phase of departmental performance.

Responsibilities

• Provide overall leadership and operational oversight for Emergency Services.

• Ensure safe, high-quality, patient-centered emergency care delivery.

• Lead staffing strategy, scheduling, productivity management, and position control.

• Drive patient throughput, flow optimization, and surge planning initiatives.

• Develop, implement, and enforce clinical standards, policies, and procedures.

• Monitor regulatory compliance, accreditation standards, and quality benchmarks.

• Foster a culture of accountability, transparency, and interdisciplinary collaboration.

• Lead and develop Emergency Department leadership team, including managers and charge nurses.

• Partner with physicians and hospital leadership to advance departmental and organizational goals.

• Manage departmental budgets, operating expenses, and cost-containment initiatives.

Department Overview

• Level III Trauma designation

• Approximately 50 Emergency Department beds

• Average daily volume: 180–200 patients

• High EMS and high-acuity case mix

• Collaborative medical staff and engaged leadership team

• Planned hospital expansion, including additional inpatient beds

Required

• Bachelor’s Degree in Nursing (BSN).

• Active, unencumbered RN license in Texas (or compact eligible).

• Minimum 1 year of recent Emergency Department Director experience

(exceptionally strong ED Managers may be considered).

• Minimum 3 years of recent Emergency Department clinical experience.

• Demonstrated success with operational metrics, quality outcomes, and staff leadership.

Preferred

• Master’s Degree in Nursing, Healthcare Administration, or related field.

• Experience leading high-volume Emergency Departments.

• Strong background in throughput optimization and employee engagement initiatives.

Compensation & Benefits

• Competitive leadership-level salary with strong incentive potential.

• Sign-on bonus and relocation assistance for qualified candidates.

• Comprehensive medical, dental, and vision coverage.

• Retirement plan with employer contribution.

• Paid time off and holiday benefits.

• Professional development and leadership growth opportunities.

Ideal For

This role is ideal for an Emergency Services Director or high-performing ED Manager ready to take ownership of a busy, growing Emergency Department and lead with presence, accountability, and results.

Keywords

Director Emergency Services, Emergency Department Director, ER Director, Emergency Services Leadership, Trauma ED Leadership

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