Vice President of Emergency Services

Vice President of Emergency Services – Houston, TX

Employment Type: Full-Time

Schedule: Monday–Friday (Executive Schedule)

Compensation:

• Base Salary Range: $142,958 – $214,448

• Annual Bonus: 17.5% target with up to 150% upside based on performance

• Sign-On Bonus: Available (case-by-case)

• Relocation Assistance: Available (case-by-case)

Overview

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.

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

Scope of Responsibility

• 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)

Required:

• 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

Preferred:

• Executive-level experience overseeing multiple ED sites

• Strong background in throughput optimization, quality/regulatory performance, and physician alignment

Compensation & Benefits

• Competitive executive base salary with performance-based bonus

• Comprehensive medical, dental, and vision coverage

• 401(k) retirement plan with employer match

• Paid time off and paid family leave

• Executive leadership development and education assistance

• Employee wellness, counseling, and financial planning resources

Benefit eligibility may vary by employment status and location.

Ideal For

• Emergency Services executives ready to lead complex, multi-site ED operations

• Leaders with proven success in high-volume, trauma-designated environments

• Candidates seeking enterprise-level influence, growth, and strategic impact

Keywords 

Vice President Emergency Services, VP Emergency Department, Emergency Services Executive, Trauma Center Leadership, Emergency Medicine Administration, Houston Healthcare Executive Jobs

#VPEmergencyServices #EmergencyLeadership #HealthcareExecutiveJobs #TraumaCenterLeadership #HoustonHealthcare #EmergencyServicesExecutive