Administrative Director of Emergency Services

Full-Time | Days
Annual Compensation: $116,251 – $174,366 (DOE)
Annual Performance Bonus: ~17.5%
Relocation: Case-by-case
Sign-On Bonus: Case-by-case

Overview

A large, high-volume hospital system in Houston is seeking an experienced Administrative Director of Emergency Services to lead operations across the main Emergency Department and multiple Freestanding Emergency Departments (FSEDs).

With 80,000+ annual systemwide visits, this role offers the opportunity to influence clinical excellence, patient flow, operational efficiency, and long-term strategic growth. Ideal for a seasoned ED leader ready for a system-level impact role.

Key Responsibilities

Quality & Clinical Leadership

• Implement evidence-based practices to enhance patient safety and outcomes.

• Ensure compliance with all regulatory and accreditation requirements.

• Monitor and standardize clinical practice to reduce variation and improve efficiency.

• Drive throughput strategies, including capacity planning, flow coordination, admissions, and discharges.

• Oversee nursing practice standards, policies, and service expectations.

Patient Experience

• Advance a consistent, exceptional patient experience across all emergency care locations.

• Use patient feedback and performance metrics to guide improvement initiatives.

• Collaborate with patient experience teams to roll out service excellence strategies.

People Leadership

• Build a culture of engagement, accountability, and professional growth.

• Mentor and develop managers, supervisors, and emerging leaders.

• Implement retention and workforce stability strategies.

• Ensure staffing models support safe, effective patient care.

Growth & Strategic Planning

• Partner with executives and physician leadership to expand emergency services.

• Identify opportunities for growth, new service lines, and competitive differentiation.

• Stay current on market trends, reimbursement, and healthcare innovations.

Financial & Operational Management

• Lead annual budget planning and monitor financial performance.

• Manage labor resources, productivity, and premium pay.

• Identify cost-saving opportunities and operational efficiencies.

• Ensure appropriate use of supplies, technology, and equipment.

Qualifications

Required

• Bachelor of Science in Nursing (BSN).

• 3+ years of recent experience as an Acute Care ED Director or ED Manager (large-volume preferred).

• Demonstrated success leading high-acuity, high-volume emergency operations.

Preferred

• Master’s degree (MSN, MHA, MBA, or related field).

• Experience overseeing multiple ED locations or complex organizational structures.

• Proven record of measurable performance improvements and operational achievements.

Compensation & Benefits

• Competitive executive-level salary based on experience.

• Annual bonus eligibility (~17.5%).

• Relocation and sign-on considered individually.

• Comprehensive medical, dental, vision, retirement, and supplemental benefits.

• Tuition assistance, certification support, student loan resources, and dependent scholarships.

• PTO, paid family leave, disability coverage, and wellness programs.

• Leadership development and advancement pathways.

Ideal Candidates

This role is an excellent fit for:

• ED Directors seeking growth into system-level or multi-site leadership.

• Leaders with experience in high-volume, trauma-designated, or multi-campus ED environments.

• Professionals skilled in strategy, performance improvement, financial stewardship, and people leadership.

• Innovators ready to advance emergency care services in a competitive Houston market.

Keywords / Hashtags 

Emergency Services Director, Administrative Director ED, ED Leadership, Emergency Department Nursing, Hospital Executive Roles, Acute Care Leadership, Emergency Department Director, RN Leadership, Healthcare Leadership, Texas RN Jobs
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