Director Of Emergency Department - Registered Nurse

Direct High-Velocity Emergency Care. Lead a Highly Engaged Team. Claim $165K + $20K Bonus. The Trajectory For an elite emergency nursing leader, the ultimate environment isn't a turnaround project fraught with burnout-it is taking a high-functioning, culturally sound department and leading it through enterprise growth. This mandate delivers exactly that rare operational advantage. You are inheriting a unit that already commands a very high employee engagement score, #1 market rankings in patient experience, and exemplary sepsis quality outcomes, all while preparing to direct an upcoming physical footprint expansion in direct partnership with the CNO. The Operational Mandate Our Client - one of the largest and most sophisticated integrated healthcare networks globally - has retained Global Recruiters of Buckhead to identify an elite Director of Emergency Department (RN) for their 378-bed acute care facility in San Antonio, TX. Operating as an executive clinical leader reporting directly to the Chief Nursing Officer, you will drive strategic, clinical, and fiscal governance over a 29-bed Level IV Trauma and Accredited Chest Pain Center handling 50,000 annual visits (136/day) within an acute facility operating at 85-90% capacity. The Tactical Scope Expansion & Operational Command: Direct clinical operations across 29 ER beds, leading long-range operational and clinical readiness planning for an upcoming multi-bed emergency department expansion. Culture & Multidisciplinary Leadership: Lead a 100-person team—including 2 direct-report Clinical Nurse Managers, Clinical Nurse Coordinators (CNCs), RNs, and EMS Techs - sustaining an elite 83% employee engagement benchmark. High-Acuity Clinical Excellence: Champion evidence-based protocols across a high-volume Accredited Chest Pain Center and Level IV Trauma Center, maintaining division-leading sepsis outcomes and patient experience ratings. Capacity & Throughput Synchronization: Partner across inpatient acute units to optimize admission, transfer, and discharge velocity in a hospital maintaining 85-90% daily capacity. Physician & EMS Strategic Alignment: Collaborate closely with emergency medicine physicians, on-call surgical specialists, and regional EMS providers to drive community outreach and clinical intake efficiency. Fiscal Stewardship: Own departmental budgeting, labor management, position control, supply chain utilization, and capital forecasting with full administrative backing. The DNA of an Operational Lead Education & Licensure: Active Registered Nurse (RN) license in Texas or a valid Multi-State Compact license required. Bachelor of Science in Nursing (BSN) required; Master's Degree preferred. Clinical Foundation: Direct Emergency Department nursing experience required, with established clinical mastery across acute patient triage, trauma management, and resuscitation protocols. Leadership Track Record: Minimum of one (1) year of inpatient acute hospital nursing leadership experience required; three (3) or more years of progressive healthcare leadership experience preferred. Open to current Directors, Associate Directors, Senior Managers, or experienced ED Managers with significant operational scope. Operational & Fiscal Depth: Demonstrated competence in departmental budgeting, labor/staffing models, physician relationship management, and clinical quality/throughput improvement. Strategic Execution: Decisive leader capable of orchestrating complex staffing matrices, driving labor efficiencies, and cultivating high-morale clinical teams. The Elite Differentiators Generational Wealth Creation: Direct Earnings: $155,000 - $165,000 Base Salary + $20,000 Direct Sign-On Bonus + Annual Leadership Incentive Bonus. Tax Advantage: Based in San Antonio, TX with 0% State Income Tax. Tiered 401(k) Match: 100% matching on 3% to 9% of eligible compensation based on tenure. Equity Participation: Employee Stock Purchase Plan (ESPP) offering a 10% discount on healthcare stock. Relocation Package: Full comprehensive relocation assistance provided. Uncompromising Wellness & Support: Comprehensive Health Coverage: Low/no-copay medical plans, free telemedicine, AirMed transport, and employee assistance funds. Family & Education: Progyny fertility/family-building benefits, adoption assistance, tuition assistance, student loan support, and dependent scholarships. Work-Life Integration: Robust Time Away From Work program, paid family leave, and continuous leadership training pipelines. The Command Elite emergency department leadership is rare; opportunities with this level of cultural strength, technological backing, and career trajectory are even rarer. If you are a high-performing clinical leader ready to direct emergency services and elevate your trajectory, we welcome your application. #J-18808-Ljbffr Global Recruiters of Buckhead