Assistant Director Emergency Services

University Health; San Antonio (TX); On-site; USD 130,000 - 180,000; Full time

Job summary

University Health in San Antonio, Texas, seeks an Assistant Director of the Emergency Department (Nights) to lead clinical practice, safety, and performance while directing night operations. This role emphasizes evidence-based care, regulatory compliance, and collaboration with a multidisciplinary team to advance patient outcomes.

Requirements include a BSN (MSN preferred), 3+ years of clinical nursing, Texas RN licensure, and BLS/CPR.

Qualifications

• Bachelor of Science in Nursing (BSN) required.
• Master’s degree in Nursing (MSN) preferred.
• Minimum of three (3) years of clinical nursing experience.
• Experience in emergency services, adult, pediatric, or inpatient care preferred.
• Prior experience within University Health is a plus.
• Current Registered Nurse (RN) license in the State of Texas.
• Current Basic Cardiac Life Support (BLS/CPR) certification required.
• Additional certifications preferred.

Responsibilities

• Lead and support clinical practice to ensure safe, high-quality, and efficient patient care.
• Oversee and drive quality improvement (QI) initiatives across Emergency Services.
• Facilitate process improvement efforts focused on patient safety, regulatory compliance, and operational excellence.
• Collaborate closely with physicians and interdisciplinary teams to optimize patient outcomes.
• Ensure alignment with organizational goals, including accreditation standards and regulatory requirements.
• Promote a culture of accountability, teamwork, and continuous improvement.
• Provide leadership presence and operational oversight during night shift operations.

Skills

Nursing leadership

Quality improvement

Patient safety

Regulatory compliance

Education

BSN

MSN

Job description

Assistant Director, Emergency Department

University Health | San Antonio, Texas

Lead with Purpose. Impact Patient Care. Grow with Us.

At University Health, we are committed to delivering exceptional care to our community—especially those who need it most. As one of the region’s most trusted healthcare systems and a recognized Top Workplace, we are expanding and seeking strong clinical leaders to help shape the future of emergency care.

We are currently seeking a dynamic and experienced Assistant Director, Emergency Department (Nights) to join our leadership team.

Position Summary

Under the direction of the Executive Director of Emergency Services, the Assistant Director is responsible for advancing clinical excellence, patient safety, and operational efficiency across Emergency Services during night operations.

This leader plays a critical role in driving evidence-based practice, leading quality improvement initiatives, and ensuring compliance with regulatory and accreditation standards—all while fostering a collaborative, high-performing care environment.

Key Responsibilities

• Lead and support clinical practice to ensure safe, high-quality, and efficient patient care
• Oversee and drive quality improvement (QI) initiatives across Emergency Services
• Facilitate process improvement efforts focused on patient safety, regulatory compliance, and operational excellence
• Collaborate closely with physicians and interdisciplinary teams to optimize patient outcomes
• Ensure alignment with organizational goals, including accreditation standards and regulatory requirements
• Promote a culture of accountability, teamwork, and continuous improvement
• Provide leadership presence and operational oversight during night shift operations

Qualifications

Education:

• Bachelor of Science in Nursing (BSN) required
• Master’s degree in Nursing (MSN) preferred

Experience:

• Minimum of three (3) years of clinical nursing experience
• Experience in emergency services, adult, pediatric, or inpatient care preferred
• Prior experience within University Health is a plus

Licensure & Certification:

• Current Registered Nurse (RN) license in the State of Texas
• Current Basic Cardiac Life Support (BLS/CPR) certification required
• Additional certifications preferred

Why University Health?

• Be part of a mission-driven organization serving the San Antonio community
• Lead in a fast-paced, high-impact Emergency Department environment
• Opportunities for career growth and leadership development
• Work alongside a collaborative team dedicated to clinical excellence and innovation
• Support expansion efforts with new community hospitals opening soon

Make a Difference—Starting Now

If you are a passionate nurse leader ready to elevate emergency care and drive meaningful change, we invite you to apply and grow your career with University Health.