Director Emergency Services and Respiratory Therapy

Beth Israel Lahey Health; Milton (MA); On-site; USD 155,000 - 211,000; Full time

Job summary

Beth Israel Lahey Health is seeking a Director to lead the Emergency Department and Respiratory Therapy with a focus on clinical excellence, patient experience, and regulatory compliance.

You will provide strategic leadership, supervise staffing and budgeting, and coordinate multidisciplinary efforts to improve throughput, LOS, and patient outcomes. The role requires extensive nursing leadership, system-wide collaboration, and change management.

Qualifications

• Current MA RN licensure preferred? (provided in HTML)
• BSN required; MSN required.
• 5 years of Emergency or Adult Critical Care nursing experience.
• 5 years of progressively responsible management experience, including department management, budget accountability, contract management, and staff supervision.
• ACLS required; PALS preferred.
• CEN or CCRN preferred.
• Completion of National Incident Management System (NIMS) training within six months of hire.

Responsibilities

• Oversee day-to-day operations and clinical functions of the Emergency Department and Respiratory Therapy services.
• Ensure safe, efficient, and high-quality nursing care across assigned departments.
• Collaborate with department leaders to establish and monitor standards of care, workflows, and best practices.
• Ensure compliance with nursing standards and regulatory requirements.
• Develop and monitor processes to maintain quality patient care and adherence to standards.
• Lead hospital response teams, including Code Blue, STEMI, stroke, and rapid response teams.
• Chair the Critical Care Committee, coordinating initiatives across multidisciplinary teams.
• Oversee operational plans to improve patient care, address concerns, and enhance the patient experience.
• Responsible for hospital-wide throughput efficiencies, including monitoring and improving Length of Stay (LOS) and Left Without Being Seen (LWBS) rates.
• Serve as the nursing representative in hospital space planning and decision-making forums
• Act as the primary nursing contact for Emergency Management planning, response activation, and coordination of clinical resources during events.
• Serve as the clinical lead for providing required data to the Department of Public Health (DPH) for load balancing; participate in regional emergency preparedness meetings as requested.

Skills

Leadership

Communication

Critical thinking

Problem solving

EPIC

MS Office

Education

BSN

MSN

Tools

EPIC

Job description

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.

Director Emergency & Respiratory Therapy

Job Description

Position Function

Reporting to the Vice President of Nursing/Chief Nursing Officer, this position provides strategic leadership and operational oversight for all nursing services within the Emergency Department and Respiratory Therapy. The role ensures alignment with the organization’s mission and values, with a strong emphasis on clinical excellence, patient experience, regulatory compliance, and operational efficiency.

Duties and Responsibilities

Clinical and Operational Leadership

• Oversee day-to-day operations and clinical functions of the Emergency Department and Respiratory Therapy services.

• Ensure safe, efficient, and high-quality nursing care across assigned departments.

• Collaborate with department leaders to establish and monitor standards of care, workflows, and best practices.

• Ensure compliance with nursing standards and regulatory requirements.

• Develop and monitor processes to maintain quality patient care and adherence to standards.

• Lead hospital response teams, including Code Blue , STEMI , stroke , and rapid response teams .

• Chair the Critical Care Committee, coordinating initiatives across multidisciplinary teams.

• Oversee operational plans to improve patient care, address concerns, and enhance the patient experience.

• Responsible for hospital-wide throughput efficiencies, including monitoring and improving Length of Stay (LOS) and Left Without Being Seen (LWBS) rates.

• Serve as the nursing representative in hospital space planning and decision-making forums

• Act as the primary nursing contact for Emergency Management planning, response activation, and coordination of clinical resources during events.

• Serve as the clinical lead for providing required data to the Department of Public Health (DPH) for load balancing; participate in regional emergency preparedness meetings as requested.

Regulatory, Compliance and Financial Responsibility

• Ensure adherence to all federal, state, and local healthcare regulations, as well as The Joint Commission standards and organizational policies.

• Lead and support risk-reduction initiatives that enhance patient and staff safety across departments.

• Maintain accurate and timely documentation and reporting to support regulatory compliance and quality improvement initiatives.

• Monitor and analyze Laborlytics data for all departments to promote optimal staffing, productivity, and cost-efficiency.

Staff and Resource Management

• Supervise staff, including hiring, workload allocation, training, performance evaluation, and corrective actions.

• Assess qualifications and competency of personnel in collaboration with professional standards.

• Manage resources, including budgeting, financial analysis, and position control.

• Maintain oversight of contracts with providers and partners, including EMS.

Collaboration and Team Building

• Build strong relationships internally and externally to support departmental goals.

• Promote teamwork and foster collaboration across departments.

Performance Monitoring and Innovation

• Utilize data for quality improvement, regulatory compliance, and budget planning.

• Identify and implement changes to improve care quality and patient outcomes.

• Foster innovation and effectively manage organizational change.

Other Duties

• Perform related duties as required during emergencies or as designated by hospital leadership.

Qualifications

Minimum Education

• Current licensure by the Massachusetts Board of Registration in Nursing.

• BSN required; MSN required.

Minimum Experience

• 5 years of Emergency or Adult Critical Care nursing experience.

• 5 years of progressively responsible management experience, including department management, budget accountability, contract management, and staff supervision.

• Experience with Joint Commission survey preparedness preferred.

Licensure/Certification

• Current Registered Nurse licensure in good standing by the MA Board of Registration in Nursing.

• ACLS required; PALS preferred.

• CEN or CCRN preferred.

• Completion of National Incident Management System (NIMS) training within six months of hire.

Skills

• Proficiency in Microsoft Office Suite (Word, Excel, etc.).

• Exceptional written, oral, and presentation communication skills.

• Strong problem-solving and critical-thinking abilities.

• Ability to excel in a fast-paced environment while maintaining professional relationships.

• Experience with EPIC preferred.

Work Environment and Safety

This position may involve exposure to blood and body fluids. Employees are required to follow standard infection control precautions and utilize protective gear as outlined in the Physical Abilities Job Description .

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be an exhaustive list of all responsibilities and skills required for the position.

Pay Range

$155,000.00 USD - $211,000.00 USD

The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled