Director of Freestanding Emergency Services

Midland-Marvel; Charleston (SC); On-site; USD 109,000 - 145,000; Full time

Benefits offered by this job

Incentive Bonus up to 17.5%

Relocation assistance

Job summary

Midland-Marvel in Charleston, South Carolina is seeking a Director of Freestanding Emergency Services to oversee a growing network of Freestanding Emergency Departments within a large hospital system. This market-level leadership role requires coordinating across multiple facilities and guiding clinical and operational performance.

The Director will work with two hospital executive teams, support three managers, and drive standardization, quality, and patient experience across four to seven FSED

Qualifications

• Strong nursing leadership experience in Emergency Services.
• Demonstrated ability to lead, develop, and engage nursing teams.
• Good communication and problem-solving abilities across multiple sites.

Responsibilities

• Provide strategic, clinical, and operational leadership across multiple Freestanding Emergency Departments.
• Ensure delivery of safe, high-quality emergency care and an exceptional patient experience.
• Lead, coach, and develop three managers and support engagement and retention.

Skills

Leadership

Communication

Relationship-building

Problem-solving

Education

Bachelor of Science in Nursing (BSN)

Master's degree in Nursing, Business Administration, Healthcare Administration, or related field

Job description

Director of Freestanding Emergency Services

Charleston, South Carolina

Salary Range: $109,449–$145,000, based on experience
Incentive Bonus: Up to 17.5%
Relocation Assistance: Considered on a case-by-case basis
Market-Level Leadership Role | Growing Freestanding Emergency Department Network

An outstanding opportunity is available for an experienced Emergency Services RN leader to oversee a growing network of Freestanding Emergency Departments in the Charleston, South Carolina market.

This is not a traditional single-site ED Director position. This is a market-level leadership opportunity supporting multiple Freestanding Emergency Departments across a 445-bed hospital system comprised of two acute care hospitals and a rapidly expanding network of FSEDs.

The market currently operates four Freestanding Emergency Departments, with a fifth scheduled to open this year and another expected to begin construction early next year. The network is ultimately expected to grow to seven FSED locations.

The Director will support the executive leadership teams of two hospitals, report to the Associate Chief Nursing Officer (ACNO), and have three managers within the leadership structure.

For an experienced ED Director who is ready for broader market responsibility and significant growth potential, this is an opportunity worth exploring.

Position Overview

The Director of Freestanding Emergency Services provides strategic, clinical, and operational leadership across the market's Freestanding Emergency Departments.

The Director is responsible for service excellence, clinical quality, patient experience, employee engagement, staff development, resource allocation, regulatory compliance, performance improvement, and overall operational effectiveness.

In addition to Emergency Services, the Director provides oversight and coordination involving ancillary and support functions including Imaging, Point-of-Care Laboratory Services, Admitting, Security, Environmental Services, and other Support Services.

Key Responsibilities

• Provide strategic, clinical, and operational leadership across multiple Freestanding Emergency Departments.
• Ensure consistent delivery of safe, high-quality emergency care and an exceptional patient experience.
• Lead, coach, and develop three managers while supporting employee engagement, performance, retention, and future leadership development.
• Establish and maintain consistent Emergency Department clinical and operational standards throughout the market.
• Monitor quality, patient safety, regulatory compliance, performance improvement, and operational outcomes.
• Identify clinical and operational challenges, implement solutions, and ensure appropriate follow-through.
• Oversee resource allocation, staffing effectiveness, productivity, and operational performance.
• Partner with Imaging, Point-of-Care Lab, Admitting, Security, Environmental Services, and other support departments to ensure efficient operations.
• Build strong relationships with physicians, hospital executives, nursing leadership, and department leaders across both hospitals.
• Support strategic planning and operational standardization as the FSED network expands.

Required Qualifications

• Bachelor of Science in Nursing (BSN) required
• Minimum of 3 years of Emergency Services experience required
• Minimum of 3 years of nursing leadership experience required
• Current Registered Nurse license in the state of practice in accordance with applicable law and regulation
• BLS required
• ACLS required
• PALS or ENPC required
• Strong understanding of Emergency Department clinical and operational practices
• Demonstrated ability to lead, develop, and engage nursing teams
• Strong communication, relationship-building, and problem-solving abilities

Preferred Qualifications

• Master's degree in Nursing, Business Administration, Healthcare Administration, or a related field
• Previous Emergency Department Director experience strongly preferred
• Freestanding Emergency Department leadership experience
• Multi-site Emergency Services leadership experience
• Experience supporting multiple facilities or executive leadership teams

Who We're Looking For

The strongest candidate will be an experienced Emergency Department Director who is ready to expand their leadership scope across multiple locations.

Freestanding Emergency Department experience is preferred but is not required for an otherwise exceptional candidate.

The organization may also consider a high-performing ED Manager with strong and progressive Emergency Department leadership experience, excellent job tenure, and experience within a large acute care hospital environment.

Candidates must bring substantial Emergency Department leadership experience and be prepared to lead clinical and operational performance across multiple locations.

Why Consider This Opportunity?

This position offers something different from a traditional single-site ED Director role: market-level responsibility, exposure to two hospital executive teams, three managers within the leadership structure, and the opportunity to help shape an expanding Freestanding Emergency Services network.

The current FSEDs have strong employee engagement and patient satisfaction, providing the incoming Director with a solid foundation for continued success.

There is also meaningful career growth potential. The position is open because the previous Director advanced into a division-level role within the organization.

Interested? Let's Talk.

If you are a successful Emergency Department Director looking for broader market-level responsibility—or an exceptional ED Manager with strong tenure and significant acute care leadership experience who is ready for the next step—I would welcome the opportunity to speak with you confidentially.

Qualified Emergency Services leaders are encouraged to apply with a current resume or reach out directly for a confidential conversation regarding this Charleston-area leadership opportunity.