Director RN, Emergency Dept

Orion Placement; Gainesville (TX); On-site; USD 115,000 - 135,000; Full time

Benefits offered by this job

Dental insurance

Paid time off

Retirement plan

Vision insurance

Job summary

Orion Placement in Gainesville, TX is seeking an experienced ED Nurse Leader to oversee the day-to-day clinical and operational performance of the Emergency Department, ensuring safe, high-quality nursing care for a diverse patient population.

This on-site leadership role requires staffing optimization, adherence to safety and regulatory standards, and collaboration with hospital leadership, physicians, and clinical teams to improve patient flow and outcomes.

Qualifications

• BSN required and Texas RN license.
• Current BLS, ACLS, PALS, and TNCC certifications.
• 1+ year of clinical staff leadership experience.
• 3+ years of ED, emergency nursing, or critical care experience preferred.
• 2+ years of supervisory experience preferred.

Responsibilities

• Lead day-to-day clinical and operational performance of the Emergency Department.
• Ensure safe, high-quality, cost-effective nursing care across a diverse emergency patient population.
• Manage staffing based on patient volume and acuity while controlling overtime and agency utilization.
• Promote a strong culture of patient safety, clinical quality, and regulatory compliance.
• Support efficient triage, admissions, bed allocation, and patient flow throughout the hospital.
• Recruit, train, coach, retain, and evaluate nursing staff while supporting ongoing professional development.
• Lead performance improvement initiatives and educate staff on quality and safety priorities.
• Develop staffing schedules and ensure appropriate coverage for assigned clinical service areas.
• Investigate incidents, resolve operational issues, and collaborate with physicians and hospital leadership.
• Ensure equipment, supplies, medications, and clinical environments consistently support safe patient care.

Skills

Nursing leadership

Staff development

Quality & safety

Staff scheduling

Performance improvement

Communication

Education

BSN

Texas RN license

BLS, ACLS, PALS, TNCC certifications

Tools

NIHSS certification

CEN/CERN certification

EMR/clinical systems

Job description

Pay: $115,000.00 - $135,000.00 per year

Why This Is a Great Opportunity

• Lead a high-impact Emergency Department where your decisions directly influence patient care, safety, and team performance.
• Take ownership of staffing, patient flow, quality initiatives, employee development, and operational improvement.
• Work closely with hospital leadership, physicians, and clinical teams in a highly visible leadership role.
• Build and develop a strong nursing team through recruitment, training, coaching, and retention.
• Join a community-focused acute care environment where your leadership can make an immediate difference.

Location: Gainesville, TX | On-site leadership role with a community-focused acute care hospital | Base compensation of $115,000 to $135,000.

Note: Candidates must have an active Texas RN license, BSN, current BLS, ACLS, PALS, and TNCC certifications, plus 1+ year of clinical staff leadership experience. Strong Emergency Department or critical care nursing experience is expected.

About Us

We are a community-focused acute care hospital committed to delivering high-quality, compassionate care while creating a supportive environment for our clinical teams. Our leaders have the opportunity to make meaningful operational decisions, develop talented staff, and directly improve the patient experience.

Job Description

• Lead day-to-day clinical and operational performance of the Emergency Department.
• Ensure safe, high-quality, cost-effective nursing care across a diverse emergency patient population.
• Manage staffing based on patient volume and acuity while controlling overtime and agency utilization.
• Promote a strong culture of patient safety, clinical quality, and regulatory compliance.
• Support efficient triage, admissions, bed allocation, and patient flow throughout the hospital.
• Recruit, train, coach, retain, and evaluate nursing staff while supporting ongoing professional development.
• Lead performance improvement initiatives and educate staff on quality and safety priorities.
• Develop staffing schedules and ensure appropriate coverage for assigned clinical service areas.
• Investigate incidents, resolve operational issues, and collaborate with physicians and hospital leadership.
• Ensure equipment, supplies, medications, and clinical environments consistently support safe patient care.

Qualifications

• BSN required.
• Active Registered Nurse license in the State of Texas.
• Current BLS, ACLS, PALS, and TNCC certifications.
• 1+ year of clinical nursing staff leadership experience.
• Strong Emergency Department, emergency nursing, or critical care background.
• 3+ years of critical care nursing experience preferred.
• 2+ years of supervisory experience preferred.
• NIHSS certification within one year of hire.
• CEN or CERN certification preferred.
• Strong communication, staffing, scheduling, team leadership, and performance improvement skills.

Why You Will Love Working Here

• Your leadership will have a visible impact on patients, employees, and hospital performance.
• You will have meaningful ownership over staffing, quality, operations, and team development.
• You will work closely with clinical and executive leadership rather than operating in a silo.
• This is an excellent opportunity for an experienced emergency nurse leader ready to grow their scope and influence.
• You will join a mission-driven healthcare team focused on quality, safety, collaboration, and excellent patient care.

JPC-2156

Benefits

• Dental insurance
• Paid time off
• Retirement plan
• Vision insurance