Director RN, Emergency Dept

Orionplacement; 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

Orionplacement is seeking an experienced Emergency Department Nurse Leader for a community-focused acute care hospital in Gainesville, TX. You will lead day-to-day clinical and operational performance, ensuring safe, high-quality nursing care and optimal patient flow.

The ideal candidate holds a BSN and Texas RN license, with current BLS, ACLS, PALS, and TNCC, plus 1+ year in clinical staff leadership and ED/critical care background.

Qualifications

• Active Texas RN license
• BSN required
• Current BLS, ACLS, PALS, and TNCC certifications
• 1+ year of clinical staff leadership experience
• Strong ED or critical care nursing 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

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 scheduling

Quality improvement

Communication

Education

BSN

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