Emergency Department Director: Lead & Elevate Patient Care

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

Confidential Employer in Gainesville, TX seeks a Director RN, Emergency Department to lead the day-to-day clinical and operational performance of the ED, ensuring high-quality, cost-effective nursing care and optimal patient flow.

You will recruit, train, coach, and retain nursing staff, develop schedules, and drive performance improvement while collaborating with hospital leadership to shape safety and quality initiatives.

Qualifications

• BSN required.
• Active Texas RN license.
• Current BLS, ACLS, PALS, and TNCC certifications.
• 1+ year of clinical nursing staff leadership experience.
• Strong ED or critical care background; 3+ years ICU/CC nursing preferred.
• 2+ years 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.

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

Leadership

Staffing

Communication

Scheduling

Performance improvement

Team leadership

Education

BSN

Texas RN license

Job description

Confidential Employer in Gainesville, TX seeks a Director RN, Emergency Department to lead the day-to-day clinical and operational performance of the ED, ensuring high-quality, cost-effective nursing care and optimal patient flow.

You will recruit, train, coach, and retain nursing staff, develop schedules, and drive performance improvement while collaborating with hospital leadership to shape safety and quality initiatives.