Emergency Department Nursing Director

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

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.