Nurse Manager RN - Emergency Room ER

HCA Houston Healthcare; Webster (TX); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Medical benefits

Wellbeing support

Paid time off

401(k) matching

Education support

Fertility support

Job summary

HCA Houston Healthcare Clear Lake in Webster, TX, seeks an experienced Emergency Room Nurse Manager for the ICU/Critical Care, leading a high-volume, multidisciplinary team in a Level II Trauma Center.

This role oversees clinical operations, budget, staff development, and evidence-based practice initiatives across units, with responsibilities including monthly meetings, governance, and ensuring patient safety and quality outcomes.

Qualifications

• Graduate of an accredited RN program (diploma/ADN/BSN).
• Texas RN license or Multistate Compact; obtain Texas license within 90 days.
• ACLs and PALS required within specified timelines; ENPC/NIH Stroke Scale within timeframes.
• 3-5 years ER experience; 1 year leadership in hospital/healthcare setting.

Responsibilities

• Drives mission, nursing standards, patient satisfaction across units.
• Develops unit-specific goals and documents progress for leadership.
• Encourages frontline staff to use evidence-based practices.
• Conducts monthly staff meetings and shares updates.
• Prepares and manages budgets and resources.
• Controls overtime, PTO, and Nursing Hours per Patient Day.

Skills

Leadership

ER experience

Evidence-based practice

Staff development

Education

RN licensure (Texas)

BSN preferred

Job description

Work schedule: Monday-Friday – additional coverage as needed.

As the Emergency Room Nurse Manager at HCA Houston Healthcare Clear Lake in Webster, TX, you will lead a high-volume department tied to a 532-bed full-service acute care hospital, which is currently advancing a $103 million, 132,000-square-foot expansion project scheduled for completion in late 2026/early 2027. This major campus milestone includes a Main Tower vertical expansion adding a 16-bed Intensive Care Unit, a 14-bed Progressive Care Unit, and a 30-bed Medical-Surgical unit. Concurrently, a dedicated Women's Services horizontal expansion will double the service line's capacity, adding 10 new labor and delivery rooms and an additional C-section operating room to better support the facility's role as a leading maternity provider delivering over 4,000 babies annually. This rapidly evolving environment operates as a designated Level II Trauma Center and a Joint Commission-certified Comprehensive Stroke Center, complemented by a Level III Neonatal Intensive Care Unit (NICU). Your service line includes comprehensive coordination support for four regional freestanding departments— including HCA Houston ER 24/7 locations in Alvin, Friendswood, Pearland, and Texas City —which provide seamless, direct admission pathways to our main facility. The campus is highly decorated for clinical quality, holding a Cycle III Accredited Chest Pain Center with Primary PCI and Resuscitation from the American College of Cardiology, a Critical Care Excellence Award from Healthgrades, and multiple Healthgrades Five-Star ratings for critical treatments.

Job Summary And Qualifications

As a Nurse Manager RN - ICU Critical Care, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.

What you will do in this role:

• Drives NCMC mission, nursing standards, patient satisfaction, and Studer Concepts across assigned units.
• Develops four unit-specific goals aligned with the organization and documents progress for leadership.
• Encourages frontline staff to develop evidence-based practices and participate actively in department councils.
• Conducts ten monthly staff meetings annually and shares detailed updates via minutes and memos.
• Prepares and manages expense, personnel, capital, and supply budgets using advanced information systems.
• Controls overtime, PTO, Nursing Hours per Patient Day to deliver cost-efficient, quality care.

What qualifications you will need:

• Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program.
• Bachelor's Degree in Nursing preferred.
• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
• Advanced Cardiac Life Support must be obtained within 90 days of employment start date
• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• Emergency Nurse Pediatric Course must be obtained within 6 months of employment start date
• NIH Stroke Scale must be obtained within 6 months of employment start date
• Nonviolent Crisis Intervention must be obtained within 6 months of employment start date
• PALS Pediatric Adv Life Supt must be obtained within 6 months of employment start date
• Trauma Nursing Core Course must be obtained within 6 months of employment start date
• 3-5 years of ER experience highly desired
• 1 year of previous Leadership experience in a hospital/healthcare environment required.

Benefits

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Houston Healthcare Clear Lake is a 530+ bed hospital where sophisticated, world-class medicine meets the comfort, care and convenience of a community hospital. For more than 40 years, we have proudly been providing high quality, cost-effective, comprehensive healthcare to the Houston Bay Area. We opened our doors in 1972 and now employ 2,000+ staff members and 900+ physicians in a wide range of specialties. Our specialists offer more talent and experience than any other hospital in the region. We are a Level II Trauma Center and the only exclusive heart hospital south of Houston. Our accredited center provides nationally-recognized care in the prevention, diagnosis, treatment and recovery of cardiovascular diseases. HCA Houston Healthcare Clear Lake offers a variety of other services, including Woman Services, Pediatric Care, Breast Diagnostic Center, ACR-accredited Imaging Center, Wound Care Treatment Center featuring Hyperbaric Oxygen Therapy, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Be a part of an organization that leverages our size to make a real impact in our industry!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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- VT1