Director Emergency Room

Overview

JOB SUMMARY:

The Emergency Room Director ensures the delivery of safe, high-quality patient care for the Emergency Room Department. The ER Director is maintains 24 hour accountability for the staffing and management of patient care, for providing professional nursing services in specified patient care areas, and the acquisition, development and utilization of resources including human, material and fiscal needed to meet those responsibilities. Coordinate scheduling of hospital nursing staff according to patient census and acuity. Handle the clerical and administrative management of the unit. Act as a creative leader combining nursing expertise, critical thinking and effective leadership and management skills to ensure that quality care is provided through satisfied and inspired professionals. Collaborate with Nurse Directors, hospital staff and physicians to achieve goals. Maintain accountability to County, State and Federal agencies as well as The Joint Commission for compliance with applicable laws, regulations and standards and for providing quality patient outcomes.

Responsibilities

Key Responsibilities

Leadership & Strategic Decision-Making

• Makes effective decisions that move the organization toward its vision and achieve strategic goals.
• Integrates departmental services with other hospital departments to assure coordinated operations.
• Communicates effectively (written and verbal) and leads through active listening and engagement.
• Supports staff through regular monthly department meetings (10/year).
• Effectively guides teams through organizational change, addressing resistance constructively.
• Exhibits strong skill in team building, conflict mediation, problem resolution, and negotiation.
• Consistently models organizational values and projects a positive professional image.

Clinical Operations & Patient Care

• Ensures 24-hour provision of nursing services in compliance with all regulatory requirements.
• Assumes 24-hour responsibility for scheduling and staffing based on patient volume and acuity.
• Develops and implements policies and procedures that guide and support the provision of services. Reviews and revises policies and procedures annually.
• Assists staff in direct patient care as needed to assure high-quality, cost-effective care.
• Collaborates with medical and nursing staff to ensure timely admissions and discharges.
• Ensures clinical documentation and departmental operations meet all regulatory standards.
• Communicates well with the Chief Nursing Officer, reports problems/issues and recommends solutions. Requests assistance as appropriate.

Staff Management & Development

• Interviews, selects, orients, and trains competent, qualified clinical and support staff.
• Supervises, delegates, and assigns work effectively to achieve unit goals.
• Mentors and coaches staff, with a focus on developing Charge Nurses and future leaders.
• Conducts timely employee performance evaluations and provides ongoing constructive feedback.
• Ensures staff complete required orientation, ethics updates, and mandatory training on schedule.
• Effectively coaches, counsels and disciplines employees. Provides ongoing feedback to staff.

Financial & Resource Management

• Utilizes financial data for strategic and operational decision-making.
• Consistently manages operations within established SWB/PAPD and supply budgets.
• Monitors time and attendance records (eTIME) for accuracy and timeliness.
• Identifies cost-control strategies and revenue generation opportunities while maintaining high care standards.

Quality Improvement & Safety

• Develops, implements, and maintains departmental Performance Improvement (P.I.) and quality control plans.
• Establishes systems to measure and improve customer service scores to meet or exceed hospital benchmarks.
• Administers policies regarding safety, environmental health, ergonomics, and risk management.
• Proactively manages workers'' compensation reduction through timely education and incident investigations.
• Develops systems to assess and monitor customer service in the department. Unit, hospital and PSMS survey scores consistently meet or exceed hospital benchmarks.
• Develops, implements and maintains departmental P.I. Plan, including quality control activities. Recommends priorities and thresholds to the Quality Council. Manages processes to assess, measure, evaluate and implement improvement. Complies with and submits required reports to the Quality Improvement Director by specified deadline.

Performs other duties as assigned.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Current CA RN License. BS degree in Nursing or other healthcare-related field, or equivalent combination of education and experience.MS degree in Healthcare -related field preferred. Minimum of 5 years of RN experience, inlcuding 2 years in a charge nurse, supervisor or management role which include clinical skills and managerial/leadership functions. Certification in CEN or BCEN specialty area preferred. Current BCLS, ACLS (AHA), CPI/AB508, NIHSS required. Excellent written and oral communication skills required. Demonstrated capability to oversee care across all age brackets: Neonate/Infant (Birth-12m), Child/Pediatric (1-12y), Adolescent (13-17y), Adult (18-64y), and Geriatric (65+)