Emergency Department Manager

Description

The Emergency Department (ED) Manager is responsible for the overall management and daily operation of the CRMC Emergency Department, with direct authority over ED nursing operations, staffing, scheduling, workflow, clinical practice, competency validation, education, performance, and personnel accountability.

Under the direction of the Director of Nursing (DON) and Administration, the ED Manager works collaboratively with physicians, hospital leadership, Quality, Human Resources, Infection Prevention, Case Management, and other departments to ensure safe, efficient, compliant, and patient-centered emergency services.

Within delegated authority, the ED Manager may make routine operational and staffing decisions necessary for safe and effective ED operations. Matters requiring executive, medical staff, Human Resources, or governing‑body authority shall be escalated through the appropriate chain of command.

The ED Manager shall:

• Direct daily ED nursing operations, workflow, patient throughput, assignments, staffing deployment, and operational readiness.
• Evaluate and improve ED safety, efficiency, patient flow, and quality of care.
• Maintain effective processes for triage, assessment, treatment, stabilization, admission, discharge, and transfer.
• Coordinate patient flow and operational issues with ED physicians and other departments.
• Ensure necessary equipment, supplies, medications, emergency carts, and resources are maintained and available.
• Identify operational barriers and implement corrective actions, collaborating with the DON and Administration when appropriate.
• Participate in developing, implementing, and enforcing ED policies, procedures, workflows, protocols, and standards.
• Ensure staff comply with hospital policies, physician orders, nursing standards, and approved clinical procedures.
• Maintain readiness for regulatory surveys, audits, accreditation reviews, and emergency preparedness activities, including HICS as assigned.

The ED Manager has primary responsibility for ED nursing staffing and shall:

• Develop, maintain, and approve nursing schedules based on patient needs, staffing plans, budget expectations, and applicable requirements.
• Determine daily assignments and adjust staffing based on patient volume, acuity, competency, and operational needs.
• Approve routine schedule changes, shift trades, and staffing adjustments consistent with CRMC policy.
• Manage call‑offs, staffing shortages, and replacement coverage.
• Monitor and manage appropriate use of overtime, registry/agency, per‑diem, and other staffing resources.
• Assign and reassign nursing personnel based on qualifications, competency, acuity, scope of practice, patient safety, and operational needs.
• Monitor attendance, punctuality, scheduling compliance, meal/rest periods, and staffing expectations.
• Identify staffing needs and make recommendations regarding recruitment, retention, vacancies, and staffing levels.
• Participate in interviewing and selecting ED nursing personnel with Human Resources, the DON, and Administration.
• Maintain staffing records and report significant staffing concerns to the DON and Administration.

The ED Manager is directly responsible for monitoring and validating ED nursing competencies and shall:

• Maintain an ED nursing competency program in coordination with the DON and appropriate departments.
• Ensure staff demonstrate competency before independently performing specialized clinical duties.
• Conduct or coordinate initial, annual, and ongoing competency assessments and maintain required documentation.
• Identify clinical or performance deficiencies and initiate education, remediation, supervision, or competency reassessment.
• Restrict independent performance of clinical skills when competency has not been demonstrated or a reasonable patient‑safety concern exists, pending evaluation and escalation.
• Ensure required licenses and certifications remain current.
• Coordinate remedial education and competency validation when deficiencies are identified.
• Provide or coordinate continuing education based on departmental needs, incidents, audits, regulatory findings, and changes in clinical practice.
• Competencies may include emergency assessment and triage, recognition of deterioration, emergency medications, IV therapy, blood administration, cardiac monitoring, EKGs, stroke and sepsis response,…