On Call Manager Registered Nurse; RN - ED - Emergency Department

Pyramid Consulting is seeking a Registered Nurse (RN) ED - Emergency Department Manager for a nursing job in Garland, Texas.

• Specialty:
  ED - Emergency Department
• Discipline:
  RN
• Start Date:
  
  04/06/2026
• Duration:
  Ongoing
• 36 hours per week
• Shift:
  12 hours, days, evenings, nights, flexible, on call
• Employment Type:
  
  Staff

Position Overview

We are seeking an experienced and dynamic ER Nurse Manager II to lead the Emergency Department team. This leadership role is responsible for fostering a positive clinical environment, ensuring excellence in patient care, and driving operational and quality outcomes within the department.

The Nurse Manager II will oversee nursing operations, manage staff performance and development, maintain regulatory compliance, and ensure the delivery of safe, high-quality, patient-centered care.

• Provide leadership and direction for the Emergency Department nursing team
• Promote a culture of safety, teamwork, accountability, and excellence
• Oversee daily department operations, staffing, and resource allocation
• Manage departmental budget, financial performance, and cost control measures
• Lead quality improvement initiatives and ensure compliance with regulatory standards
• Develop and implement policies, procedures, and evidence-based practices
• Support staff recruitment, retention, performance evaluations, and professional development
• Coordinate educational programs to enhance clinical competency and meet organizational goals
• Collaborate with physicians, leadership, and interdisciplinary teams
• Serve as a clinical caregiver when necessary to support patient care needs
• Ensure patient satisfaction and continuous improvement in care delivery

• Bachelor’s Degree in Nursing (BSN)
• Active Registered Nurse (RN) license in Texas
• Minimum 5 years of Emergency Department RN experience
• Minimum 2 years of Charge RN or leadership experience
• Current Basic Life Support (BLS) certification

• Master’s Degree in Nursing or Healthcare Administration
• Advanced certifications (CEN, TNCC, etc.)
• Previous Nurse Manager experience in a high-volume ED

• Strong leadership and team-building skills
• Budget and financial management experience
• Quality improvement and performance metrics expertise
• Knowledge of regulatory and accreditation standards
• Excellent communication and collaboration skills
• Ability to manage multiple priorities in a fast-paced ED environment

Benefits Immediate eligibility for comprehensive health and welfare benefits 401(k) savings plan with dollar-for-dollar employer match up to 5% Tuition reimbursement program Fully funded Bachelor’s and Master’s degree programs PTO accrual starting on Day 1

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We are dedicated to accelerating growth, creating opportunities, and fostering an environment built on belonging, trust, and mutual respect. Our commitment is to help you find the best path to achieve your career goals.

As a global leader in workforce and technology solutions, Pyramid Consulting, Inc. partners with clients to navigate competitive and ever-changing markets. Our award-winning family of brands — Pyramid Talent, Celsior, and Gen Spark — works seamlessly together, delivering integrated solutions through multiple delivery models across five continents and 25+ countries. Since our founding in 1996, we’ve supported 125+ Fortune 500 companies across all major industries by engaging 6,500+ consultants worldwide.

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