Director of Emergency Room; ER

Description

Under the general direction of the Chief Nursing Officer, the Director of Emergency Room provides strategic, clinical, and operational leadership for the Emergency Room Department. The Director is accountable for safe, efficient, high-quality emergency care; departmental staffing and scheduling; employee selection, orientation, competency, performance management, and development; patient flow; regulatory readiness; quality outcomes; patient experience; fiscal stewardship; and continuous improvement. The Director establishes departmental goals, policies, workflows, and performance expectations;

monitors clinical and operational results; and implements corrective actions when standards are not met. This role collaborates with physicians, advanced practice providers, nursing leaders, ancillary departments, outside agencies, and interdisciplinary partners to ensure coordinated care and effective emergency operations. The Director maintains compliance with applicable federal, state, and local requirements, CMS Conditions of Participation, The Joint Commission standards, EMTALA, Georgia emergency behavioral health hold requirements, organizational policies, and professional nursing standards.

The position requires visible leadership, sound judgment, confidentiality, accountability, effective communication, and the ability to lead in a fast-paced emergency care environment.

• Coordinates the functions and activities of nurses and other healthcare professionals involved in patient care during assigned shifts.
• Accepts patient care assignments as needed and supports safe, timely, and effective care delivery in the Emergency Room Department.
• Coordinates care with physicians, laboratory, cardiopulmonary, therapy, social work, and other members of the healthcare team.
• Monitors patient status, identifies changes or concerns, communicates with providers, and reviews medical records to assess progress or areas requiring follow-up.
• Identifies issues that may place patients at risk for complications, readmissions, or delays in care.
• Facilitates the admissions process, including timely transition from the Emergency Room to a Med/Surg bed within 30 minutes of provider order entry unless otherwise indicated.

• Department Leadership and Accountability:
  Directs all Emergency Room clinical and operational functions, establishes departmental priorities, maintains clear accountability, and ensures reliable execution of organizational initiatives.
• Staffing and Scheduling:
  Develops staffing plans and schedules, monitors productivity and skill mix, ensures adequate coverage, and responds to census, acuity, and operational needs.
• Recruitment and Retention:
  Leads recruitment, interviewing, selection, onboarding, retention, succession planning, and workforce development for the department.
• Orientation, Education, and
  
  Competency:
  
  Ensures effective orientation, annual education, competency validation, preceptor development, and training for new equipment, procedures, and practice changes.
• Performance Management and Employee Relations:
  Sets performance expectations; completes evaluations; provides coaching and recognition; addresses conduct, attendance, competency, and performance concerns; and administers corrective action in collaboration with Human Resources.
• Budget and Resource Stewardship:
  Develops and manages the departmental operating budget, monitors labor and supply expenses, evaluates variances, and implements responsible cost-control measures without compromising care quality or safety.

• Ensures nursing care is provided in accordance with hospital policies and procedures, established nursing standards of care and practice, and State of Georgia requirements.
• Supports compliance with required documentation, including restraints, stroke care, triage, transfers, and other applicable Emergency Room documentation requirements.
• Studies and supports Joint Commission standards applicable to the department and helps ensure ongoing compliance.
• Promotes adherence to infection control, OSHA, safety, and internal monitoring requirements within the Emergency Room Department.
• Supports internal control and monitoring processes to help ensure and enforce compliance.

• Builds supportive relationships with patients and families and provides emotional support during illness, emergencies,…