Director of Emergency Services

Job DescriptionJob DescriptionA 370-bed regional medical center in San Antonio, TX (78212) is seeking a Director of Emergency Services. The hospital is home to the largest emergency room in downtown San Antonio — a 29-bed ER (with expansion plans underway) — and holds Chest Pain Center accreditation. The facility is also a Level 4 Trauma facility seeing approximately 50,000 visits annually.The role.

The Director of Emergency Services reports to the CNO and oversees a team of approximately 100 staff, including two managers, CNCs, and EMS techs. This leader drives clinical quality and patient safety by identifying and implementing evidence-based practices, managing variation in clinical practice, and ensuring compliance with legal and regulatory standards. The Director owns patient throughput — from volume forecasting and patient flow coordination to admission and discharge planning — while fostering interdisciplinary collaboration across departments.

Budget accountability is central to the role: the Director participates in annual budget development, monitors departmental financial performance, identifies cost-reduction opportunities, and maintains effective labor management including scheduling and productivity. The position also partners with administrative and physician leaders to evaluate and develop new or expanded service offerings.What we're looking for.Bachelor's Degree or other approved education plan RequiredBachelor's degree in nursing RequiredMaster's Degree Preferred1+ years applicable experience Required3+ years applicable experience PreferredSchedule. Full-Time, Days, No Weekends.Compensation. $145,000 - $160,000 per year plus $20,000 sign-on bonus