Vice President of Emergency Services
Job Description
Overview
A large, high-acuity acute care hospital in Houston, Texas is seeking an accomplished Vice President of Emergency Services to provide enterprise-level leadership across adult emergency, pediatric emergency, and multiple freestanding emergency departments.
This executive role is responsible for strategic planning, operational performance, quality outcomes, physician engagement, and financial stewardship for a complex, high-volume emergency services platform.
Responsibilities
Clinical Quality & Operations
Lead development and execution of evidence-based clinical strategies to enhance patient safety, quality outcomes, and regulatory compliance
Establish and standardize emergency care practices to reduce variation, improve throughput, and optimize efficiency
Drive patient flow strategies including capacity planning, volume forecasting, admission/discharge coordination, and surge management
Ensure compliance with all legal, regulatory, and accreditation standards
Direct nursing practice, operational policies, and emergency department standards of care
Service & Patient Experience
Champion a patient- and family-centered emergency care model
Develop and implement service excellence strategies that improve patient satisfaction and community reputation
Leverage performance feedback, benchmarks, and patient experience data to drive continuous improvement
People Leadership
Foster a high-performance, accountability-driven leadership culture
Lead recruitment, development, engagement, and retention of emergency services leadership and staff
Coach and mentor directors and managers to build a deep leadership pipeline
Ensure appropriate staffing models, position control, and labor productivity
Growth & Strategy
Lead service line strategic planning and business development initiatives
Partner with physicians and administrative leaders to expand existing services and develop new emergency care offerings
Monitor external healthcare trends, reimbursement changes, and competitive dynamics to ensure market differentiation
Develop and maintain strong external relationships that strengthen referral networks and community presence
Financial Management
Develop and manage operating and capital budgets aligned with organizational objectives
Evaluate ROI for capital investments and growth initiatives
Identify cost reduction opportunities while maintaining clinical excellence
Oversee labor management, premium pay utilization, and resource optimization
Scope of Responsibility
Oversight of Adult Emergency Department, Pediatric Emergency Department, and multiple Free-Standing Emergency Departments
High-volume emergency operations with annual ED visits exceeding 80,000
Adult ED and Pediatric ED with combined daily volumes exceeding 240+ patients/day (seasonal variability)
Oversight of approximately 160 FTEs
Direct leadership of 3 Emergency Services Directors (Adult ED, Pediatric ED, FSEDs)
Reports directly to the Chief Nursing Officer (CNO)
Qualifications
Required:
Minimum 5+ years of recent Director-level Emergency Services leadership
Prior leadership in a Level I or Level II Trauma Center
Demonstrated experience managing emergency departments with 80,000+ annual visits
BSN required
Bachelor’s degree required
Master’s degree required (or approved advanced education plan)
Active RN license (Texas or compact state)
BLS certification
Preferred:
Executive-level experience overseeing multiple ED sites
Strong background in throughput optimization, quality/regulatory performance, and physician alignment
Additional Information
Compensation & Benefits
Competitive executive base salary with performance-based bonus
Comprehensive medical, dental, and vision coverage
401(k) retirement plan with employer match
Paid time off and paid family leave
Executive leadership development and education assistance
Employee wellness, counseling, and financial planning resources
Benefit eligibility may vary by employment status and location.
Ideal For
Emergency Services executives ready to lead complex, multi-site ED operations
Leaders with proven success in high-volume, trauma-designated environments
Candidates seeking enterprise-level influence, growth, and strategic impact
Keywords
Vice President Emergency Services, VP Emergency Department, Emergency Services Executive, Trauma Center Leadership, Emergency Medicine Administration, Houston Healthcare Executive Jobs
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