Houston, Texas
Employment Type: Full-Time, Permanent
Schedule: Monday–Friday (Executive role; extended hours as needed)
Compensation & Incentives:
Base Salary Range: $142,958 – $214,448
Target Bonus: 17.5% (up to 150% upside based on performance)
Sign-On Bonus: Case-by-case
Relocation Assistance: Case-by-case
We are seeking a highly experienced Vice President of Emergency Services to provide enterprise-level leadership for a large, high-volume emergency services portfolio. This executive role is responsible for strategic planning, operational execution, clinical quality, financial performance, and growth across adult emergency, pediatric emergency, and freestanding emergency departments.
The Vice President partners closely with nursing, medical staff, and executive leadership to drive exceptional patient outcomes, operational excellence, and long-term service line differentiation in a complex, trauma-capable environment.
Lead the development and execution of emergency services strategy aligned with organizational goals
Drive evidence-based clinical practice, patient safety initiatives, and quality outcomes
Reduce clinical variation and lead performance improvement initiatives across all ED settings
Ensure compliance with all regulatory, accreditation, and legal standards
Oversee patient throughput strategies, including capacity planning, forecasting, and patient flow
Provide executive oversight of nursing practice and emergency department operations
Develop and manage operating and capital budgets, including ROI analysis for growth initiatives
Ensure effective labor management, productivity optimization, and premium pay control
Lead cost containment efforts while maintaining high-quality clinical care
Monitor financial performance, identify trends, and implement corrective actions
Build and lead a high-performing emergency services leadership structure
Direct, mentor, and develop Directors, Managers, and frontline leadership
Foster a culture of accountability, engagement, and professional growth
Ensure consistent succession planning and leadership pipeline development
Identify opportunities for service line growth, innovation, and differentiation
Collaborate with physicians and administrators to enhance or expand emergency services
Strengthen referral networks and community relationships
Monitor healthcare trends, reimbursement changes, and competitive dynamics to ensure strategic positioning
5+ years of recent Director-level Emergency Services leadership experience in acute care
Experience must include Level I or Level II trauma centers
Must have managed emergency departments with 80,000+ annual visits
Bachelor’s degree (required)
Master’s degree or approved advanced education plan (required)
BSN required
Active Registered Nurse (RN) license (state or compact)
Basic Life Support (BLS) certification
Executive experience overseeing multi-site or freestanding emergency departments
Proven success managing large, complex teams and budgets
Strong track record of service line growth and performance improvement
Executive-level base compensation with performance-based bonus
Comprehensive medical, dental, and vision coverage
401(k) retirement plan with employer matching
Paid time off, paid family leave, and executive leave benefits
Education assistance and leadership development programs
Employee wellness, counseling, and financial planning resources
Emergency Services Vice Presidents or Senior Directors ready for enterprise oversight
Proven Emergency Department leaders from high-volume, trauma-designated hospitals
Executives with strong operational, financial, and physician-alignment skills
Leaders who thrive in complex, fast-paced emergency care environments
Vice President Emergency Services, VP Emergency Department, Emergency Services Executive, ED Executive Leadership, Trauma Center Leadership, Hospital Executive Nursing
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Texas Nursing Services provides skilled and enthusiastic professionals for healthcare positions across all practice areas. We specialize in meeting the unique needs of our clients by offering temporary, temp-to-hire, and permanent placement services. Our diligent recruitment and screening process ensures that our clients receive the best possible candidates for their job openings.
With our expertise and extensive network, we are able to serve clients of all sizes, across the United States. We understand the value of having a flexible workforce, and are committed to providing consistent and proactive support to ensure the success of your business.
If you are in need of skilled and dedicated professionals to support your healthcare organization, contact Texas Nursing Services today. We will work closely with you to understand your needs and provide the right solutions to meet your staffing needs. Apply now to discover the benefits of partnering with us.
At Texas Nursing Services, we are committed to attracting top talent in the healthcare industry. We understand that quality care starts with a talented and dedicated team, and that is why we strive to create a positive and supportive work environment for all of our nurses.
We are proud to offer competitive compensation and benefits packages, as well as ongoing training and development opportunities to help our nurses grow and succeed in their careers.
But we also recognize that it takes more than just a good salary to attract top talent. That is why we place a strong emphasis on creating a culture of teamwork and collaboration, where our nurses can feel valued and supported as they work to deliver the highest level of care to our patients.
