Job Description

Director of Emergency Services - Marion, NC

Full-Time Leadership | Monday-Friday Days, No Weekends | $78,894-$140,000 Annual Salary + 17.5-26.25% Incentive Bonus | Sign-On & Relocation Available

Overview

Lead emergency services at a 65-bed community hospital with a 15-bed emergency department in Marion, North Carolina, serving McDowell County with 26,000 annual visits. This Director of Emergency Services role oversees 50 FTEs and high-performing Clinical Nurse Coordinators (no managers) in a facility recognized by Leapfrog Group as Best Performer for pediatric imaging and "A" grade for Patient Safety. The hospital treats high-acuity patients and has a pending ER expansion project underway. The facility offers comprehensive services including family medicine, internal medicine, pediatrics, orthopedics, urology, obstetrics/gynecology with 5 labor and delivery suites, and walk-in care. The position reports to the CNO (4-year tenure) with a new Medical Director who started in June. Marion offers Blue Ridge Mountain beauty, low cost of living, outdoor recreation, and small-town community feel with proximity to Asheville.

Responsibilities

• Ensure high-quality, patient-centered emergency care through oversight of staffing, operations, forecasting, planning, and budget monitoring for 15-bed ED.
• Foster culture of accountability and collaboration while supporting development and implementation of strategies, policies, and procedures.
• Direct emergency department operations serving 26,000 annual visits with high-acuity patient population in community hospital setting.
• Oversee 50 FTEs and high-performing Clinical Nurse Coordinators to deliver seamless emergency care and operational excellence.
• Develop and implement evidence-based practices, policies, and procedures to advance patient safety and quality outcomes.
• Manage departmental budget including revenue forecasting, expense monitoring, labor productivity, and resource allocation.
• Monitor key performance indicators, patient satisfaction scores, and quality metrics to drive continuous improvement.
• Ensure compliance with Leapfrog, Joint Commission, CMS, and state regulatory standards for emergency services.
• Lead ER expansion planning and implementation to meet growing community needs and enhance service delivery.
• Collaborate with new Medical Director, CNO, physicians, and interdisciplinary teams to optimize emergency care delivery.
• Build and retain high-performing emergency teams through talent acquisition, coaching, performance management, and professional development.
• Leverage feedback mechanisms to benchmark performance and identify opportunities to elevate patient experience.
• Provide visible, accessible leadership supporting staff engagement and maintaining low turnover environment.
• Ensure efficient patient flow, throughput, and care coordination in high-acuity community emergency setting.

Qualifications

Required:

• Bachelor's Degree or approved education plan
• Current North Carolina RN license in good standing or active multi-state compact license
• Minimum 1 year of applicable emergency services leadership experience
• Proven track record of strong metrics, performance achievements, and operational improvements (must be documented on resume)
• Demonstrated expertise in emergency department operations and high-acuity patient care
• Strong leadership, communication, and strategic planning skills
• Financial acumen and budget management experience

Preferred:

• Bachelor of Science in Nursing (BSN)
• Master's Degree in Nursing, Healthcare Administration, or related field
• 3+ years of emergency services leadership experience
• Very recent ED Manager experience will be considered
• Experience in community hospital emergency departments
• Background in ER expansion or facility development projects

Compensation & Benefits

• Annual Salary: $78,894-$140,000 based on experience
• Annual Incentive Bonus: 17.5%-26.25% of base salary
• Sign-On Bonus: Available on a case-by-case basis
• Relocation Assistance: Available on a case-by-case basis
• Comprehensive health, dental, and vision insurance
• 401(k) with employer match
• Paid time off, paid holidays, no weekends
• Tuition reimbursement and continuing education support
• Professional development and leadership training
• Employee wellness programs and recognition initiatives

Ideal For

Emergency services leaders ready to direct operations at a high-performing community hospital with low turnover, no vacancies, and strong team engagement. Perfect for directors or experienced managers who value small-town living, collaborative leadership teams, and the opportunity to lead ER expansion in beautiful Western North Carolina.

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Director of Emergency Services in Marion, NC at community hospital. Lead 15-bed ED with competitive salary, incentive bonus, low turnover, and ER expansion project.

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