Vice President of Emergency Services
Vice President of Emergency Services
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
Overview
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.
Responsibilities
Strategic & Clinical Leadership
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
Operations & Financial Performance
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
People & Culture
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
Growth & Market Positioning
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
Qualifications
Required
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
Preferred
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
Compensation & Benefits
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
Ideal For
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
Keywords
Vice President Emergency Services, VP Emergency Department, Emergency Services Executive, ED Executive Leadership, Trauma Center Leadership, Hospital Executive Nursing
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