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.