Director of Nursing - Emergency Center

Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES

Operational & Clinical Excellence

• Ensures the delivery of safe, high-quality, age-appropriate, and cost-effective patient care within a family-centered environment. Performance is measured through financial outcomes (variance management), patient satisfaction, complaint resolution, regulatory compliance, and implementation of new programs and initiatives.
• Leads and participates in Quality Improvement initiatives to enhance clinical outcomes, operational efficiency, and patient experience.
  
  
  

Leadership & Talent Development

• Mentors and develops leaders and staff to strengthen performance, engagement, and succession planning, as evidenced by development plans, coaching sessions, and feedback.
• Fosters a positive work environment that promotes employee engagement, satisfaction, and retention, as measured by employee survey results and turnover metrics.
• Identifies and supports ongoing professional development opportunities to ensure consistent, high-level service delivery across teams.
  
  
  

Collaboration & Relationship Management

• Establishes and maintains effective partnerships with medical staff, leadership, and cross-functional teams to achieve organizational and departmental goals.
  
  
  

Strategic & Financial Management

• Develops, prioritizes, and executes service line goals aligned with Texas Children’s strategic plan.
• Monitors and reports financial performance, including budgeting, forecasting, and variance analysis.
• Prepares and manages annual operating and capital budgets.
  
  
  

Regulatory & Compliance Oversight

• Ensures compliance with all applicable regulatory and accreditation standards, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and Texas Health and Human Services (THHS).
• Supports organizational readiness for accreditation by ensuring departmental adherence and cross-functional collaboration.
  
  
  

Shared Accountabilities

• Completes timely and comprehensive performance evaluations for direct reports.
• Ensures new employees complete hospital and departmental orientation within established timeframes.
• Maintains and updates job descriptions to reflect current roles and responsibilities.
• Conducts thorough investigations and ensures appropriate follow-up for employee and patient concerns.
• Develops and submits performance plans, departmental goals, and action plans.
• Collaborates across departments to meet regulatory and accreditation requirements.
  
  
  

Knowledge & Skills

Knowledge of:

• Patient care delivery models
• Budgeting, financial management, and variance analysis
• Quality improvement methodologies
• Regulatory and accreditation standards (e.g., TJC, CMS, THHS)
• Microsoft Office applications, including word processing and spreadsheet tools
  
  
  

Ability to:

• Monitor, evaluate, and improve the quality of nursing care
• Lead staff development and performance management initiatives
• Facilitate group discussions and drive collaborative decision-making
• Effectively utilize computer systems and technology
  
  
  

Qualifications

Education

• Bachelor’s degree in Nursing required
• Master’s degree in Nursing, Business Administration, or a related healthcare field required
  
  
  

Licensure & Certifications

• Current Registered Nurse (RN) license issued by the Texas Board of Nursing or valid Nursing Licensure Compact (NLC) license required
• Clinical Nurse Leader (CNL) certification through the American Association of Colleges of Nursing (AACN) preferred
  
  
  

Experience

• Minimum of five (5) years of nursing experience required
• At least three (3) years of progressive leadership or management experience required
  
  
  

About Us

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children ’ s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children ’ s Hospital West Campus, a community hospital in suburban West Houston; Texas Children ’ s Hospital The Woodlands, the first hospital devoted to children ’ s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children ’ s Health Plan, the nation ’ s first HMO focused on children; Texas Children ’ s Pediatrics, the largest pediatric primary care network in the country; Texas Children ’ s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children ’ s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.