Director Emergency Services and Respiratory Therapy

Position Function

Reporting to the Vice President of Nursing/Chief Nursing Officer, this position provides strategic leadership and operational oversight for all nursing services within the Emergency Department and Respiratory Therapy. The role ensures alignment with the organization’s mission and values, with a strong emphasis on clinical excellence, patient experience, regulatory compliance, and operational efficiency.

Duties and Responsibilities

• Oversee day-to-day operations and clinical functions of the Emergency Department and Respiratory Therapy services.
• Ensure safe, efficient, and high-quality nursing care across assigned departments.
• Collaborate with department leaders to establish and monitor standards of care, workflows, and best practices.
• Ensure compliance with nursing standards and regulatory requirements.
• Develop and monitor processes to maintain quality patient care and adherence to standards.
• Lead hospital response teams, including Code Blue, STEMI, stroke, and rapid response teams.
• Chair the Critical Care Committee, coordinating initiatives across multidisciplinary teams.
• Oversee operational plans to improve patient care, address concerns, and enhance the patient experience.
• Responsible for hospital-wide throughput efficiencies, including monitoring and improving Length of Stay (LOS) and Left Without Being Seen (LWBS) rates.
• Serve as the nursing representative in hospital space planning and decision-making forums
• Act as the primary nursing contact for Emergency Management planning, response activation, and coordination of clinical resources during events.
• Serve as the clinical lead for providing required data to the Department of Public Health (DPH) for load balancing; participate in regional emergency preparedness meetings as requested.
• Ensure adherence to all federal, state, and local healthcare regulations, as well as The Joint Commission standards and organizational policies.
• Lead and support risk-reduction initiatives that enhance patient and staff safety across departments.
• Maintain accurate and timely documentation and reporting to support regulatory compliance and quality improvement initiatives.
• Monitor and analyze Laborlytics data for all departments to promote optimal staffing, productivity, and cost-efficiency.
• Supervise staff, including hiring, workload allocation, training, performance evaluation, and corrective actions.
• Assess qualifications and competency of personnel in collaboration with professional standards.
• Manage resources, including budgeting, financial analysis, and position control.
• Maintain oversight of contracts with providers and partners, including EMS.
• Build strong relationships internally and externally to support departmental goals.
• Promote teamwork and foster collaboration across departments.
• Utilize data for quality improvement, regulatory compliance, and budget planning.
• Identify and implement changes to improve care quality and patient outcomes.
• Foster innovation and effectively manage organizational change.
• Perform related duties as required during emergencies or as designated by hospital leadership.

Qualifications

• Minimum Education: Current licensure by the Massachusetts Board of Registration in Nursing. BSN required; MSN required.
• Minimum Experience: 5 years of Emergency or Adult Critical Care nursing experience. 5 years of progressively responsible management experience, including department management, budget accountability, contract management, and staff supervision. Experience with Joint Commission survey preparedness preferred.
• Licensure/Certification: Current Registered Nurse licensure in good standing by the MA Board of Registration in Nursing. ACLS required; PALS preferred. CEN or CCRN preferred. Completion of National Incident Management System (NIMS) training within six months of hire.
• Skills: Proficiency in Microsoft Office Suite (Word, Excel, etc.). Exceptional written, oral, and presentation communication skills. Strong problem-solving and critical-thinking abilities. Ability to excel in a fast-paced environment while maintaining professional relationships. Experience with EPIC preferred.

Pay Range

$155,000.00 USD – $211,000.00 USD