Director of Nursing | Emergency Department | Relocation Assistance

Hospitality Health ER is a high-acuity, freestanding emergency department in Longview, Texas, providing 24/7 emergency care with a strong focus on clinical excellence, efficiency, and patient experience. Our environment is fast-paced, team-driven, and built for leaders who are decisive, visible, and operationally strong.

This is not a hospital unit and not a low-acuity setting. Our leadership team values accountability, clinical credibility, and hands-on problem solving.

Hospitality Health ER is seeking an experienced Director of Nursing (DON) to lead nursing operations within a freestanding emergency department environment.

This role requires prior Emergency Department leadership experience. Candidates without ER or ED leadership background will not be considered.

The Director of Nursing is responsible for the day-to-day clinical and operational leadership of the emergency department, ensuring safe, efficient, compliant, and high-quality patient care in a 24/7 setting. This is a highly visible role that requires strong clinical judgment, operational discipline, and the ability to lead in real time.

This is not a desk-only position. The DON is expected to maintain an active presence within the department and partner closely with physicians and staff.

Ideal candidates will have leadership experience in one or more of the following environments: Emergency Department (ED), Emergency Room (ER), Freestanding Emergency Room (FSER), Trauma, or high-acuity emergency services. We are seeking a visible nurse leader with strong operational and clinical leadership experience.

• Lead and oversee all nursing operations within a freestanding emergency department
• Ensure appropriate staffing, scheduling, coverage, and skill mix for a 24/7 ER environment
• Maintain readiness for high-acuity, high-volume patient care
• Partner with leadership to manage productivity, FTEs, and departmental budgets
• Oversee inventory, pharmacy coordination, equipment readiness, and facility functionality

• Provide direct leadership to clinical and non-clinical team members
• Participate in hiring decisions, onboarding, performance management, and corrective action
• Maintain visibility and accessibility to staff across shifts
• Coach, mentor, and develop nursing leaders and frontline staff
• Recognize performance and address issues promptly and professionally

• Ensure compliance with all applicable regulatory and licensing requirements (including TDSHS)
• Review and maintain clinical policies, procedures, and standards of care
• Collaborate closely with emergency physicians and medical leadership
• Respond promptly to physician concerns and operational issues
• Support quality initiatives, patient flow, and patient satisfaction efforts

• Manage departmental budgets and monitor revenue, expenses, and contribution margins
• Identify capital needs and participate in planning and justification
• Stay current on emergency nursing best practices and implement improvements as appropriate

• Graduate of an accredited school of nursing (BSN preferred)
• Active RN license in the State of Texas
• Demonstrated leadership experience in an Emergency Department setting
• Minimum of five (5) years of progressive clinical experience, with ER leadership experience strongly preferred
• Strong operational, communication, and decision-making skills
• Ability to lead confidently in a fast-paced, high-acuity environment
• Professional certification in emergency nursing or leadership preferred