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Freestanding Emergency Department Director — Clinical Operations
About the job Freestanding Emergency Department Director — Clinical Operations
Freestanding Emergency Department Director — Clinical Operations & Nursing Leadership
Company: HireNow Staffing (Direct Placement Partner)
Location: Charleston, South Carolina
Employment Type: Full-Time
Schedule: Days — No Scheduled Weekends
Base Salary: $109,449–$145,000 annually, based on experience
Incentive Bonus: Up to 17.5%, subject to eligibility and performance terms
Relocation: Considered case by case
HireNow Snapshot
HireNow Staffing is recruiting an experienced Emergency Department Director for a freestanding emergency services leadership opportunity in Charleston, South Carolina.
Reporting to the Associate Chief Nursing Officer (ACNO), this position supports two hospitals and offers opportunities for professional growth. The employer seeks a leader with emergency department director experience and prefers prior freestanding emergency department experience.
A strong emergency department manager may also be considered when supported by stable employment tenure and leadership experience in a large acute care facility.
HireNow Staffing is acting as a direct placement partner.
Candidate Location Requirement
HireNow Staffing primarily recruits candidates who currently reside in the United States and live in the advertised location or surrounding commuting area, unless the posting explicitly states otherwise. U.S.-based candidates seeking relocation to Charleston may be considered on a case-by-case basis. Applicants residing outside the United States should not apply.
HireNow Package
- Annual Base Salary: $109,449–$145,000, based on years of experience.
- Incentive Bonus: Up to 17.5%; eligibility, performance measures, and payout terms will be confirmed by the employer.
- Schedule: Full-time days; no scheduled weekends.
- Sign-On Bonus: Not offered.
- Relocation Assistance: Case-by-case consideration.
- Reporting Relationship: Associate Chief Nursing Officer.
- Shift Differentials: Not specified.
- On-Call Expectations: Not specified; to be confirmed during screening.
Role Overview
This position combines emergency nursing leadership with operational oversight in a freestanding emergency care setting. Anticipated responsibilities include:
- Lead nursing operations and support safe, timely emergency care.
- Develop staff, communicate expectations, and promote accountability.
- Coordinate with the ACNO and hospital leadership on operational priorities.
- Monitor staffing, patient flow, care quality, and department performance.
- Support collaboration between emergency providers, nurses, and supporting hospital teams.
- Oversee nursing workflows involving point-of-care laboratory testing.
- Identify opportunities to improve processes, staff readiness, and patient experience.
Practice Environment
- The position supports two hospitals.
- Reported patient volumes vary, with approximately 53 visits per day in some settings and a reported high of 65.
- Nurses perform point-of-care laboratory testing; no in-house laboratory is listed for the freestanding setting.
- Exact site coverage and operational responsibilities will be discussed during the interview process.
Required Qualifications
- Bachelor of Science in Nursing.
- At least three years of emergency services experience.
- At least three years of leadership experience.
- Current South Carolina RN license or an applicable multistate compact RN license permitting practice in South Carolina.
- ACLS certification.
- PALS or ENPC.
- BLS and TNCC, as listed in the requisition; completion timing to be confirmed.
- Emergency department director experience, with consideration available for a strong manager meeting the employer's stated alternative criteria.
Preferred Qualifications
- Freestanding emergency department leadership experience.
- For manager-level candidates: strong employment tenure and leadership experience in a large acute care facility.
HireNow Checklist
HireNow Staffing is seeking an emergency nursing leader who:
- Holds a BSN and the required RN license.
- Meets both the emergency services and leadership experience requirements.
- Has ED director experience or a strong management background consistent with the alternative consideration criteria.
- Can demonstrate effective team leadership and operational decision-making.
- Is prepared to oversee a setting where nurses perform point-of-care testing.
- Lives in the Charleston area or is a U.S.-based candidate seeking relocation consideration.
- Meets the employer's application and former-employee eligibility rules.
HireNow Standout Candidates
Strong candidates will provide examples of improving emergency department operations, developing staff, managing patient flow, and maintaining care quality. Prior freestanding ED leadership and a stable record of increasing responsibility will strengthen consideration.
HireNow Disqualifiers & Eligibility Rules
- Failure to meet the BSN, RN licensure, experience, or certification requirements.
- Leadership experience that does not meet the director-level expectations or the stated manager consideration criteria.
- An active application anywhere within the hiring organization's enterprise during the previous 12 months.
- Former employees must have been separated from the hiring organization for at least six months to be considered.
- Former employees are not eligible for relocation incentives until at least 12 months after separation. No sign-on bonus is offered for this role.
- Frequent, unexplained job changes; jumpy résumés are not accepted.
- Failure to meet the stated location requirements.