Administrative Director - Emergency Department

Company: RCM Healthcare Services
Location: East Boston
Posted on: March 11, 2026

Job Description:

Administrative Director of Emergency Department Department: Emergency Department Status: Full-time, 40 hours per week FLSA Classification : Exempt Work Arrangement: Four Days On-Site, One Day Remote or 8A-5P Mon-Fri Reports To: SVP, Operations About the Role The Emergency Department Administrative Director is a senior clinical and operational leader responsible for overseeing the daily operations of a high-volume, 24/7 Emergency Department serving approximately 45,000 patients annually within a culturally and linguistically diverse community. This role is suited for a master’s-prepared (MBA or MHA/MNA) Emergency Medicine Nurse Leader, Nurse Practitioner, or Physician Assistant with significant clinical and administrative experience. In close partnership with the Emergency Department Medical Director and senior leadership, the Director leads clinical operations, workflow redesign, quality improvement initiatives, staffing strategy, and budget oversight. While primarily administrative, the role also includes a clinical practice component aligned with the individual’s licensure. The ideal candidate is a strategic, collaborative leader who can drive operational excellence, ensure high-quality patient care, and support multidisciplinary teams in a fast-paced emergency care environment. The Emergency Department Administrative Director oversees, with the Emergency Department Medical Director, the daily operations of a busy 24/7 emergency service. Predominantly administrative in nature, this full-time position also includes clinical practice requirements. Under the guidance of the senior clinical management team and in collaboration with the Emergency Department Medical Director, the Administrative Director will be responsible for the development, implementation, and evaluation of the department’s ongoing service delivery system and redesign efforts. The successful candidate will be able to perform the following responsibilities: Develops and implements changes to clinical workflows and practices to support the department’s ongoing lean initiatives and practice guidelines. Designs, implements, and oversees the department’s performance improvement efforts. With the Medical Director and SVP of Operations, continually assesses and modifies the staffing necessary to support the delivery of high-quality, safe, and effective emergency care. Provides guidance, support, and supervision for the care delivery team comprised of RNs. MAs and clerical staff across all three shifts. Provides direct support, ongoing education, and leadership mentoring to the designated charge nurses responsible for the patient flow on the floor. Represents the Emergency Department at key meetings (e.g. Clinical Administrative Directors) and committees (e.g. Infection Control, Performance Improvement, Joint Commission Subcommittee, Emergency Operations Planning Committee) Provide direct patient care appropriate to the role of the NP/PA or RN, whichever applies, within the Emergency Department. Collaborates with the Medical Director and Finance Team in developing the departmental annual budget and monitoring monthly expense reports. Upholds safety policies, practices, and procedures, including safety, fire safety, electrical safety, proper body mechanics and material handling, office/ergonomic safety, and other employee safety measures. Requirements : Certified Nurse Practitioner or Physician Assistant, or master's prepared nurse manager Minimum of 5 years of progressively more responsible supervisory and management experience, ideally in an Emergency Department or in Critical Care Minimum of 5 years of clinical experience in Emergency Medicine or Critical Care Experience in applying Lean concepts to clinical workflows is a plus Experience serving a diverse patient population preferred Strong interpersonal and communication skills, with the ability to build rapport across diverse teams Exceptional problem-solving and conflict-resolution abilities Ability to handle sensitive and confidential matters with professionalism and discretion Proficiency in Microsoft Office Suite The ability to work in a fast-paced environment AC1 ACP

Keywords: RCM Healthcare Services, New Bedford , Administrative Director - Emergency Department, Healthcare , East Boston, Massachusetts