Director Emergency Services

Requisition ID
Employment Type
Full Time
Emergency Services
Hours / Pay Period
Standard Hours
Facility / Process Level : Name
CHI Franciscan St. Michael Medical Center


CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits.  We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.


St. Michael Medical Center is looking for an RN to join our team in our NEW HOSPITAL in Silverdale! This 500,000 Square-foot hospital will be the most energy-efficient hospital in Washington and will provide an extraordinary healing environment for our patients with beautiful views of the Olympic Mountains and Dyes Inlet. In addition, the entire campus has been developed with the well-being of our team in mind with dedicated respite areas and generous break areas (see the views!) along with the Clear Creek trail running through the hospital grounds, encouraging walks and connection with the community. Be a part of this groundbreaking addition to CHI Franciscan!


St. Michael Medical Center is one of only four hospitals in our state to achieve the Pathway to Excellence designation, which recognizes health care organizations for their commitment to ensuring excellence in the nursing profession.


Visit our website at for 360-degree photos and virtual tour of the new hospital or see below.


Our mission is to deliver high-quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!


Job Summary:

This job is responsible for direct and indirect patient care and day-to-day operations of the Emergency Department at a specific hospital campus in accordance with professional standards, strategic business objectives and applicable regulatory requirements.  An incumbent manages department activities through subordinate management staff.  Work also includes:  1) staff management and development, including conducting staff interviews, selection, coaching and counseling to ensure standards of performance are achieved; 2) working closely with the Medical Director to coordinate patient care; 3) administering approved budget, ensuring that an adequate inventory of supplies is maintained, and that quality assurance/accreditation standards are followed; 4) reviewing and responding to daily patient care and physician issues and patient satisfaction reports; 5) serving on regional committees and internal management teams to represent the work site and address broad-based issues impacting the entire organization and 6) providing input to the President on development, implementation, monitoring and other operational issues.   

Job duties require considerable knowledge of the specialized principles and practices related to health care management in order to evaluate and make viable recommendations in support of clinical effectiveness and organizational performance improvement.  Also requires clinical knowledge relative to the assigned functions and considerable management expertise relating to strategic business planning, process improvement, budget administration and personnel management.  Performance improvement efforts cover a variety of processes, and an incumbent must be sufficiently knowledgeable to recognize important synergies and opportunities in clinical outcomes, cost containment, patient safety/satisfaction, risk reduction and regulatory compliance.

Essential Duties:

Clinical/Service Outcomes:

  • Plans, directs and evaluates, through subordinate managers, the programs, systems, operations and resources of the assigned clinical area(s) to assure clinical outcome goals are met through implementation of clinical pathways to drive quality improvement initiatives and improve patient outcomes; ensures caregiver/provider linkage to an established set of specific guidelines that direct patient care; analyzes results and institutes appropriate refinements/modifications to pathways to facilitate sustained improvement in performance and patient satisfaction.

Long Term Planning/Future Focus/Quality Improvement:

  • Long Term Planning/Future Focus/Quality Improvement: Develops, implements, monitors and evaluates systems/initiatives/programs to facilitate performance/quality improvements in keeping with strategic objectives and regulatory requirements; conducts ongoing assessment of the strengths and weaknesses of the assigned clinical area(s) to better understand/identify future needs and challenges; evaluates existing systems/program/priorities and future potential to make recommendations for growth, expansion, new services and solvency of existing services.

Resource Management/Budget Administration:

  • Determines resources needed to accomplish the performance objectives of the clinical area(s) and oversees activities and resources in a manner that is fiscally responsible and in accordance with CHI Franciscan Health (CHI-FH) policies and standards; prepares, or directs the preparation of, the annual operating/capital budget; identifies, aligns and optimizes resources to positively impact organizational strategies towards achievement of goals; exercises effective cost control by monitoring and adjusting expenses as needed to stay within budget; ensures that administrative infrastructure is in place to maximize revenue capture; approves expenditures within defined scope of responsibility; identifies negative variances and develops action plans to document, address and effectively resolve in a timely manner; oversees the preparation of complete and accurate financial, budget, activity and productivity information, including variance reports, financial projections and other statistical reports; keeps Hospital President apprised of all issues with potential for budgetary impact.

Staff Management and Development:

  • Plans, directs and evaluates the work of clinical management staff in accordance with the content, spirit and intent of applicable internal/external regulations and standards for human resource management; ensures adequate staffing levels for appropriate coverage to meet budgetary and operational objectives; ensures that employees are qualified and properly trained to perform assigned job duties; holds regular staff meetings and keeps employees appraised of all matters relevant to successful job performance; makes employment decisions, establishes performance standards and evaluates employee performance; educates, guides, counsels and develops staff and addresses performance management concerns and technical issues elevated by subordinates as beyond their scope of authority.

Regulatory Compliance:

  • Keeps abreast of changing regulatory requirements/regulation, clinical/professional standards, changing customer demographics and competitive industry practices impacting assigned functions, as well as organizational initiatives/changes with potential to impact current strategies, programs and resources; determines nature/scope of impact on existing activities and determines effective response/solution while maintaining acceptable service levels and work quality.



  • Bachelor's degree in healthcare-realted field, graduation from an accredited school of nursing and a minimum of five years of recent work experience in emergency or critical care nursing that demonstrates attainment of the requisite job knowledge/abilities, including two years in a supervisory or management capacity.
  • Equivalent additional qualifying work experience may be substituted for two years of the degree requirement.
  • Master's degree in nursing, busines or healthcare is preferred.



  • Current licensure as a Registered Nurse by the Washington State Board of Nursing. 
  • Current ACLS (Advanced Cardiac Life Support) - (1 month grace period allowed for ACLS if expired)
  • TNCC (Trauma Nurse Core Care) certification, PALS (Pediatric Advanced life Support) or ENPC (Emergency Nurse Pediatric Course) certification is preferred.


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