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ER Manager FSED

i4 Search Group

Salem, VA · Posted October 30, 2026

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RN Manager – Freestanding Emergency Department (FSED)

Location: Virginia

Position Type: Full-Time | Permanent

Specialty: Emergency Services

Leadership Experience: Required

We are seeking an experienced and motivated Registered Nurse (RN) Manager to oversee daily operations at a Freestanding Emergency Department (FSED).

This leadership position is based at the FSED and is responsible for supporting high-quality patient care, managing clinical operations, developing staff, and ensuring compliance with established nursing standards and regulatory requirements.

The RN Manager will oversee approximately 20 full-time employees , including Registered Nurses, Paramedics, and Patient Care Technicians (PCTs).

The ideal candidate is a strong clinical leader with emergency nursing experience, excellent communication skills, and a demonstrated ability to lead multidisciplinary teams in a fast-paced emergency care environment.

Key Responsibilities

Leadership & Operations

Provide daily leadership and operational oversight of the Freestanding Emergency Department.

Assume responsibility for departmental management in the absence of the Director.

Ensure appropriate staffing levels and resource allocation based on patient volume, acuity, and operational needs.

Oversee approximately 20 FTEs, including RNs, Paramedics, and PCTs.

Promote a collaborative, patient-centered environment focused on quality care and patient safety.

Assist with the development, implementation, review, and revision of departmental policies, procedures, and clinical standards.

Staff Management & Development

Participate in interviewing, hiring, onboarding, coaching, and evaluating clinical staff.

Monitor employee performance and provide ongoing feedback and professional development opportunities.

Ensure staff maintain current professional licenses, required certifications, competencies, and mandatory education.

Support staff scheduling, productivity, and workforce planning.

Foster a positive work environment that encourages teamwork, accountability, and employee engagement.

Quality & Patient Care

Promote evidence-based nursing practices and compliance with regulatory and accreditation standards.

Monitor clinical performance, patient safety, and quality improvement initiatives.

Collaborate with physicians, nursing leadership, and other healthcare professionals to ensure efficient emergency care delivery.

Identify opportunities to improve patient outcomes, operational efficiency, and patient satisfaction.

Department Overview

Setting: Freestanding Emergency Department (FSED)

Staffing: Approximately 20 FTEs

Team Composition: Registered Nurses, Paramedics, and Patient Care Technicians

Laboratory Services: Point-of-Care (POC) laboratory

Laboratory Coverage: 12 hours daily, 11:00 AM – 11:00 PM

Leadership Responsibility: Daily clinical operations, staffing, employee development, and departmental performance

Education Requirements

Diploma or Associate Degree in Nursing from an accredited nursing program – Required

Bachelor of Science in Nursing (BSN) or current enrollment in an accredited BSN program – Preferred

Licensure & Certifications

Current Virginia RN license or active multistate compact RN license with eligibility to practice in Virginia – Required

American Heart Association Basic Life Support (BLS) – Required

Trauma Nursing Core Course (TNCC)

Advanced Cardiac Life Support (ACLS) or ACLS Instructor certification – Must be obtained within one year of employment.

Basic Cardiac Life Support (BCLS) Instructor certification – Must be obtained within 30 days of employment.

Pediatric Advanced Life Support (PALS) or PALS Instructor certification – Must be obtained within one year of employment.

Experience & Qualifications

Previous nursing leadership or management experience required.

Emergency Department nursing experience strongly preferred.

Experience supervising multidisciplinary clinical teams.

Strong understanding of emergency department operations, staffing, and patient care standards.

Demonstrated ability to manage competing priorities in a fast-paced clinical environment.

Excellent leadership, communication, organizational, and problem-solving skills.

Ability to promote staff accountability, professional development, and high-quality patient care.

Ideal Candidate

The ideal candidate is an experienced emergency nursing leader who enjoys mentoring staff, improving clinical operations, and maintaining high standards of patient care.

This position offers the opportunity to lead a dedicated team in a Freestanding Emergency Department while collaborating with nursing leadership to support operational excellence and positive patient outcomes.

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