Administrative Director (OBH) - Emergency Room Services

Overview:

The Administrative Director, Emergency Department Operations provides senior administrative, operational, financial, and strategic leadership for the Emergency Department (ED). In partnership with the Chair of Emergency Medicine, nursing leadership, hospital administration, clinical leaders, and support departments, this position is responsible for ensuring efficient, compliant, patient-centered, and financially responsible ED operations.

This role serves as a key administrative partner in advancing the Department’s clinical, academic, service, quality, safety, and growth objectives.

The Administrative Director is expected to drive operational excellence in a high-volume, fast-paced emergency care environment by improving systems, strengthening accountability, supporting staff engagement, enhancing patient access and experience, and ensuring alignment with the hospital’s mission, strategic priorities, regulatory requirements, and standards of care.

Responsibilities:

Strategic and Operational Leadership:

• Provides administrative and operational leadership for the Emergency Department in collaboration with the Chair of Emergency Medicine, nursing leadership, senior leadership, and key hospital stakeholders.
• Oversees daily ED administrative operations, ensuring effective coordination of people, processes, systems, space, equipment, and resources needed to support safe and efficient emergency care.
• Develops, implements, and monitors operational strategies that improve ED performance, patient access, throughput, staff productivity, service quality, and financial outcomes.
• Identifies operational barriers and leads process improvement initiatives related to patient flow, ED capacity, registration, clinical support services, ancillary turnaround times, discharge processes, admission handoffs, and interdepartmental coordination.
• Partners with clinical and nursing leadership to support initiatives aimed at reducing delays, improving door-to-provider times, decreasing patients who leave without being seen or treated, reducing avoidable boarding, and improving overall patient experience.
• Supports the development and execution of short- and long-term strategic plans for Emergency Department services, including program growth, service expansion, resource planning, and market positioning.

Financial Management and Revenue Cycle:

• Oversees the financial operations of the Emergency Department, including operating budgets, capital budgets, expense management, revenue cycle performance, productivity analysis, and financial reporting.
• Leads or supports the development of annual operating and capital budgets in collaboration with the Chair, finance leadership, and senior administration.
• Reviews monthly and annual budget variance reports, identifies trends, explains variances, and implements corrective action plans as needed.
• Monitors revenue cycle performance, including billing workflows, charge capture, coding/documentation compliance, collections trends, denial patterns, and opportunities to improve reimbursement.
• Conducts financial, business, and market analyses to evaluate new services, operational investments, staffing needs, grant opportunities, and program growth initiatives.
• Provides financial counsel and operational recommendations to the Chair and senior leadership to support informed decision-making.

Quality, Safety, Regulatory Compliance, and Risk Readiness:

• Ensures departmental operations support compliance with applicable hospital policies, regulatory requirements, accreditation standards, and emergency care obligations.
• Partners with clinical, nursing, quality, compliance, and risk management teams to support readiness for surveys, audits, regulatory reviews, and corrective action plans.
• Supports operational compliance with Emergency Department requirements related to patient access, timely evaluation, documentation, transfer processes, patient rights, privacy, safety, and emergency preparedness.
• Collaborates with department and hospital leaders to monitor key quality and operational indicators, including throughput, boarding, patient complaints, incident trends, documentation gaps, and service recovery opportunities.
• Participates in emergency preparedness planning, disaster response activities, surge planning, and coordination with internal and external emergency response partners as applicable.

People Leadership, Workforce Planning, and Labor Relations:

• Supports recruitment, onboarding, training, retention, performance management, and staff development activities for assigned faculty, professional, administrative, technical, and support staff.
• Partners with Human Resources and departmental leadership on workforce planning, vacancy management, position control, employee relations, labor relations, disciplinary processes, grievance matters, and compliance with collective bargaining agreements where applicable.
• Monitors staffing patterns, productivity, overtime, agency usage, vacancies, scheduling practices, and workforce needs to ensure alignment with operational demands and budget expectations.
• Promotes a culture of accountability, professionalism, teamwork, service excellence, staff engagement, and continuous improvement.
• Ensures staff are appropriately trained on applicable systems, workflows, policies, documentation standards, and departmental procedures.

Systems, Data, and Process Improvement:

• Ensures effective use of Epic and other applicable hospital systems to support clinical operations, registration workflows, reporting, billing, scheduling, documentation, communication, and performance monitoring.
• Identifies system gaps, workflow inefficiencies, documentation issues, and reporting needs; partners with Information Technology, Epic analysts, finance, quality, and clinical leadership to implement improvements.
• Develops and maintains dashboards, reports, and performance tools to monitor ED volume, productivity, staffing, patient flow, financial performance, quality indicators, and operational outcomes.
• Uses data to identify trends, support decision-making, evaluate performance, and recommend process improvements.
• Leads or participates in departmental and hospital-wide performance improvement projects focused on efficiency, access, quality, patient safety, staff engagement, and financial sustainability.

Academic, Teaching, and Program Support:

• Provides administrative support for the Department’s teaching, faculty, resident, student, and academic activities as applicable.
• Partners with the Chair, program leadership, faculty, and administrative teams to ensure appropriate administrative infrastructure for clinical education, teaching assignments, academic reporting, and program-related operations.
• Supports departmental participation in presentations, abstracts, posters, community initiatives, and academic or hospital-based projects as applicable.

Interdepartmental, Community, and Leadership Engagement:

• Represents the Emergency Department on hospital committees, operational workgroups, management meetings, community initiatives, and project teams.
• Builds strong working relationships with nursing, inpatient units, care management, registration, finance, compliance, quality, environmental services, security, laboratory, radiology, pharmacy, transport, information technology, and other key departments.
• Maintains awareness of the competitive healthcare marketplace and identifies opportunities to improve service delivery, patient access, community presence, and departmental performance.
• Performs other related duties as assigned.

Qualifications:

Education:

• Bachelor’s degree required in Health Administration, Business Administration, Public Administration, Nursing, Healthcare Management, Finance, or a related field.
• Master’s degree preferred in Health Administration, Business Administration, Public Health, Nursing Administration, Healthcare Management, or a related discipline.

Experience:

• Minimum of seven (7) years of progressive healthcare operations leadership experience required, including direct responsibility for budget management, staff oversight, performance improvement, and cross-functional hospital operations.
• Experience working in a unionized healthcare environment preferred.
• Experience partnering with physicians, nursing leadership, finance, quality, compliance, human resources, and senior leadership preferred.

Knowledge, Skills and Abilities:

• Strong knowledge of hospital operations, Emergency Department workflows, patient throughput, staffing models, revenue cycle processes, regulatory compliance, and performance improvement principles.
• Demonstrated ability to manage complex clinical operations in a fast-paced, high-volume healthcare environment.
• Strong financial management skills, including budget development, variance analysis, productivity monitoring, capital planning, and business planning.
• Knowledge of healthcare billing, charge capture, coding/documentation workflows, denial trends, and revenue cycle improvement opportunities.
• Ability to analyze data, identify trends, develop action plans, and present findings clearly to clinical and administrative leadership.
• Strong leadership, communication, collaboration, problem-solving, and change management skills.
• Ability to manage multiple priorities, meet deadlines, resolve operational barriers, and drive accountability across teams.
• Ability to work effectively with physicians, nursing leaders, staff, labor representatives, senior leadership, and external partners.
• Knowledge of regulatory and accreditation standards applicable to hospital and emergency care settings.
• Proficiency with Epic, Microsoft Office, reporting tools, dashboards, and other healthcare information systems.
• Demonstrated ability to lead process improvement, workflow redesign, project management, and operational change initiatives.
• High level of professionalism, discretion, judgment, and integrity when handling confidential, sensitive, or high-risk matters.

Licenses, Certifications:

• Certified Professional in Healthcare Quality (CPHQ), preferred
• Lean Six Sigma Green Belt or Black Belt, preferred
• Project Management Professional (PMP), preferred
• Fellow of the American College of Healthcare Executives (FACHE), preferred

Physical Requirements:

• Consistent with that necessary to work in a variety of patient care and office settings.
• Position requires prolonged periods of standing, reaching, walking throughout the working day.
• Position will be required to stoop, bend, lift, and carry items weighing up to twenty-five (25) pounds.

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Pay Transparency:

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.