Director of Emergency Services

Published
December 16, 2025
Location
San Antonio, Texas
Category
Job Type
State
Texas
Region
Southwest

Description

ER DIRECTOR – SAN ANTONIO

Need a solid ER director (possibly a strong manager at a similar size hospital) experience with accomplishments/metrics listed on resume.

 

  • Comp: depending on YOE but guessing the max could be between $145-160K.
  • Incentive Bonus:
  • 17.5% is the bonus if all goals are met and the payout is at 100%. Some of the metrics have the potential to exceed the bonus which is where the upside comes into play.
  • Since it is all performance based (hospital performance) there is no way to let candidates know what is realistic. The payout could be anywhere from 0% to 26.25%.

 

378 bed facility

# of ER Beds:  29  plans to expand - underway

Trauma level: 4

Volume: 50k a year – ~136 a day

Chest pain center accredited

 

-Hospital is typically full 85-90% capacity

-Overall great metrics in ER

-High performing team

-Great relationship with med director

-Great quality outcomes – sepsis

 

Staff: ~100 total – including 2 manager – day and night, CNCs/charge, EMS techs

Reports to CNO

 

Great Patient Experience scores – goal is above 30th% avg 55th%; SAN is # 1 in HCA in PE

Employee Engagement – high 83%

 

 

FREE STANDING ER DIRECTOR – SAN ANTONIO

 

Over two FSEDs:

City Base – sees ~45 a day; lots of low acuity, like an urgent care. One manager.

Alamo Heights – sees ~40 a day; older population, good pay mix; ~12 FTEs. The director will be based here. Does not have a manager – CNCs.

Reports to the division VP Emergency Services.

Previous director left HCA due to performance.

 

 

  • Comp: depending on YOE – the max is probably $125-$130K if seasoned.

Mid: $121,326

  • Target bonus: 17.5% is the bonus if all goals are met and the payout is at 100%. Some of the metrics have the potential to exceed the bonus which is where the upside comes into play. Since it is all performance based (hospital performance) there is no way to let candidates know what is realistic. The payout could be anywhere from 0% to 26.25%.
  • Standard relocation – you should have that info. Policy D

 

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