Senior Level Emergency Department Registered Nurse Jobs
Senior level emergency department registered nurse jobs place experienced nurses at the helm of high-acuity patient care, clinical decision-making, and the mentoring of junior staff in fast-moving trauma environments. Most openings are on-site, with Healthcare & Medical Services leading hiring and employers like Sutter Health, University Of Washington, and Geisinger hiring at this level now.
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Showing 5 of 8+ Senior Level Emergency Department Registered Nurse jobs
We are so glad you are interested in joining Sutter Health!
Organization
NCH-Novato Community Hospital
Position Overview
Manages and provides overall operational and clinical nursing leadership to an inpatient department(s) or setting. Plans and organizes inpatient nursing operations and resources to ensure effective and efficient delivery of patient care consistent with applicable laws, standards and regulations. Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, policies and procedures, the Joint Commission (TJC) standards, and applicable laws and regulations. Takes a strategic and tactical approach in identifying best practices and standardizing workflows/processes, and developing plans of action to implement changes. Establishes and manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid partnership with internal and external peers, leaders, and/or local/state/federal agencies to facilitate and collaborate on initiatives or issues resolution. Provides guidance and/or direct intervention in resolving challenging or complex situations.
Job Description
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Job Accountabilities
OPERATIONS
- Plans and organizes operations and resources to ensure effective and efficient delivery of patient care consistent with applicable laws, standards and regulations.
- Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, policies and procedures, TJC standards, and applicable laws and regulations.
- Takes a strategic approach in identifying best practices and standardizing workflows/processes and developing plans of action to implement changes.
- Establishes and communicates priorities and operational objectives to ensure business results are achieved.
- Makes rounds with staff, patients and physicians, listening to concerns and issues, conducting service recovery, and ensuring appropriate patient care.
- Reviews patient complaints and incidents, responding as appropriate and develops improvement plan with supervisor or lead.
- Directs or leads continuous improvement efforts using Lean or other process improvement methods and concepts.
- Ensures appropriate records are maintained for documentation and audit purposes.
- Promotes efficient and effective communications between departments and/or business teams to improve and standardize workflows.
- Identifies and works to remove barriers that may hinder the delivery of care or the achievement of process/productivity improvement and efficiency.
- Provides guidance and direct intervention in resolving challenging or complex situations.
- Develops, implements and/or ensures corrective action plans are implemented to address or minimize operational risk.
- Manages vendor contracts to ensure terms and conditions follow operating unit and/or system protocols.
- Keeps leadership informed of operations and escalates complex issues requiring higher level intervention.
- Develops and maintains a solid partnership with internal and external peers, leaders, and/or local/state/federal agencies to facilitate and collaborate on initiatives or issues resolution.
- As necessary, responds to emergencies and/or calls from staff after regular operating hours.
PEOPLE
- Provides and fosters an inclusive work environment that encourages staff engagement and collaboration, establishing a culture of teamwork.
- Manages assigned staff, makes hiring and termination decisions, and reviews and approves timekeeping records.
- Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations.
- Evaluates staff performance. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. May work with leadership when major disciplinary action is necessary or in consultation with Human Resources.
- Provides opportunities for career development, role expansion, and cross-training.
- Monitors department training and orientation plans, ensuring staff meets competency requirements and participates in appropriate education and training programs.
- Conducts staff meetings for informative and educational purposes.
- Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures. May consult with Human Resources or Compliance to determine appropriate course of action.
- Ensures staff maintains current and appropriate professional credentials.
FINANCIAL MANAGEMENT
- Develops, recommends, and manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies.
- Monitors department productivity, ensuring operational challenges are addressed timely.
- Reviews financial reports and develops and implements corrective action plans to address unfavorable variances.
- Reviews and approves employee expense reimbursements, and billing statements from vendors according to established protocol.
STRATEGY/PLANNING
- Leads departmental goal setting process and provides roadmap for accomplishing goals. Monitors progress, developing action plans to address issues and challenges.
- Communicates affiliate, operating unit and system goals to staff, helping staff understand impact on patients, operations and resources.
- Develops plan of action to address current and future resource needs in order to meet service and/or operational demands and objectives.
- Identifies process improvement opportunities, and initiates action plan to meet short/long term operational objectives.
- Develops metrics and methods for measuring outcomes against relevant internal and external benchmarks; assists in the identification of criteria and effective qualitative/quantitative measurement tools.
- Prepares reports and/or analyses, identifying operational trends and recurrent issues, and recommends and implements course of action.
- May participate in and/or facilitate ad-hoc committees and task forces to collaborate on or support new or ongoing initiatives.
- During peak periods or emergencies, may perform tasks to support patient care.
- May assume responsibilities of one-up leader role during his/her absence.
Education
Other: Graduate of an accredited school of nursing.
Certification & Licensure
- RN-Registered Nurse of California
- BLS-Basic Life Support Healthcare Provider
Department Required Certification & Licensure
- ACLS-Advanced Cardiac Life Support:
- Emergency Department
- MMC Labor & Delivery
- MMC Obstetrics Acute
- Fetal Monitoring Certificate:
- MMC Labor & Delivery
- MMC Obstetrics Acute
- Department, MMC Family Birth Center: NRP-Neonatal Resuscitation Provider:
- Department, Emergency Department: PALS-Pediatric Advanced Life Support
- Department, Emergency Department: TNCC-Trauma Nursing Corp Course within 180 days OR
- Department, Emergency Department: ENPC-Emergency Nurse Pediatric Course
- Department, Emergency Department: NIHSS-National Institutes of Health Stroke Scales within 90 days
Typical Experience
8 years of recent relevant experience.
Skills And Knowledge
- Solid understanding of operations and workflows and how the department’s process/workflow impacts other department operations.
- Demonstrates understanding of business and operational requirements.
- Demonstrated leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others.
- Demonstrates solid clinical proficiency and knowledge to effectively plan and coordinate patient care consistent with applicable laws, standards and regulations.
- Working knowledge and thorough understanding of state/federal/local and/or accreditation standards and requirements as it relates to operations and organization, with the ability to interpret and implement applicable standards and requirements.
- Demonstrates understanding of the healthcare financial environment.
- Demonstrates ability to develop and manage a budget.
- Understands age-specific needs in providing care to the patient population served.
- Demonstrates tactical and analytical thinking and planning skills, and is able to develop plans to accomplish objectives, identify obstacles and resolve operational issues.
- Knowledge of emerging trends and how it impacts operations.
- Ability to build and establish effective working partnerships with employees, peers and/or leaders to achieve business objectives.
- Demonstrates ability to handle confidential and sensitive issues.
- Verbal and written communication, and interpersonal skills.
- Ability to handle difficult circumstances and make sound business decisions with little direction.
- Demonstrates ability to work in a dynamic and fast-paced environment with changing business priorities.
- Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service and achieving business results.
- Demonstrates a customer service focus in all decisions and actions.
- Demonstrates ability to work/interact with a diverse population while respecting cultural and linguistic differences and fostering an inclusive work environment.
- Working knowledge of wage and hour laws.
- Ability to use essential software and applications associated with the role’s duties and responsibilities. (Document specific software or applications if necessary – e.g., Proficiency with Word for an Admin Asst position).
Physical Activities And Requirements
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements
Job Shift
Days
Schedule
Full Time
Days Of The Week
Variable
Weekend Requirements
Occasionally
Benefits
Yes
Unions
No
Position Status
Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $209,185.60 to $334,692.80 / annual salary
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
We are so glad you are interested in joining Sutter Health!
Organization
NCH-Novato Community Hospital
Position Overview
Manages and provides overall operational and clinical nursing leadership to an inpatient department(s) or setting. Plans and organizes inpatient nursing operations and resources to ensure effective and efficient delivery of patient care consistent with applicable laws, standards and regulations. Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, policies and procedures, the Joint Commission (TJC) standards, and applicable laws and regulations. Takes a strategic and tactical approach in identifying best practices and standardizing workflows/processes, and developing plans of action to implement changes. Establishes and manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies. Develops and maintains a solid partnership with internal and external peers, leaders, and/or local/state/federal agencies to facilitate and collaborate on initiatives or issues resolution. Provides guidance and/or direct intervention in resolving challenging or complex situations.
Job Description
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Job Accountabilities
OPERATIONS
- Plans and organizes operations and resources to ensure effective and efficient delivery of patient care consistent with applicable laws, standards and regulations.
- Establishes protocols and practices, ensuring compliance with department, affiliate, operating unit, and/or system standards, policies and procedures, TJC standards, and applicable laws and regulations.
- Takes a strategic approach in identifying best practices and standardizing workflows/processes and developing plans of action to implement changes.
- Establishes and communicates priorities and operational objectives to ensure business results are achieved.
- Makes rounds with staff, patients and physicians, listening to concerns and issues, conducting service recovery, and ensuring appropriate patient care.
- Reviews patient complaints and incidents, responding as appropriate and develops improvement plan with supervisor or lead.
- Directs or leads continuous improvement efforts using Lean or other process improvement methods and concepts.
- Ensures appropriate records are maintained for documentation and audit purposes.
- Promotes efficient and effective communications between departments and/or business teams to improve and standardize workflows.
- Identifies and works to remove barriers that may hinder the delivery of care or the achievement of process/productivity improvement and efficiency.
- Provides guidance and direct intervention in resolving challenging or complex situations.
- Develops, implements and/or ensures corrective action plans are implemented to address or minimize operational risk.
- Manages vendor contracts to ensure terms and conditions follow operating unit and/or system protocols.
- Keeps leadership informed of operations and escalates complex issues requiring higher level intervention.
- Develops and maintains a solid partnership with internal and external peers, leaders, and/or local/state/federal agencies to facilitate and collaborate on initiatives or issues resolution.
- As necessary, responds to emergencies and/or calls from staff after regular operating hours.
PEOPLE
- Provides and fosters an inclusive work environment that encourages staff engagement and collaboration, establishing a culture of teamwork.
- Manages assigned staff, makes hiring and termination decisions, and reviews and approves timekeeping records.
- Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations.
- Evaluates staff performance. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. May work with leadership when major disciplinary action is necessary or in consultation with Human Resources.
- Provides opportunities for career development, role expansion, and cross-training.
- Monitors department training and orientation plans, ensuring staff meets competency requirements and participates in appropriate education and training programs.
- Conducts staff meetings for informative and educational purposes.
- Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures. May consult with Human Resources or Compliance to determine appropriate course of action.
- Ensures staff maintains current and appropriate professional credentials.
FINANCIAL MANAGEMENT
- Develops, recommends, and manages capital and operational budgets to achieve financial targets via effective utilization of personnel, resources and supplies.
- Monitors department productivity, ensuring operational challenges are addressed timely.
- Reviews financial reports and develops and implements corrective action plans to address unfavorable variances.
- Reviews and approves employee expense reimbursements, and billing statements from vendors according to established protocol.
STRATEGY/PLANNING
- Leads departmental goal setting process and provides roadmap for accomplishing goals. Monitors progress, developing action plans to address issues and challenges.
- Communicates affiliate, operating unit and system goals to staff, helping staff understand impact on patients, operations and resources.
- Develops plan of action to address current and future resource needs in order to meet service and/or operational demands and objectives.
- Identifies process improvement opportunities, and initiates action plan to meet short/long term operational objectives.
- Develops metrics and methods for measuring outcomes against relevant internal and external benchmarks; assists in the identification of criteria and effective qualitative/quantitative measurement tools.
- Prepares reports and/or analyses, identifying operational trends and recurrent issues, and recommends and implements course of action.
- May participate in and/or facilitate ad-hoc committees and task forces to collaborate on or support new or ongoing initiatives.
- During peak periods or emergencies, may perform tasks to support patient care.
- May assume responsibilities of one-up leader role during his/her absence.
Education
Other: Graduate of an accredited school of nursing.
Certification & Licensure
- RN-Registered Nurse of California
- BLS-Basic Life Support Healthcare Provider
Department Required Certification & Licensure
- ACLS-Advanced Cardiac Life Support:
- Emergency Department
- MMC Labor & Delivery
- MMC Obstetrics Acute
- Fetal Monitoring Certificate:
- MMC Labor & Delivery
- MMC Obstetrics Acute
- Department, MMC Family Birth Center: NRP-Neonatal Resuscitation Provider:
- Department, Emergency Department: PALS-Pediatric Advanced Life Support
- Department, Emergency Department: TNCC-Trauma Nursing Corp Course within 180 days OR
- Department, Emergency Department: ENPC-Emergency Nurse Pediatric Course
- Department, Emergency Department: NIHSS-National Institutes of Health Stroke Scales within 90 days
Typical Experience
8 years of recent relevant experience.
Skills And Knowledge
- Solid understanding of operations and workflows and how the department’s process/workflow impacts other department operations.
- Demonstrates understanding of business and operational requirements.
- Demonstrated leadership skills, including team building, and coaching/mentoring with the ability to motivate and engage others.
- Demonstrates solid clinical proficiency and knowledge to effectively plan and coordinate patient care consistent with applicable laws, standards and regulations.
- Working knowledge and thorough understanding of state/federal/local and/or accreditation standards and requirements as it relates to operations and organization, with the ability to interpret and implement applicable standards and requirements.
- Demonstrates understanding of the healthcare financial environment.
- Demonstrates ability to develop and manage a budget.
- Understands age-specific needs in providing care to the patient population served.
- Demonstrates tactical and analytical thinking and planning skills, and is able to develop plans to accomplish objectives, identify obstacles and resolve operational issues.
- Knowledge of emerging trends and how it impacts operations.
- Ability to build and establish effective working partnerships with employees, peers and/or leaders to achieve business objectives.
- Demonstrates ability to handle confidential and sensitive issues.
- Verbal and written communication, and interpersonal skills.
- Ability to handle difficult circumstances and make sound business decisions with little direction.
- Demonstrates ability to work in a dynamic and fast-paced environment with changing business priorities.
- Organizational and time management skills, with the ability to prioritize multiple projects while delivering quality service and achieving business results.
- Demonstrates a customer service focus in all decisions and actions.
- Demonstrates ability to work/interact with a diverse population while respecting cultural and linguistic differences and fostering an inclusive work environment.
- Working knowledge of wage and hour laws.
- Ability to use essential software and applications associated with the role’s duties and responsibilities. (Document specific software or applications if necessary – e.g., Proficiency with Word for an Admin Asst position).
Physical Activities And Requirements
See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements
Job Shift
Days
Schedule
Full Time
Days Of The Week
Variable
Weekend Requirements
Occasionally
Benefits
Yes
Unions
No
Position Status
Exempt
Weekly Hours
40
Employee Status
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $209,185.60 to $334,692.80 / annual salary
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.
See All 8 Senior Level Emergency Department Registered Nurse Jobs
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Find JobsSenior Level Emergency Department Registered Nurse Job Market
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
Senior Level Emergency Department Registered Nurse Jobs: Frequently Asked Questions
How do I get a senior level emergency department registered nurse job?
Employers hiring at this level look for demonstrated ownership of complex, high-acuity cases and a history of leading charge nurse duties, precepting new staff, or driving quality improvement initiatives in the ED. Candidates who can show measurable outcomes, such as reduced door-to-provider times or improved triage accuracy, stand out. Certifications like CEN or CPEN signal the clinical depth these roles require.
Which companies hire senior level emergency department registered nurses?
Companies hiring senior level emergency department registered nurses right now include Sutter Health, University Of Washington, and Geisinger, based on current listings on Migrate Mate as of August 2026. Hiring at this level tends to concentrate among large health systems, regional trauma centers, and academic medical centers that need experienced nurses to anchor high-volume emergency departments.
Are there remote senior level emergency department registered nurse jobs?
Yes, though bedside emergency nursing is inherently on-site, adjacent senior level roles in triage nursing, ED case management, and clinical quality do include remote or hybrid arrangements. About 0% of senior level emergency department registered nurse openings are remote or hybrid as of August 2026, so it is worth filtering by work setting when reviewing current listings.
What makes a emergency department registered nurse role senior level?
Senior level emergency department registered nurse roles are defined by clinical autonomy, accountability for patient outcomes across a full shift, and an active role in mentoring less experienced nurses. These positions involve leading resuscitations, guiding care decisions in ambiguous or critical situations, contributing to protocol development, and often serving in charge or preceptor capacities that shape how the entire ED team performs.
Which industries hire the most senior level emergency department registered nurses?
Senior Level emergency department registered nurse roles concentrate in Healthcare & Medical Services, based on current listings on Migrate Mate as of August 2026. These sectors drive hiring at this level because they operate high-volume, high-complexity emergency departments that depend on seasoned nurses to maintain care standards, stabilize staffing, and develop the next generation of ED clinicians.