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Senior Administrator, Emergency Services

Job ID: 962957
Facility: ECU Health Medical Center
Dept: Clinical Services Admin
Location: Greenville, NC
FT/PT: Full-Time
Shift: Not Applicable
Reg/Temp: Regular
Date Posted: Mar 15, 2023

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Job Description

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

Position Summary

Serves as a member of the ECU Health Medical Center leadership team responsible for oversight, development, management and financial/quarterly outcomes of all emergency services for the 974 bed academic medical center.


Human Resources

Leads an interdisciplinary workforce of approximately 395 FTEs that provide clinically competent, efficient, and compassionate care and services.

Serves as member of ECU Health Medical Center leadership team and regional duties as assigned

Participates on the leadership team of ECUHMC and regional ED leadership teams when assigned.

Participate as member of the hospital operations team responsible for implementing the work plan and managing daily operations of the medical center. Work with senior executive team, medical staff, medical school leaders, and community leaders to establish partnerships to enhance the coordination and quality of services.

Assists in the development and implementation of key strategies for service line and organizational goal achievement. Serves as change agent for service line and organizational priorities.

Represents the service line in internal and external forums.

Provides leadership for implementing the ECUHMC mission, vision, and values, philosophy and career advancement within the organization. Provide mentoring and professional development counseling to promote retention and overall staff satisfaction.

Work closely with Emergency Services team members and providers to establish expectations and monitor outcomes. Foster climate of teamwork and collaboration. Encourage professional and personal development. Promote and foster shared governance.

Assure system of equitable accountability for management performance including consequences of poor performance, as well as reward/recognition for excellence. Provide oral, written, and published positive feedback for accomplishments.

Promote participation in and review findings of employee surveys to assess satisfaction and engagement. Develop strategies for improvement as indicated.  

Support a culture of reward, retention and promotion from within and support programs of staff recruitment and development to sustain ongoing need for quality workforce.

Working relationship with team member and medical staff

Work with hospital and service line leaders to integrate Emergency Services team member and provider involvement and assure participation in delivery of safe and effective patient care services.

Review results of team member and provider engagement survey data. Develop and implement action plans for improvement. Cascades information to system ED operational leaders as directed.

Support deployment and effective use of the electronic medical record to team members and medical staff.

Assure the ongoing recruitment of team members, leaders and providers in key clinical areas as well as succession planning for leadership roles.

Professional Development

Maintain ongoing program of professional development and learning of new strategies for effectiveness and continuation of zest for role. Disseminates information to system leaders.


PERFORMANCE IMPROVEMENT:  Focuses and actively engages on quality improvement, and building a culture of quality and safety.  

  1. Ensures that the patient and their experiences are at the center of the work.

  2. Supports change to achieve best in class results.

  3. Develop and maintains relationships that support the continuous enhancement of care delivery, and patient and team member engagement.

Develops expectations, plans, and implements procedures to assess and improve the quality of the organization's management, clinical and support processes. Implements standards of practice consistent with standards of professional organizations, statutes and regulations.

Participates in setting quality benchmarks and metrics for measuring success in quality outcomes. Partners with team members, leaders and providers to manage care delivery and follow clinical protocols.



Works to develop patient-care delivery models designed to enhance the patient and family experience for admitted, treated and released patients and their families. This position is responsible for influencing the culture of care delivery across the organization.

  • Develop models that are inclusive of families and patient support systems.

  • Measures success of programs by standards of clinical outcomes, patient and employee satisfaction - Demonstrates best practice and evidenced based knowledge in patient care model changes.


Monitor patient experience through survey results, rounding, discharge phone calls, and review of complaints and grievances.  Develop and implement action plants to address deficiencies.  Meet/exceed targets for service line for patient experience.

Ensure effective and timely service recovery is carried out.

Promote continuous service line performance improvement through adoption of key strategies and teams.  Provide executive leadership for identified departmental and regional team members.

Serve as role model.


Use objective data to evaluate effectiveness of standard practices in service line.  Compare performance against Emergency Medicine national benchmarks.  Holds leaders, team members and providers accountable for quality outcomes and provision of safe patient care.

Use expert resources to strengthen and accelerate improvements and outcomes. 


Lead team members and providers in compliance with Joint Commission and CMS standards. 

Assess compliance to state and regulatory standards. Develops and implements plans to address issues with continuous follow up to all stakeholders.  Stay apprised on revisions and/or new standards.

Maintain a state of continuous survey readiness.



ECUH Medical Center: Responsible for the overall planning, coordinating, management, and performance improvement for emergency services within the level I trauma center including:

  • 92 bed emergency department

  • 16-Bed Children's Emergency Department

  • 11 Bed  Short Stay Unit

Serves as a liaison and interface with the Office of Emergency Management, Greenville Fire and Rescue and Pitt County EMS.

ECUH Community Hospitals: Serves as a liaison to community hospital teams under the direction System Vice President, Emergency Services.


Supervise administrative and management staff in daily operations.  Promote effective working relationships between all organization units through teamwork, collaboration, sharing of information, resources, and best practices.

Maintains presence and accessibility to staff through rounding and meetings.   Intervene as necessary with patient, family or physician concerns.

Assist with problem identification and resolution through active participation in strategy development and garnering of support and resources.

Partner with teams across ECUHMC and regional hospitals to plan and execute strategies to expedite patient flow and throughput.

Actively support the effective deployment and utilization of the Electronic Health Record and information technology to improve operational effectiveness.

Generate, update and sustain all necessary and pertinent policies and procedures to ensure orderly and consistent operations.

Serve on community groups and seek opportunities to improve quality of life for patients and communities in eastern NC.



Provide planning and oversight of allocated resources in order to optimize the provision of patient care and return on investment for ECUHMC and ECUH system.

Participate in annual budget development with managers and administrators.  Represent Emergency Services budget to financial services and executive leader. Supports regional leaders in budget development, while promoting consistency across the ED Service Line.

Monitor monthly financial performance and hold leaders accountable for variances under the direction of System Vice President, Emergency Services.  Allocate resources to support operational decisions as needed to control further variances.

Identify resources and support needed for strategy implementation to achieve growth in competitive environment.

Identify clear ROI for all recommended projects and initiatives.

Utilize quantitative analytics to prepare and implement strategies that promote efficiency and maximize contribution margin.

Manage annual capital proposals and grant fund management.



Develop and implement strategic plan to ensure the academic medical center provides emergency/trauma services to our 29 county region as a Level 1 Trauma Center. Supports strategic plan of the ED Service Line.

Evaluate, develop, and implement plans to expand services to remote areas in our service area. 

Support service line strategic planning activities with hospital and medical leadership.

Minimum Requirements

  • BSN and Masters degree in related field, required.

  • 7 -10 years of progressive leadership experience is required.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

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