The aim of this study was to assess the effect of the emergency nurse coordinator in optimization of workflow of the emergency department. A retrospective analysis of all patient encounters in the emergency department between Aug 1 to Sept 31 of 2014 (n = 6,189) and Aug 1 to September 31 of 2015 (n = 8,626) was conducted. There was a statistically significant decrease in the admission time, length of stay, transfer time, and review time of the patients after the introduction of the emergency nurse coordinator in the emergency department. (p < 0.05).