Director Care Management Operations

Director Care Management Operations -Southwestern Health Resources-Clinically Integrated Network (SWHR-CIN)

At Southwestern Health Resources (SWHR), we believe healthcare can be more integrated, accessible, and affordable for all. Our purpose is simple yet powerful: to build a better way to care, together. SWHR is a patient-centered, clinically integrated network that brings together academic and community clinicians, researchers, hospitals, and ambulatory facilities. We partner with physicians to drive a new model of value-based, high-quality, data-driven healthcare—serving everyone in the communities we touch.

By combining the strengths of UT Southwestern Medical Center and Texas Health Resources, we’ve built the largest provider network in North Texas, giving our team members the opportunity to make a meaningful impact at scale. Healthcare in the U.S. is evolving rapidly, and SWHR is committed to leading that change—moving healthcare forward, together.

Position Summary

The Director of Care Management Operations provides enterprise operational and clinical leadership for population-based care management programs, including complex care management and transitions of care. This role oversees interdisciplinary teams to ensure consistent, compliant, and patient-centered care coordination across the continuum while supporting value-based care performance, utilization management, and total cost of care goals.

· Work location: Hybrid-Expectation is onsite Tuesday thru Thursday in Farmers Branch, TX.

Position Duties

Provide strategic and operational oversight of population-based care management programs.

Align care management operations with enterprise quality, population health, and value-based care strategies.

Plan and scale care management programs to support new populations, products, and payer requirements.

Oversee coordination of care across the continuum for high-risk and complex patient populations.

Establish standardized care pathways, workflows, staffing models, and performance expectations.

Ensure adherence to evidence-based clinical guidelines and organizational standards.

Integrate whole-person care and social determinants of health into care management operations.

Ensure compliance with CMS, accreditation, and payer requirements.

Oversee audit readiness, accreditation processes, and corrective action plans.

Standardize policies, procedures, training programs, and clinical competencies.

Collaborate with analytics, quality, and finance teams to develop dashboards and performance reporting.

Monitor care management impact on quality, utilization, patient experience, and total cost of care.

Balance clinical outcomes with operational efficiency and resource optimization.

Serve as liaison to community agencies, post-acute providers, and social service organizations.

Build strong partnerships with physicians, clinical leaders, and internal stakeholders.

Support enterprise initiatives related to care coordination and clinical integration.

Lead, coach, and evaluate managers, and interdisciplinary care management staff.

Recruit, develop, and retain a high-performing care management workforce.

Promote employee engagement, accountability, and professional development.

Other duties as assigned.

Qualifications

Education

Bachelor's Degree Healthcare Administration, Public Health, Nursing, Social Work, or related field required

Master's Degree Healthcare Administration, Public Health, Nursing, Social Work, or related field preferred

Experience

8 years progressive experience in care management or managed care environments to include people management experience required

Licenses and Certifications

RN, or, LMSW, or, LCSW - Licensed Clinical Social Worker required upon hire

CCM - Certified Case Manager preferred upon hire

Skills

People Management - Provides oversight and direction of department leaders in the areas of staffing, talent development, performance management, and resource planning to support strategic goals.

Strategy Execution - Translates organizational strategy into actionable department plans, aligning goals and operations to support long-term success and cross-functional coordination; ensures vision and strategy is clearly communicated to all staff.

Performance & Accountability - Owns department performance by setting clear expectations aligned to strategy, using data to measure and monitor results, identifying risks, generating solutions to improve outcomes and making decisions within departmental scope and escalating when appropriate.

Change Leadership & Operational Readiness - Design change initiatives by implementing new technologies and processes, lead teams through transition, ensuring resources are aligned for success and proactively communicating the purpose and benefit to build engagement.

Strategic Relationship Management - Builds and maintains strategic relationships across departments, with senior leadership, and with external partners, ensuring clear communication, alignment, situational transparency related to business priorities or emerging issues, and accountability for performance expectations.

Financial Resources & Stewardship - Oversees departmental budget and resource planning, ensuring effective use of funds, identifying opportunities for operational efficiency and continuous improvement and making informed decisions to balance competing initiatives and optimize department outcomes.

Why Southwestern Health Resources

As a Southwestern Health Resources you’ll enjoy: comprehensive benefits, including a 401(k) with match; paid time off; competitive health insurance choices; healthcare and dependent care spending account options; wellness programs to keep you and your family healthy; tuition reimbursement; a student loan repayment program; and more.

Explore Southwestern Health Resources Careers for more information and to search all career opportunities.