Director Care Management Operations-SWHR

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 cli...