Director Capacity Command Operations

Texas Health•Arlington, TX

3d•Onsite

About The Position

The Director of Capacity Command Operations provides enterprise leadership for system-wide patient access, placement, throughput, and load balancing across Texas Health Resources (THR). This role is the strategic and operational authority for the Capacity Command Center and ensures THR operates as an integrated delivery system rather than as independent facilities. The Director is accountable for measurable improvements in patient flow, reducing avoidable delays, optimizing resource utilization, increasing transfer capture, and improving financial performance through throughput efficiency. The role collaborates with executive leadership, hospital presidents, chief nursing officers, chief quality medical officers, service line leaders, perioperative leadership, ED leadership, the Transfer Center, Care Management, and analytics teams to support reliable, high-performing capacity governance across the system. The Director promotes high reliability, use of predictive analytics, and data-driven decisions aligned with Texas Health’s mission, vision, values, and Promise behaviors. The position is onsite at THR headquarters in Arlington, Texas, and is full time, Monday through Friday, 8:00 a.m. to 5:00 p.m. The Director oversees the infrastructure, processes, protocols, and governance of the 24/7 THR Capacity Command Center; leads enterprise bed management and load balancing; and serves as an escalation authority during surges, disasters, or operational disruptions. The role is accountable for enterprise throughput outcomes, transfer access and growth, financial stewardship, predictive analytics and digital enablement, workforce leadership, regulatory compliance, and short- and long-term enterprise capacity strategy.

Requirements

Bachelor’s degree in healthcare or a related field.
Seven years of progressive healthcare operations leadership experience.
Multihospital system experience.
Demonstrated success improving throughput metrics.
Ability to think strategically across the enterprise and translate organizational priorities into operational plans and measurable outcomes.
Ability to interpret complex analytics and operational data to guide decisions, forecast trends, and direct performance improvement.
Clear, influential communication at the executive level, tailored to senior leaders, clinical teams, and operational stakeholders; ability to communicate clearly and effectively with people at all organizational levels.
Strong financial acumen to evaluate resource utilization, assess ROI, and align capacity decisions with organizational financial goals.
Ability to lead effectively in high-pressure or rapidly evolving situations, maintain situational awareness, and guide teams through operational crises.
Ability to drive organizational change using structured change-management approaches to implement processes, technologies, and system-wide initiatives.

Nice To Haves

Master’s degree.
Five years of enterprise command center experience.
Experience with enterprise bed management platforms such as Epic or Teletracking.

Responsibilities

Provide strategic oversight for the infrastructure, processes, protocols, and governance of the THR Capacity Command Center, which operates 24/7.
Lead enterprise bed management strategy for admissions, discharges, transfers, ICU leveling, and specialty placement.
Establish system load-balancing methodologies across facilities.
Serve as enterprise escalation authority during surges, disasters, or operational disruptions; activate tiered escalation protocols and partner with Incident Command when activated.
Account for enterprise throughput performance, including length of stay, ED boarding, admission-to-bed assignment, transfer acceptance timelines, discharge targets, diversion reduction, and bed utilization.
Monitor capacity and patient-flow metrics, identify barriers, and implement strategies to improve throughput and operational efficiency.
Lead rapid-cycle improvement initiatives to address capacity constraints and optimize patient progression across the continuum of care.
Provide ongoing performance monitoring, reporting, and recommendations to achieve organizational throughput and capacity objectives.
Improve transfer capture rates and reduce transfer leakage.
Partner with business development and service line leaders to align access strategy with growth initiatives; support tertiary and quaternary referral optimization.
Develop relationships with referring facilities and community providers.
Demonstrate measurable ROI from throughput improvements, reduce avoidable diversion-related revenue loss, contribute to margin improvement through length-of-stay optimization, and minimize premium labor use through capacity smoothing.
Develop annual operating and capital budget requests for command center technology and infrastructure.
Oversee real-time dashboards integrating ED volume, ICU census, OR schedules, discharge projections, staffing ratios, and transfer pipelines.
Implement predictive analytics to forecast capacity constraints 24–72 hours ahead.
Partner with IT and analytics teams to improve automation and reduce manual processes; ensure reporting is standardized across entities.
Develop a 24/7 operational leadership structure, including shift command leads.
Establish competency-based training and performance expectations; implement or review structured performance dashboards for command leaders.
Develop succession planning and cross-training strategies.
Create a culture of psychological safety and Speak Up for Safety, and align leadership behaviors with THR Promise Behaviors.
Ensure adherence to EMTALA and applicable federal and state regulations, maintain documentation and process oversight to prevent regulatory violations, and ensure audit readiness for operational processes affecting patient placement.
Develop short- and long-term enterprise capacity strategy aligned with the system strategic growth plan.
Present quarterly enterprise throughput performance to executive leadership.
Identify capital-avoidance opportunities through optimization rather than expansion.
Lead cross-functional governance committees on patient flow.