Director Capacity Command Operations

Texas Health Resources•Arlington, TX

4d•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). The 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 improving patient flow, reducing avoidable delays, optimizing resource utilization, increasing transfer capture, and improving financial performance tied to throughput efficiency. The Director collaborates with executive leadership, hospital presidents, chief nursing officers, chief quality medical officers, service line leaders, perioperative leadership, emergency department leadership, the Transfer Center, Care Management, and analytics teams. The position promotes high reliability, predictive analytics, and data-driven decision-making aligned with Texas Health’s Mission, Vision, Values, and Promise behaviors. This is a full-time, onsite position at THR headquarters in Arlington, Texas, with work hours of Monday through Friday, 8:00 a.m. to 5:00 p.m. The Capacity Command Center operates 24/7.

Requirements

Bachelor’s degree in healthcare or a related field.
At least 7 years of progressive healthcare operations leadership experience, including multihospital system experience and demonstrated success improving throughput metrics.
Enterprise-wide strategic thinking and ability to translate organizational priorities into operational plans and measurable outcomes.
Ability to interpret complex analytics and operational data to support decisions, forecast trends, and guide performance improvement.
Ability to communicate clearly and effectively with individuals at all levels of the organization, including executive-level stakeholders.
Strong financial acumen to evaluate resource utilization, assess return on investment, and align capacity decisions with organizational financial goals.
Ability to lead 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.
At least 5 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.
Lead enterprise bed management strategy for admissions, discharges, transfers, ICU leveling, and specialty placement.
Establish system load-balancing methodologies across facilities.
Serve as the enterprise escalation authority during surges, disasters, or operational disruptions; activate tiered escalation protocols and partner with Incident Command when activated.
Manage 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 meet 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 and develop relationships with referring facilities and community providers.
Demonstrate measurable return on investment from throughput improvements; reduce diversion-related revenue loss, contribute to margin improvement through length-of-stay optimization, and minimize premium labor utilization 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 to improve automation and reduce manual processes.
Ensure standardization of reporting across entities.
Develop a 24/7 operational leadership structure, including shift command leads; establish competency-based training and performance expectations; implement or review performance dashboards for command leaders.
Develop succession planning and cross-training strategies; foster psychological safety and Speak Up for Safety; 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 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 and identify capital-avoidance opportunities through optimization rather than expansion.
Lead cross-functional governance committees on patient flow.