Director Post Acute Network Management

Position Highlights

The Director of Post-Acute Quality and Network Management provides system-level leadership for post-acute quality, network performance, and care continuum optimization across Texas Health Resources. This role advances enterprise strategies that improve post-acute outcomes, support safe and efficient transitions of care, and align care management operations with organizational goals, payer expectations, and value-based care priorities.

The Director oversees outpatient care management functions, post-acute provider performance, preferred network strategy, performance improvement, analytics-driven accountability, and partnerships with internal and external stakeholders. The role is responsible for translating data into actionable strategies that improve readmissions, length of stay, total cost of care, patient experience, and post-acute quality outcomes.

• Work location: Hybrid-remote and onsite within the DFW area
• Work hours: Full Time, Monday - Friday, 08:00 AM - 5:00 PM

Key Responsibilities

1. Post-Acute Quality and Network Performance
Leads system-level strategies to monitor and improve post-acute quality, utilization, readmissions, length of stay, total cost of care, patient experience, and provider performance.
Develops measurable improvement plans, accountability processes, and escalation pathways in partnership with internal leaders and post-acute providers.
Drives standardization and reduces unwarranted variation across post-acute transitions, outcomes, utilization, and quality performance.

2. Preferred Network Strategy and Provider Engagement
Leads development, management, and ongoing optimization of the preferred post-acute provider network in alignment with organizational strategy and patient choice requirements.
Establishes provider participation expectations, quality standards, performance scorecards, review cadence, and accountability processes in collaboration with key internal stakeholders.
Partners with joint venture and external post-acute providers to align referral processes, service expectations, quality outcomes, and escalation pathways.

3. Care Management Operations and Cross-Continuum Collaboration
Provides leadership oversight for outpatient care management programs, including the Readmission Avoidance Program and related transition support models.
Ensures workflows support effective patient engagement, care coordination, barrier resolution, documentation quality, escalation, and readmission reduction.
Partners across inpatient, outpatient, physician, hospital, population health, payer, and post-acute stakeholders to clarify ownership, reduce duplication, and improve transitions of care.
Represents Enterprise Care Management in interdisciplinary committees, workgroups, and leadership forums related to post-acute strategy, readmissions, throughput, and network performance.

4. Analytics, Value-Based Care, Compliance, and Performance Improvement
Uses enterprise dashboards, referral data, claims or payer data when available, quality reports, and operational analytics to identify trends, opportunities, and performance gaps.
Develops reports, scorecards, and presentations that translate performance data into actionable insights for clinical, operational, and executive leaders.
Aligns post-acute network management strategies with value-based care, population health, payer expectations, quality, cost, utilization, and patient experience priorities.
Ensures referral processes, patient choice practices, documentation expectations, provider engagement, and use of performance data align with applicable policies, regulations, and compliance guidance.

5. Leadership Responsibilities
Builds and sustains a culture of accountability, collaboration, reliability, service excellence, and continuous improvement.
Provides leadership, coaching, professional development, and performance management for assigned team members.
Models effective communication, stakeholder management, critical thinking, and data-driven decision-making.
Supports succession planning, talent development, and role clarity within care management and post-acute strategy functions.

Education
Bachelor's Degree in Nursing, Or, Master's Degree Social Work required upon hire
Master's Degree nursing, health care administration, business administration, or related field preferred

Experience
5 years progressive leadership experience in care management, care transitions, post-acute care, quality, population health, value-based care, network performance, or related health care operations required.
3 years experience managing system-level initiatives, post-acute provider relationships, performance scorecards, readmission-reduction strategies, preferred networks, or value-based care programs preferred

Licenses and Certifications
RN - Registered Nurse, or, LMSW - Licensed Master Social Worker, or, LCSW - Licensed Clinical Social Worker required upon hire
ACM - Accredited Case Manager or CCM - Certified Case Manager preferred within two years of hire

Skills
Post-acute continuum expertise, including SNF, home health, IRF, and LTACH operations and quality measures
Knowledge of care transition management, outpatient care management, readmission reduction, and discharge/post-discharge workflows
Experience with performance improvement, data analysis, scorecards, dashboards, and executive-level reporting
Understanding of value-based care, population health, payer expectations, and cost-of-care strategies
Ability to manage preferred provider/network strategy and partner accountability processes
Strong collaboration, influence, facilitation, communication, and change management skills
Knowledge of regulatory, compliance, patient choice, privacy, and documentation standards applicable to care transitions and post-acute referrals
Executive presence, with the ability to communicate complex operational and quality issues clearly to senior leaders

Travel Requirements
Local 20% some travel to various hospitals or post-acute care facilities will be required.

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