Director of Clinical Operations

Job Summary:

As the Director of Clinical Operations you will serve as a strategic leader, responsible for advancing the clinical and operational vision across assigned facilities. This role ensures full compliance with all state and federal regulations, while actively shaping company-wide clinical policies, protocols, and regulatory submissions. A key leader in maintaining operational excellence, the Director oversees clinical best practices, the environment of care, accreditation readiness, and the efficient procurement and distribution of food, medical supplies, and facility resources. In addition to day-to-day operational leadership, this position plays a critical role in emergency preparedness, including planning and coordination for inclement weather and natural disasters. The Director also manages vendor relationships and provides operational oversight for facility expansion and remodeling projects, ensuring seamless integration of new services and environments. This role is essential to fostering a culture of safety, quality, and continuous improvement across the organization.

Duties/Responsibilities:

• Review and ensure clinical care and compliance activities in assigned facility. Assist with the development of evidence-based practices.
• Provide oversight of facility activities. Including hiring for the clinical and operations departments.
• Assists in the development of Quality Assurance/Performance Improvement practices of the facility and maintenance of same including analysis of data and prioritization of efforts.
• Set expectations, develop plans, and manage processes to measure, assess and improve the quality of clinical programs and facility and/or regulatory/accreditation compliance by measurable results.
• Completes reports for the monthly Quality Assurance and Performance Improvement (QAPI) meetings
• Develop, review, and update internal clinical procedures, related outcomes measurement, patient satisfaction, and clinical scorecards to ensure ongoing compliance with federal, state and other third-party regulatory requirements.
• Supervise and oversee all aspects of the clinical department following the agency mission demonstrated by setting departmental goals and objectives. Evaluate existing contract compliance, monitoring and reporting to ensure all goals are being met
• Respond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate.
• Regularly review and recommend changes in program services to meet client needs with particular emphasis on services for underserved populations, oversight of program evaluation and quality assurance functions for department including assessment of applicable legal and professional requirements and monitoring treatment plans for clients
• Ensure contract compliance for department and volunteer personnel within the department. Initiate, implement and monitor compliance with evidence-based practices
• Work with other members of the management team to ensure successful communication and coordination between all departments, and participate in strategic planning
• Regularly provide clinical training to clinical services staff and interns
• Collaborate with compliance department on any communication with regulatory agencies as appropriate
• Develop/maintain proficiency in regulatory planning strategy and the submission of regulatory plans. Develop corrective action plans for the resolution of problematic issues or to address areas of compliance vulnerability.
• Manage procurement processes and coordinate material and resource allocation.
• In collaboration with Quality and Compliance department, ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required
• In collaboration with Quality and Compliance department, ensure proper facility reporting of incidents and adverse clinical outcomes to duly authorized enforcement agencies or regulatory agencies as appropriate and/or required.
• Maintain regular communication with clinical/leadership staff at facility regarding clinical and regulatory/accreditation issues.
• Review financial information and adjust operational budgets to promote profitability.
• Manage relationships/agreements with external partners/vendors
• Works collaboratively with the compliance, senior, and other corporate leaders to address clinical and safety issues.
• Ability to be on-call during on-call rotation

Knowledge, Skills, and Abilities

• Superior oral and written communication skills.
• Must possess strong critical thinking skills.
• Knowledge of the Joint Commission and state licensing standards and regulations.

Education and Experience:

• Masters' Degree and active license in counseling or social work
• LPC, LICSW, LCSW, LMHC (state independent license required)
• Minimum of three (3) years supervisory or management experience in a mental health, clinical or hospital setting.
• Experience with evidence-based practices: Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Motivational Interviewing, PCC, Trauma Informed
• Credentialed
• History of working with, and/or knowledge of: Accreditation, Risk Management, Quality Improvement and Quality Assurance, Utilization Review
• Experience working with: Substance Use Disorder and Mental Health

Job Type: Full-time

Pay: $110,000.00 - $130,000.00 per year

Work Location: In person