Clinic Director (LCSW Required) - 64542301
hace 25 días
New York
Job Description JOB SUMMARY The Clinic Director provides senior leadership and operational oversight for the MHOTRS outpatient clinic. The role ensures full compliance with all federal, state, and city regulatory requirements; oversees fiscal performance and billing integrity; maintains standardized clinic systems and workflows; and ensures high‑quality, client‑centered care through effective management of administrative and clinical operations. The Director leads programmatic systems, policy implementation, quality assurance, and operational strategy to support efficient, compliant, and sustainable service delivery. ESSENTIAL JOB FUNCTIONS: List all essential job duties. (To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily with or without a reasonable accommodation. Reasonable accommodations may be made to enable qualified individuals with a disability to perform the essential duties unless this causes undue hardship to the agency.) Program Operations, Systems & Standardization • Oversees the development, implementation, and monitoring of clinic program systems, workflows, and standardization processes to ensure operational efficiency and regulatory compliance., • Ensures all clinic operations comply with OMH, DOH, NYC DOHMH, CMS, Medicaid, and other governing regulatory bodies., • Maintains and updates clinic policies and procedures, ensuring alignment with agency-wide standards, audit recommendations, and evolving regulations., • Serves as the operational lead for PSYCKES, including clinic-wide data monitoring, quality initiatives, and performance improvement projects., • Oversee mandated levels of service delivery and ensures clinical productivity aligns with funding expectations, regulatory requirements, and internal benchmarks. Fiscal, Billing & Productivity Management • Manages clinic budgets, fiscal forecasting, and financial performance, including oversight of expense controls and revenue alignment., • Reviews billing and documentation compliance weekly, monitoring trends, missed opportunities, and revenue integrity., • Coordinates with billing, compliance, and finance leadership to ensure accurate coding, timely claim submission, and resolution of denials, • Ensures staff adhere to billing‑related regulatory requirements (Medicaid, Medicare, commercial plans, and state/city funders). Staff Leadership & Administrative Oversight • Supervises the Assistant Director, Clinical Supervisors, Senior Office Manager, and other designated administrative leadership roles., • Provides administrative supervision to Psychiatric Providers and the Registered Nurse., • Acts as the hiring manager oversees recruitment, interviewing, selection, onboarding, and role-specific training for clinic positions., • Ensures effective delegation and support of clinical supervisory functions to the AD role and assigned clinical supervisors., • Provides guidance on clinic staffing structure, workload distribution, and performance expectations. Compliance, Quality Assurance & Risk Management • Oversee quality and compliance initiatives, including chart audits, utilization review, and corrective action planning., • Leads the Utilization Review Committee, ensuring adherence to clinical, billing, and regulatory standards., • Manages and updates High-Risk Rosters, ensuring robust monitoring, interventions, and communication across teams., • Attends IRC (Incident Review Committee) and Sentinel Event Reviews and ensures timely follow-up and corrective actions., • Ensures proper maintenance of clinical records in accordance with OMH, DOH, NYC DOHMH, and federal requirements. Internal & External Collaboration • Participates in clinical integration meetings (e.g., ICL–CHN) and other required collaborative or consultative forums., • Engages in clinic marketing, community partnerships, and outreach planning as needed to support program visibility and referral flow., • Facilitates and oversees Clinic Staff Meetings, ensuring clear communication, policy updates, and alignment with agency priorities., • Reports operational, fiscal, compliance, and program updates weekly or as needed to the Vice President of Behavioral Health., • Performs other duties as required. ESSENTIAL KNOWLEDGE, SKILLS AND ABILITIES: • Committed to the active promotion of ICL values and goals., • Knowledge of mental health legislation and the ability to lead a multi-disciplinary staff of professionals and paraprofessionals in providing treatment and rehabilitative services., • Ability to manage multiple projects, delegate tasks, and check on the completion of assigned tasks., • Ability to prioritize, think logically and follow procedures and instructions., • Position requires flexibility with hours, may require after-hour calls., • Ability to effectively communicate and interact with auditors, regulatory bodies, clients, staff, colleagues, public, other agencies and their staff and third-party insurance personnel., • Must have an excellent understanding of state and city OASAS/DOH/ OMH) regulations., • Must have knowledge of third party and managed care requirements., • Excellent written and verbal communication skills., • Position requires flexibility with hours, may require after-hour calls., • Strong knowledge of OMH, DOH, Medicaid/Medicare billing, and outpatient clinic regulatory requirements., • Demonstrated success in fiscal management, program operations, compliance oversight, and staff leadership. QUALIFICATIONS AND EXPERIENCE Licensed Clinical Social Worker with current, valid NYS registration. A condition of continuing employment is that licensure is maintained. Training and Experience: 5 years minimum clinical experience (with children, adolescents, and adults). 2 years minimum progressive administrative and/or supervisory experience. #ICLRN
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