Director of Clinical Operations

Position Summary

The Director of Clinical Operations will be responsible for championing the Clinical Vision for the assigned facility. This role will ensure compliance with all state and federal laws and regulations, and will be responsible for providing input on policy development, clinical protocols, critical incident reporting, regulatory submissions, certifications and on-going regulatory compliance company wide. The Director of Clinical Operations will be responsible for overseeing best practices within the facility.

Primary Duties and Responsibilities

• Review and ensure clinical care and compliance activities in assigned facility. Assist with the development of evidence-based practices.
• Assist in the development of Quality Assurance/Performance Improvement practices in 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/or regulatory/accreditation compliance by measurable results in assigned facility.
• 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.
• Respond to alleged violations of rules, regulations, policies, & Codes of Conduct by evaluating and recommending investigations as appropriate.
• Initiate and lead communications 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.
• Ensure proper facility reporting of violations or potential violations to duly authorized enforcement agencies as appropriate and/or required.
• 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.
• Work collaboratively with Corporate Clinical Director, Risk Management, and other corporate leaders to address clinical and safety issues.

Position Qualifications

• Masters' Degree in psychology, social work, nursing or related discipline.
• State-specific licensure.
• Minimum of three (3) years supervisory or management experience in a mental health, clinical or hospital setting.