National Clinical Director

Overview

The National Clinical Director is responsible for supporting treatment centers within a geographic network of BHG as part of the National Clinical Leadership team in developing, implementing, monitoring, reporting, and improving systems that support clinical programs, policies, and practices to assure and improve clinical quality in partnership with Operations. This position ensures alignment of best clinical practices and assures alignment with The Joint Commission accreditation standards, state requirements, and third-party payor standards, and the local environment.

This role supports the practice and function of the clinical teams including providers, nursing, clinical supervisors, counselors, case managers, care coordinators, and peer recovery support specialists in clinical service delivery and clinical documentation standards.

Responsibilities

• Supports the Chief Medical Officer, Chief Clinical Officer and Vice President of Clinical Services, and Area Vice President in the performance evaluation, performance monitoring, accountability measures, and reporting of clinical services in their designated region.
• Serves as the clinical authority for the designated region, regularly monitoring clinical requirements in contracts, regulations, and payor requirements.
• Provides clinical support and partnership with Area Vice President in overseeing designated regions.
• Accountable for monitoring and reporting program’s adherence to clinical KPIs, and primary owner for clinical Strategic Response Plans, Performance Improvement Plans, and Corrective Action Plans documented for programs underperforming on clinical KPIs.
• Stays up-to-date on state regulations, payor contracts/grants, and requirements for designated region.
• Monitors regional chart auditing system and reports to Area Vice President underperforming programs.
• Regularly monitors and reports on clinical documentation risk.
• Regularly monitors and reports on clinical service opportunities.
• Leads quarterly review meetings and feedback from regional leaders on chart audit system, and quality review protocols.
• Actively supports the development and delivery of clinical supervision activities and ensuring sufficient coverage within their respective region.
• Shares annual review of BHG clinical service policies and procedures.
• Responsible for creating and maintaining clear communication channels on clinical performance standards and expectations.
• Owns clinical dashboards that improve visibility of clinical services, documentation, and reporting functions.
• Supports the clinical and quality improvement initiatives of the organization, including service expansion, with planning, organizing, tracking, and coordinating these initiatives to ensure the standardization of best practices for BHG.

General Regulatory and Compliance

• Holds an advanced level of understanding of the substance use disorder treatment, behavioral health, and co-occurring disorder competencies.
• Holds an advanced level of understanding and complies with all federal, state, local, regulatory, and third-party agency requirements.
• Holds an advanced level of understanding and complies with all accrediting agencies.
• Stands as the state/region’s subject matter expert on clinical service delivery and clinical documentation monitoring in accordance to all local stakeholders and BHG national best practices.
• Holds an advanced level of understanding of variances from state to state on substance use disorder treatment regulations and has experience mapping out solutions for state differences.

Professionalism

• Demonstrates the belief that addiction is a brain disease, not a moral failing.
• Demonstrates that evidence-based treatments, including cognitive behavioral therapy and opioid replacement therapy, are integral to the treatment of substance use disorders.
• Demonstrates hope, respect and caring in all interactions with fellow team members.
• Establishes and maintains positive relationships within the workplace.
• Can work independently and under pressure while handling multiple tasks simultaneously.
• Makes decisions and uses good judgment with confidential and sensitive issues.
• Represents BHG as a solutions-driven clinical leader, taking initiative to create solutions that improve systems of care.

Marketing and Outreach

• Participate in community and public relations activities as assigned.

Professional Development

• Demonstrates the belief that addiction is a brain disease, not a moral failing.
• Demonstrates hope, respect, and caring in all interactions with patients and fellow Team Members.
• Establishes and maintains positive relationships in the workplace.
• Can work independently and under pressure while handling multiple tasks simultaneously.
• Makes decisions and uses good judgment with confidential and sensitive issues.
• Deals appropriately with others in stressful or other undesirable situations.

Training

• Participate in and provide in-service trainings as required by federal, state, local, and accrediting agencies.
• Attend conferences, meetings and training programs as directed.

Minimum Requirements

• The National Clinical Director must comply with federal and state regulations regarding certification, licensure, and degree.

Qualifications

The National Clinical Director must have a master’s degree and one of the following qualifications:

• LCSW (Licensed Clinical Social Worker)
• LPC (Licensed Professional Counselor)
• LAC-S (Licensed Associate Counselor – Supervisor)
• LMFT (Licensed Marriage and Family Therapist)
• LCPC-S (Licensed Clinical Professional Counselor – Supervisor)
• Equivalent Licensure

In addition to the above qualification, The National Clinical Director must have:

• Five or more years of experience in roles of clinical supervision, quality assurance, or quality improvement.
• Prior experience with billing/coding auditing in Behavioral Health/ Substance Use Disorder treatment is also preferred.
• Strong leadership skills with high integrity and sound judgement.
• Excellent verbal and written communication skills.
• Efficient self-starter.
• Strong customer service and interpersonal communication skills.
• Ability to resolve conflict using clear communication that is constructive in coming to a positive solution.
• Ability to deal appropriately with patients and team members in stressful or challenging situations with a calm approach; and seek direction from supervisor when necessary.
• Data-driven leadership from creating KPIs, communicating expectations, creating feedback loops to confirm leadership understanding of KPIs, monitoring and reporting on KPI performance regularly.
• Strong boundaries in implementing improved systems of care but allowing programs to carry ownership of implemented systems.
• Must have sufficient knowledge of the substance use disorder population, treatment planning and field of human and social services to work toward the rehabilitation of the patient.
• Determine resources needed to achieve results.
• Well-versed on current substance use disorder treatment information—specifically the current trends in Opioid Maintenance Treatment.
• Hold current knowledge of third-party payors’ billing and documentation requirements in region.
• Organize time and responsibilities to meet requirements of the workload.
• Effective mentorship skills in developing and encouraging staff.
• Demonstrate basic knowledge and skill of office equipment and software.

Physical Requirements And Working Conditions

The physical demands described here are representative of the requirements that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions to the extent such accommodation does not create an undue hardship on the business.

• Speaking and hearing sufficient to communicate effectively via telephone, virtual meeting and/or in person at normal volumes.
• Vision adequate to read correspondence, computer screens, forms, documentation, etc.
• No less than 25% travel and no more than 50% travel by car or airplane to treatment centers within the geographic area of responsibility and to other locations for meetings and trainings.
• Variable workload, periodic high stress, and activity level.
• Standard medical office conditions and environments.

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