Director of Clinical and Site Operations

Job Description

Job Description

GENERAL DESCRIPTION:

Central City Health is committed to enabling every patient in our community to thrive through the delivery of high-quality, integrated, and patient-centered care. The Director of Clinical & Site Operations provides administrative and operational leadership for clinical service delivery across CCH sites, uniting oversight of clinical workflow with day-to-day site operations. The Director ensures that primary care, behavioral health, and dental services are delivered safely, efficiently, and in accordance with evidence-based practices, regulatory and contractual requirements, and established standards of care, and works collaboratively with organizational leadership and interdisciplinary teams to promote effective care coordination, program quality, and positive patient outcomes.

RESPONSIBILITIES

1. Direct day-to-day clinical and site operations across assigned CCH sites, including patient flow, staffing, scheduling, coverage, and productivity standards.
2. Oversee clinical workflows and care coordination among primary care, behavioral health, and dental services, including criteria-based referrals, warm hand-offs, and closed-loop communication.
3. Protect the fidelity of the ACT (Assertive Community Treatment) program as a specialized, evidence-based model, ensuring its embedded case managers, RN, and prescriber function as one integrated team.
4. Maintain DWIHN, CCBHC, HRSA, HIPAA, and 42 CFR Part 2 compliance for services delivered under this branch, and ensure site readiness for audits and surveys with timely corrective action.
5. Partner with the Medical Director, Chief Psychiatrist, Dental Manager, and Quality & Compliance on clinical standards, quality measures, and performance improvement.
6. Coordinate with Clinical Supervision & Practice and designated supervisors of record to ensure licensure-track supervision requirements are met. This position holds administrative and operational authority; it does not serve as clinical supervisor of record for licensure-track staff and does not direct the clinical judgment of independently licensed practitioners.
7. Coordinate warm hand-offs and shared-member care with the Case Management & Social Health Director for members who need both behavioral health treatment and case management.
8. Coordinate with Facilities, Security, Transportation, Contact Center, and Human Resources to maintain safe, fully staffed, patient-ready sites; manage assigned budget, supplies, and equipment in partnership with Finance.
9. Supervise site-based operational and clinical support staff as assigned; model and reinforce closed-loop communication and a psychologically safe correction culture.
10. Participate in monthly multi-disciplinary rounds and clinical leadership meetings under the Executive Director, Comprehensive Health Care.
11. All other duties as assigned by leader and/or senior leadership.

EDUCATION AND EXPERIENCE

• Pathway A (clinical license): Master's degree in social work, counseling, psychology, nursing, or a related clinical field; active, unrestricted Michigan clinical license (e.g., RN, LP, LPC, LMSW); minimum 5 years of progressive experience in healthcare or behavioral health operations, including at least 3 years in a supervisory or leadership role.
• Pathway B (healthcare administration): Bachelor's degree (Master's preferred) in healthcare administration, business, public health, or a related field; minimum 7 years of progressive healthcare operations experience, including at least 3 years of multi-site or multi-department leadership.
• Working knowledge of FQHC, DWIHN, CCBHC, and Michigan regulatory requirements; ACT fidelity model experience preferred.
• Demonstrated ability to lead through organizational change; experience managing cross-functional handoffs among clinical, case management, and care coordination teams.
• BLS required.

SKILLS

• Understanding of the dynamics of individuals who have a history of homelessness, SUD, and mental illness.
• Ability to clarify assignments, establish priorities and communicate effectively.
• Willingness to assume accountability, make decisions, supervise, coach, teach, counsel, and motivate others.
• Ability to analyze the impact of Managed Care environment and apply concepts to program operations.
• Ability to speak and write effectively using proper grammar and punctuation.
• Aptitude to manage multiple responsibilities efficiently within a broad scope of functional areas.
• Ability to influence others in an advisory/consultative/supervisory capacity.
• Mastery of communication and team building skills necessary to lead meetings and make formal presentations; mastery of writing skills required for grants, proposals, and reports; as well as management of complex dynamics.
• Ability to manage site operations, staffing, and budgets across multiple locations.

PHYSICAL DEMANDS / WORKING CONDITIONS

• Work hours may shift depending on project or program needs.
• Walking, sitting, and/or standing for prolong periods of time may be required.
• Normal office and medical office environments with exposure to noise, dust, or extreme temperatures.
• Maintain an acceptable background check, clearance, certifications, licensures and/or training as required.
• Must be available to work all hours scheduled. These include but are not limited to early mornings, evenings and weekend hours as determined by the organization and Senior Leadership.
• May have close contact with clients and/or their living environments which could include potential exposure to contagious diseases, unpleasant odors and/or to bug/pest infestations.

OTHER QUALIFICATIONS

Must meet or exceed CCH core customer service responsibilities:

• Communication.
• Ownership.
• Understanding.
• Motivation.
• Sensitivity.
• Excellence.
• Teamwork.
• Respect.

Must possess the following personal qualities:

• Be self-directed and accountable.
• Be flexible and committed to the team concept.
• Demonstrate teamwork, initiative, sound judgment, and willingness to learn.
• Communicate clearly and respectfully.
• Protect confidential and sensitive information.
• Demonstrate CCH customer service values.

WHERE APPLICABLE:

Qualified Mental Health Professional (QMHP) - Individual with specialized training (including fieldwork and/or internships associated with the academic curriculum where the student works directly with people receiving mental health services as part of that experience)

• OR one year of experience in treating or working with a person who has mental illness.
• AND is a psychologist, physician, educator with a degree in education from an accredited program, social worker, physical therapist, occupational therapist, speech-language pathologist, audiologist, behavior analyst, registered nurse, therapeutic recreation specialist, licensed/limited-licensed professional counselor, licensed or limited licensed marriage and family therapist, a licensed physician’s assistant
• OR a human services professional with at least a bachelor’s degree in the human services field.

For therapy codes: Mental Health Professional [Mental Health Code, Section 330.1100b(15)] - An individual who is trained and experienced in the area of mental illness or developmental disabilities and who is one of the following: a physician, psychologist, registered professional nurse licensed or otherwise authorized to engage in the practice of nursing under part 172 of the public health code (1978 PA 368, MCL 333.17201 to 333.17242), licensed master’s social worker licensed or otherwise authorized to engage in the practice of social work at the master’s level under part 185 of the public health code (1978 PA 368, MCL 333.18501 to 333.18518), licensed professional counselor licensed or otherwise authorized to engage in the practice of counseling under part 181 of the public health code (1978 PA 368, MCL 333.18101 to 333.18177), or a marriage and family therapist licensed or otherwise authorized to engage in the practice of marriage and family therapy under part 169 of the public health code (1978 PA 368, MCL 333.16901 to 333.16915).

For intake and case management services: Qualified Mental Health Professional (QMHP) - Individual with specialized training3 (including fieldwork and/or internships associated with the academic curriculum where the student works directly with persons receiving mental health services as part of that experience) OR one year of experience in treating or working with a person who has mental illness; AND is a psychologist, physician, educator with a degree in education from an accredited program, social worker, physical therapist, occupational therapist, speech-language pathologist, audiologist, behavior analyst, registered nurse, therapeutic recreation specialist, licensed/limited-licensed professional counselor, licensed or limited licensed marriage and family therapist, a licensed physician’s assistant, OR a human services professional with at least a bachelor’s degree in a human services field.

National Health Service Corps Loan Repayment Program - This section applies only to positions with direct patient-care responsibilities

Full-Time Clinical Guidelines:

• Clinicians must work a minimum of 40 hours per week, for a minimum of 45 weeks service year.
• At least 32 hours per week must be spent providing direct patient care at the approved service site(s); of the minimum 32 hours spent providing patient care, no more than 8 hours per week may be spent in a teaching capacity.
• The remaining 8 hours per week may be spent providing patient care for patients at the approved site(s), providing patient care in alternative settings (e.g., hospitals, nursing homes, shelters) as directed by the approved site(s), or performing clinical-related administrative activities (limited to 8 hours/week); clinical-related administrative activities may not exceed a total of 8 hours per week.

Part Time Clinical Guidelines:

• Clinicians must work minimum of 20 hours per week, for a minimum of 45 weeks’ service per year.
• At least 16 hours per week must be spent providing direct patient care at the approved service site(s); of the minimum 16 hours spent providing patient care, no more than 4 hours per week may be spent in teaching capacity.
• The remaining 4 hours per week may be spent providing patient care for patients at the approved site(s), providing patient care in alternative settings (e.g., hospitals, nursing homes, shelters) as directed by the approved site(s), or performing clinical-related administrative activities (limited to 4 hours/week); clinical-related administrative activities may not exceed a total of 4 hours.