Job purpose

The Clinical Services Director provides leadership of clinical services and development of new processes and procedures for ITP with the input of the Medical Director. The CSD is responsible for the consistent delivery of compliance oversight and education. The CSD will work with the Crisis Coordination team  as well as the  outpatient care team to deliver efficient and effective patient care . 

Duties and responsibilities

• Leads the development of clinical services
• Assists with Policy and Procedure development 
• Provides expert level review of clinical records

• Work and Collaborate with the Crisis Services division
• Time system management for Crisis Services providers
•  Review and Develop Outpatient Service processes- Managing patient scheduling, prior authorizations, pharmacy calls, missed appointments
• Manage Crisis Services providers schedule
• Ability to look at trends and forecast hiring needs for provider coverage, and forecast crisis staffing needs based on utilization data

• Provides collaborative leadership, and communication, for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendation
• Actively communicates with providers at all levels
• Provides face-to-face educational opportunities with physicians and staff
• Expert level documentation and ability to effectively communicate the need for through documentation to others
• Knowledge of Medicare, Medicaid and insurance requirements

Qualifications

• Education: Master’s Degree in Nursing preferred 
• Licensure: RN
• Experience: Three to five years of clinical management experience 
• Experience with regulatory survey management
• Experience communicating & working closely with Physicians
• Understanding and experience in behavioral healthcare
• Demonstrated skill in utilization management and review systems
• Ability to work independently and collaboratively with multiple disciplines
• Demonstrated skill in problem solving, consensus building, conflict resolution, advocacy, and team building
• Ability to accomplish work objectives where few precedents or guidelines currently exist
• Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records
• Excellent oral and written communication skills

Working conditions

This job predominantly works from Des Moines office, but does require some travel to hospital/clinical locations.  Incumbent will be exposed to virus, disease, infection from patients.

Physical requirements

While performing the duties of this job, the employee is regularly required to talk and hear. This position required intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting, driving and supporting patients.

Direct reports

• Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws.
• Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. 

Reporting structure

The Clinical Services Director reports directly to Psychiatric Medical Care’s Chief Clinical Officer (CCO).