DIR - CLINICAL SVCS - BH

One of the nation's largest and most respected providers of hospital and healthcare services, Universal

Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily

since its inception into an esteemed Fortune 500 corporation, our annual revenues were $11.4 billion in

2019. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in

2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's

Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 90,000 employees

and through its subsidiaries operates 26 acute care hospitals, 328 behavioral health facilities, 42

outpatient facilities and ambulatory care access points, an insurance offering, a physician network and

various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United

Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

POSITION SUMMARY

The Director of Clinical Services provides leadership, oversight, and strategic direction for all clinical programs and services. This position ensures the delivery of high-quality, person-centered care that complies with applicable federal, state, accreditation, and organizational standards. The Director collaborates with organizational leadership to develop clinical initiatives, improve outcomes, manage risk, and support a culture of excellence, safety, and continuous quality improvement.

QUALIFICATIONS

Education:

Master's degree in social work, Counseling, Psychology, Nursing, Healthcare Administration, or related field required.

Experience:

• Minimum of five (5) years of progressive clinical leadership experience.
• Experience managing multidisciplinary clinical teams.
• Experience with regulatory compliance, quality management, and program oversight.
• Experience in behavioral health, intellectual and developmental disabilities, substance use services, healthcare, or human services preferred.

License:

Fully licensed in the state of practice (LCSW, LCMHC, Psychologist, RN, or equivalent).

Strong consideration will be given to provisionally licensed social workers (LCSW-A) with relevant experience and who are eligible for national exam within one year.

Additional Requirements:

A strong knowledge of JCAHO, HCFA, OSHA regulations, and patient rights standards and all other applicable federal and state laws and regulations governing mental health care facilities.

STANDARDS OF PERFORMANCE

THE ESSENTIAL JOB FUNCTIONS ARE CATEGORIZED UNDER THE JCAHO STANDARDS OF PERFORMANCE.

Essential Duties and Responsibilities

• Direct and oversee all clinical operations and service delivery programs.
• Ensure services are delivered in accordance with evidence-based practices and organizational policies.
• Monitor clinical performance indicators and implement strategies to improve outcomes.
• Provide clinical consultation and guidance to management and direct care teams.
• Foster a culture of trauma-informed, recovery-oriented, and person-centered care.
• Ensure all patients, family, and referral complaints are promptly handled.

• Ensure compliance with all applicable state, federal, payer, and accreditation requirements.
• Oversee preparation for external audits, licensing reviews, and accreditation surveys.
• Lead quality assurance and performance improvement activities.
• Monitor incident reporting, corrective action plans, and risk management activities.
• Ensure timely implementation of regulatory and policy updates.

• Recruit, supervise, coach, and evaluate clinical supervisors and clinical staff.
• Ensure clinical staff maintain required licensure, certifications, and competencies.
• Develop and implement staff orientation, training, and professional development programs.
• Promote employee engagement, accountability, and retention.
• Assure that hiring, disciplinary actions, and termination procedures are conducted in accordance with hospital policies.
• Involve appropriate facility management in all decisions and review these decisions with the Executive Director prior to implementation.
• Assure adequate orientation for new employees, attending physicians/licensed practitioners and Allied Health Professionals.
• Provide educational needs and professional development of staff, which may include planning and presenting educational sessions.
• Coordinate with other management concerning schedule and configuration to meet the needs and demands of the patient population and census and adjust accordingly.
• Ensure that the staff schedule and configuration will meet the needs and demands of the patient population and census and adjust accordingly.
• Create a structure that best meets the needs of the organization, particularly department organizations related to supervision and assignment of staff.
• Routinely review job assignments and utilization of staff.
• Ensure that clinical staff actively participate as members of the interdisciplinary team.
• Coordinate the collection of outcome data within the corporate deadline.
• Monitor and evaluate the utilization of the patient satisfaction survey and evaluate trends.

PROFESSIONAL COLLABORATION AND COMMUNICATION

• Serve as a member of the organization's leadership team.
• Collaborate with medical, behavioral health, nursing, and operational leaders.
• Represent the organization with external agencies, community partners, and regulatory bodies.
• Prepare and present reports related to clinical operations and quality outcomes programs.
• Communicate with patients, families, referral sources, and fellow staff effectively and professionally.
• Ensure the implementation of an ongoing system of program orientation for patients, families, professionals, and others.

PATIENT CARE STANDARDS

• Ensure programs adhere to specific Standards of Care of Child Patients ages 5 through 11.
• Ensure programs adhere to specific Standards of Care of Adolescent Patients ages 12 through 18.
• Ensure programs adhere to specific Standards of Care of Adult Patients ages 19 through 64.
• Ensure programs adhere to specific Standards of Care of Geriatric Patients ages 65 and older.

CONTINUOUS QUALITY IMPROVEMENT

• Ensure that a system is developed to provide continuity of care and communication with family and appropriate referral sources, and ensure the system is evaluated and reviewed regularly.
• Evaluate the achievement of program goals and objectives with appropriate staff on a regular basis.
• Ensure the program meets JCAHO, Medicare, and federal and state regulatory requirements.
• Develop and implement a Performance Improvement Plan, evaluate the results monthly, and report results to the Corporate Performance Improvement Committee in a timely manner.
• Ensure that all deficiencies identified through the performance improvement analysis are addressed with appropriate problem-solving actions.
• Review all risk management occurrences and ensure that complete and timely reports are submitted to Risk Management.
• Analyze statistical data of the program to determine and respond to trends.

Additional Standards

• Assist with planning and teaching staff development programs.
• Maintain a record of attendance to meet expected standards.
• Demonstrate a professional attitude and support the objectives of the facility's marketing and guest relations philosophy through internal and external communications and interactions with all levels of staff, patients, family members, guests, community and referral courses.
• Adhere to facility, department, corporate and standard policies and procedures.
• Attend all mandatory facilities in services and staff development activities as scheduled.
• Adhere to facility standards concerning conduct, dress, attendance, and punctuality.
• Support facility-wide quality/performance improvement goals and objectives.
• Maintain confidentiality of facility employees and patient information

Note: The essential job functions of this position are not limited to the duties listed above.

KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

• Strong knowledge of clinical practices, healthcare regulations, and quality improvement.
• Understanding accreditation standards and licensing requirements.
• Excellent leadership, problem-solving, and decision-making skills.
• Strong written and verbal communication abilities are important.
• Ability to direct changes or corrective actions related to regulations or survey outcomes.
• Ability to analyze data and use outcomes to guide clinical decision-making.
• Proficiency with electronic health records and healthcare technology platforms.
• Ability to build collaborative relationships internally and externally.
• Monitor service utilization, productivity, and performance metrics.

PERFORMANCE EXPECTATIONS

The Director of Clinical Services will be evaluated based on:

• Clinical quality outcomes
• Regulatory and accreditation compliance
• Staff engagement and retention
• Program performance and growth
• Timeliness and quality of documentation
• Quality improvement initiatives and organizational goals

PHYSICAL, MENTAL, AND SPECIAL DEMANDS

THIS SECTION DESCRIBES HOW AN EMPLOYEE IN THIS POSITION CURRENTLY PERFORMS THE FUNCTIONS OF THIS POSITION. MODIFICATIONS TO THE MANNER IN WHICH THIS JOB MAY BE PERFORMED WILL BE REVIEWED ON A CASE-BY-CASE BASIS.

• Ability to sit for extended periods of time, up to eight hours.
• Ability to reach above and below the waist, turn, twist, and manipulate small finger tools.
• Ability to see well enough, to read written materials and discern a variety of odors.
• Ability to spend 10% of the workday outside in temperatures varying from 30 F to 110 F, and spend 10% of the workday inside in temperatures varying from 60 F to 90
• Ability to work in an environment in which chemicals are used in cleaning, and dust, mist, and steam are frequently generated in housekeeping tasks.
• Ability to occasionally handle infectious/hazardous waste.
• Ability to work at a rapid pace and tolerate a variety of repetitive duties and in an environment in which the noise level is occasionally high.
• Ability to hear telephone and paging systems.

MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES:

THIS SECTION DESCRIBES THOSE MACHINES, TOOLS, EQUIPMENT, AND OTHER WORK AIDES AN EMPLOYEE IN THIS POSITION MUST BE ABLE TO USE.

• Telephone and paging systems.
• Personal computer and printer.
• Facsimile machine.
• Policies, procedures, plans, and manual programming.