Clinical Director

Position: Clinical Director

Location: Downtown Berkeley, CA

Department: Clinical

Supervisor: Chief Clinical Officer

Employment Type: Full-Time

Pay Type: Salaried

Classification: Exempt

Compensation Range: $125,000-$160,000, depending on experience level, degree type, geography, and certifications/specializations.

Company Overview:

Nack Behavioral Health provides individualized intensive outpatient (IOP) care to emerging adults (~18-35 years old) on college campuses who are experiencing primary mental health disorders. We partner with universities to offer an affordable, accessible, and high-quality option to their students who need a higher level of care than what university counseling centers can typically provide. With facilities adjacent to the campuses of our university partners, we provide most services in-person, using hybrid/telehealth services when necessary. Our services are also reimbursed by commercial insurance, which helps mitigate costs for students/families and universities alike.

Nack offers a 16-week IOP curriculum with a comprehensive clinical model that consists of group therapy (3-4 days per week for 3 hours per day), individual therapy (weekly), and family therapy (semi-monthly). We work collaboratively with our university partners to refine our evidence-based, culturally informed clinical programming to meet the needs of their student bodies. Our clinical team consists of doctoral-level and masters-level licensed therapists, working alongside external psychiatrists.

We firmly believe that excellent care is focused care. That is why we concentrate on serving the emerging adult population and treating primary mental health diagnoses.

We prioritize hiring enthusiastic, capable clinicians; providing ample mentorship and training opportunities; maintaining an engaging team culture; and ensuring that our clinicians work in a supportive and vibrant culture with sustainable workloads.

Position Overview:

The Clinical Director is an important leader within the clinical team of Nack Behavioral Health. Reporting to the Chief Clinical Officer, the Clinical Director oversees the clinical quality, operations, scheduling, staffing, systems and processes, KPIs, and outcome measurements for an individual Nack facility.

Qualifications:

• Education and Licensure: Master’s degree in mental health field required, PhD or PsyD is preferred. Active California licensure in mental health field required (from the Board of Psychology for PhD or PsyD; Board of Behavioral Sciences for LMFT, LCSW, or LPCC).
• Experience: Minimum two years of demonstrated experience working in clinical programs (preferably in a higher level of care setting); prior leadership of multi-disciplinary teams in a mental health setting, supervising clinicians, and managing clinical KPIs is preferred.
• Skills Profile: The ideal candidate is a seasoned clinician with a developing leadership / management style, self-starter initiative to work independently, and operational versatility to maintain Nack’s clinical programming and standards of excellence to provide excellent care to clients while developing and retaining superior clinicians.

Required Skills and Experiences:

• Strong proficiency in treating primary mental health disorders, including but not limited to: mood disorders, anxiety disorders, suicidal ideation, self-harm behaviors, complex grief, emotion dysregulation, thought disorders, personality disorders, and trauma.
• Expert proficiency in evidence-based practices, including but not limited to: Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Mindful Self-Compassion (MSC), Unified Protocol (UP), and/or Motivational Interviewing.
• Expert proficiency in overseeing and providing individual, group, and family treatment, along with case management and crisis intervention, for emerging adults with primary mental health disorders (ideally in a higher level of care setting).
• Demonstrated knowledge of commercial insurance requirements and expectations, including quality of clinical notes, utilization review processes, and billing processes and requirements.
• Prior experience in leading clinicians and managing clinical systems, processes, and protocols for optimal quality of care and scalability is preferred.
• Prior experience in or exposure to managing operational budgets for clinical programs is preferred.
• Experience in integrating principles and practices of diversity, equity, and inclusion in the clinical curriculum and programming, clinical hiring practices, and clinical trainings.
• Experience with maintaining an electronic medical record (EMR) system tidily, including the administration of clinical assessments, training clinicians as system users, and ongoing audits of clinical notes / workflows for quality assurance.
• Knowledge of current legal, ethical, and accreditor standards pertaining to professional practices and boundaries, reporting requirements, and related issues.

Job Duties:

• Maintain and routinely evaluate / enhance the day-to-day clinical operations, team workflows, best practices, and environment of care for one of Nack’s IOP clinical programs.
• Uphold the clinical vision and core values of Nack.
• Ensure that client programming and related clinician practices / trainings are in-line with the Company’s clinical model and promote a safe, inclusive, and productive treatment environment with quality of care at the forefront.
• Assign clients to and manage caseloads of primary therapists, including oversight of clinician PTO and applicable clinical coverage.
• Oversee clinical schedule of group therapy, including assignment of clinicians, client cohorts, and day-to-day adjustments as needed.
• Complete intake assessments for site-specific prospective clients, including biopsychosocial suicide risk assessment. Provide appropriate diagnoses and treatment recommendations based on review of clients’ histories, acuity, and symptoms.
• Provide weekly individual therapy for up to four (4) clients at program’s steady state, with a maximum caseload of five (5) clients for temporary “high tide” periods.
• Provide weekly group therapy for up to eight (8) groups per week.
• Intervene (and assist/coach as needed) clinically with clients in times of crisis or with special needs.
• Work to prevent discharges that are against-clinical-advice (ACA).
• Manage 24/7 on-call phone line for urgent clinical needs of site-specific clients (except during PTO).
• Uphold Company’s communication standards with colleagues and referents, especially for consults, referrals, discharges, and treatment team meetings.
• Communicate professionally and compassionately with clients’ families / support systems.
• Oversee the hiring, onboarding, daily oversight, performance evaluation, training, disciplinary actions, and terminations of site-specific clinical staff.
• Lead site-specific flash meetings (daily) and treatment team meetings (weekly), as well as individual coaching of primary therapists as needed.
• Coordinate and/or provide clinical supervision for associate therapists as needed.
• Work with CCO in management of all contractors (as applicable), including related scheduling, communication, budgeting, disciplinary actions, etc.
• Maintain and audit EMR for site-specific group assignments, tidy clinical records, and documentation compliance with Company standards and regulatory / payor requirements.
• Conduct utilization review with commercial payors for site-specific clients.
• Participate in routine clinical leadership meetings and individual coaching with CCO, as well as Monthly Operating Reviews (MORs) with the Company’s C-Suite. Report on clinical practices, personnel, and performance metrics.
• Participate in outreach opportunities as necessary.
• Other duties as requested by CCO or CEO.