Clinic Director

Job DetailsJob Location: PRIDE - FAYETTEVILLE - FAYETTEVILLE, NC 28303Position Type: Full TimeJob Shift: DaysClinic Director

The Clinic Director is an Administrative position responsible for the development and oversight of programs within a particular geographic region served by Pride in North Carolina, LLC. Persons in either of these positions participate as a member of the Pride in North Carolina, LLC. Leadership Team, the primary decision-making body of the company and are responsible for various administrative and budgetary functions as well as clinical oversight of the programs within the region. They serve as a liaison and facilitate communication between the company’s programs, the local LME, outside agencies and the regional office. Additionally, they provide both administrative and clinical supervision to employees, including hiring and training. Individuals in either of these positions are expected to be on-call 24 hours a day and provide guidance in crisis situations. The Program Coordinator must meet the qualifications of a Qualified Professional and have four years of management experience.

Program Development, Management, and Regulatory Responsibilities:



Takes measures to market the company in order to promote new and existing programs.


Responsible for development of new programs, including meeting licensure, endorsement, monitoring, and accreditation requirements, hiring and training staff, etc.


Monitors to ensure that program(s) and facility(ies) operate within applicable rules, regulations and standards. Ensures each program has an updated copy of the appropriate policy and procedures manual, and standards; reviews policies and procedures with staff.


Assists with administering program policies and procedures and ensures all policy and procedure manuals are revised in a timely manner when revisions are distributed.


Provides ongoing monitoring, assessment, and revision of programs to ensure quality services that are consistent with the mission of PRIDE IN NORTH CAROLINA, INC.


Establishes and maintains positive working relationships with representatives of LME’s, North Carolina Division of MH/DD/SA, North Carolina DHSR, DSS’s, and other agencies.


Stays abreast of changes and communications set forth by the state of North Carolina and Division of Medical Assistance.


Participates in all Mental Health and State monitoring and endorsement reviews of programs, facilities and therapeutic homes.



Documentation and Information Management:



Develops and implements a peer review system and ensures service records are reviewed at least quarterly. Monitors quality and quantity of records for completion, accuracy and appropriate maintenance in accordance with policies and Service Records Manual.


Ensures that all data entered into the information management system is accurate, complete, and entered in a timely manner. Develops a system for regularly reviewing data in the information management system.


Provides training to staff regarding appropriate record documentation and use of the information management system.


Institutes a system to ensure all service notes are regularly reviewed for accuracy, use of correct format and timeliness per State and Federal Medicaid requirements as set forth in the Service Records Manual.



Fiscal Responsibilities:



Monitors program expenditures and staffing patterns; adjusts staffing and institutes cost-cutting measures as needed. Ensures that Program Managers are trained in completing budget sheets and submitting them in the appropriate time-frame.


Ensures all expenses are monitored and reviewed so overspending and/or unauthorized spending does not occur.


Reviews payroll to ensure all employees are paid correctly. Compares payroll to billing to ensure staff are accurately recording their time based on the services provided.


Reviews all billing in the information management system, ensures that all services are accounted for and billed properly.


Generates and maintains weekly reports regarding outstanding authorizations and unpaid claims. Documents efforts to identify and address authorization and payment problems.


Works closely with accounts receivable and billing staff to address payment and authorization issues and denials.


Develops and implements a system to ensure all required billing elements are in place including authorization, service order, and PCP prior to providing services. Ensures that only billable services are provided.


Conducts internal audits of services provided to identify any problem areas and make needed corrections and changes in procedures.



Clinical Responsibilities:



Oversees the development and implementation of treatment interventions used by each program and staff (i.e. program curriculums/schedules, skills training: anger management, social skills, cop