Vice President of Clinical Services

General Role Description

The Vice President of Clinical Services will serve as part of the executive leadership team and be responsible for ensuring the organization continues to make strides towards effective programming and quality clinical services. This position provides clinical and managerial leadership of clinical teams; ensuring effective clinical components are upheld at each program, as well as aid in the identification, development, and implementation of further programmatic changes and organizational growth opportunities.

• Offers direction and supervision to Director of Clinical Services ensuring programmatic effectiveness is maintained and quality measures upheld.
• Conducts needs assessments and gathers data to provide direction for improvement of programming.
• Analyzes specific program areas that are not adhering to needs, requirements, or sustained goals and provides guidance for achievement of expected improvements.
• Regularly meets with the CEO to offer updates on pertinent programmatic concerns or changes.
• Maintains a proactive mindset and approach to identify areas for improvement within our programmatic structures and utilizes evidence-based modalities to improve services.
• Understanding and oversight of Medical Services offered at each site and continued communication and coordination with Medical Director to ensure continued medical services throughout organization.
• Provides guidance to programs for adjustments, sustainability, or removal in response to either internal or external audits. Ensures appropriate follow-up and continued improvements are maintained.
• Assists Director of Clinical Services and Program Managers to plan, propose, and track budgets, including allocating adequate resources to each new program or current program improvements and stays within the parameters outlined by the CFO and CEO.
• Works alongside Vice President of Compliance, Quality, and Risk to ensures all compliance areas required for effective Medicaid Managed Care billing are accomplished. Understands clinical components necessary to bill for services.
• Assists Director of Clinical Services in overseeing new programs and developments after completion to ensure services are appropriate and effective. Initiates change as necessary to improve quality and compliance.
• Support Director of Clinical Services in hiring program staff as necessary, as well as general oversight of programs to ensure coverage.
• Analyzes programs during planning, implementation, and follow-up to verify quality and ensures activities and services achieve stated objectives and outcomes.
• Oversight of weekly staffing schedules for new projects or programs identified by the VP of Compliance, Quality, and Risk as having difficulties, to assist with ensuring compliance and responsiveness to program needs.
• Meets regularly with the Chief Executive Officer to report out on any concerns, successes, or focus areas in each program. Keeps up to date on changes and follows-up to make sure directives are fulfilled.
• Works alongside the VP of Compliance, Quality, and Risk to review trends and patterns that identify actionable quality measures, compliance concerns, or risk issues. Offers recommendations for future services and offers thoughts on feasibility of implementation so as to increase overall program effectiveness.
• Assists with the development of policies and procedures related to clinical or programmatic areas.
• Assists CEO to coordinate cross-functional activities between departments related to smooth operations of new projects or improvement projects. Demonstrates effective, timely communication methods.
• Works with and networks with other groups, county administrative officials, and health plan partners to ensure coordination and communication as it relates to new projects being developed or creating change in areas of concern.
• Occasionally create memos for the Board of Directors and attend Board of Directors meetings to discuss specific topics identified by the CEO.
• Demonstrates a creative, proactive, solution-focused mindset to find best opportunities for advancement of clinical services and brings them to the CEO…