Assistant Clinical Director

Job Summary The Assistant Clinical Director (ACD) provides cross-site clinical leadership and operational oversight in support of the Clinical Directors at Basecamp Recovery Center (BRC). This role holds primary responsibility for Prior Authorization (PA) oversight and billing documentation compliance across all clinical staff at both the Franklinton and Whitehall locations. The ACD floats between sites as needed to maintain consistent clinical, documentation, and billing standards, and serves as a key point of clinical authority for Clinical Supervisors and their teams.

Essential Duties and Responsibilities Prior Authorization & Billing Oversight Oversee Prior Authorization submissions and renewals across both sites, working directly with payers and clinical staff to maintain timely, accurate authorizations

Review and sign off on billing documentation and clinical records for compliance with payer, state, and accreditation standards

Track authorization expirations and renewal deadlines across both sites, escalating at-risk cases before lapses affect client care or billing

Serve as the primary point of contact for payer inquiries related to authorization or documentation disputes

Clinical Oversight & Supervision Support Provide direct clinical oversight and consultation to Clinical Supervisors at both sites, including diagnostic and treatment planning support within scope of licensure

Serve as the SUD (substance use disorder) billing sign-off and diagnostic authority for Clinical Supervisors whose scope is limited to mental health documentation

Review clinical documentation on a rotating or as-needed basis to identify compliance gaps before they surface in external audits

Provide backup clinical coverage and decision-making at either site when the site's Clinical Director is unavailable, within scope of the ACD's own licensure

Support case consultation for complex, high-risk, or dual-diagnosis clients across both sites

Program & Compliance Support Partner with the Clinical Directors on program development, policy implementation, and quality improvement initiatives

Monitor caseload distribution, documentation timeliness, and clinical outcomes across both sites, escalating concerns to the appropriate Clinical Director Support onboarding, training, and professional development of clinical staff at both locations

Participate in incident reviews, audits, and accreditation (CARF) preparation as needed

Support compliance with 42 CFR Part 2, HIPAA, OhioMHAS, and CARF standards across both sites, in coordination with the Corporate Compliance function

Contribute to policy and procedure updates affecting clinical documentation, billing, or supervision workflows

Operational & Administrative Travel between the Franklinton and Whitehall sites as operationally required, maintaining a floating presence responsive to each site's needs

Maintain regular reporting to the Clinical Directors on PA status, billing compliance, and clinical supervision matters across both sites

Perform other clinical leadership duties as assigned

Scope and Decision-Making Authority This role carries organization-wide clinical authority for Prior Authorization and billing compliance, distinct from site-specific Clinical Supervisor roles. The ACD's SUD diagnostic and billing sign-off authority extends to support Clinical Supervisors whose individual licensure does not independently cover SUD documentation, on a permanent and ongoing basis — this is a standing operational dependency, not a temporary bridge.

Independent authority to approve or reject billing documentation for compliance prior to submission

Independent authority to make SUD diagnostic and treatment-planning decisions on cases referred by either Clinical Supervisor Escalation authority to bring documentation, staffing, or compliance concerns directly to either Clinical Director or the CEO when warranted

No independent authority over compensation, hiring, or termination decisions for clinical staff — these remain with the Clinical Directors and Human Resources Key Performance Indicators (KPIs)
Prior Authorization & Billing Prior Authorization submissions processed within 2 business days of…