Director, Social Work and Ambulatory Services
About The Position
Reporting to the Executive Director of Inpatient Behavioral Health, the Director of Social Work and Ambulatory Services ensures quality care by developing and maintaining standards across social work, admissions, groups, outpatient services, utilization management, and the partial hospital program within the inpatient behavioral health division. The Director establishes systems for effective, timely communication with patients, families, collaterals, referral sources, community agencies, and payors. The role provides leadership to social workers, clinicians, and ambulatory services staff to support effective, efficient, high-quality patient care and aftercare planning. In collaboration with senior leadership, the Director provides guidance on social work, utilization management, aftercare planning, administrative and staffing management, communication and collaboration, professional development and orientation, quality improvement, and financial management. The Director oversees utilization review activities for the inpatient behavioral health division and works with external payors to determine medical necessity for admissions and continued hospitalization. The role also partners with other departments, community agencies, vendors, and payors.
Requirements
- Master’s degree in social work (MSW).
- Current Massachusetts Licensed Independent Clinical Social Worker (LICSW) license.
- Minimum 5 years of experience in an inpatient behavioral health setting.
- Minimum 3 years of managerial experience.
Nice To Haves
- Prior experience in healthcare admissions.
Responsibilities
- Direct and ensure high-quality inpatient social work services and aftercare planning that meet state and regulatory requirements.
- Develop, implement, and maintain revenue-generating strategies related to admissions and patient capacity.
- Plan, monitor, and manage department budgets, and manage staffing within budgetary guidelines across social work, admissions, groups, outpatient, utilization management, and the partial hospital program.
- Understand behavioral health payment practices, including 340b, and oversee utilization management and appeals.
- Develop and implement general, emergency, and program-specific policies and procedures to support a safe, productive, therapeutic program and comply with hospital, regulatory, and accrediting standards.
- Collaborate with group leaders to create, evaluate, and periodically update group programming.
- Ensure the outpatient department meets productivity goals and documentation standards.
- Monitor federal and state regulations governing capacity, billing, and reimbursement, including Medicaid and Medicare guidelines, and Joint Commission standards.
- Ensure the partial hospital program and outpatient department meet licensing and regulatory requirements.
- Supervise department managers.
- Network and collaborate with stakeholders.
- Provide clinical consultation and oversight of case planning.
- Hire, develop, train, and manage staff performance.
- Oversee student contracts for master's-level interns.
- Provide back-up coverage to the Human Rights Officer and perform service recovery.
- Establish and maintain effective, timely communication with patients, families, collaterals, referral sources, community agencies, and payors.
- Direct utilization review activities and interface with external payors to determine medical necessity for admissions and continued hospitalization.
- Partner with other departments, community agencies, vendors, and payors.
Benefits
- Influenza vaccination is required as a condition of employment.
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What This Job Offers
Job Type
Full-time
Career Level
Director
