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Division Director
Full Time Full-Time
5 days ago Requisition ID: 1346
POSITION OVERVIEW
The Division Director of Assertive Community Treatment (ACT) is responsible for the planning, direction, coordination, and oversight of Assertive Community Treatment (ACT), FACTT, Re-Entry Programs, and other assigned community behavioral health services, including applicable grant-funded initiatives. The Division Director ensures the delivery of high-quality, person-centered, recovery-oriented, and compliant behavioral health services while providing strategic clinical and organizational leadership for the organization. This position is responsible for program quality, regulatory compliance, fiscal oversight, staff development, client satisfaction, clinical outcomes, and continuous quality improvement. The Division Director collaborates with executive leadership to identify service gaps, develop innovative programs, ensure compliance with regulatory and accreditation standards, and maintain adequate psychiatric and nursing resources to support organizational goals.
REPORTING STRUCTURE
The following position reports directly to this role:
- Assertive Community Treatment (ACT) Program Managers
SPECIFIC RESPONSIBILITIES
- Plan, direct, and coordinate ACT, FACTT- Re-Entry Programs, and other assigned community behavioral health services.
- Develop, implement, and oversee ACT services to meet the needs of individuals served while maintaining high fidelity to the ACT Model of Care.
- Identify service gaps and develop new programs, partnerships, and funding opportunities in collaboration with executive leadership and community stakeholders.
- Represent the agency at state, regional, and local behavioral health meetings, advisory committees, and community partnerships.
- Develop and maintain collaborative relationships with referral sources, healthcare providers, governmental agencies, and community organizations throughout Maryland.
Clinical Leadership
- Model best practices for psychiatric and nursing oversight within ACT and other assigned community-based behavioral health programs.
- Ensure psychiatric involvement in the development, approval, implementation, and ongoing review of clinical policies, procedures, protocols, and standards of care.
- Ensure adequate psychiatric staffing to provide clinical, medical, administrative leadership, and direct patient care.
- Provide psychiatric consultation and direct clinical services during emergencies or when operationally necessary.
- Establish standards for psychiatric assessment, medication management, medical triage, clinical pathways, and evidence-based practices.
- Develop and oversee clinical education, orientation, competency validation, and ongoing professional development for psychiatric and nursing staff.
- Collaborate with Human Resources to recruit, retain, and support qualified psychiatric and nursing personnel.
- Participate in the development and revision of nursing and psychiatric providers for job descriptions, competencies, and performance standards.
- Recruit, hire, orient, supervise, mentor, and evaluate Program Managers.
- Foster professional development through coaching, mentoring, and performance management.
- Conduct annual performance evaluations for Program Managers and monitor productivity and performance metrics.
- Administer progressive discipline, when appropriate, in accordance with agency policies and employment regulations.
- Oversight of the ACT 24/7 on‑call system, crisis response processes, staffing coverage, and ensuring continuity of care.
Compliance and Quality Assurance
- Ensure compliance with COMAR, Maryland Department of Health regulations, Medicaid requirements, Joint Commission standards, Behavioral Health System Baltimore (BHSB), Anne Arundel County Department of Health, Prince George's County Behavioral Health Authority, Montgomery County Behavioral Health programs, grant requirements, and other applicable regulatory and funding agencies.
- Oversee clinical documentation to ensure accuracy, completeness, timeliness, and regulatory compliance.
- Monitor quality indicators, including admissions, discharges, emergency department utilization, psychiatric hospitalizations, critical incidents, Individual Treatment Plans (ITPs), ADA compliance, and other key performance metrics.
- Provide oversight and monitor clinical quality, risk management activities in the areas of:
- Sentinel event and critical incident review;
- Suicide prevention and post incident processes;
- Root cause analysis and corrective action planning;
- Medication safety oversight;
- Monitoring trends in incidents and implementing quality improvement initiatives based on findings.
- Lead Continuous Quality Improvement (CQI) initiatives and implement corrective action plans to improve clinical outcomes and organizational performance indicators in:
- Psychiatric hospitalizations and readmissions;
- Housing stability;
- Client engagement and retention and satisfaction;
- Timeliness and quality of documentation;
- Staff retention and turnover;
- ACT and FACTT fidelity measures.
- Conduct quarterly audits of ACT psychiatric prescribers to ensure compliance with agency policies, ACT fidelity standards, documentation requirements, and prescribing best practices.
- Serve as the agency's liaison with pharmacy partners to improve medication management, collaboration, and continuity of care.
Fiscal and Administrative Responsibilities
- Assist in the development of ACT’s operational budget with assistance from the CFO and VP of Services.
- Oversee billing integrity, grant compliance, financial reporting, and fiscal accountability for assigned programs.
- Monitor productivity, program performance, and financial outcomes.
- Serve as a member of the senior leadership team, participating in organizational planning, strategic initiatives, and agency‑wide decision‑making.
PRINCIPAL ACCOUNTABILITIES
- Clinical leadership and psychiatric oversight
- ACT program fidelity and operational excellence
- Staff supervision, mentoring, and professional development
- Regulatory compliance, accreditation, and quality improvement
- Fiscal management, billing integrity, and grant oversight
- Client safety, wellness, and satisfaction
- Program development and strategic planning
- Community engagement and partnership development
EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS
- Current, unrestricted licensure as a Psychiatric Mental Health Nurse Practitioner (PMHNP), or current, unrestricted medical licensure as a Medical Doctor (MD) in the State of Maryland, or eligibility for Maryland licensure before employment.
- National certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC).
- Active DEA registration and Maryland CDS registration, or the ability to obtain both before providing clinical services.
- Minimum of eight (8) years of progressive behavioral health experience.
- Minimum of three (3) years of leadership experience supervising behavioral health programs and multidisciplinary clinical staff.
- Demonstrated experience with Assertive Community Treatment (ACT), community psychiatry, crisis services, integrated behavioral health, or comparable community-based behavioral health programs.
- Working knowledge of Maryland behavioral health regulations, COMAR, Medicaid, Joint Commission standards, and grant‑funded behavioral health services.
- Valid Maryland driver's license with an acceptable driving record.
Preferred Qualifications
- Experience leading multidisciplinary behavioral health teams.
- Experience with grant administration and behavioral health program development.
- Experience in integrating behavioral health and primary care services.
- Experience with Continuous Quality Improvement (CQI), accreditation surveys, and regulatory compliance.
Knowledge, Skill, and Abilities
- Strong executive leadership and psychiatric clinical assessment skills.
- Comprehensive knowledge of ACT fidelity standards and community behavioral health systems.
- Excellent written, verbal, organizational, and interpersonal communication skills.
- Demonstrated financial management and budgeting experience.
- Ability to interpret regulatory requirements and implement operational improvements.
- Experience using quality metrics and data analytics to improve clinical and operational performance.
- Ability to lead multidisciplinary teams in a dynamic community behavioral health environment.
- Strong critical thinking, conflict resolution, and decision‑making skills.
- Ability to work independently while collaborating effectively with executive leadership, community partners, regulatory agencies, and external stakeholders.
COMMENTS
This position requires a high degree of clinical competence and continued professional skills to development to maintain expertise in a changing environment.
NOTE: INFORMATION CONTAINED IN THIS DESCRIPTION IS A SUMMARY OF THE ASSIGNED DUTIES AND NOT INCLUSIVE OF ALL REQUIREMENTS THAT MAY BE ASSIGNED. ADDITIONAL DUTIES MAY BE ASSIGNED ON AN AS NEEDED BASIS