Privacy Program Manager Jobs in Reston, VA (NOW HIRING)

Who We Are

Prestige Healthcare Resources, Inc. (PHRI) is a leading behavioral healthcare organization dedicated to improving the lives of individuals and families across the District of Columbia and Maryland. We provide high-quality, person-centered services and rely on accurate insurance verification to ensure our Consumers receive timely access to care without disruption.

What You'll Do

Prestige Healthcare Resources Inc (PHRI) is seeking an experienced, pro-active, Compassionate and highly detailed-oriented Day Program Manager who can make a substantial and valuable impact to the organization by providing quality care and addiction counseling to the community. The Day Rehabilitation Program Manager is responsible The Program Manager will be responsible for overseeing the development, implementation, and evaluation of all therapeutic programs, with a focus on group sessions. This role requires strong leadership, organizational skills, and a deep understanding of mental health treatment to ensure the highest standards of care for our clients. The Day Program Manager ensures that all services are delivered in compliance with program standards, clinical best practices, and organizational policies while fostering a therapeutic, recovery-focused environment for consumers.

Program Administration & Oversight

• Design, implement, and manage therapeutic programs that meet the diverse needs of clients, emphasizing group therapy and evidence-based practices.
• Provide day-to-day leadership and operational oversight of the Day Rehabilitation Program.
• Ensure program compliance with DBH, DHCF, CARF, and other regulatory requirements.
• Develop, implement, and monitor program workflows, policies, SOPs, and procedures.
• Review and monitor consumer schedules, group activities, and service delivery to ensure alignment with treatment goals.

Clinical Oversight

• Supervise clinical staff and ensure all required credentials, licensure, and training remain compliant.
• Ensure DL20 assessments, treatment plans, progress notes, and documentation are completed accurately and timely.
• Oversee coordination of care with MHRS, ACT, SUD, and other internal or external providers.
• Participate in multidisciplinary team meetings and clinical case reviews.

Collaboration

• Work closely with other departments, stakeholders, and community organizations to enhance service delivery and support client needs.

Quality Assurance & Compliance

• Monitor compliance with DBH and DHCF billing and authorization requirements, including Comagine authorization processes.
• Ensure documentation meets quality standards and supports medical necessity.
• Review internal audit results and implement corrective action plans as needed.
• Ensure consumer records adhere to HIPAA, confidentiality, and agency privacy standards.

Staff Supervision & Development

• Provide direct supervision, coaching, and performance evaluations for program staff.
• Coordinate staff schedules, coverage, and workflow assignments.
• Identify training needs and ensure staff participation in required trainings (HIPAA, FWA, Incident Management, DL20, LMS, etc.).

Program Development

• Lead the implementation and growth of the Day Rehabilitation Program.
• Monitor program data, outcomes, and performance indicators for quality improvement.
• Assist in developing new groups, therapeutic activities, and recovery-focused interventions.
• Ensure culturally competent service delivery that supports recovery, empowerment, and inclusion.

Consumer Relations & Engagement

• Ensure a safe, respectful, and supportive environment for all consumers.
• Resolve consumer complaints, grievances, or concerns in accordance with agency policy.
• Support strong consumer engagement and retention in the program.

Administrative & Reporting Requirements

• Complete required program reports, tracking logs, and regulatory submissions.
• Ensure accurate encounter documentation and billing processes.
• Assist leadership during DBH or DHCF audits, reviews, certification, and re-certification.

Billing Management

• Oversee the billing process for all services provided at the Day Treatment Center, including group therapeutic sessions, ensuring timely and accurate submission of claims to insurance providers.

Budget Management

• Develop and manage the program budget, ensuring efficient use of resources and financial sustainability.

Required Qualification

• Master’s degree in Social Work, Psychology, Counseling, or a related field (Doctorate preferred).
• Proven experience in program management and leadership within a mental health or treatment setting.
• Strong understanding of group therapy techniques and mental health diagnoses.
• Excellent communication, interpersonal, and organizational skills.
• Ability to work collaboratively with a diverse team and build relationships with clients and families.
• Knowledge of regulatory requirements and best practices in mental health care.
• Strong analytical and problem-solving skills, with a focus on continuous improvement

Competencies

1. Simplify complex issues; breaking down big problems into smaller, manageable tasks, and identifying the key priorities that will have the biggest impact on the business.

2. Delegate effectively; giving clear direction, setting expectations, and providing the necessary resources and support to help their teams succeed.

3. Predict future trends and challenges, staying up-to-date on industry developments, monitoring market trends, and seeking out new opportunities for growth and innovation.

4. Systemize processes; identifying and eliminating inefficiencies, establishing clear workflows and procedures, and ensuring that everyone in the organization is aligned around the same goals.

5. Structure organization for growth; defining clear roles and responsibilities, establishing a clear chain of command, and creating a culture of accountability and transparency.

AAP/EEO STATEMENT:

It is the policy of Prestige Healthcare Resources, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Prestige Healthcare Resources, Inc. will provide reasonable accommodation for qualified individuals with disabilities.