Therapy Utilization Review Jobs in Indiana (NOW HIRING)

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Full Time Professional Indianapolis, IN, US

5 days ago Requisition ID: 2429

Salary Range: $125,000.00 To $135,000.00 Annually

Department: Field Operations

Direct Report To: Vice President of Field Operations

Direct Reports: Facility Clinical Director/s

The Regional Director, Clinical Quality provides clinical leadership, direction, and oversight for an assigned region of behavioral health facilities.

The Regional Director is responsible for ensuring high-quality clinical care, regulatory compliance, clinical documentation integrity, utilization review support, staff supervision, and consistent implementation of clinical standards across all assigned facilities.

This role serves as a key clinical leader, ensuring that facility-based clinical teams operate in alignment with company policy, ASAM criteria, state and federal regulations, Joint Commission standards, payer requirements, and organizational expectations for quality, safety, and patient-centered care.

Hickory Recovery is setting the benchmark in mental health care, especially for those facing acute challenges or dealing with co-occurring disorders. Our focus is on

• Delivering personalized, top tier care that fosters healing and improves wellbeing
• Ensuring every individual has access to the best possible support and treatment

To provide high quality, acute care for adults struggling with mental health issues or mental health co-occurring disorders. It’s Hickory’s primary goal to offer expert treatment for all we serve.

• 401k
• Health insurance
• PTO
• Vision insurance
• Holiday pay

• Master’s degree in counseling, social work, marriage and family therapy, psychology, or a related clinical field required.
• Independent clinical licensure required in at least one service state, such as LCSW, LMHC, LMFT, or equivalent.
• Minimum of seven years of experience in residential substance use disorder treatment required.
• Minimum of five years of leadership experience in a behavioral health setting required.
• Regional or multi-site clinical leadership experience preferred.
• Working knowledge of state behavioral health and addiction treatment regulations.
• Knowledge of ASAM criteria, clinical documentation standards, utilization review, and medical necessity requirements.
• Knowledge of medication-assisted treatment services preferred.
• Ability to maintain strict client confidentiality and HIPAA compliance.
• Demonstrated ethics, integrity, professionalism, and strong customer service skills.
• Strong understanding of best practices in behavioral health, substance use disorder treatment, and co-occurring disorder care.
• Ability to travel regularly to assigned facilities.

• Provide clinical direction, oversight, and support to assigned facilities across the region.
• Lead clinical teams in the delivery of safe, ethical, evidence-based, and compliant behavioral health services.
• Develop clear role expectations for Clinical Directors and clinical team members.
• Provide leadership, coaching, and support to facility Clinical Directors
• Develop effective meeting structures for clinical leadership, including bi-weekly virtual individual meetings with Clinical Directors and group meetings as needed.
• Build strong working relationships with facility Clinical Directors, Executive Directors, clinical staff, and corporate leadership.
• Report clinical trends, risks, barriers, and operational updates to the supervisor.

• Ensure clinical services are delivered in accordance with local, state, and federal regulations, Joint Commission accreditation standards, company policies, and payer expectations.
• Support implementation of policies and procedures consistent with ASAM criteria and organizational best practices.
• Monitor clinical compliance, quality of care, documentation accuracy, treatment planning, discharge planning, and patient engagement.
• Establish and maintain clinical quality systems to ensure clients receive care consistent with program expectations, clinical standards, and the client handbook.
• Conduct frequent clinical quality visits to all assigned treatment centers, at least monthly or more often as needed.
• Support survey preparedness and provide on-site leadership during regulatory or accreditation surveys when needed.
• Assist with mock surveys, state surveys, Joint Commission surveys, Plans of Correction, and corrective action follow-up.
• Monitor implementation and completion of Plans of Correction related to clinical services.

• Ensure timely, complete, and compliant medical record documentation.
• Develop and monitor clinical reporting tools, including weekly clinical reports for Clinical Directors and chart audit processes for Executive Directors and Regional Directors.
• Establish, implement, and monitor submission processes for required clinical reports and audits.
• Identify documentation concerns and elevate repeated or serious performance issues through the appropriate leadership and human resources processes.

• Support successful clinical operations across assigned facilities.
• Assist with clinical system implementation during acquisitions, new facility openings, or operational transitions.
• Review requests for administrative discharge and provide clinical guidance prior to final disposition.
• Provide pre-admission clinical reviews as needed.
• Support clinical assessment processes, client sessions, and direct care needs when necessary.
• Communicate needed changes and assist with implementation of clinical improvement goals.
• Serve as a resource regarding clinical issues, addiction treatment trends, mental health treatment trends, regulatory expectations, and clinical best practices.
• Collaborate with operations, quality, compliance, nursing, medical, admissions, utilization review, and human resources teams to improve clinical performance.

• Provide regular education, onboarding, and orientation to Clinical Directors and clinical staff.
• Develop and deliver clinical training to support documentation quality, ASAM alignment, therapeutic standards, regulatory compliance, and evidence-based care.
• Provide in-service education for staff as requested.
• Work with Service Excellence to develop and implement clinical staff training and professional development initiatives.
• Assist with recruitment, interviewing, hiring, and onboarding of qualified Clinical Directors, therapists, and other clinical team members.
• Support professional growth, accountability, and leadership development across the clinical team.

• Be available to support facility leadership when significant clinical events, regulatory concerns, safety issues, or urgent operational needs occur.
• Provide clinical consultation and leadership during critical incidents, adverse events, patient safety concerns, and high-risk discharges.
• Ensure appropriate follow-up, documentation, communication, and corrective action after clinical events.