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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 receipt, with a target completion rate of 95% before expiration
• Billing documentation compliance rate of 95% or higher on internal audits, with corrective action plans issued within 5 business days of any identified gap
• Zero or minimal lapses in active client authorizations attributable to missed renewal deadlines

Clinical Supervision Support

• SUD sign-off and diagnostic consultation requests from Clinical Supervisors addressed within 1 business day
• Documented case consultations for complex or high-risk clients completed within 3 business days of referral
• Clinical Supervisor satisfaction with ACD responsiveness and support, assessed via [annual/semi-annual] feedback

Compliance & Accreditation Readiness

• Full participation in CARF audit preparation with no critical findings attributable to ACD-owned documentation areas
• 100% completion of required continuing education and timely renewal of the incumbent's qualifying independent/CS-certified credential
• Zero substantiated compliance violations related to 42 CFR Part 2, HIPAA, or OhioMHAS standards within ACD's scope

Cross-Site Coverage & Consistency

• Consistent clinical and documentation standards maintained across both sites, measured through comparative audit results
• On-site or remote availability maintained at both Franklinton and Whitehall per the agreed floating schedule
• Escalations to Clinical Directors resolved or triaged within 2 business days

Qualifications

Education:

• Master's degree in a behavioral health, counseling, social work, or related field required
• Doctoral coursework in a related field (e.g., organizational leadership) is a plus but not required

Licensure/Certification:

• Active, independent Ohio clinical credential authorized to supervise clinicians required - LISW, LICDC, or another qualifying credential with CS (Clinical Supervisor) certification
• Credential must independently authorize supervision of clinical staff under the applicable Ohio board (counselor/social work board or OCDP, as appropriate to the credential held)
• Must maintain active, unrestricted Ohio licensure throughout employment and self-report any change in licensure status immediately to Human Resources

Experience:

• Minimum of 1 year of clinical supervisory experience in a behavioral health or substance use disorder treatment setting
• Experience with Prior Authorization processes and behavioral health billing documentation strongly preferred
• Experience supporting or supervising staff across multiple credential levels (e.g., LSW, LCDC II, LCDC III) preferred
• Experience working with justice-involved or court-referred populations is a plus, given BRC's client population

Knowledge, Skills, and Abilities

• Working knowledge of Ohio OCDP supervision requirements and scope-of-practice rules across clinical credential levels
• Strong understanding of behavioral health billing, documentation, and payer authorization requirements
• Working knowledge of 42 CFR Part 2, HIPAA, and CARF accreditation standards as they apply to clinical documentation
• Ability to work independently across multiple sites and manage competing priorities
• Sound clinical judgment in prioritizing and triaging documentation, billing, and supervisory issues across two locations
• Strong written and verbal communication skills, with the ability to train and support clinical staff at varying credential levels
• Ability to build effective working relationships with both Clinical Directors and site-based Clinical Supervisors

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS

Work is performed primarily in an office and clinical treatment setting across two locations, with regular travel between sites. Occasional evening or flexible scheduling may be required to support clinical operations. Reasonable accommodations will be made for individuals with disabilities to perform the essential functions of this role.