Clinical Director – Miracles Program

Position Summary

The Clinical Director provides executive leadership and oversight for the Miracles Program, an 80-bed, state-licensed, Medicaid-approved, CARF-accredited residential substance use disorder treatment program. The Clinical Director is responsible for the overall quality, integrity, and effectiveness of all clinical services, ensuring treatment is person-centered, evidence-based, and consistent with the Miracles Program's philosophy of recovery through the Twelve Steps integrated with evidence-based clinical practices.

The Clinical Director provides strategic leadership for clinical operations, staff development, quality improvement, regulatory compliance, program outcomes, and program growth. This position ensures compliance with all applicable state and federal regulations, Medicaid requirements, CARF accreditation standards, and professional ethical guidelines while fostering a culture of clinical excellence, accountability, compassion, and continuous quality improvement. The Clinical Director also collaborates with organizational leadership and referral partners to support program development, maintain targeted program census levels, and promote timely access to services while ensuring the delivery of high-quality, person-centered care.

As the senior clinical leader for the Miracles Program, the Clinical Director provides supervision to the Program Director and all clinical staff and works collaboratively with agency leadership to advance the mission and strategic goals of Siena Francis House.

Essential Duties and Responsibilities

Clinical Leadership

• Provide direct supervision, leadership, coaching, mentoring, and performance evaluation for the Program Director and all clinical staff.
• Serve as the senior clinical authority for the Miracles Program and maintain responsibility for all clinical decisions, standards of care, and clinical practices.
• Ensure all treatment services are delivered in accordance with applicable state and federal regulations, Medicaid requirements, CARF accreditation standards, professional ethical standards, and organizational policies.
• Promote a treatment environment that integrates the Twelve Steps with evidence-based, trauma-informed, and person-centered clinical practices.
• Ensure individualized assessment, treatment planning, clinical documentation, discharge planning, and continuing care services meet professional, regulatory, and organizational standards.
• Provide consultation and clinical guidance for complex client situations and support staff in ethical and effective clinical decision-making.

Program Administration

• Provide strategic direction and oversight for the Miracles Program while supervising the Program Director in the management of day-to-day operations.
• Collaborate with the Program Director to ensure effective coordination between clinical services, residential operations, admissions, case management, and other support services.
• Develop departmental goals, objectives, and performance measures that support the mission and strategic priorities of Siena Francis House.
• Evaluate program effectiveness through client outcomes, performance data, quality indicators, and continuous quality improvement initiatives.
• Identify opportunities for program enhancement and implement improvements that strengthen service delivery and address the needs of individuals served, including underserved populations.
• Assist in the development, implementation, and ongoing review of policies, procedures, and clinical protocols.

Quality Assurance, Compliance, and Accreditation

• Ensure ongoing compliance with Nebraska licensing requirements for substance use disorder treatment programs.
• Oversee compliance with Medicaid documentation, medical necessity, billing, and clinical record requirements.
• Lead the program's efforts to maintain CARF accreditation by ensuring compliance with accreditation standards and continuous quality improvement practices.
• Monitor the quality, completeness, and timeliness of clinical documentation.
• Develop, implement, and evaluate quality assurance and performance improvement initiatives that improve client care and program effectiveness.
• Monitor contracts, grants, and reporting requirements to ensure compliance with funding and regulatory expectations.

Staff Leadership and Development

• Recruit, hire, train, supervise, mentor, and evaluate clinical staff.
• Foster a culture of professionalism, accountability, collaboration, and continuous learning.
• Assist in the recruit of graduate-level clini