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Senior Medical Director of Specialty Behavioral Health (Portland, OR)

Central City Concern is an innovative nonprofit agency providing comprehensive services to single adults and families in the Portland metro area who are impacted by homelessness, poverty and addictions. We hire people that are skilled and passionate to meet our mission through outcome-based strategies which support personal and community transformation.

Central City Concern is searching for a Senior Medical Director of Specialty Behavioral Health

The Senior Medical Director (SMD) of Specialty Behavioral Health Services is responsible for leading all mental health and psychiatric services delivered at Central City Concern. A key responsibility of this role is in the collaborative development and evolution of an integrated service-line of behavioral healthcare delivery across multiple facilities and clinical care teams within the Central City Concern continuum of care. These facilities include CCC’s Blackburn Center, Old Town Clinic, Old Town Recovery Center and the Imani and Puentes Culturally Specific programs.

The SMD of Specialty Behavioral Health Services is a member of the Health Services Leadership Team and will provide leadership and strategic vision surrounding the operation of these mental health services programs and the integration of service delivery across primary care and substance use disorders services within CCC. This will be accomplished by working in close and aligned partnership with the Health Services Leadership Team, Executive Leadership Team and Operational partners within the CCC Health Services Continuum. In addition, the SMD of Mental Health Services will hold governance representation roles supporting clinical quality, safety, clinical and professional standards and support the privileging and credentialing of clinical staff.

The SMD of Specialty Behavioral Health Services provides leadership and mentoring to the Health Services clinical staff, participates and leads clinical quality and peer review within the Mental Health service-lines and partners with operational and quality team leaders to maintain a posture of continuous quality improvement, patient safety and compliance with clinical best-practices and standards defined by payers and regulatory agencies. The SMD of Specialty Behavioral Health Services also establishes and promotes the professional, clinical, and ethical values and standards of Central City Concern to which all clinical staff are expected to adhere.

Scope of position:

Clinical Activity and Leadership:

  • Provides direct patient care 7 half-days per week in a team setting 0.7 FTE Clinical and 0.3 FTE administrative duties.
  • Serves as the primary clinical leader for LMP’s and other mental health clinical staff at Old Town Recovery Center, Imani, Letty Owings Center and Puentes programs and other service-line identified programs, including availability for brief clinical consultation, provision of clinical teaching, and the modeling of exemplary clinical practice.
  • Participates with Health Services leadership to develop an integrated mental health service-line that will evolve to the clinical supervision and leadership of LMP’s and mental Health clinical staff at the Blackburn Center and Old Town Clinic.
  • Ensure clinical credentialing and privileging requirements are met for all direct reports and service-line specific roles and candidates pursuant to CCC’s credentialing and privileging Policy.

Management and Supervision of Licensed Medical Providers providing Specialty Behavioral Health Services:

  • Provides medical direction and clinical supervision to the Old Town Recovery Center’s licensed medical providers in all professional and clinical domains in accordance with state regulations and standards of practice.
  • Manages and supervises additional mental health licensed medical providers as service-line integration is achieved resulting in a coordinated LMP team of psychiatrists and PMHNPs providing Specialty Behavioral Health services throughout the CCC continuum.
  • Ensures all service-line connected LMP’s receive appropriate staff development, in-service training and performance review.
  • Assures, through an interdisciplinary process, the appropriate credentialing and privileging of all LMP’s.
  • Ensures availability of adequate psychiatric staffing.
  • evelops job descriptions for staff LMP’s that are comprehensive, and permit involvement in therapeutic and program development activities, as well as application of specific medical expertise.
  • Oversees recruitment, evaluation and retention of all Specialty Behavioral Health service-line LMP’s.
  • In partnership with Health Services leaders supports and ensures Specialty Behavioral Health service-line LMP’s meet clinical productivity targets, while maintaining excellent quality of care and appropriate work-life balance.

Strategic Development of Integrated Model of Mental Health Care:

  • Oversees, in partnership with Behavioral Health Director at Old Town Clinic, key initiative to develop, promote and implement seamless integration between specialty mental health services at Old Town Recovery Center and primary care-based behavioral health services at Old Town Clinic, the Blackburn Center, the Imani and Puentes programs and other programs in which the provision of Specialty Behavioral Health services is desired but not yet deployed. This initiative entails development of:
    a. A population- and team-based approach to behavioral health care with emphasis on collaboration and shared accountability for excellent patient outcomes between specialty and primary behavioral healthcare.
    b. Practice guidelines and workflows that create superior clinical quality and seamless experience of care for patients.
    c. Multi-directional cultural and historical understanding of mental health, substance-use-disorder and medical practice models.
    d. Organizational and team structures that support integrated care.
    e. Advocacy and policy platforms for funding and regulatory entities, aimed at eliminating siloed care, waste, and redundancy.
    f. Leadership and vision as part of the strategic planning process for CCC to promote integration of Mental Health and Substance Use Disorder treatment within our clinical continuum.

Assurance of Quality and Safety of Clinical Care

  • Responsible for the development and final authorization of all psychiatric practice guidelines, policies and protocols for Old Town Recovery Center.
  • Assures that all patients receive appropriate evaluation, diagnosis, and treatment, and that all psychiatric care is appropriately documented in the medical record.
  • Participates in development of and ongoing improvements OTRC’s Electronic Medical Record.
  • Identifies, selects and oversees implementation of clinical evidence-based practices and best practices.
  • Participates in the support of formulary P&T committee, and Clinical Standards Committee.
  • Develops, maintains and champions guidelines for safe and effective prescribing practices for the Mental Health Service line and serves in support of all service-lines for CCC’s Health Services.
  • Oversees ongoing quality assurance and continuous quality improvement programs, ensuring clinically relevant and outcomes-based quality of care provided by clinical staff across the Mental Health service-line at CCC.
  • Participates and provides clinical leadership in all sentinel event and critical incident debriefings related to the Mental Health service line.
  • Participates in clinical-risk and safety governance committees and provides vision and strategy to improving safety for patients receiving Mental Health services at CCC across all service-lines.
  • Technology/IT governance Support: The SMD of Specialty Behavioral Health Services will provide representation, vision and guidance to the IT governance committee in support of the needs and best practice of clinicians, staff and patients receiving care that is documented in the electronic health record.

Clinical Collaboration with the OTRC Nurse Manager:

  • Clinically collaborates with the Old Town Recovery Center’s Nurse Manager in partnership with the Nursing Safety Officer. Maintaining a dotted-line structure of clinical supervisory reporting pursuant to the operation of the Specialty Behavioral Health service-lines.
  • Reviews, supports the development of and approves nursing protocols, policies and guidelines to ensure they are within scope of nursing practice and meet excellent standards of care. Champions these protocols through the clinical Standards governance committee.
  • Works directly with CCC Nurse Safety Officer and OTRC Nurse Manager to foster culture and practice of teamwork, collaboration, and open communication among all clinical staff.


  • License to practice medicine in Oregon.
  • Board certification in Psychiatry.
  • Must have full prescriptive powers in Oregon with a DEA number.
  • Current BLS certification or obtain as a condition of employment
  • Must meet CCC privileging requirements as required by FTCA.
  • Minimum five years’ experience in providing psychiatric care as a medical provider for individuals with serious mental illness.
  • Minimum two years’ experience supervising and consulting in a psychiatric clinic setting.
  • Will be required to carry an agency cell phone for work use. Cell phone will be provided by Central City Concern.
  • If in recovery, must be able to document continuous abstinence under independent living conditions or recovery housing for the immediate past two years.
  • Must possess a current driver’s license, access to a vehicle, qualify as an Acceptable Driver as designated in Central City Concern’s Fleet Safety policy. Must pass an initial drivers training within 60 days of being an approved driver and continued recertification training. Must maintain vehicle insurance coverage of a minimum of $100,000/$300,000 personal auto liability coverage.
  • Must pass a pre-employment drug screen, TB Test, and background check. This includes clearance by the DHS Background Check Unit.

Benefits:  Central City Concern offers an incredible benefits package to our employees:

  • Generous paid time off plan beginning at 4 weeks per year at the time of hire. Accrual increases with longevity.
  • Amazing 403(b) Retirement Savings plan with an employer match of 6.25% in your 1st year, 8% in the 2nd year, and 10% in your 3rd year! Fully vested with your first contribution!
  • 10 paid Holidays PLUS 2 Personal Holidays to be used at the employee’s discretion.
  • Comprehensive Medical, Vision, and Dental insurance coverage.
  • Employer Paid Life, Short Term Disability, AND Long Term Disability Insurance!

How to apply: Please apply directly through CCC’s website:

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