DIR - CRISIS STABILIZATION SERVICES II - HORIZON

Director of Crisis Stabilization Service Level 2 - Richmond, VA

Horizon Health Corporation is seeking a Director of Crisis Stabilization Service to oversee the walk in Behavioral Health Urgent Care Center in Richmond, VA. The Director of Crisis Stabilization Services provides strategic, clinical, and operational leadership for a 24/7 crisis stabilization continuum (e.g., Walk-In, 23-Hour Observation, Crisis Stabilization Unit/Center, Mobile Crisis Response, and/or Short-Term Residential). This role ensures high-quality, trauma-informed, recovery-oriented services that emphasize rapid engagement, least restrictive care, safety, and seamless connection to ongoing treatment and community resources. The Director partners closely with internal and external stakeholders (e.g., 988/911, EMS/Law Enforcement, EDs/Urgent Care, payers, community providers, and county/state authorities) to optimize patient flow, outcomes, compliance, and fiscal sustainability.

Scope

• Walk in Behavioral Health Urgent Care Center
• 24 Chair 23-hour, 59-minute observation unit (psychiatric ER)
• 66-75 staff
• Projected Annual Revenue - 5 to 8 million

As a member of the agency Leadership Team, the Director of Crisis Stabilization Services supervises management and clinical staff, ensures fiscal and operational integrity, and represents the agency within the community in a professional and collaborative manner.

Responsibilities:

Strategic, Financial & Operational Leadership

• Develop and execute annual strategic and operational plans for crisis programs (access, throughput, staffing, quality, budget, partnerships).
• Oversee 24/7 operations, ensuring adequate coverage, safe staffing ratios, acuity-based assignments, and surge planning.
• Lead program design and continuous improvement for walk-in/observation, stabilization unit, mobile crisis, and step-up/step-down pathways.
• Manage budgets (P&L), revenue cycle touchpoints, and key vendor agreements (e.g., labs, pharmacy, security, transportation).
• Own revenue cycle performance (preauth, concurrent review, denials, coding, collections) and payer relationships.
• Manage budgets, labor productivity, staffing matrices, throughput, and bed utilization to target.

Clinical Governance & Quality

• Establish and maintain evidence-informed clinical pathways for rapid triage, suicide risk assessment, medical/behavioral clearance, de-escalation, medication management, and brief therapeutic interventions.
• Chair or co-chair clinical risk/safety committees; oversee incident review, root cause analysis, and corrective action plans.
• Ensure compliance with applicable regulations and standards (e.g., state licensing, CMS, The Joint Commission or CARF, EMTALA where applicable, 42 CFR Part 2, HIPAA, workplace violence prevention).
• Implement measurement-based care and quality dashboards (e.g., time-to-triage, LOS, restraint/seclusion rates, readmissions/returns within 7 or 30 days, follow-up appointment adherence).

Staff Leadership and Development

• Recruit, develop, and retain a multidisciplinary team (LCSWs/LPCs/LMFTs, RNs/LVNs, peers, care coordinators, psychiatrists/PMHNPs).
• Model trauma-informed, culturally responsive, and recovery-oriented care; promote just culture and staff well-being.
• Provide regular supervision, performance evaluations, competency assessments, and succession planning.
• Lead training in crisis intervention, suicide prevention, de-escalation, and violence mitigation; maintain competencies (e.g., CPI or equivalent).

Partnerships, Access & Flow

• Build strong referral pathways with 988 call centers, law enforcement/EMS, EDs, inpatient psych, SUD providers, shelters, and community-based organizations.
• Oversee diversion and least-restrictive placement strategies; reduce avoidable ED utilization and inpatient admissions.
• Coordinate care transitions: warm handoffs, discharge planning, transportation, and rapid outpatient follow-up (24-72 hours).

Equity, Lived Experience & Community Engagement

• Integrate peer support specialists; elevate lived experience voices in program design and QA/QI.
• Ensure services are accessible and culturally/linguistically appropriate; address social determinants of health (housing, transportation, benefits navigation).
• Lead market positioning and business development in collaboration with corporate leadership.

Documentation, Data & Reporting

• Ensure accurate, timely documentation in the EHR; monitor documentation quality and coding integrity.
• Produce and present regular reports (operational, clinical, financial, and outcomes) to executive leadership and funders.
• Steward grants and contracts (deliverables, reporting, audits) as applicable.
• Performs other duties as assigned/required by this position.

Benefit Highlights:

• Competitive Compensation
• Excellent Medical, Dental, Vision, and Prescription Drug Plan
• 401(K) with company match and discounted stock plan
• Long and Short-term Disability
• Flexible Spending Accounts; Healthcare Savings Account
• Life Insurance
• Career development opportunities within the company
• Tuition Assistance
• Rewarding work environment - Enjoy going to work everyday!

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

About Richmond, VA:

Richmond, Virginia, offers a compelling mix of historical charm, a thriving "foodie" culture, and strategic geographic access that makes it a top choice for both residents and visitors. A few of the key lifestyle & economic highlights include central location, thriving job market, renowned food & beer scene, outdoor adventure, and historical depth.

For more information on this position, email Oscar Hernandez, Horizon Health Corporation, Senior Executive Recruiter at Oscar.Hernandez2@horizonhealth.com

• Master's Degree required
• Must have 10+ years of related work experience
• One of the following in good standing (or state equivalent): LCSW, LPC/LPCC, LMFT, Licensed Psychologist, RN (BSN strongly preferred) or APRN/PMHNP with behavioral health leadership experience required
• BLS required; CPI (or equivalent deescalation) required within 60 days of hire required
• Addiction credential (e.g., LCDC/LCAS) or experience; C-SSRS proficiency; trauma-informed care certification preferred
• Minimum of 10 years progressively responsible experience in behavioral health or crisis services, including a minimum of five years in leadership (program management, service line leadership, or clinical operations)
• Demonstrated experience running 24/7 environments and managing multidisciplinary teams
• Crisis assessment and stabilization across diagnoses (mood, psychosis, SUD, co-occurring disorders, neurodiversity, and medical comorbidity)
• Suicide risk and violence risk assessment; least restrictive alternatives; brief therapeutic modalities (MI, CBT/DBT-informed, safety planning)
• Medication basics for acute stabilization; collaboration with prescribers; understanding of EPS/SEs and medical clearance considerations
• Regulatory expertise (HIPAA, 42 CFR Part 2, EMTALA context, restraint/seclusion rules, state mental health statutes, patient rights)
• Familiarity with 988 ecosystem, law enforcement co-response, and ED diversion models
• Strategic planning, budget/P&L management, staffing models, and throughput optimization
• Data-driven management: KPIs, dashboards, variance analysis, and QI methodologies (e.g., PDSA, root cause analysis)
• Contract/grant stewardship; payer relations and utilization management
• Must obtain and maintain a fingerprint clearance card and pass a background check
• Proven track record with regulatory accreditation (Joint Commission/CARF/state licensing), quality improvement, and budget management
• Trauma-informed, recovery-oriented, culturally responsive leadership with commitment to health equity
• Expert communicator with stakeholders, patients/families, clinical teams, payers, law enforcement, community partners)
• Extensive knowledge of Psychiatric Observation and Stabilization Units
• Bilingual in English and Spanish preferred
• Change management and resilience-building in high-acuity settings
• Proficient with EHRs, incident/risk platforms, scheduling tools, and telehealth workflows
• Intermediate to advanced skills in Excel/Sheets and dashboarding/analytics tools
• Staff development, performance management, and accountability
• Valid driver's license with acceptable driving record, reliable transportation, and home telephone
• Ability to prioritize workload and manage competing demands
• Sound judgment and effective decision-making

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.