Director of Operations – Outpatient Behavioral Health

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 innovative outcome-based strategies which support personal and community transformation.

The Role:

CCC’s is seeking a Director of Operations – Outpatient Behavioral Health. 

The Director of Operations – Outpatient Behavioral Health is responsible for optimizing the operational, financial, and programmatic excellence of the services provided by the Central City Concern (CCC) Substance Use Disorder Services (SUDS) and Mental Health (MH) service lines Office Based Outpatient programs, in partnership with the Medical Directors.

These are OHA Certificate of approval and HRSA governed programs that deliver a service array that include but are not limited to behavioral health assessment and service planning, individual and group therapy, co-occurring therapy, peer services, medication management, medication-assisted treatment, and case management. In addition to providing comprehensive oversight and leadership, the Director of Operations is responsible for ongoing development, maintenance, and improvement of outpatient Behavioral Health (BH) programs infrastructure and systems, using evidence-based and data-driven means.

The Director of Operations – Outpatient SUDS collaborates effectively with the MH and SUDS leadership team to continuously improve outcomes, experience, and efficiency; and with the Health Services leadership team to continuously improve integration of services across the CCC Health Services, Housing and Employment continuum.

Your Duties:

  • Works as part of the MH and SUDS leadership team to oversee the long-term health, quality, effectiveness, and strength of the health system.
  • Develop and maintain strong relationships external to the organization with funders, peers, and other industry partners as appropriate to best serve the needs of the organization.
  • Represent CCC in community and public discussions, forums, and in planning and committee settings, particularly those related to BH services
  • Develop outpatient BH program budgets with input and approval from CCC Finance Office and the Senior Director of MH and SUDS. 
  • Collaborate with Billing and Accounting to develop systematic reports and processes to detect and respond to variances in expenses and revenues in a timely manner.
  • Regularly reviews financial results with direct reports in team setting to facilitate collaborative understanding and problem-solving of financial issues.
  • Ensures that financial results meet or exceed adopted budgets; recommends and executes plans to improve financial performance as needed.
  • Assertively seek and apply for innovative funding and staff development opportunities through private and public funding sources.
  • In partnership with the Medical Director(s) and Operational Leaders, ensures that program services and operations are practiced according to the highest professional and ethical standards.
  • In partnership with the Medical Director(s) and Operational Leaders, develop strategic, measurable outcome and in-process goals for all dimensions of outpatient BH to lead clinical, operational, and financial excellence. 
  • In partnership with the Medical Director(s) and Operational Leaders, oversee the design and implementation of systematic and rigorous processes for all services to support the attainment of clinic goals in the domains noted above.
  • Collaborate with peers in other practices to learn, borrow and share best practices in standard work in the domains noted above.
  • Develop and maintain systems to ensure compliance with regulations, licensures, credentials and contractual stipulations.
  • Ensure that CCC policies, procedures and expected practices are implemented, maintained and followed.
  • Ensure clinical privileging requirements are met for all direct reports pursuant to CCC’s Privileging Policy.
  • Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.  Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EHR access.  This includes immediate reporting of any PHI breach of CCC or outside provider health records to the CCC Legal and Quality departments, as well as to the program administrator.
  • Maintain up to date and working knowledge of OAR’s and funder rules and requirements that govern outpatient programs.
  • Maintain contracts with community partners and funders, engage in regular contract reviews, contract reporting and negotiations.
  • Perform other duties as assigned.


  • Provide leadership and management oversight of MH and SUDS programs, including but not limited to:
    • Recruit, hire and supervise the BH Program Managers
    • With support from Human Resources, respond to represented employee issues in a manner which meets union requirements.
    • Spend substantial time rounding and engaging with managers, supervisors, and front-line staff in their standard work, to observe, mentor and coach them in a manner that creates a culture of accountability and fosters continual improvement.
  • Collaborate with other members of the MH and SUDS leadership team to achieve excellence in BH programming including operational workflow, financial sustainability, and compliance with program designs of outpatient BH programs. Specifically:
    • Developing and sustaining innovative, trauma-informed clinical programming.
    • Fostering a culture of healing, learning and recovery within outpatient BH programs through intentional activities for both staff and clients.
    • Ensuring that outpatient BH programs are able to meet the diverse needs and complex needs of individuals seeking services from CCC, to include but not limited to: harm reduction and early engagement services, MAT/MSR, dual diagnosis, peer support and outreach, ASAM level of care programs, integrated and multi-disciplinary approaches, seamless transitions between levels of care, and integrated care with housing programs.
    • Ensuring that the integrated care programs are designed and flexible to meet the rising acuity, level of care changes, and needs of our community’s system of care.
  • Create and implement professional development opportunities for staff at supervised programs, ensure clinical competency and training programs are available for staff in outpatient programs; particularly those staff whose backgrounds reflect the populations that we directly serve.

Skills and Abilities

  • Knowledge, education, training, skills, and experience in a multi-disciplinary approach to healthcare.
  • Knowledge, training, skills and experience in providing and supervising services in a highly diverse work environment to a highly diverse and mostly homeless population.
  • Demonstrated ability to understand and compose complex oral and written communications including contracts, laws, rules, grants, policies and procedures.
  • Knowledge of budgeting practices and procedures.
  • Ability to manage time and meet deadlines.
  • Demonstrated ability to effectively supervise health providers and other staff.
  • Demonstrated ability to design, implement, develop and manage an integrated clinical care model.
  • Ability to conduct job responsibilities independently as well as in a highly collaborative management model.
  • Detail-oriented, with ability to maintain accurate records and necessary paperwork.
  • Knowledge of de-escalation methods or ability to be trained in de-escalation methods.
  • Ability to effectively communicate courteously and establish and maintain good working relationships with patients, co-workers, corrections personnel, police, merchants, the public at large and supervisor.
  • Excellent computer skills and high proficiency in Microsoft Office Suite.
  • Sound decision-making skills and excellent professional judgment, including ability to handle sensitive and confidential information on a daily and ongoing basis.
  • Ability to maintain highest standards of confidentiality with regard to patient/client information as well as operational and clinical information.
  • Ability to learn and apply training instruction.
  • Ability to work in busy healthcare environment setting where people may be hostile or abusive.

Minimum Qualifications

  • Minimum of five years of progressively responsible experience in health care operations or health care business management; experience with community behavioral health outpatient services strongly preferred.
  • Undergraduate degree in health, business, or public administration, health sciences, public health, or related field; master’s degree strongly preferred.
  • LSCW/LPC/QMHP and CADCII or CADCIII strongly preferred.
  • Must pass a pre-employment drug screen, DMV, TB test, DHS/background check.
  • Must have CPR certification prior to starting.
  • 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 driver 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.
  • Will be required to carry an agency cell phone for work use.  Cell phone will be provided by Central City Concern.
  • The OAR prohibits A&D program staff from having within the previous 3 years a DUI conviction or diversion, a felony conviction, or a conviction under the Uniform Controlled Substances Act.
  • Physical ability to bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects.
  • Ability to climb stairs several times a day.
  • Must adhere to agency’s non-discrimination policies.
  • Ability to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations and treat each individual with respect and dignity.

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.

This description is intended to provide a snapshot of the work performed and is not designed to contain a comprehensive inventory of all responsibilities within this role. A full position description will be provided if invited to an initial interview.

As an agency deeply rooted in recovery, part of our policy and commitment to a drug and alcohol-free workplace includes post-offer, pre-employment drug screens. Please note we follow Federal Guidelines regarding prohibited substances, even for those legal at the state level.   

CCC values and celebrates diversity in race, heritage, ethnicity, gender identity and expression, sexual orientation, religion, age, and disability. We are an Equal Opportunity Employer and we prioritize active inclusion of diverse staff.

If you’d like to learn more about this position or apply, please reach out to Mary Ann today!

Mary Ann Lee

Call: 734.521.2154