The Executive Director (ED) is the senior operational leader for an assigned county/counties at GRAND Mental Health. This role is responsible for the daily oversight, supervision, performance, and community presence of all county-based operations, programs, and personnel.
The Executive Director ensures that county clinics operate efficiently, comply with organizational standards, deliver high-quality services, and maintain strong community relationships. This position directly supervises Integrated Team Managers (ITMs) and provides hands-on support to clinical, administrative, and support teams to ensure optimal client care and operational excellence.
EDUCATION, QUALIFICATIONS, AND EXPERIENCE:
- Bachelor’s degree in Behavioral Health, Social Services, Business, Healthcare Administration, Public Administration, or a related field required; Master’s degree preferred
- 3+ years of supervisory experience in behavioral health or human services
- Experience managing daily operations, personnel, and program workflows
- Experience working with budgets, service data, productivity expectations, and performance dashboards
- Knowledge of Oklahoma’s behavioral health systems is preferred
- Demonstrated capacity to supervise and develop diverse teams
KNOWLEDGE, SKILLS, AND ABILITIES:
The Executive Director must demonstrate:
Operational Knowledge
- Strong understanding of day-to-day behavioral health operations, including staffing, scheduling, productivity, and client flow.
- Working knowledge of accreditation, regulatory, and compliance standards relevant to behavioral health services.
- Ability to implement organizational policies and ensure county alignment with regional and agency-wide standards.
- Familiarity with EHR systems, telehealth, Microsoft Office, Power BI, and basic analytics tools.
Leadership & Supervisory Skills
- Ability to lead, supervise, and develop Integrated Team Managers, business service staff, and other administrative and clinical personnel.
- Ability to manage staff performance and hold individuals and teams accountable to expected standards.
- Skill in coaching, mentoring, and developing future leaders.
- Strong conflict-resolution skills and the ability to manage sensitive personnel issues.
Communication & Relationships
- Excellent verbal and written communication skills.
- Ability to maintain strong interpersonal relationships across staff, clients, community partners, and leadership teams.
- Ability to represent GRAND Mental Health in community settings and maintain positive local partnerships.
Analytical & Problem-Solving Skills
- Ability to interpret county-level operational dashboards, KPIs, and financial reports to guide decision making.
- Ability to identify workflow inefficiencies and implement practical process improvement strategies.
- Comfortable using data to drive decisions and improve outcomes.
In addition, must possess skill in working cooperatively and effectively with clients, staff, management, and other professional groups; in exercising mature judgment in dealing with people; in presenting ideas clearly and accurately; in reading and comprehending the English language; and in communicating effectively, both orally and in writing.
This role should have an expectation of core competencies in relation to individuals with co-occurring disorders.
JOB DUTIES AND RESPONSIBILITIES:
This position is responsible and held accountable for the following duties:
County Leadership & Staff Supervision
- Directly supervise all Integrated Team Managers (ITMs) and support staff within the county.
- Provide daily leadership, communication, and strategic direction to county teams.
- Ensure all staff receive required training, supervision, coaching, and development.
- Conduct regular supervisory meetings, performance reviews, and ongoing accountability checks.
- Promote a culture of teamwork, professionalism, and adherence to GRAND’s mission and values.
Operational Management & Workflow Oversight
- Oversee all day-to-day operations of the assigned county clinic(s).
- Ensure efficient service flow, adequate staffing, crisis coverage, and client access to care.
- Monitor staff caseloads, team coverage, and clinical service delivery, ensuring quality client care is delivered based on both client need and desire for services.
- Address operational challenges immediately and resolve workflow barriers.
- Maintain visible presence within the county clinical operations.
- Ensure compliance with agency policies, procedures, and regulatory standards at all times.
Financial & Resource Management
- Work closely with the Regional VP to develop and manage the county budget.
- Monitor daily and monthly financial performance, including overtime, expenses, and revenue trends.
- Ensure productivity expectations are met for all staff and teams, providing coaching’s and supportive assistance for clinicians not meeting expectations.
- Understand and utilize cost-per-service and resource allocation data to support staffing and operational decisions.
Quality, Compliance & Performance Improvement
- Ensure timely and accurate documentation (through use of AI tools and/or collaborative documentation), including progress notes and service reporting.
- Monitor quality indicators, compliance requirements, and audit readiness.
- Implement corrective actions when performance gaps are identified.
- Use dashboards and KPIs to identify trends and improve county performance.
- Support implementation of agency-wide and regional initiatives, new workflows, and quality improvement projects.
Community & Stakeholder Engagement
- Serve as the primary GRAND representative within the assigned county / counties.
- Develop and sustain positive working relationships with:
o Local hospitals
o Schools
o Law enforcement
o Judicial systems
o Tribal partners
o Community coalitions
o Faith-based and civic organizations
o Other community organizations
- Maintain regular visibility and attendance at community boards, meetings, and stakeholder groups.
- Identify community needs and communicate them to the Regional VP to support strategic planning.
Workforce & Culture Management
- Support staff retention efforts and maintain a stable county workforce through strengths-based supervision and accountability efforts.
- Implement workforce development activities, including cross-training, and leadership development.
- Promote values of professionalism, client-centered care, and continuous quality improvement.
- Address personnel concerns promptly and appropriately, in collaboration with HR and Regional VP.
Crisis Response & Risk Management
- Ensure strong crisis response workflows and coordination with URC’s and community partners (i.e., Hospitals, ER’s, etc.)
- Participate in county-level crisis planning, safety planning, and emergency preparedness.
- Address and report all critical incidents, grievances, or risk events according to agency policy and procedures.
- Maintain strong bias for safety and risk mitigation across all county operations.
Other Duties
- Perform job-related travel within the county and region.
- Regular and predictable attendance is an essential job duty.
- Perform additional duties as assigned by the Regional VP or other members of Executive Leadership.
- Must meet “satisfactory” expectations at all job performance evaluations.
Performance Metrics
Performance will be evaluated based on:
Operational Metrics – County Level (Internal)
- Access to care timeliness
- County-level quality and compliance scores
- Documentation timeliness and accuracy
Financial Metrics – County Level (Internal)
- Overtime and expense control
- Revenue capture and billing accuracy
- Cost-per-service efficiency
Workforce Metrics – County Level (Internal)
- Staff retention and vacancy rates
- Training and certification completion
- Leadership development progress
Community Impact – County Level (External)
- Strength of county partnerships
- Engagement in key community boards
- County visibility and reputation
- New and sustained community collaborations
Must perform the specific job duties as listed above to meet position expectations.
- This position will be working indoors in a traditional office environment
- This role will require frequent regional travel (up to 50%) to various GRAND clinic locations as well as community locations (e.g., schools, government offices, medical facilities, etc.)
- Must be willing and able to perform all job-related travel normally associated with this position.
- Be present in assigned county location daily, unless otherwise approved by Regional VP of Operations.
- Travel expectations can vary from time to time based on coverage needs
EDUCATION, QUALIFICATIONS, AND EXPERIENCE:
- Bachelor’s degree in Behavioral Health, Social Services, Business, Healthcare Administration, Public Administration, or a related field required; Master’s degree preferred
- 3+ years of supervisory experience in behavioral health or human services
- Experience managing daily operations, personnel, and program workflows
- Experience working with budgets, service data, productivity expectations, and performance dashboards
- Knowledge of Oklahoma’s behavioral health systems is preferred
- Demonstrated capacity to supervise and develop diverse teams
