Executive Director

Grand Mental Health

$90K — $110K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 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 preferred.
  • Demonstrated ability to supervise and develop diverse teams.

Responsibilities

  • Directly supervise Integrated Team Managers and support staff within assigned counties.
  • Provide daily leadership and strategic direction to county teams.
  • Oversee day-to-day operations of county clinics, ensuring efficiency and quality care.
  • Monitor financial performance and assist in budget management with the Regional VP.
  • Ensure compliance with agency policies and local regulations at all times.
  • Build and maintain relationships with community stakeholders, including hospitals and schools.
  • Develop staffing and operational strategies to meet productivity expectations.

Benefits

  • Hands-on leadership opportunities with direct impact on community mental health services.
  • Engagement in crisis planning and risk management initiatives.
  • Professional development through mentorship and leadership training.
  • Opportunities to implement community-focused programs and services.
  • Dynamic work environment with regular travel and community interaction.
Full Job Description
Description

Position Summary:

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)
• Service productivity
• Access to care timeliness
• Workflow efficiency
• County-level quality and compliance scores
• Documentation timeliness and accuracy

Financial Metrics - County Level (Internal)
• Budget adherence
• 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
• ITM performance outcomes

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.

WORK ENVIRONMENT:

- 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

Requirements

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

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