15 Northshore University Healthsystem jobs in Evanston
Manager of Clinical Services - Home Health SE Chicago
Posted today
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Job Description
***REMOTE DAY SHIFT ROLE, MUST RESIDE IN CHICAGO METRO AREA***
Positions: R
Title : Manager of Clinical Services - Home Health
Organization: Advocate Health Care
Location: Southeast Chicago area : This is a remote role that includes regular joint visits
Work Schedule: Monday – Friday, 8am-5pm with manager on-call rotation
Relocation: Company relocation package provided
WHAT SETS OUR HOME HEALTH TEAM APART
- Nationally Recognized System
- Mission-Driven, Patient-Centered Care
- Strong Benefits & Supportive Culture
- Community-Oriented Leadership
- Career Growth & Operational Autonomy
ABOUT THE ROLE:
Aurora Health Care is seeking a compassionate and experienced Home Health Manager to lead our home health team in the Green Bay area. You will oversee the delivery of high-quality in-home patient care, manage staff performance and development, ensure compliance with regulatory standards, and collaborate with interdisciplinary teams to enhance patient outcomes. This leadership role requires strong communication, operational management skills, and a passion for community-based care.
Major Responsibilities:
- Oversees clinical services and operations, reviews and assures excellent patient care is provided. Ensures clinical teams are in full compliance with appropriate local, state, federal, national accreditation body rules and regulations as well as agency policy and procedures are followed. Ensures workflow processes are timely and cost efficient.
- Monitors results of chart audits and assures that remedial action is taken. Identifies trends in audits and communicates results to the Director.
- Enforces high patient care standards through regular tracking and monitoring of clinical outcomes. Responsible for meeting established clinical and service quality goals.
- Assures field supervisory visits are accurately completed according to agency policy and as necessary.
- Monitors and assures staff productivity according to established targets on a weekly basis. Assures timely correction of charting deficiencies that impact revenue cycle for their areas.
- Ensures appropriate staffing and assigned case loads, including provisions of multidisciplinary team coverage to meet the needs of our patients. Monitors and assures reliability of clinical assessments; tracks and remedies variances in outcomes and adverse events.
- Ensures clinical documentation flows through the systems accurately ending in timely billing submission to payers.
- Develops collaborative and cooperative relationships with internal and external partners, entities and other customers, physicians, as well as community organizations.
- Assists in projecting and monitoring costs for new and established programs including staffing projections, capital expenditures, and other operational costs. Assists in management contracts for services to assure compliance with budget. Manages expenditures and staffing levels in order to meet budget goals.
- Identifies business opportunities and community needs, and partakes in developing and implementing strategies to take advantage of these opportunities. Participates in fundraising events and activities.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Licensure, Registration, and/or Certification Required:
- Registered Nurse license issued by the state in which team member practices, OR
- Occupational Therapist license issued by the state of Illinois, OR
- Physical Therapist license issued by the state of Illinois, OR
- Speech-Language Pathology license issued by the state of Illinois.
Education Required:
- Bachelor's Degree in Nursing, OR
- Bachelor's Degree in Occupational Therapy, OR
- Bachelor's Degree in Physical Therapy, OR
- Bachelor's Degree in Speech Pathology.
Experience Required:
- Typically requires 5 years of experience in in clinical nursing or rehabilitation. Includes 1 year of supervisory experience in managing staff and budgets.
Knowledge, Skills & Abilities Required:
- Must possess and provide proof of a valid Driver License issued by the state of Illinois or Driver License issued by the state of Illinois, and a registered, functional car with adequate insurance coverage.
- Must have thorough understanding of home health or hospice regulations, reimbursement and care requirements.
- Strong verbal and written communication skills.
- Demonstrates an ability to organize, plan and delegate work effectively an efficiently.
- Demonstrates an ability to resolve conflict, motivate staff and interact with superiors, peers and subordinates in a direct and professional manner.
- Demonstrates an ability to solve problems and make independent judgments and decisions based on experience and good judgment.
Physical Requirements and Working Conditions:
- Generally exposed to a normal office environment.
- Exposure to hazardous materials or potentially infectious body fluid is possible.
- Position requires travel so may be exposed to weather and road conditions.
- Operates all equipment necessary to perform the duties of the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation within the position’s pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate’s job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Advocate Health Care is the largest health system in Illinois and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. One of the state’s largest private employers, the system serves patients across 11 hospital locations, including two children’s campuses, and more than 250 sites of care. Advocate Health Care, in addition to Aurora Health Care in Wisconsin and Atrium Health in the Carolinas, Georgia and Alabama, is now a part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.
Manager of Clinical Services - Home Health SE Chicago (Chicago)
Posted 1 day ago
Job Viewed
Job Description
***REMOTE DAY SHIFT ROLE, MUST RESIDE IN CHICAGO METRO AREA***
Positions: R
Title : Manager of Clinical Services - Home Health
Organization: Advocate Health Care
Location: Southeast Chicago area : This is a remote role that includes regular joint visits
Work Schedule: Monday Friday, 8am-5pm with manager on-call rotation
Relocation: Company relocation package provided
WHAT SETS OUR HOME HEALTH TEAM APART
- Nationally Recognized System
- Mission-Driven, Patient-Centered Care
- Strong Benefits & Supportive Culture
- Community-Oriented Leadership
- Career Growth & Operational Autonomy
ABOUT THE ROLE:
Aurora Health Care is seeking a compassionate and experienced Home Health Manager to lead our home health team in the Green Bay area. You will oversee the delivery of high-quality in-home patient care, manage staff performance and development, ensure compliance with regulatory standards, and collaborate with interdisciplinary teams to enhance patient outcomes. This leadership role requires strong communication, operational management skills, and a passion for community-based care.
Major Responsibilities:
- Oversees clinical services and operations, reviews and assures excellent patient care is provided. Ensures clinical teams are in full compliance with appropriate local, state, federal, national accreditation body rules and regulations as well as agency policy and procedures are followed. Ensures workflow processes are timely and cost efficient.
- Monitors results of chart audits and assures that remedial action is taken. Identifies trends in audits and communicates results to the Director.
- Enforces high patient care standards through regular tracking and monitoring of clinical outcomes. Responsible for meeting established clinical and service quality goals.
- Assures field supervisory visits are accurately completed according to agency policy and as necessary.
- Monitors and assures staff productivity according to established targets on a weekly basis. Assures timely correction of charting deficiencies that impact revenue cycle for their areas.
- Ensures appropriate staffing and assigned case loads, including provisions of multidisciplinary team coverage to meet the needs of our patients. Monitors and assures reliability of clinical assessments; tracks and remedies variances in outcomes and adverse events.
- Ensures clinical documentation flows through the systems accurately ending in timely billing submission to payers.
- Develops collaborative and cooperative relationships with internal and external partners, entities and other customers, physicians, as well as community organizations.
- Assists in projecting and monitoring costs for new and established programs including staffing projections, capital expenditures, and other operational costs. Assists in management contracts for services to assure compliance with budget. Manages expenditures and staffing levels in order to meet budget goals.
- Identifies business opportunities and community needs, and partakes in developing and implementing strategies to take advantage of these opportunities. Participates in fundraising events and activities.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Licensure, Registration, and/or Certification Required:
- Registered Nurse license issued by the state in which team member practices, OR
- Occupational Therapist license issued by the state of Illinois, OR
- Physical Therapist license issued by the state of Illinois, OR
- Speech-Language Pathology license issued by the state of Illinois.
Education Required:
- Bachelor's Degree in Nursing, OR
- Bachelor's Degree in Occupational Therapy, OR
- Bachelor's Degree in Physical Therapy, OR
- Bachelor's Degree in Speech Pathology.
Experience Required:
- Typically requires 5 years of experience in in clinical nursing or rehabilitation. Includes 1 year of supervisory experience in managing staff and budgets.
Knowledge, Skills & Abilities Required:
- Must possess and provide proof of a valid Driver License issued by the state of Illinois or Driver License issued by the state of Illinois, and a registered, functional car with adequate insurance coverage.
- Must have thorough understanding of home health or hospice regulations, reimbursement and care requirements.
- Strong verbal and written communication skills.
- Demonstrates an ability to organize, plan and delegate work effectively an efficiently.
- Demonstrates an ability to resolve conflict, motivate staff and interact with superiors, peers and subordinates in a direct and professional manner.
- Demonstrates an ability to solve problems and make independent judgments and decisions based on experience and good judgment.
Physical Requirements and Working Conditions:
- Generally exposed to a normal office environment.
- Exposure to hazardous materials or potentially infectious body fluid is possible.
- Position requires travel so may be exposed to weather and road conditions.
- Operates all equipment necessary to perform the duties of the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including:
Compensation
- Base compensation within the positions pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammates job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
Benefits and more
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Advocate Health Care is the largest health system in Illinois and a national leader in clinical innovation, health outcomes, consumer experience and value-based care. One of the states largest private employers, the system serves patients across 11 hospital locations, including two childrens campuses, and more than 250 sites of care. Advocate Health Care, in addition to Aurora Health Care in Wisconsin and Atrium Health in the Carolinas, Georgia and Alabama, is now a part of Advocate Health, the third-largest nonprofit, integrated health system in the United States. Committed to providing equitable care for all, Advocate Health provides nearly $5 billion in annual community benefits.
Perioperative Services Clinical Manager
Posted 3 days ago
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Job Description
Chicago, Illinois
Full Time
Shift : Day
Our ideal RN candidate is first and foremost a people person. Given the nature of the OR, this individual also is detail oriented and works well under pressure. Although we require the Nurse to have at least 3-5 years experience as an OR RN, it is a plus if they have prior management experience.
We are committed to really teaching and developing the candidate on being able to manage a space clinically and operationally from a business space, so we just ask they are flexible and carry a growth mindset.
Must-Have: 3-5 years experience as an OR RN; it is a plus if they have prior management experience.
Nice to Haves:
• Neonatal Resuscitation Program (NRP) (preferred)
• Electronic Fetal Monitoring (EFM) (preferred)
System Director of Pharmacy, Clinical Pharmacy Services
Posted 1 day ago
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Job Description
Location: Chicago, Illinois
Business Unit: Rush Medical Center
Hospital: Rush University Medical Center
Department: System Pharmacy
**Work Type:** Full Time (Total FTE between 0.9 and 1.0)
**Shift:** Shift 1
**Work Schedule:** 8 Hr (8:00:00 AM - 4:00:00 AM)
Rush offers exceptional rewards and benefits learn more at our Rush benefits page ( Range:** $83.98 - $141.09 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
**Summary:**
The System Director of Pharmacy, Clinical Pharmacy Services provides leadership for the coordination, integration, and advancement of clinical pharmacy services across the Rush University System for Health (RUSH). This leader is responsible for developing and maintain an effective, systemwide formulary management system, providing strategic alignment across pharmacy clinical services, and providing leadership to medication stewardship program. The role supports the delivery of high-quality, patient-centered, and fiscally responsible care by ensuring advancing a standardized approach to clinical practice, regulatory compliance, and optimal medication use across RUSH. The System Director of Pharmacy, Clinical Pharmacy Services collaborates closely with leaders across RUSH to develop and execute a unified clinical pharmacy strategy aligned with Rush's mission, vision, and values.
**Job Responsibilities:**
- Directs, supervises, mentors, and provides feedback to team members
- Directs the hiring, discipline, orientation, and training need of team members
- Serves as co-chair of the System Pharmacy and Therapeutics Committee
- Directs and maintains an effective, systemwide management system, providing strategic alignment across pharmacy clinical services, and providing leadership to medication stewardship program. Provides strategic oversight and operational leadership to medication stewardship programs, ensuring compliance with regulatory standards and promoting safe, effective and fiscally responsible medication use.
- Leads the alignment of clinical pharmacy services and medication-use standards across RUSH to ensure standardization, safety, and efficiency.
- Collaborates with site directors, leaders, and interdisciplinary teams to implement and maintain top performing practice models.
- Ensures compliance with federal and state laws, accreditation standards (e.g., Joint Commission), and professional practice guidelines (e.g., USP, CDC, IDPH).
- Develops and maintains systemwide clinical policies, protocols, and treatment pathways, ensuring consistency and alignment with national best practices.
- Serves as a clinical liaison and strategic advisor to health system leadership regarding emerging therapies, regulatory changes, and opportunities for clinical expansion.
- Supports clinical pharmacist role development, education, and credentialing to elevate scope of practice and enhance patient outcomes.
- Promotes integration of pharmacy into multidisciplinary care teams, with a focus on continuity of care, transitions management, and chronic disease support.
- Contributes to workforce development and mentorship by engaging with pharmacy residents, students, and clinical staff across all sites.
- Develops, manages, and executes clinical initiatives that support strategic and operational system pharmacy goals. This includes planning for growth, implementing new technologies, leading changes, and optimizing resource allocation.
- Creates an environment of empowerment, teamwork, and collaboration both in and outside the pharmacy.
Key Competencies
- Ability to lead committees, manage change, and influence across a matrixed organization.
- Excellent communication and relationship-building skills.
- Commitment to health equity, patient safety, and clinical excellence.
Required Job Qualifications:
- Doctorate Degree of Pharmacy (PharmD) graduate of an accredited college of pharmacy or equivalent is required
- State of Illinois Pharmacist licensure required within 12 months of hire.
- Minimum of seven (7) years of progressive pharmacy clinical experience, with five (5) years of previous supervisory experience preferred.
Preferred Job Qualifications
- Board Certification in Pharmacotherapy (BCPS) or other relevant specialty preferred.
- Successful completion of an ASHP accredited PGY1 and PGY2 Health Systems Pharmacy Administration and Leadership Pharmacy Residency or equivalent experience preferred.
- Demonstrated experience in managing complex pharmacy operations, financial performance, and regulatory compliance.
- Proven track record of developing and implementing successful pharmacy programs and initiatives.
Disclaimer: The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
**Position** System Director of Pharmacy, Clinical Pharmacy Services
**Location** US:IL:Chicago
**Req ID** 21605
Clinical Lead - Mental Health Services
Posted 7 days ago
Job Viewed
Job Description
Responsibilities:
- Provide clinical supervision and mentorship to a team of therapists, counselors, and social workers, ensuring adherence to best practices and ethical standards.
- Develop, implement, and evaluate clinical programs and treatment modalities to meet the diverse needs of clients.
- Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans.
- Manage a caseload of clients, providing direct therapeutic services using evidence-based approaches (e.g., CBT, DBT, trauma-informed care).
- Oversee case management, ensuring timely and appropriate referrals and coordination of care with external agencies.
- Facilitate psychoeducational groups and workshops for clients and the community.
- Ensure accurate and timely clinical documentation, maintaining compliance with all regulatory and agency requirements.
- Collaborate with community partners, healthcare providers, and stakeholders to enhance service delivery and advocacy efforts.
- Participate in program development, quality improvement initiatives, and strategic planning.
- Stay current with the latest research, trends, and best practices in mental health and social care.
- Handle crisis interventions and provide support during emergencies as needed.
- Master's degree or higher in Social Work (MSW), Psychology, Counseling, or a related field.
- Current and unrestricted state licensure as a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), or equivalent.
- Minimum of 5 years of post-licensure clinical experience in mental health settings.
- At least 2 years of experience in a supervisory or leadership role, providing clinical guidance to staff.
- Demonstrated expertise in a range of therapeutic modalities, with a strong understanding of common mental health conditions.
- Excellent assessment, diagnostic, and treatment planning skills.
- Strong understanding of ethical principles and legal requirements governing mental health practice.
- Exceptional interpersonal, communication, and conflict-resolution skills.
- Proficiency in electronic health record (EHR) systems.
- Commitment to diversity, equity, and inclusion in service delivery.
- Experience working with underserved populations is highly preferred.
Sr Medical Services Recruiter - Veterans Evaluations Services
Posted 2 days ago
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Job Description
Maximus is currently hiring for a Sr Medical Services Recruiter to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Sr Medical Services Recruiter is responsible for managing the entire provider/DX facility recruitment process including sourcing, screening, interviewing, salary negotiations, offers, and compliance. The Sr Medical Services Recruiter would also be tasked with utilizing various sourcing methodologies to identify potential providers/facilities, including job boards, social media, professional networks, and conferences.
- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Manage the entire provider/DX facility recruitment process, including sourcing, screening, interviewing, salary negotiations, offers, and compliance.
- Utilize various sourcing methodologies to identify potential providers/facilities, including job boards, social media, professional networks, and conferences.
- Review resumes and applications to identify qualified candidates.
- Conduct initial phone screens and interviews to assess candidates' qualifications and fit for the role.
- Ensure timely collection and submission of all required documents to the credentialing team, adhering to company compliance policies.
- Maintain accurate records and provide regular reports on provider recruitment activities and outcomes.
- Ensure all hiring decisions comply with employment laws and regulations.
- Develop and implement innovative provider/DX facility recruitment strategies to attract top talent.
- Partner with operational leaders to address workforce and provider recruitment challenges.
- Assist with training new provider/DX facility recruiters and cross-training of existing lower level recruiters.
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
- Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (1) Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience.
- Previous medical services and/or business development related recruiting experience highly preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at .
Minimum Salary
$
83,900.00
Maximum Salary
$
83,900.00
Clinical Social Worker - Mental Health Services
Posted 2 days ago
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Clinical Social Worker - Mental Health Services
Posted 7 days ago
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Clinical Program Director - Mental Health Services
Posted 7 days ago
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Job Description
Responsibilities:
- Oversee the day-to-day operations of multiple clinical mental health programs, ensuring efficient and effective service delivery.
- Develop and implement clinical policies, procedures, and protocols in accordance with best practices and regulatory requirements.
- Ensure all programs adhere to evidence-based treatment modalities and are culturally competent.
- Supervise, mentor, and support a team of clinicians, therapists, case managers, and support staff.
- Conduct regular clinical case reviews and provide guidance on treatment planning and crisis intervention.
- Manage program budgets, resource allocation, and operational efficiency.
- Collaborate with external stakeholders, including healthcare providers, community agencies, and government entities, to foster partnerships and referrals.
- Monitor program outcomes through data collection and analysis, implementing quality improvement initiatives.
- Ensure compliance with all relevant licensing, accreditation, and funding requirements.
- Develop and deliver training programs for staff on clinical best practices and program updates.
- Serve as a key member of the leadership team, contributing to strategic planning and organizational development.
- Participate in clinical supervision sessions and contribute to the professional development of the clinical team.
- Master's or Doctoral degree in Psychology, Social Work, Counseling, or a related clinical field.
- Licensed Clinical Professional (LPC), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Psychologist (PsyD/PhD) in the state of Illinois.
- Minimum of 7 years of progressive experience in clinical practice and program management within mental health services.
- Proven experience in developing and implementing successful mental health programs.
- Strong understanding of various therapeutic modalities (e.g., CBT, DBT, Trauma-Informed Care).
- Demonstrated leadership and staff supervision skills.
- Excellent knowledge of mental health regulations, ethical standards, and best practices.
- Proficiency in electronic health record (EHR) systems and data analysis.
- Strong communication, interpersonal, and problem-solving skills.
- Ability to work effectively in a hybrid environment, balancing remote and in-office responsibilities.
- Experience working with diverse populations and understanding of cultural competence in mental health care.