Complex Discharge Director

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The Massachusetts Department of Mental Health (DMH) is seeking a Complex Discharge Director. This role will serve as the central leader responsible for improving the efficiency, consistency, and accountability of the Critical Care Unit (CCU) inpatient discharge process across the DMH inpatient system. This role will focus on standardizing core processes, enhancing data visibility, and driving action-oriented coordination between hospitals, area offices, the DMH division of Children Youth and Families, and community providers.

The DMH Complex Discharge Director also serves as the program manager for the Expedited Psychiatric Inpatient Admissions (EPIA) team and manages all functions of its work. The EPIA team advocates for patients meeting the EPIA threshold to be admitted to DMH-licensed private inpatient psychiatric facilities.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Lead the design, implementation, and continuous improvement of standardized, discharge-focused interface meetings across DMH Continuing Care Units (CCUs), ensuring clear roles, actionable decisions, assigned responsibilities, and defined timelines.
• Develop and implement policies, procedures, and operational strategies to identify, address, and resolve common and complex barriers to timely and appropriate inpatient discharge.
• Establish and maintain a centralized system for identifying, categorizing, tracking, and resolving discharge barriers, including clear action plans, responsible parties, and target resolution dates.
• Manage the Expedited Psychiatric Inpatient Admissions (EPIA) program, coordinating responses to complex, urgent, and prolonged emergency department psychiatric boarding across the Commonwealth.
• Lead and coordinate EPIA staff through daily operations, advocacy efforts, and cross-system strategies to facilitate timely access to appropriate inpatient psychiatric care.
• Collaborate with DMH leadership, state agencies, insurers, hospitals, community providers, and other stakeholders to resolve complex cases, address systemic barriers, and strengthen behavioral health care coordination.
• Collect, validate, analyze, and maintain discharge and EPIA data; develop key performance indicators, dashboards, reports, and analytical tools to monitor system performance and identify improvement opportunities.
• Use case trends, operational data, and recurring system barriers to recommend improvements to policies, business processes, information systems, discharge planning, and emergency department boarding responses.
• Provide concise, data-driven updates and strategic recommendations to DMH executive leadership regarding inpatient discharge performance, emerging risks, system trends, and opportunities for intervention.
• Recruit, onboard, supervise, and train EPIA staff, interns, and support personnel while fostering effective collaboration, accountability, continuous improvement, and achievement of statewide program objectives.

Preferred Qualifications:

• Demonstrated experience managing complex discharge planning, patient flow, care transitions, or behavioral health operations.
• Experience working within a public-sector, hospital, behavioral health, or integrated healthcare system.
• Strong knowledge of inpatient psychiatric services, community-based behavioral health programs, and the Massachusetts behavioral health system.
• Experience developing and implementing policies, procedures, standardized workflows, and change management initiatives.
• Demonstrated ability to use data, performance metrics, dashboards, and reporting tools to evaluate program effectiveness and drive operational improvements.
• Experience leading multidisciplinary teams and collaborating effectively with senior leaders, healthcare providers, state agencies, insurers, and community organizations.
• Demonstrated success resolving complex, time-sensitive issues involving multiple stakeholders, competing priorities, and organizational barriers.
• Exceptional communication, facilitation, negotiation, and consensus-building skills, with the ability to influence stakeholders and secure support for organizational initiatives.
• Experience supervising, developing, and mentoring professional staff while building high-performing teams focused on accountability, collaboration, and continuous improvement.

Department of Mental Health's Mission:

The Department of Mental Health assures and provides access to services and support to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights and supports mental health training and research.

Pre-Offer Process:

A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division prior to the candidate being hired.

Education, licensure and certifications will be verified in accordance with the Human Resources Division''s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth''s website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions regarding this requisition, please contact the Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4

'',''!*!

The Massachusetts Department of Mental Health (DMH) is seeking a Complex Discharge Director. This role will serve as the central leader responsible for improving the efficiency, consistency, and accountability of the Critical Care Unit (CCU) inpatient discharge process across the DMH inpatient system. This role will focus on standardizing core processes, enhancing data visibility, and driving action-oriented coordination between hospitals, area offices, the DMH division of Children Youth and Families, and community providers.

The DMH Complex Discharge Director also serves as the program manager for the Expedited Psychiatric Inpatient Admissions (EPIA) team and manages all functions of its work. The EPIA team advocates for patients meeting the EPIA threshold to be admitted to DMH-licensed private inpatient psychiatric facilities.

Duties and Responsibilities (these duties are a general summary and not all inclusive):

• Lead the design, implementation, and continuous improvement of standardized, discharge-focused interface meetings across DMH Continuing Care Units (CCUs), ensuring clear roles, actionable decisions, assigned responsibilities, and defined timelines.
• Develop and implement policies, procedures, and operational strategies to identify, address, and resolve common and complex barriers to timely and appropriate inpatient discharge.
• Establish and maintain a centralized system for identifying, categorizing, tracking, and resolving discharge barriers, including clear action plans, responsible parties, and target resolution dates.
• Manage the Expedited Psychiatric Inpatient Admissions (EPIA) program, coordinating responses to complex, urgent, and prolonged emergency department psychiatric boarding across the Commonwealth.
• Lead and coordinate EPIA staff through daily operations, advocacy efforts, and cross-system strategies to facilitate timely access to appropriate inpatient psychiatric care.
• Collaborate with DMH leadership, state agencies, insurers, hospitals, community providers, and other stakeholders to resolve complex cases, address systemic barriers, and strengthen behavioral health care coordination.
• Collect, validate, analyze, and maintain discharge and EPIA data; develop key performance indicators, dashboards, reports, and analytical tools to monitor system performance and identify improvement opportunities.
• Use case trends, operational data, and recurring system barriers to recommend improvements to policies, business processes, information systems, discharge planning, and emergency department boarding responses.
• Provide concise, data-driven updates and strategic recommendations to DMH executive leadership regarding inpatient discharge performance, emerging risks, system trends, and opportunities for intervention.
• Recruit, onboard, supervise, and train EPIA staff, interns, and support personnel while fostering effective collaboration, accountability, continuous improvement, and achievement of statewide program objectives.

Preferred Qualifications:

• Demonstrated experience managing complex discharge planning, patient flow, care transitions, or behavioral health operations.
• Experience working within a public-sector, hospital, behavioral health, or integrated healthcare system.
• Strong knowledge of inpatient psychiatric services, community-based behavioral health programs, and the Massachusetts behavioral health system.
• Experience developing and implementing policies, procedures, standardized workflows, and change management initiatives.
• Demonstrated ability to use data, performance metrics, dashboards, and reporting tools to evaluate program effectiveness and drive operational improvements.
• Experience leading multidisciplinary teams and collaborating effectively with senior leaders, healthcare providers, state agencies, insurers, and community organizations.
• Demonstrated success resolving complex, time-sensitive issues involving multiple stakeholders, competing priorities, and organizational barriers.
• Exceptional communication, facilitation, negotiation, and consensus-building skills, with the ability to influence stakeholders and secure support for organizational initiatives.
• Experience supervising, developing, and mentoring professional staff while building high-performing teams focused on accountability, collaboration, and continuous improvement.

Department of Mental Health's Mission:

The Department of Mental Health assures and provides access to services and support to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights and supports mental health training and research.

Pre-Offer Process:

A tax & background check will be completed on the recommended candidate as required by the regulations set forth by the Human Resources Division prior to the candidate being hired.

Education, licensure and certifications will be verified in accordance with the Human Resources Division''s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth''s website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions regarding this requisition, please contact the Executive Office of Health and Human Services, Human Resources at 1-800- 510-4122 Ext. #4

'',''!*!

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) six (6) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management of which (B) at least two (2) years must have been in a supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.

II. A Bachelor''s degree in a related field may be substituted for two (2) years of the required (A) experience.

III. A Graduate degree in a related field may be substituted for three (3) years of the required (A) experience.

IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience.

Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don''t meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

'',''!*!

MINIMUM ENTRANCE REQUIREMENTS:

Applicants must have at least (A) six (6) years of full-time or, equivalent part-time, professional, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management of which (B) at least two (2) years must have been in a supervisory or managerial capacity or (C) any equivalent combination of the required experience and substitutions below.

Substitutions:

I. A certificate in a relevant or related field may be substituted for one (1) year of the required (A) experience.

II. A Bachelor''s degree in a related field may be substituted for two (2) years of the required (A) experience.

III. A Graduate degree in a related field may be substituted for three (3) years of the required (A) experience.

IV. A Doctorate degree in a related field may be substituted for four (4) years of the required (A) experience.

Salary placement is determined by a combination of factors, including the candidate's years of directly related experience and education, and alignment with our internal compensation structure as set forth by the Human Resources Division's Hiring Guidelines. For all bargaining unit positions (non-management), compensation is subject to the salary provisions outlined in the applicable collective bargaining agreement and will apply to placement within the appropriate salary range.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

Title 101 CMR 23.00 ("Regulation") requires certain agency staff to have received the COVID-19 vaccination and Influenza vaccination, or have taken required mitigation measures, to prevent viral infection and transmission in State Hospitals and State Congregate Care Facilities. The Regulation applies to this position. Successful candidates will be required to acknowledge and attest to your vaccination status for both COVID-19 and Influenza.

An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don''t meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.

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