Senior Clinical Program Manager - Crisis Solutions Center
Job Type

Shift: Office Day

Days Off: Saturday, Sunday

Insurance Benefits: Medical, Dental, Life, Long-term Disability

Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan


About DESC:

DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness.

As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 2,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe, and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness.



Under the supervision of the Associate Director of Mobile Response Programs, manage and provide complete oversight of all aspects of the Crisis Solutions Center (CSC), a comprehensive crisis services program comprised of 2 projects: Crisis Diversion Facility; and the Crisis Diversion Interim Services facility. Assure regulatory compliance with King County, Division of Behavioral Health and Recovery, Department of Health, and other applicable contracts, relevant regulations, and laws and DESC policies, procedures and collective bargaining agreements. Assist in recruitment, hiring activities, and retention of an integrated multi-disciplinary staff across the 3 projects (MCT, CDF, CDIS), to include oversight of a Medical Team in collaboration with the CSC Medical Director. As a member of the DESC senior management team, and participate in planning, coordination, and management of agency activities.



Program Management & Service Coordination:

  • Assure implementation of program goals and contracting requirements in congruence with principles of recovery-based services, along with harm reduction, trauma informed care, and client centered approaches.
  • In cooperation with Associate Director of Mobile Response Programs and the DESC Sr. Clinical Director, and other designated staff, establish highly effective service approaches and specific service strategies aimed at stabilizing the lives of program participants.
  • Maintain strong knowledge of DESC personnel policies, procedures and collective bargaining agreement (CBA). Assure compliance with same.
  • Understand Residential Treatment Facility (RTF) and Washington Administrative codes and how they apply to programming and Department of Health and Department of Behavioral Health Recovery licensing requirements. Assure compliance with same.
  • Educate managers, supervisors, and direct program staff regarding agency policies and procedures, DOH/DBHR and King County requirements and monitor for compliance.
  • Assure strong service and treatment documentation, auditing, and follow-up by all program staff.
  • Teach and support over-all DESC core values along with promoting integration of recovery-based practices, encouraging harm reduction, trauma informed care, client center approaches by all CSC staff.
  • Teach and promote transparent work culture, including skills in giving and receiving feedback.
  • Assure integrated service collaboration and continuity of services within the three CSC projects and the cooperation and coordination of services with other DESC programs.
  • Assure Program operates within annual budget, responsible for financial oversight of the CSC programs, including monitoring revenue and expenses of the program, and participating in the budgeting process both monthly and yearly.
  • As directed, assist in development of program budgets.
  • Develop and maintain effective professional relationships with key external stakeholders, including other non-profit entities, government, health integration, law-enforcement, fire department, and advocacy organizations.
  • In cooperation with other staff, develop contracts and collaborative agreements as needed with key partners.
  • Maintain Memorandum of Understanding (MOU) with PHS/King County Sobering Center, Emergency Service Patrol (ESP), Valley Cities Recovery Place detox centers, Hobson Clinic a collaboration betwee HMC and DESC. Plan and arrange staff training as needed. Maintain current MOU and other MOU as needed and appropriate.
  • As a member of the DESC management team, work on organizational planning and coordination; provide information to that team about issues in areas of responsibility.
  • Establish and maintain reliable Medicaid billing practices for the CDF and MCT as the landscape of integrated care changes.

Contract Compliance and Quality Assurance:

  • Responsible for effective management of and compliance with the program contact terms.
  • In coordination with CSC project managers and other DESC staff, develop and maintain clear protocols and procedures to assure highly successful implementation and operation of the Crisis Diversion Facility (CDF), Crisis Diversion Interim Services (CDIS).
  • To work in direct collaboration with the Sr. Manager of Mobile Crisis Team to ensure team integration is present and staff are being cross trained on services provided by CSC, including referral process, warm hand off from MCT to CDF, and when appropriate to support MCT team with the day-to-day work at the CSC.
  • Assure accurate and timely collection of service and outcome data.
  • In cooperation with DESC staff and King County staff, establish and maintain reporting and evaluation activities for all CSC programs.
  • Maintain compliance with all contract terms, relevant King County procedures, Washington State Administrative Code, Revised Code of Washington, Department of Health requirements associated with operation of a Residential Treatment Facility, and all other relevant regulations.
  • Establish and maintain quality assurance practices and conduct quality improvement projects.
  • Coordinate and participate in psychiatric consultations, clinical supervision, program meetings, and in-service training of mental health program staff; participate in clinical reviews and case conferences.
  • Oversee compliance with documentation requirements of relevant WACs, King County, PHP and other funding sources (as applicable), in conjunction with Data Systems Administrator.
  • Establish and maintain cooperative relationships with human service organizations that provide resources needed by mental health consumers and with other agencies in the mental health and social service system.
  • Assure adequate staffing of all CSC programs.
  • Establish and maintain collaborative working agreements with relevant organizations.
  • In a timely fashion, investigate extraordinary incidents and report findings and recommendations for follow-up to the Director of Clinical Services; provide follow-up on these cases as necessary.

Staff Recruitment, Hiring and Supervision:

  • Provide routine clinical and administrative supervision for lead supervisors of each CSC program and the CSC program assistant and maintain documentation of same.
  • Provide training to supervisors on the skills and practices of providing clinical and administrative supervision. Coordinate administrative supervision of CSC medical staff with the DESC Medical Director.
  • Meet weekly for joint supervision for medical leadership and CSC project managers to ensure integration and continuity of DESC administrative practices.
  • Conduct performance evaluations of Project Managers on scheduled basis and maintain supporting documentation in confidential files.
  • In coordination with other clinical programs managers and supervisors, maintain a system for training staff in all core competencies, including clinical skills and assessments related to individuals experiencing a psychiatric crisis.
  • Maintain in depth knowledge of DESC personnel policies & procedures, collective bargaining agreements and applicable federal, state and local employment laws in order to oversee the processes for recruitment, selection, orientation, deployment, supervision, professional development and evaluation of direct service staff.
  • Establish and maintain a recruitment plan aimed at hiring and maintaining a diverse and competent staff.
  • Coordinate with Human Resources staff to advertise and conduct hiring in a consistent, effective and cost-efficient manner.
  • Maintain familiarity with agency and mental health system policies and procedures and assure adherence to these procedures. Identify need and assist in development and modification to procedures.
  • Other duties as assigned.


DESC is committed to diversity in the workplace, and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.



  • Master's degree in a social work, psychology or other relevant behavioral science or Bachelor of Nursing degree with specialty in mental health.
  • Meet minimum criteria for Mental Health Professional as defined in RCW 71.05, WAC 275-57.
  • Four years of experience providing clinical services to persons with serious mental illness and substance abuse.
  • Two years of experience providing supervision and/or program management to clinical staff.
  • Strong understanding of effective crisis intervention and stabilization strategies.
  • Familiar with principles of Recovery oriented practice.
  • Strong writing and verbal skills.
  • Strong analytical and leadership skills.
  • Ability to work flexible hours as required by program and staffing needs including occasional evenings or weekends.
  • Ability to work collaboratively in an integrated multi-disciplinary team responsible for providing on-going assessment, crisis stabilization, engagement and short-term case management services to homeless and mentally ill adults.
  • Skills and competence to establish supportive trusting relationships with persons with severe and persistent mental illnesses and Substance Abuse.
  • Ability to communicate and work effectively with staff from diverse backgrounds.
  • Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior.
  • Subscribe to the philosophy of integrated projects, cooperation and continuity across programs and of consideration and respect for clients.


  • Qualified to provide approved supervision to LICSW and LMHC candidates.




Salary Description
$115,810.56 - $131,038.08 annually