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Chief Operations Officer

Lakes Region Mental Health Center

Lakes Region Mental Health Center (LRMHC) is the community mental health center serving Belknap and southern Grafton Counties. We provide services to 24 surrounding towns, and nearly 4,000 patients each year. A non-profit, private corporation founded in 1966, Lakes Region Mental Health Center is governed by a volunteer Board of Directors dedicated to our mission.  We provide integrated mental and physical health care to children, adults, elders and their families who are living with – and recovering from- mental illness and/or emotional distress. Our dedicated professionals provide the highest quality of healthcare and collaborate with many other organizations in the region to improve access to care and meet the mental health needs of the community. By working in partnership with other health care providers, hospitals, law enforcement, corrections, courts, school districts, social workers and public health officials, we are able to provide a continuum of care for our patients and improve the quality of life in the Lakes Region.

Primary Purpose:

Responsible for all operations and direct clinical service components of Lakes Region Mental Health Center (LRMHC). In conjunction with the Chief Executive Officer and Chief Medical Officer, is responsible for ensuring that the quality of care provided by LRMC clinicians meets applicable organizational and industry standards. Involved in medical hiring. Responsible for the direct supervision of designated program directors. Plays a leadership role in training and education committee to ensure organizational staffing is consistent with practice standards for every department


Under the general direction of the Chief Executive Officer and within the Center's policies and procedures, the Chief Clinical Officer performs the following functions:


Essential Functions:
1.Provide overall leadership for maintaining a positive workplace culture for staff and volunteers that results in a team that is appreciated, supported, and collectively dedicated to the highest quality services delivered to patients and their loved ones affected by mental illness.
2.Assure that appropriate and efficient organizational policies and procedures in all operational domains are developed, implemented, and maintained consistent with all applicable Federal and State regulations in conjunction with QI.
3.Provides overall guidance to the designated Program Directors of LRMHC Clinical Programs.
4.Provides day-to-day leadership and management that mirrors the mission and core values of the Agency.  Communicates to all LRMH staff the objectives and policies of the Agency for the development of a united purpose in attaining the ultimate goals of the organization.
5.Coordinates with the Chief Medical Officer regarding psychiatric utilization and issues relevant to psychiatric care.
6.Develops and implements plans for program planning and development consistent with the agency mission and responsive to the population to be served. 
7.Responsible for the measurement and effectiveness of all processes. Provides timely, accurate and complete reports on the operating condition of LRMHC in collaboration with IT.
8.Collaborates with the management team to develop and implement plans for the operation infrastructure of systems, processes and personnel development. Reviews all clinical policies and procedures and is responsible for their implementation and oversight in conjunction with clinical leadership and the QI department. 
9.Involved in the utilization review systems for the delivery of clinical care, including ongoing review of clinical services and required documentation as well as general information for site review and audits. In conjunction with the Director of IT and QI and Program Directors, develops, collects and analyzes data on outcomes and reports on any outliers. 
10.Work with Director of IT and QI to monitor and ensure compliance for all clinical programs in accordance with NH State rules and regulations, as well as all applicable Federal requirements.  KPIs?
11.Maintains relationships with community groups and on the state level to foster the public’s understanding and support of the work and goals of the Agency speaking as often as possible to various groups regarding the interests and needs of the mentally ill.  Provides community education and development services on a planned and as-needed basis.
12.Oversees risk management and collaborates with the Chief Medical Officer and/or Chief Executive Officer, along with the appropriate staff supervisor, on providing services to high-risk clients. Participates in all sentinel reviews as well as the appropriate program director and ensures follows up and monitors response to identified areas of need.
13.Sits on training committee
14.Annually, along with the CFO presents the clinical budget to the board. Works with each clinical department to develop the budget.
15.Attendance is an essential function of this position. Expected to work some evenings and weekends in order to attend board meetings, support public policy matters, and represent the organization at internal and external public events. In-state travel and some national travel is required.


The individual must possess the knowledge, skills and ability noted below, or be able to explain and demonstrate how the individual can perform the essential functions of the job, with or without reasonable accommodation, using some combination of skills and abilities.  Must also posses the necessary physical capacities, with or without the aid of mechanical devices or other forms of accommodation, to safely perform the primary functions of the job.
•Ability to express or exchange ideas by means of the spoken word, and must be able to convey detailed or important spoken instructions to other workers accurately, loudly or quickly.
•Ability to express or exchange ideas clearly via the written word.
•Ability to receive detailed information through oral communication (e.g. in normal office setting).
•Ability to exert up to 40 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.  Sedentary work involves sitting most of the time, walking and standing are required only occasionally.
•Ability to plan and perform a wide variety of duties related to program administration.
•Ability to plan and perform diversified duties requiring extension knowledge of mental health services and the management of teams providing such services.
•Demonstrated leadership, program development and decision making abilities.
•Budge development experience and experience in conducting needs assessments and/or marketing studies helpful.
•Strong community relations/education experience.
•Ability to perform work that requires the preparation and analysis of data through the use of a computer terminal.
•Knowledge of basic Microsoft Office packages and program.


Master's degree in counseling, psychology, social work or related field or other approved credentials as specified in He-M426-11 and He-M426-13.

Ten years of management/supervisory experience in a related field with knowledge of clinical/mental health systems and program development.
Licenses/Certifications: Preferred relevant licensure or certifications in the state of NH as LCMHC, or LICSW, valid NH Driver’s License.
Work Schedule:
Generally, works Monday through Friday with occasional requirements to after hours. Attendance is a job requirement.

Commensurate with experience. This is a full-time exempt position with annual compensation per Lakes Region Mental Health Center’s compensation policies.

How to Apply:

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Job Location:


Date Added: December 27, 2021

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