Clinical Manager

Poinciana - the new Residential Mental Health Facility, East End, Grand Cayman is hiring its management team – Clinical Manager. If this sounds like you, we encourage you to apply on www.careers.gov.ky

Job Title:                   Clinical Manager  

Reports to (title):     Director, Residential Mental Health Facility

Portfolio/Ministry:  Ministry of Health & Wellness

1.    JOB PURPOSE

• To provide clinical leadership and oversight of the daily therapeutic interventions/services for the Residential Mental Health Facility (RMHF). To offer high quality clinical and administrative supervision to clinical and programme staff who provide group-based and individual therapy to residents of the RMHF in the Cayman Islands.  This includes responsibility for developing the strategic direction, ensuring appropriate interface with other agencies internally and externally, and adhering to best practice standards for resident care.
• The Clinical Manager role is responsible for ensuring the RMHF provides a caring and safe environment within a therapeutic residential setting that promotes the rights of each person to be fully involved in their care and treatment and to receive the highest standards of care, and where possible rehabilitate to care in ordinary community settings.

2.    DIMENSIONS

• The post holder must be equipped to accurately assess the needs of residents and oversee the care planning for each resident. The facility is designed to house up to 54 residents which the post holder would have clinical oversight for. Therefore, the post holder would be responsible for ensuring the implementation of these care plans. As a new facility, the role will require setting up initial processes and procedures to effectively carry out the role. The facility operates 365 days per year and provides 24-hour care to residents.
• The role is pivotal in ensuring that the facility provides ongoing clinical assessment, treatment, support and risk management. The facility will have an evidence based, client-centered approach to the care plan and the Clinical Manager will ensure a multi-disciplinary clinical team works collaboratively with the resident, their primary healthcare provider, their family, friends and other partner organisations.
• It will also be the responsibility of the post holder to facilitate partnerships with other stakeholders and service providers to ensure the quality of care meets the needs of the residents and is within best practice standards.
• The budget is to be determined in consultation with the Director.

3.    PRINCIPAL ACCOUNTABILITIES

Clinical supervision and oversight

• Ensuring care plans from intake to discharge are in place for all residents;
• Ensuring that the legislative frameworks regarding the Mental Health Act (2021 Revision), and the Health Practice Act (2021) are applied;
• Provide supervision and clinical guidance to all Clinical Staff to ensure that residents receive appropriate resident-centered interventions to meet their individual needs;
• Ensure assessment and regular reassessment of clinical needs through the use of multidisciplinary meetings for intake, discharge and ongoing care;
• Provide support to clinical staff who manage residents to ensure that all ethical and legal implications are adequately managed;
• Establish and maintain overall standards of clinical care and service for the facility, and develop appropriate policies and procedures to guide clinical staff in their delivery of services;
• Facilitate multidisciplinary team meetings to ensure effective communication across the clinical and programme team, and to coordinate with other stakeholders and providers to ensure access to medical/pharmaceutical services
• Facilitate opportunity for professional development of staff through online and in-person continuing education offerings
• Oversee clinical risk management practices bringing to the Director’s attention any concerns;
• Conduct case and treatment plan reviews, and file audits to ensure resident files are properly maintained in keeping with established standards.

Continuous Improvement

• Develop the clinical vision and strategic plan for the residential treatment programme and participate in the development of the strategic plan for the Department as a whole to ensure alignment of the strategic objectives across the Department.
• Monitor resident and community needs, develop appropriate clinical interventions to effectively address these issues;
• Develop or identify training programmes to further upskill employees in response to new evidence based treatments.
• Develop grant/sponsorship proposals to facilitate the provision of services that would otherwise go unaddressed due to shortfalls in the annual operational budget Source external contractual clinical services where appropriate;
• Collaborate with other clinical professionals to monitor the needs of the community, and adjust and enhance therapeutic treatments as needed to meet the identified gaps in service.

Leadership and Management

• Orient new employees to their role, ensuring that they are fully cognizant of the policies and procedures that are required for resident care and completion of administrative duties;
• Monitor performance to ensure satisfactory delivery of clinical services;
• Direct supervisory and management responsibility for 6-8 clinical staff members within the RMHF, including training, learning and development, performance management and implementation of performance agreements and assessments;
• Develop and control deadlines, budgets and activities;
• Maintain positive stakeholder relationships internally and externally;
• Participate as a member of the senior management team for the facility at meetings, events etc.
• Achieve appropriate accreditation and quality assurance of its programmes.
• Represent the RMHF by promoting strong and effective linkages between other community partner agencies.

Other

• Perform other relevant duties as may be requested from time to time by the Director.

5.    BACKGROUND INFORMATION

• The Ministry is primarily concerned with the Health and Wellness outcomes desired by Government, and delivers interventions to achieve these. The core ministry team’s main responsibilities are:

                                 i.            provision of policy advice and support to the Ministry and Cabinet; and

                                ii.            accountability for the output and ownership performance of the Ministry, including its departments and units.

• The Ministry is responsible for a number of departments, units and statutory authorities, and provides them with a wide range of direction (policy) and assistance. These entities include: Department of Health Regulatory Services; Department of Environmental Health; Department of Counselling Services; Mosquito Research & Control Unit; Health Services Authority; The National Drug Council and The Residential Mental Health Facility.
• In the subjects for which it has responsibility, the Ministry provides policy guidance, obtains funding and other resources to provide an evolving range of services, and consults and cooperates with other Ministries and their Departments to achieve best practice in legislation, and in policy formulation and implementation. The Ministry answers to the Parliament for the fulfilment of its responsibilities.
• The Residential Mental Health Facility (RMHF) located on Grand Cayman, will form a part of the continuum of mental health services in the Cayman Islands. A multidisciplinary team will be responsible for providing services to all residents of the programme which operates 24 hours per day, 365 days per year, other than in exceptional circumstances. The RMHF will offer residents/residents medical and social supervision in a therapeutic environment.
• The Programme will provide specialized and intensive long-term/short to medium term tertiary level assessment, treatment stabilization, and rehabilitation for adults with severe and persistent mental illness in a therapeutic community environment; to enable local residents to transition back into the community.  Provision will also be made for residents needing longer-term tertiary care.
• The post-holder works largely as a member of a team, whether in assisting subordinate staff to carry out their duties or in discussion with colleagues in the office or a subordinate agency, to arrive at solutions to problems or to plan strategies for action. 

6.    PERSON SPECIFICATION

• A minimum of a Master’s degree in Social Work, Clinical Psychology or related discipline from an accredited University, as well as 4-6 years’ experience providing resident-centered services.
• High level of clinical knowledge for understanding what residents with depression, anxiety, addiction, bipolar, schizophrenia, or other disorders need from their treatment.
• A minimum of three (3) years prior supervisory experience managing a multi-disciplinary team who have varying theoretical orientations and learning styles.
• Understanding of Cayman Islands Mental Health Act 2013, National Health Policy, and procedures applicable to the RMHF rules and regulations.
• Evidence of (or eligibility for) licensure, certification or registration with regulatory body within the current jurisdiction of practice or training.
• Prior experience delivering training/in-services to staff to improve performance and skill development.
• Professional supervisory training and/or designation is preferred or experience developing residential treatment programmes.
• Excellent communication skills are required, both oral and written.
• Proficiency in computer applications software including Microsoft Office and Clinical reporting software.

7. ASSIGNMENT AND PLANNING OF WORK

• The post holder will have significant autonomy in the performance of their duties, as identified as Principle Accountabilities in this job description.  However, regular consultation with the Director, Chief Medical Officer and other managers within the Facility will be required to ensure the seamless delivery of effective clinical support to the residents of the Facility.

8. SUPERVISION OF OTHERS

• The post holder is responsible for the supervision of Clinical staff at the RMHF.

  9. OTHER WORKING RELATIONSHIPS

• The Clinical Manager is a member of the facility’s management team.  The post-holder will work collaboratively with clinical staff and managers of the various sub units to ensure that high quality supervision, standards or care, and strategic direction are provided.
• The post requires frequent interaction with the Program Manager, and other multidisciplinary medical professionals in order to appropriately manage shared residents’ needs.
• Additionally, the post holder will be in frequent contact with other staff from:

                                 i.            Family members of residents

                                ii.            Primary medical staff of residents

                              iii.            The Ministry of Health and Wellness staff

                              iv.            Department of Counselling Services

                                v.            Partner agencies

10.   DECISION MAKING AUTHORITY AND CONTROLS

• The post holder will consult with the Director on clinical and non-routine matters; however, he/she is expected to work independently within the guidelines of this job description and the Policies and Procedures Manual of RMHF.

11.   PROBLEMS/KEY FEATURES

• Residents may present to the facility in crisis or under duress.  This requires staff to exercise their duty of care with confidence, consistency, and professionalism.
• Further this requires staff to recognize and safely respond to disruptive and threatening behaviour before a crisis incident occurs. In addition, if behaviour does escalate to violence, having the critical skills to maintain the safety of everyone involved is essential.  The post-holder must therefore be cognizant of the impact of vicarious trauma on staff, and attend to this where necessary.
• Mental health services may have been provided to residents in various locations, this can present challenges and frustrations to staff and residents who have to negotiate within the various systems.
• Professional integrity, confidentiality regarding information being handled, and sensitivity to the special needs of residents are requirements of the position.
• The breadth of issues which residents present requires a high degree of clinical sophistication of the post holder in order to assist the RMHF staff when they experience difficulty in their work.  Additionally, the post holder is responsible for supervising staff with different levels of experience and skill sets.
• Clinical staff must practice from a strong ethical base, as within a small community such as the Cayman Islands many challenges exist in developing and maintaining appropriate boundaries with residents, and ensuring a high degree of confidentiality that is necessary in this field.
• Post holder must be able to work on multiple tasks simultaneously and give clear direction and supervision to the staff.

12.   WORKING CONDITIONS

• The position requires flexibility in working hours as the facility functions on a 24-hour basis and issues can arise at any time, including evenings and weekends.  An ability to periodically work under pressure to produce results is required.
• As a member of the residential treatment team, the post-holder is considered an Essential Services worker, and must be willing and able to support the continuity of resident care while under extreme weather warnings such as those issued during Tropical Storms and Hurricanes, and follow directions issued by the Director in keeping with the Department’s Continuity of Operations plans.
• This position will be based in East End, Grand Cayman in a newly built facility with occasional travel to other locations to carry out duties. Overseas travel may also be necessary at times.