Director of Milieu Services (35067)

Location
Sevierville, TN 37862
Employment type
Full-time
Last seen
Oct 12, 2026

About the role

Position Summary

The Director of Milieu Services oversees the daily administration of the residential program. This position provides

supervision and oversight for Milieu Supervisors and Behavioral Health Technicians through hiring, onboarding,

training, coaching and guidance. The Director of Milieu Services ensures the facility maintains a safe, engaging and

therapeutic environment while delivering exceptional customer service. Position provides support to staff and

clients through various clinical and administrative activities, aiming to achieve optimal client outcomes.

Relationships and Contacts

Within the organization: Initiates and maintains strong professional relationships with peers, immediate

supervisor, and leadership throughout the organization.

Outside the organization: Initiates and maintains strong professional relationships with clients and families,

clinical providers, referral partners and vendors, as needed.

Essential Responsibilities

1. Provides leadership, operational oversight, and immediate supervision for Milieu Supervisors and

Behavioral Health Technicians (BHTs) in support of client care throughout the treatment program,

ensuring client safety and high-quality therapeutic engagement.

2. Ensures adequate staffing levels are always maintained; coordinates staffing schedules to maximize

efficiency while maintaining program integrity, quality and efficiency.

3. Ensures that Behavioral Health Technicians consistently monitor and observe clients to ensure client

safety throughout all program areas and activities including group participation, client rounding, status

change communication, and ADL monitoring.

a. Coordinates staffing needs based on census, admissions, and level of care precautions.

b. Ensures the program operates safely and efficiently.

c. Escalates risk exposure and/or customer service concerns, as necessary.

d. Assists with difficult or emotional client situations, responds promptly to client needs, solicits

feedback for continuous quality improvement.

e. Ensures client belongings, persons and rooms are searched timely and in accordance to safety

standards to prevent client’s possession of contraband or other high-risk items.

f. Communicates efficiently and effectively with members of the leadership team keeping them

informed of any operational concerns or issues that may arise.

Director of Milieu Services job description p. 2

4. Coordinates and conducts onboarding, orientation, competency and performance management for

BHTs in a timely manner in partnership with leadership team ensuring department standards are

consistently upheld.

a. Responsible for ensuring that compliance standards are met regarding documentation and client

care in accordance with industry standards and accreditation requirements and will address any

compliance issues.

b. Ensure that policies and procedures are being followed.

c. Supports team member training and professional development.

5. Develops shift assignment sheets and ensures that all duties are carried out by engaging in

“management by walking around” being present in the milieu.

a. Coordinates and facilitates daily shift briefing on all shifts respectively.

b. Coordinates Daily shift report to hand off client updates and safety information.

c. Facilitates regular monthly staff meetings with at least 90% staff attendance and disseminates

minutes.

d. Ensures all documentation is completed in an accurate and timely manner on the day of service.

6. Coordinates the facilitation of evening and weekend activities in partnership with clients and team

members. Develops and creates group material, as needed.

7. Actively engages with clients and direct care staff in the milieu and outside activities throughout the

workday.

8. Collaborates with a multi-disciplinary team to determine/select appropriate interventions to ensure

client needs are met.

9. Attends the weekly treatment team meetings and shares observations, comments and important

information about clients with the treatment team; provides input into the development of the weekly

client schedules.

Additional Responsibilities

1. Functions within the guidelines of the facility’s Code of Ethics and in accordance with corporate

compliance.

2. Reads, understands, adheres to and models all company policy statements on ethics, conduct, and

conflict of interests.

3. Attends all supervisory training courses within assigned time frames as required by the facility.

4. Produce reports or analyses, as needed.

5. Provides a high level of customer service to both internal and external stakeholders.

6. Assists with professional outreach, networking and marketing as needed.

7. Perform other duties as assigned.