Clinical Director – Mental Health / Behavioral Health
Location: Lexington, SC
Reports To: Executive Director / CEO
Supervises: ~12 Therapists
Position Summary
The Clinical Director provides leadership, oversight, and direction for all clinical services within the mental health and behavioral health program. This role is responsible for supervising a team of approximately 12 therapists, ensuring high-quality, evidence-based care, and maintaining full compliance with South Carolina regulatory and licensing standards.
This role requires an actively licensed clinician in South Carolina who is also an approved Clinical Supervisor authorized to provide supervision to associate-level clinicians.
Key Responsibilities
Clinical Leadership & Oversight
- Provide direct clinical supervision and oversight to all therapists, including associate-level clinicians
- Review and approve treatment plans, progress notes, and discharge summaries
- Ensure implementation of evidence-based practices and quality care standards
- Manage high-risk and complex clinical cases
- Oversee clinical outcomes and patient safety initiatives
Staff Supervision & Development
- Provide required supervision in accordance with South Carolina licensing board regulations
- Maintain proper documentation of supervision hours and activities
- Conduct performance evaluations and provide ongoing coaching and development
- Lead clinical trainings and staff development initiatives
- Participate in hiring, onboarding, and retention of clinical staff
Program & Operational Management
- Oversee daily clinical operations and program performance
- Ensure compliance with all state, federal, and payer requirements
- Support program development, expansion, and strategic initiatives
- Monitor census, productivity, and clinical KPIs
Compliance & Quality Assurance
- Ensure compliance with all South Carolina Department of Public Health (DPH) and licensing board regulations
- Maintain audit readiness for accrediting bodies (e.g., Joint Commission, CARF)
- Implement and monitor quality improvement initiatives
- Ensure adherence to documentation and billing standards
Collaboration & Community Engagement
- Serve as a clinical liaison with referral partners and community providers
- Collaborate with executive leadership on organizational goals
- Participate in case conferences and interdisciplinary meetings
Minimum Qualifications
Education
- Master’s degree or higher in:
- Counseling
- Social Work
- Psychology
- Marriage & Family Therapy
Licensure (REQUIRED – South Carolina)
Must hold an active, unrestricted South Carolina license in one of the following:
- Licensed Professional Counselor (LPC)
- Licensed Independent Social Worker – Clinical Practice (LISW-CP)
- Licensed Marriage & Family Therapist (LMFT)
- Licensed Psychologist
Clinical Supervisor Requirement (MANDATORY)
Candidate must be an approved Clinical Supervisor in South Carolina, including one of the following designations:
- LPCS (Licensed Professional Counselor Supervisor)
- LISW-CP Supervisor (Board-approved)
- LMFT Supervisor (Board-approved)
- Licensed Psychologist qualified to provide supervision per state regulations
Candidates without an active, approved supervisor credential will not be considered.
Experience
- 5+ years of clinical experience in mental health/behavioral health
- Minimum 2+ years providing clinical supervision
- Experience managing or leading clinical teams
- Experience in outpatient, PHP, IOP, or residential settings preferred
Required Knowledge, Skills & Abilities
- Strong knowledge of DSM-5 and evidence-based treatment modalities
- In-depth understanding of South Carolina licensure and supervision regulations
- Proven leadership and team management skills
- Strong documentation, compliance, and audit experience
- Excellent communication and decision-making abilities
Additional Requirements
- Ability to pass background check and drug screening
- CPR/First Aid certification (preferred)
- Experience with EMR/EHR systems
- Knowledge of insurance and Medicaid billing practices
Work Environment
- On-site role in Lexington, SC
- Combination of administrative leadership and clinical supervision responsibilities
