POSITION SUMMARY
The Clinical Director is a senior leadership role responsible for translating Metrowest Nutrition and Therapy's clinical standards, business priorities, and growth strategy into consistent day-to-day execution. The Clinical Director leads and develops the leadership team, strengthens team culture, serves as the primary escalation point for complex practice matters, strengthens organizational systems and accountability, grows referral relationships, and leads strategic initiatives that expand access to care and improve the financial sustainability of the practice.
A major component of this position is directing the implementation of an Intensive Outpatient Program (IOP), including participation in program design and clinical standards, operational planning, staffing, referral development, financial feasibility, launch, and ongoing performance management. The Clinical Director will also conduct initial client intakes, assess clinical needs and fit, and assign clients to the appropriate primary clinician based on presenting concerns, clinician expertise, and availability.
POSITION DETAILS
Reports to: Owner / Executive Leadership
Employment status: Full-time
FLSA status: Exempt
Location: Framingham/ Remote
Schedule Requirements:
- Maintain an initial caseload of approximately 12-15 client sessions per week, with the expectation to decrease over time as leadership, operational, and program-development responsibilities increase.
- Dedicate approximately 20-25 hours per week to leadership and administrative responsibilities, increasing gradually with program growth.
CORE RESPONSIBILITIES
Leadership & Team Management
- Provide direct management, supervision, training, and accountability for members of the leadership team (Clinical Supervisors, Operations Manager, and HR Consultant)
- Lead outreach and marketing efforts in partnership with the Community Outreach Clinician, Client Care Coordinator and Marketing Consultant(s).
- Conduct initial client intakes, assess clinical needs, and coordinate assignment to primary clinicians to support appropriate fit, continuity of care, and timely access to services for Intensive Outpatient Program.
- Lead recurring leadership meetings and team meetings with clear agendas, decisions, owners, deadlines, and follow-through.
- Establish clear expectations for leaders and help translate organizational priorities into departmental goals and measurable work plans.
- Serve as a senior escalation point for complex staff, client, clinical, and operational matters; ensure issues are addressed promptly, thoughtfully, and consistently.
- Guide leaders through performance management, difficult conversations, conflict resolution, and organizational change.
- Promote a culture of collaboration, transparency, accountability, professional development, and high-quality client care.
- Identify emerging staffing or organizational risks and bring recommendations to ownership before issues become urgent.
Clinical & Practice Operations
- Partner with Clinical Supervisors and Operations Manager to maintain high standards of care and consistent clinical operations.
- Oversee implementation and adherence to practice policies, procedures, and operational standards.
- Partner with Operations Manager to monitor recurring operational issue, identify root causes, and lead practical process improvements.
- Support appropriate response to client concerns, clinical risk, documentation concerns, staff performance issues, and other escalated practice matters.
- Use data and feedback to identify opportunities to improve client experience, staff experience, access to care, and operational efficiency.
- Coordinate cross-functional initiatives and ensure that decisions are communicated and implemented consistently.
- Provide individual and group counseling to clients within the framework of the practice's core values and philosophy, including weight-inclusive/ Health at Every Size paradigm.
- Collaborate with other healthcare providers on clients' care teams
- Maintain appropriate and timely documentation of client services, as well as communication with other healthcare providers.
Strategic Growth & IOP Program Development
- Lead the implementation of a financially sustainable IOP program, from feasibility assessment through implementation and ongoing optimization in partnership with Practice Owner.
- Develop the IOP operating model, staffing plan, program structure, implementation timeline, referral strategy, and performance dashboard.
- Coordinate internal and external stakeholders needed for program launch, including clinical, operational, financial, compliance, payer, and referral-development considerations.
- Collaborate with the Practice Owner to execute strategic initiatives, ensuring clear priorities, timelines, accountability, and follow-through while proactively identifying challenges and recommending solutions.
- Ensure the program launches with defined clinical, operational, utilization, revenue, and outcome measures.
- Identify and evaluate additional services or initiatives that could improve access, strengthen the practice, or generate sustainable revenue.
REQUIRED QUALIFICATIONS
- Current independent clinical licensure in Massachusetts as an LICSW or licensed psychologist, with the professional qualifications and authority to initiate an emergency psychiatric hospitalization when clinically indicated.
- Significant experience in clinical leadership, healthcare operations, behavioral health, nutrition, specifically in eating disorder treatment.
- Demonstrated experience managing people and preferably managing managers, supervisors, or other leaders.
- Proven ability to lead complex projects from planning through implementation and sustain accountability after launch.
- Strong written and verbal communication skills, sound judgment, and comfort navigating sensitive personnel and client matters.
- Ability to interpret operational and business data and translate it into decisions, priorities, and action.
- Ability to balance clinical quality, staff needs, client experience, operational discipline, and business sustainability.
