Position: Clinical Director

Location: Sacramento, CA (Hybrid; in Sacramento, occasional as needed Chico home office, virtual)

Schedule: 32-40 hours/week

Compensation: $105,000 - 120,000 annually

Benefits: Health insurance, 100% employer-paid dental & vision, retirement plan with employer match

Role Overview

This is a Clinical Director role with operational ownership of the clinical side of the practice.

You will be responsible for ensuring that:

• the clinical system runs smoothly
• supervisors are aligned and supported
• clinicians are having a consistent, supported experience
• breakdowns are identified and addressed
• documentation is well managed

This is a hands-on leadership role with real responsibility, not a strategy or program design position.

Core Responsibilities

Clinical Operations

• Ensure the clinical side of the practice runs consistently and effectively across teams
• Identify breakdowns in workflow, supervision, or clinician experience and ensure follow-through
• Maintain alignment between clinical work and organizational systems

Supervisor Oversight

• Oversee and support contracted clinical supervisors
• Maintain consistency in supervision standards and expectations
• Address patterns of drift, inconsistency, or concern
• Provide consultation on complex or high-risk cases

Clinician Experience & Support

• Maintain visible presence across teams and meetings
• Support onboarding, integration, and ongoing clinician experience
• Identify patterns impacting engagement, retention, or performance and respond appropriately

Hiring & Team Growth

• Lead clinical hiring process in collaboration with Clinical Program Managers (CPMs)
• Assess clinical readiness, fit, and alignment, support development
• Support successful integration of new clinicians into teams
• Select candidates that are both stand-out clinicians and focused on professional development and learning.

Supervision (Grounding Function)

• Maintain a caseload of up to 6 supervisees
• Provide weekly in-person group supervision in Sacramento

Documentation, Compliance & Revenue Integrity

• Monitor documentation quality and ensure consistency with clinical and payer standards
• Review documentation and submit for payment
• Support clinicians in effectively using AI-assisted documentation tools
• Identify documentation patterns that may lead to insurance denials or audit risk and ensure timely correction
• Coordinate with Program Managers to address denial trends and billing issues
• Support audit readiness across the organization

Cross-Functional Coordination

• Work closely with Lead CPM to align clinical operations with systems and staffing
• Provide feedback on patterns impacting clinician performance and system efficiency

Clinical Framework & Alignment

This role operates within an established clinical and organizational framework.

• Clinical philosophy and direction are defined by executive leadership
• The Clinical Director is responsible for operationalizing and reinforcing that framework

Our clinical lens is trauma-informed, somatically grounded, and developmentally oriented, emphasizing nervous system regulation, parts awareness, and the cultivation of dual awareness to support meaningful, sustainable change.

Meeting Expectations

• Monthly staff meetings (one per division)
• Biweekly supervisor support meeting
• Biweekly licensed clinician consult group
• Regular meetings with Lead CPM
• Leadership meetings as necessary
• Group supervision weekly
• Triadic or Individual supervision

Consistent presence is a core part of the role.

Qualifications

• Licensed LCSW strongly preferred (LMFT/LPCC considered)
• Eligible to supervise associates in California
• 5+ years post-licensure experience
• Experience supervising clinicians
• 2+ years experience in agency leadership or private practice
• Strong clinical judgment, ethical grounding, and knowledge of regulatory requirements
• Comfort navigating gender-affirming care support letters, SSDI letter requests, ESA requests, etc
• Comfortable working within developing structured systems

Ideal Fit

You are:

• Grounded, steady, and relational
• Comfortable holding responsibility for daily operations
• Able to support clinicians and supervisors while maintaining clear expectations
• Thoughtful and flexible within a growing organization
• Someone others experience as steady
• Aligned with our clinical lens

Please submit your resume and cover letter at: Application for Stonebridge Clinical Director Position