Clinical Director

TRUE Counseling Services; Denver (CO); On-site; USD 120,000 - 170,000; Full time

Job summary

TRUE Counseling Services seeks an experienced Clinical Director to lead from within, providing clinical oversight while maintaining a meaningful direct-service role in a growing behavioral health organization.

The role blends leadership with hands-on patient care, supervision of clinicians, quality assurance, and regulatory compliance across PHP/IOP, outpatient therapy, and group programs. Master’s degree required and Colorado licensure.

Qualifications

• Active, unrestricted Colorado clinical license (LPC/LCSW/LMFT or equivalent).
• Active clinical supervision credentialing (ACS/CS or equivalent).
• Experience conducting behavioral health evaluations and providing therapy.
• Experience supervising clinicians or leading clinical teams.
• Strong knowledge of assessment, diagnosis, treatment planning, and ethics.
• Ability to lead IOP and PHP groups while maintaining clinical duties.
• Ability to meet credentialing, payer, and regulatory requirements.

Responsibilities

• Conduct comprehensive behavioral health evaluations.
• Develop DSM-5-TR impressions and medical necessity.
• Maintain an individual therapy caseload and lead groups.
• Provide family sessions, crisis intervention, and care coordination.
• Oversee documentation, quality assurance, and regulatory compliance.
• Lead supervision and professional development of clinical staff.
• Collaborate with CEO on program growth and operational decisions.

Skills

Active Colorado clinical license

Clinical supervision credentialing

Behavioral health evaluations

Supervising clinicians

Assessment, diagnosis, ethics

IOP/PHP group leadership

Credentialing/regulatory knowledge

Education

Master's degree in counseling/social work/psychology

Tools

ReliaTrax EMR

Job description

TRUE Counseling Services is seeking an experienced, compassionate Clinical Director who wants to lead from within the work, not from the sidelines. As a small and growing behavioral health organization, we need a clinical leader who can provide strong oversight while also carrying a meaningful direct-service role.

This position combines clinical leadership, supervision, quality assurance, and regulatory compliance with direct client care. The Clinical Director will conduct evaluations and individual therapy, facilitate groups as needed, oversee the clinicians, documentation, treatment quality, and clinical systems.

The right candidate is equally comfortable guiding a clinician through a complex case, reviewing a chart for medical necessity, leading a high-quality group, evaluating a new client, and collaborating with the CEO on program growth and operational decisions.

About TRUE Counseling

TRUE Counseling provides structured, whole-person behavioral health treatment for adultsexperiencing mental health, substance-use, and co-occurring challenges. Our services include IOP, PHP, outpatient therapy, individual and group counseling, and court-ordered DUI education and therapy.

We integrate evidence-based, trauma-informed, and holistic care with practical skill-building, emotional regulation, mindfulness, relapse prevention, accountability, and individualized treatment. Our goal is to help clients create stability and sustainable change while continuing to participate in their families, work, school, and communities.

Core Role and Responsibilities

• Conduct comprehensive behavioral health evaluations, including biopsychosocial, mental health, substance-use, diagnostic, suicide-risk, and other safety assessments.
• Develop diagnostic impressions and treatment recommendations consistent with DSM-5-TR criteria, medical necessity, and organizational standards.
• Use ASAM-informed placement recommendations and level-of-care criteria when clinically appropriate.
• Maintain an individual therapy caseload and provide evidence-based, trauma-informed treatment.
• Lead therapy groups and facilitate IOP and PHP programming as part of the regular position responsibilities.
• Provide family sessions, crisis intervention, care coordination, discharge planning, and referrals when clinically indicated.
• Complete timely, accurate, clinically defensible documentation for all direct services provided.

Clinical Leadership

• Provide clinical leadership across TRUE Counseling’s PHP, IOP, outpatient, group, and court-ordered services.
• Supervise Primary Therapists, Group Facilitators, provisionally licensed clinicians, and clinical interns.
• Facilitate individual supervision, case consultation, and multidisciplinary treatment-team discussions.
• Coach staff in assessment, diagnosis, treatment planning, interventions, documentation, care coordination, professional boundaries, and ethical practice.
• Guide decision-making in complex diagnoses, high-risk cases, mandatory reporting, client-safety concerns, and level-of-care changes.
• Assist with hiring, onboarding, performance evaluation, corrective coaching, and professional development of clinical team members.

Administrative

• Review assessments, diagnoses, treatment plans, progress notes, continued-stay documentation, and discharge summaries for quality and medical necessity.
• Conduct chart audits and lead continuous quality-improvement activities.
• Develop and maintain clinical policies, procedures, documentation standards, and clinical workflows.
• Lead risk management, crisis response, mandatory reporting, and ethical decision-making.
• Ensure compliance with HIPAA, 42 CFR Part 2, Colorado Behavioral Health Administration requirements, DORA regulations, payer standards, professional ethical codes, and applicable laws.
• Ensure documentation in ReliaTrax is completed within required timeframes and supports services, billing, medical necessity, and continuity of care.

This is not a purely administrative Clinical Director position. The person in this role will be expected to balance active clinical work with leadership and oversight responsibilities. Scheduling and caseload expectations may evolve with census, staffing, and program needs, but regular direct service—including evaluations, individual sessions, therapy groups, IOP groups, and PHP groups) is a core function of the job. Master’s degree or higher in counseling, social work, psychology, marriage and family therapy, or another qualifying behavioral health discipline.

Required Qualifications

• Active, unrestricted Colorado independent clinical license, such as LPC, LCSW, LMFT, Licensed Psychologist, or equivalent credential.
• Active clinical supervision credentialing (ACS, CS or equivalent). Ability to supervisor provisional licensees.
• Experience conducting behavioral health evaluations and providing individual and group therapy.
• Experience supervising clinicians or providing formal clinical leadership.
• Strong knowledge of assessment, diagnosis, treatment planning, clinical documentation, crisis response, risk management, and professional ethics.
• Ability and willingness to lead IOP and PHP groups and maintain direct clinical responsibilities alongside administrative duties.
• Ability to meet all applicable credentialing, payer, and regulatory requirements.

Preferred Qualifications

• Experience treating co-occurring mental health and substance-use disorders.
• Experience in PHP, IOP, outpatient, DUI, or other structured behavioral health programs.
• Knowledge of ASAM criteria and level-of-care decision-making.
• Experience with Medicaid, commercial insurance, utilization review, authorizations, reauthorizations, and appeals.
• Familiarity with Colorado BHA and DORA requirements.
• Training in trauma-informed care, motivational interviewing, CBT, DBT, ACT, EMDR, or other evidence-based approaches.
• Experience with ReliaTrax or a comparable behavioral health electronic medical record system.

Why Join TRUE Counseling?

At TRUE Counseling, you will have the opportunity to influence both the daily client experience and the long-term direction of a growing behavioral health organization. You will work alongside a collaborative team committed to compassionate, judgment-free care while helping build programs and clinical systems that are structured, ethical, individualized, and focused on meaningful recovery.

This role is best suited for a clinical leader who enjoys doing the work, developing people, improving systems, and solving complex problems—and who understands that, in a small organization, leadership means being willing to step in wherever excellent clinical care is needed.