Director of Therapy Services

MONARCH; Albemarle (NC); On-site; USD 81,000 - 99,000; Full time

Job summary

Monarch Healthcare seeks a Director of Therapy Services to lead outpatient therapy across 13 clinics, overseeing Senior Therapists and Open Access. You will ensure high-quality, patient-centered care, clinical consistency, regulatory compliance, and financial performance.

This role maintains a regular on-site presence with weekly clinic visits to support teams and organizational initiatives. The candidate will drive service delivery models, workforce planning, and productivity, while

Qualifications

• Master's degree required.
• Current licensure as LCSW or LCMHC in NC or eligible for licensure in NC.
• Driver's license valid in USA.

Responsibilities

• Oversee system setup and monitoring for outpatient therapy teams.
• Ensure clinically based, medically necessary service plans and documentation.
• Coordinate staff scheduling and operations for outpatient services.
• Investigate clinical incidents and follow up as needed.
• Develop referral relationships and community engagement for outpatient clinics.
• Ensure compliance with policy, regulatory requirements, and audits.

Skills

Clinical supervision

Counseling/therapy

Behavioral health

Outpatient operations

Education

Masters

Licensed Clinical Social Worker (LCSW)

Licensed Clinical Mental Health Counselor (LCMHC)

Driver's License (Valid) - USA

Job description

Scheduled Weekly Hours:

40

Schedule :

Monday-Friday 8am-5pm

Pay Range Minimum:

$90,000.00

Education We’re Looking for:

Masters (Required)

Certifications We’re Looking For:

Drivers License (Valid) - USA, Licensed Clinical Mental Health Counselor (LCMHC) - State Board of Licensed Professional Counselors, Licensed Clinical Social Worker (LCSW) - State Social Work Certification and Licensure Board

Experience We’re Looking For:

Clinical Supervision Experience| 2 Years| RequiredCounseling/Therapy Experience| 3 Years| RequiredExperience in behavioral health, integrated care, or outpatient clinic operations| 5 Years| RequiredExperience managing multi-site outpatient healthcare or behavioral health operations| 3 Years| Not Required

Additional Details:

The Director of Therapy must be fully licensed in one of the following:

• Licensed Clinical Social Worker (LCSW)
• Licensed Clinical Mental Health Counselor (LCMHC)

Job Description Summary:

The Director of Therapy Services provides strategic, operational, and clinical leadership for outpatient therapy services across 13 outpatient behavioral health clinics and the Open Access team. This position is responsible for the direct oversight of Senior Therapists and supports the delivery of high-quality, patient-centered care while ensuring consistency in clinical practice, operational performance, regulatory compliance, and organizational standards across all locations.

The Director of Therapy Services is accountable for the development, implementation, and oversight of therapy service delivery models, workforce planning, productivity management, quality outcomes, staff engagement, and financial performance. This position is expected to maintain a regular on-site presence at outpatient clinic locations, including approximately two clinic visits per week, to foster staff engagement, support operational consistency, strengthen relationships with clinic teams, and ensure effective implementation of organizational initiatives. Working collaboratively with clinic leadership, psychiatric providers, interdisciplinary teams, and executive leadership, this role drives service excellence, improves patient access and experience, promotes clinical best practices, supports growth initiatives, and advances organizational goals.

What You’ll Do:

• System Setup and Monitoring: Oversee the setup and monitoring of systems to ensure the effective, accurate, and timely completion of clinical duties for outpatient therapists. This includes ensuring adherence to agency-specific timelines and evidence-based practices for the assigned service line(s). Responsibilities include overseeing processes such as timesheets, payables, billing, clinical supervision, staff education, HR processes, triage, emergency services delivery, and clinical documentation.
• Assessment and Service Plan Development: Ensure that each individual served has a clinically-based, medically necessary, and culturally sensitive assessment and service plan, forming the foundation for all service provision.
• undefined
• Staff Communication: Develop and maintain clear communication systems for staff, including regular staff meetings, communication memos, one-on-one updates, and effective communication across shifts, teams, divisions, consultants, outside agencies, families, and management.
• undefined
• Staff Scheduling and Operations: Establish systems to ensure staff schedules and daily operations meet the needs of individuals being supported.
• Incident Investigation and Follow-up: Investigate clinical operation incidents and complaints received both internally and externally, and provide necessary supervisory follow‑up.
• Referral Source Development: Cultivate and maintain positive working relationships with referral sources, including individuals, families, staff, monitoring and licensing agencies, organizations, and funders.
• Community Engagement: Attend and take leadership roles in community meetings within the assigned Outpatient services area and cross‑functional team meetings.
• Meeting Attendance and Participation: Attend and actively participate in provider meetings with funding sources, audits, surveys, staff meetings, agency meetings, and other relevant meetings pertaining to outpatient therapy services.
• Compliance Monitoring: Stay informed of internal and external standards and ensure systems are in place to monitor program compliance and auditing.
• Policy and Regulatory Compliance: Demonstrate knowledge of and comply with agency policies, procedures, and applicable state and federal regulations related to program areas.
• Maintain trainings as required and requested
• Demonstrate knowledge of emergency procedures and assist in crisis situations
• Demonstrate knowledge of and comply with all agency policies and procedures
• Complete all other relevant responsibilities assigned by the supervisor
• Driving and travel may be required

Benefits:

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members. In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location. We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch, we work together to provide life‑changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part‑time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications.Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact [e-mail] or call [phone].

This job description in no way implies that these are the only duties and responsibilities to be performed.You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor.This job description is subject to revision at the discretion of Monarch Healthcare.

Department:

BH - Licensed Professional