Senior Therapist, Outpatient

Monarch; United States; Hybrid; USD 75,000 - 90,000; Full time

Job summary

Monarch Healthcare is seeking a Senior Therapist for Outpatient Services to provide leadership, clinical oversight, and supervision of a team of therapists. The role includes clinical governance, case oversight, and ensuring high-quality psychotherapy services, including individual and group therapy.

The position is hybrid, requiring on-site clinic presence and remote work. Requires Masters in Human Services and relevant licensure; experience in behavioral health supervision is essential.

Qualifications

• Masters degree in Human Services or related field required.
• Licensed or eligible for licensure in NC/RI (LCSW/LCMHC preferred).
• Experience supervising clinical staff in outpatient behavioral health.

Responsibilities

• Supervise outpatient therapists and provide clinical/administrative oversight.
• Monitor productivity, compliance, and service quality with agency standards.
• Handle HR functions: hiring, training, evaluations, disciplinary actions.
• Maintain a small clinical caseload with individual, group, and family therapy.
• Collaborate with VP of Best Practices for competency, documentation, and audits.
• Lead regular clinical team meetings; plan treatment and case assignments.
• Support crisis intervention and transitions to higher levels of care.
• Ensure timely, accurate documentation per state and federal rules.
• Refer clients to external resources; maintain confidentiality.
• Foster relationships with clients, families, agencies, and funding bodies.
• Prepare reports, evaluations, and required documentation.
• Keep Licensure current via ongoing training; comply with regs.
• Travel may be required for site coverage.

Skills

Clinical supervision

Counseling

Substance use disorders

Behavioral health

DSM-5/ICD-10

Clinical assessment

Interviews

Addictions

Education

Masters in Human Services

Job description

Scheduled Weekly Hours: 40 Schedule: Monday - Friday (8am-5pm) Pay Range Minimum: $75,000.00

Education

We're Looking for: Masters: Human Services (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

• Clinical Supervision Experience | 1 Years | Required
• Counseling/Therapy Experience | 2 Years | Required
• Experience treating substance use disorder or a dually diagnosed population | Not Required
• Experience working with children and adults in a behavioral health capacity | 2 Years | Required
• Knowledge of DSM 5/ICD10 nomenclature, psychotherapy, psychodynamics, therapeutic techniques, interviewing skills, addictions, family and group theories | Required
• Strong clinical skills, particularly in relation to completing comprehensive clinical assessments making treatment recommendations with clinical judgment | Required
• Supervisory Experience | 1 Year | Required
• Additional Details: Senior Therapist, Outpatient must have one of the following qualifications: LCSW LCMHC
• All of the following qualifications are required: Knowledge of DSM 5/ICD10 nomenclature, psychotherapy, psychodynamics, therapeutic techniques, interviewing skills, addictions, family and group theories.
• 2 years of counseling/therapy experience
• 2 years of experience working with children and adults in a behavioral health capacity
• 1 year of clinical supervision experience
• 1 year of supervisory experience

Job Description Summary

The Senior Therapist for Outpatient Services in Behavioral Health provides leadership, clinical oversight, and administrative supervision for a team of outpatient therapists, including associate-level licensed professionals. This role is responsible for ensuring the delivery of high-quality, timely, and effective psychotherapy services, including individual and group therapy. The Senior Therapist collaborates closely with the Director of Operations for Outpatient Services to enhance clinic operations. This is a hybrid position that requires both on-site presence at designated clinic(s) and remote work.

What You'll Do

• Supervise, support, and lead a team of outpatient therapists through clinical and administrative oversight.
• Monitor therapist productivity, compliance, and quality of services to ensure alignment with agency standards and timelines.
• Manage human resources functions for assigned staff, including hiring, training, performance reviews, disciplinary actions, and terminations.
• Maintain a small clinical caseload, providing individual, group, and family therapy using person-centered approaches and evidence-based practices.
• Collaborate with the Vice President of Best Practices to ensure therapist clinical competency, proper documentation, and participation in audits and peer review.
• Lead regular clinical team meetings for case assignment, treatment planning, and collaborative consultation.
• Support clinicians in crisis intervention and safety planning; oversee transitions to higher levels of care when necessary.
• Ensure timely and accurate documentation in compliance with state, federal, and agency standards.
• Refer clients to appropriate external resources to address broader psychosocial needs while adhering to confidentiality guidelines.
• Foster collaborative relationships with clients, families, community agencies, licensing bodies, and funding sources.
• Complete and submit required reports, evaluations, assessments, and documentation as needed.
• Maintain compliance with all required trainings and certifications, as well as agency, state, and federal regulations.
• Remain current on best practices and maintain professional licensure through ongoing training and education.
• Perform additional duties as 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 Since 1958, Monarch Healthcare has focused on helping others and improving lives. Our caring, supportive team of professionals provides services that help people thrive. If you’re looking for a career with purpose, we have a place for you at Monarch Healthcare. We see the possibilities that exist for people living with mental illness, substance use disorders, intellectual and developmental disabilities and traumatic brain injuries and we help others see them as well. At Monarch Healthcare, you’ll see the impact of your work every day when a man with a disability achieves his dream of finding a job, when a woman struggling with addiction walks into treatment for the first time or when a child facing a mental health crisis finds comfort and support. You can make a difference. Join us today! Monarch Healthcare is nationally accredited by The Joint Commission and committed to providing the highest quality care. To learn more about our services and the many ways we provide support, please call [phone] or visit www.MonarchNC.org.