Talk Therapy Clinical Lead

Fabric; United States; On-site; USD 80,000 - 100,000; Full time

Benefits offered by this job

Unlimited PTO

401(k) plan

Medical, dental, vision benefits

Job summary

Fabric Health is hiring a Talk Therapy Clinical Lead to supervise licensed therapists delivering virtual care across all 50 states. You will ensure clinical quality, safety, and consistency while staying close to frontline work with a small direct caseload.

You bring 5+ years of practice, supervise others, and excel in remote, tech-enabled environments. The role includes building scalable quality processes and navigating multi-state licensure requirements.

Qualifications

• Active, unrestricted, independent license in at least one US state.
• 5+ years of post-licensure clinical practice delivering psychotherapy.
• 2+ years supervising other clinicians.
• Experience with telehealth and remote care.
• Strong risk management, crisis protocols, and mandated reporting.

Responsibilities

• Supervise licensed therapists and partner with Clinical Operations, Product, and Member Experience.
• Support clinical quality, safety, and consistency of therapy across the remote team.
• Maintain a small direct therapy caseload to stay connected with day-to-day practice.
• Oversee chart review, documentation, and measurement-based care.
• Develop and maintain clinical protocols, safety workflows, and care pathways.

Skills

Licensed clinician

Clinical supervision

Telehealth delivery

Clinical risk management

Effective communication

US work authorization

Education

LCSW/LMFT/LPC/LPCC or Psychologist (PhD/PsyD)

Tools

EHR systems

AI-assisted documentation

Video conferencing

Job description

About Fabric Health

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.

About Fabric Health

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.

We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.

Learn more: About Us | News & Press | LinkedIn | Careers

About The Role

We deliver talk therapy across all 50 states through our virtual care service: licensed therapists, the same therapist visit over visit, and 45 or 50 -minute sessions. As demand grows, our therapist team is growing fast, and we need a clinical leadership layer purpose-built to support it.

The Talk Therapy Clinical Lead is that layer. Reporting to our senior behavioral health clinical leader, you will provide clinical support to a team of licensed therapists delivering care on the platform. You support the clinical quality, safety, and consistency of the therapy they provide, and their experience as members of a remote team. In this role, you will also keep a small direct caseload so you stay close to the work your team does every day.

What You'll Do

As the Talk Therapy Clinical Lead, you will supervise a team of licensed therapists, reporting to the senior behavioral health clinical leader and partnering with Clinical Operations, Product, and Member Experience. Your primary responsibilities will include:

• Case Consultation and Clinical Support: Provide case consultations, treatment-plan review, and clinical decision support, so that every member receives safe, effective, evidence-based care.
• Risk and Crisis Oversight: Support the team's risk-management pathways for suicidal or homicidal ideation, abuse and mandated reporting, duty-to-warn situations, and other clinical emergencies. Be the escalation point for high-acuity and complex cases and ensure clinicians know exactly what to do and when.
• Clinical Oversight: Run regular one-on-ones, support performance and retention, and help each clinician grow their craft and their career on a remote team.
• Clinical Quality and Documentation: Oversee the chart review team, conduct chart and documentation reviews, monitor measurement-based-care and outcome data, and close the loop with coaching when quality or consistency drifts.
• Standards and Protocols: Partner with the senior behavioral health leader to maintain clinical protocols, safety workflows, and care pathways for the talk therapy program, and keep them current as the program evolves.
• Onboarding and Calibration: Onboard newly hired therapists, calibrate clinical approach across the team, and deliver clinical training and oversight that raises the floor and the ceiling.
• Multi-State Compliance: Ensure care delivery meets state licensure, telehealth, and scope-of-practice requirements across all 50 states.
• Capacity Partnership: Work with Clinical Operations on therapist availability, scheduling, and continuity, so that clinical quality and access scale together rather than against each other.
• Direct Care: Maintain a small direct therapy caseload to stay close to the member and clinician experience and to model the standard you hold the team to.

Why You Might Be a Good Fit

• You are an experienced, fully licensed therapist who has already supervised or led other clinicians and found that you love developing people as much as treating members.
• You hold a high clinical bar and can articulate what good therapy looks like, then coach a team toward it without micromanaging.
• You are calm and decisive in clinical risk situations.
• You think about quality and access at the same time, and you understand that continuity and time-to-care are part of the clinical outcome, not separate from it.
• You are comfortable in a fast-moving, remote, technology-forward environment and curious about how AI and good tooling can make clinicians' work better rather than harder.

This Might Not Be The Right Fit If...

• You want a pure individual-contributor caseload with no responsibility for other clinicians' work; the heart of this role is supervision and leadership.
• You are uncomfortable being the clinical escalation point for high-acuity or crisis situations across a team.
• You prefer a single-state, single-setting practice and are not interested in the complexity of multi-state telehealth.
• You see documentation review, outcome measurement, and quality oversight as busywork rather than as core to safe care at scale.

Your Qualifications

• Active, unrestricted, independent clinical license in good standing as an LCSW, LMFT, LPC or LPCC, or a licensed psychologist (PhD or PsyD), in at least one US state, with the willingness and ability to obtain additional state licenses.
• 5+ years of post-licensure clinical practice delivering psychotherapy providing care to a variety of populations and acuity levels.
• 2+ years supervising, leading, or formally mentoring other clinicians.
• Direct experience in telehealth or virtual behavioral health, and comfort delivering and overseeing care over video and other virtual modalities.
• Strong command of clinical risk management, crisis and safety protocols, mandated reporting, and evidence-based, measurement-based care.
• Excellent written and verbal communication and the ability to give clear, supportive, direct feedback to other clinicians.
• Authorized to work in the United States without sponsorship.

Bonus Points

• Licensed in multiple states, or participation in PSYPACT or the Counseling Compact.
• Experience standing up or scaling a clinical supervision structure at a high-growth telehealth or virtual care company.
• Experience with outcome-measurement tools and modern EHR or documentation systems, including AI-assisted documentation.
• Background across multiple therapeutic modalities (for example, CBT, DBT, ACT)

The national pay range for this role is $80,000.00 – $100,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.

At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.