Position: Lead Therapist
Responsible To: Clinical Director
Position Purpose: Provide supervision for assigned clinicians who provide mental
health/substance use services on and off campus. Provide services to
children/families in accordance with agency policies and procedures.
Status: Exempt – Licensed Professional
1. Fully Licensed (North Carolina) therapist in good standing with no licensure restrictions,
whose professional licensure authorizes him/her to diagnose mental illnesses and/or
addictive disorders. Ability to supervise Associate level (provisionally licensed staff)
2. 5 years experience as a counselor working with children and families preferred,
preferably in a mental health/substance abuse treatment setting.
3. Minimum 3 years supervisory experience preferred.
4. Understands Medicaid, Health Choice and Third Party billing process.
5. Experience and skills serving child/adolescent population; experience in residential and
day treatment preferred.
6. Ability to work well within a team structure.
1. Provides direct clinical and administrative supervision to assigned staff. Provides for
development, coaching, and training assigned staff. Sets expectations for staff, holding
them accountable, and implementing improvement plans as necessary in accordance with
appropriate Human Resource policies.
a) Administrative Supervision includes: monitoring workflow of all assigned
staff. Workflow may include overseeing billable expectations, assignment of caseload,
and ensuring documentation meets agency and licensing standards.
b) Clinical Supervision includes: case consultation, monitoring caseload
complexity, reviewing Assessments and Service Plans, and providing training and
coaching to improve supervisee skills.
2. Facilitate and participate in group supervision, case conferences, staff meetings, etc., in
accordance with policies and procedures and/or as directed by supervisor.
3. In conjunction with the Clinical Director, provide clinical leadership to ensure that each
client receives appropriate care consistent with accepted standards of practice and the
needs of the client, through participation in department meetings, observing clients in
program areas and by providing clinical trainings to staff.
4. Participate in a rotation schedule that provides twenty-four hour clinical on-call services
for the agency, providing necessary support and counsel in crisis situations. Serve as
resource for clinicians on call.
5. Maintains an appropriate caseload as determined by Clinical Services Manager, (caseload
includes provision of comprehensive clinical assessments, individual, group, and/or
family counseling according to individualized service plans.)
6. Maintains complete and accurate documentation of all services provided, or
recommended in accordance with policies and procedures.
7. Serve as agency liaison for department. Assist referral sources, clients, and families with
client care issues/concerns. Coordinate with remote site location personnel regarding
client care issues/concerns and schedule regular site visits and meetings to evaluate
services with site representatives, as directed by supervisor.
8. Engage in evidence-based practice and continual research regarding therapeutic
interventions relevant to the populations served.
9. Demonstrate a solid understanding of systemic and strength-based practice as evidenced
by day-to-day interactions with clients and other professionals.
10. Participate in program development through agency and community committee
11. Demonstrate a working knowledge of the child and family mental health system in the
state of North Carolina, keeping abreast of changes and the agency’s position in relation
to those changes.
12. Acts as a resource to the Admissions Department, by providing support and backup as
13. In the absence of the Clinical Services Manager, coordinates with the Chief Clinical
Officer to provide leadership and oversight of the Agency clinical admissions process.
14. In the absence of the Clinical Services Manager attends to billing and monetary issues
related to Outpatient revenue generation, working closely with authorization and billing
staff to maximize collection rates.
15. Demonstrate the ability to take supervisory direction as well as work independently using
16. Communicates with and provide feedback to Leadership Team, addressing any areas of
concern or potential problems.
17. Works in collaboration with other programs and services both on and off campus to
assure that the mission and vision of Crossnore School and Children’s Home is met.
18. Communicate to staff and the community at large agency philosophy, policies and rules.
19. Document services provided in accordance with agency policy and procedure.
20. Assist with the creation and distribution of reports to various stakeholders as required by
licensing, accreditation and other standards.
21. Appropriately document all supervisory meetings, including minutes, corrective action,
disciplinary action, performance appraisals, etc.
22. Ensure personnel file compliance by submitting all personnel file documentation to
Human Resources in a timely manner.
1. Adheres to the Agency’s commitment to the Sanctuary Model of Care, S.E.L.F Model, Self
Care, Seven Commitments and their respective tools to create a supportive, nurturing
environment conducive to clients’ spiritual, social, educational and emotional development.
2. Promote a safe, secure environment in all areas of responsibility by adhering to all policies
and procedures and all program guidelines pertaining to risk management.
3. Show good judgment related to work performance and ethical behavior.
4. Demonstrate the ability to handle confidential information in accordance with agency
5. Be responsive and sensitive to the cultural and ethnic differences among staff, students,
cottage groups, and families served.
6. Use agency resources efficiently and conservatively, including time, facilities, vehicles,
equipment, supplies and funds.
7. Participate in meetings and trainings per agency policy.
8. Present a positive, helpful, and professional image of Crossnore School and Children’s Home
in personal appearance and attitude.
9. Participate in regular performance evaluations and attend training opportunities to enhance
10. Assume responsibility for professional development through appropriate use of regular
supervision (clinical/individual or group) and attendance at classes, workshops, etc. to
improve professional skills.
11. Ensure the provision of quality services through participation in Continuous Quality
Improvement (CQI) process.
12. Ensure compliance with all applicable standards of practice.
13. Actively promote the mission, values and purpose of Crossnore School and Children’s
14. Performs other miscellaneous duties as assigned.
PHYSICAL DEMANDS Light
Position may require lifting to 20 pounds at a time with frequent lifting or carrying of
objects weighing up to 10 pounds. Frequent walking, standing, and sitting. Frequent
reaching and/or grasping using hands and/or arms. May be required to ascend/descend
stairs. Frequent use of hands requiring dexterity in using the telephone, computer
keyboard, or other objects. Visual ability including distance, peripheral and depth
perception. Ability to drive. Regularly required to talk and hear.