Clinical Director

Clinical Director

Behavioral Health | IOP, PHP & Outpatient Services

LOCATION
Denver, Colorado

EMPLOYMENT
Full-time | Part-time possible

REPORTS TO
Chief Executive Officer

COMPENSATION
$76,000 to $112,000 DOE

A Hands-On Clinical Leadership Role

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 adults and young adults experiencing 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.

What You’ll DoProvide Direct Clinical Care

· 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.

Lead Clinical Services and the Treatment Team

· 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.

Maintain Clinical Quality, Compliance and Risk Management

· 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.

Oversee Utilization Review and Program Operations

· Oversee insurance authorizations, reauthorizations, utilization review, continued-stay reviews, and appeals.

· Ensure clinical documentation supports the appropriate level, intensity, frequency, and duration of treatment.

· Collaborate with the CEO on program development, staffing, clinical strategy, and operational improvement.

· Work closely with the Program Manager, Operations Manager, Client Services Manager, Primary Therapists, Group Facilitators, referral partners, and community providers.

· Help strengthen client engagement, attendance, retention, treatment completion, clinical outcomes, and transitions between levels of care.

· Adapt to changing organizational needs and contribute wherever clinical leadership or direct service is most needed in a small-business environment.

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.

What Success Looks Like

· Clients receive compassionate, individualized, evidence-based care at the appropriate level of service.

· Direct-service groups, evaluations, and individual sessions are delivered reliably and at a high clinical standard.

· Clinical staff receive consistent supervision, timely consultation, clear expectations, and meaningful development.

· Documentation is timely, accurate, medically necessary, audit-ready, and compliant with payer and regulatory requirements.

· Chart audits, utilization reviews, authorizations, and appeals produce strong outcomes with minimal avoidable deficiencies.

· High-risk situations are handled promptly, ethically, collaboratively, and according to established procedures.

· Clinical leadership and day-to-day operations remain aligned as the organization grows.

Required Qualifications

· Master’s degree or higher in counseling, social work, psychology, marriage and family therapy, or another qualifying behavioral health discipline.

· 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.

How to Apply

Please submit your resume and a brief cover letter describing your clinical leadership and supervision experience, your experience providing evaluations and individual and group treatment, your familiarity with PHP/IOP or co-occurring-disorders care, and why you are interested in joining TRUE Counseling Services.

TRUE Counseling Services, LLC is committed to an inclusive and respectful workplace. Employment decisions are based on qualifications, merit, organizational needs, and applicable legal requirements.

Pay: $76,000.00 - $112,000.00 per year

Benefits:

• Flexible schedule
• Paid time off
• Retirement plan

Work Location: Hybrid remote in Denver, CO