Clinical Manager & Lead Clinician

Monarch Behavioral Health•San Antonio, TX

12d•$75,000 - $90,000•Onsite

About The Position

Monarch Behavioral Health is seeking a full-time Clinical Manager to combine a reduced clinical caseload with meaningful leadership responsibility. In this role, you will support clinical excellence, mentor clinicians, strengthen team culture, and help improve the client and clinician experience. This is a full-time, salaried, overtime-exempt position based in San Antonio, Texas. The ideal candidate is licensed in Texas as an LPC-S, LMFT-S, LCSW-S, or Licensed Psychologist, brings at least 4 years of post-licensure clinical experience, and has prior supervisory or management experience. Private practice experience is strongly preferred. This role is ideal for applicants who: Enjoy developing clinicians and elevating clinical quality across a team. Are comfortable balancing leadership responsibilities with a reduced client caseload. Bring sound clinical judgment and can guide staff through complex situations, including crisis response and high-acuity cases. Communicate clearly, provide constructive feedback, and collaborate effectively with clinicians and leadership. Are organized, proactive, and motivated to improve systems, team effectiveness, and client experience. To support focus and role continuity, this position is not compatible with maintaining an outside private practice.

Requirements

Active, unrestricted Texas license as an LPC-S, LMFT-S, LCSW-S, or Licensed Psychologist.
Master's or doctoral degree in counseling, social work, psychology, or a related clinical field.
At least 4 years of post-licensure experience providing direct clinical care.
Prior supervisory or management experience in a clinical setting, preferably private practice.
Experience with hiring, onboarding, retention, or process improvement initiatives.
Strong written, verbal, and interpersonal communication skills.
Demonstrated ability to work independently, stay organized, and manage multiple priorities.
Commitment to Monarch Behavioral Health's mission, values, and high standards of client care.

Nice To Haves

A clinical niche or area of specialization such as trauma, anxiety, grief, or child and adolescent counseling.

Responsibilities

Maintain a reduced clinical caseload of approximately 10-12 clients per week while leading day-to-day clinical operations.
Supervise, mentor, and support clinicians through consultation, feedback, training, and performance management.
Ensure high standards for documentation, ethics, compliance, and implementation of clinical best practices.
Partner with leadership on hiring, onboarding, retention, and team development.
Lead team meetings, provide clinical consultation, and support alignment across clinical and leadership teams.
Identify and implement process improvements that strengthen client experience, team efficiency, and practice performance.
Provide thoughtful, constructive feedback and proactively address operational or clinical challenges.