Founding Clinical Director | O'Fallon, Illinois

Atlantic Health Strategies•O'Fallon, IL
•$115,000 - $140,000•Onsite

About The Position

Aftermath is preparing to open a substance use disorder treatment facility in O'Fallon, Illinois, serving adults through Outpatient, Intensive Outpatient (IOP), and Partial Hospitalization (PHP) programming. The Founding Clinical Director will serve as the facility’s senior clinical leader and help create its clinical culture, assemble the team, establish expectations, and guide the program from readiness into active service delivery. The position may begin before the facility opens to support final readiness and hiring activities, and will continue as a permanent, full-time leadership role following launch. The director will be accountable for treatment quality, clinical supervision, staff development, documentation performance, program integrity, and coordination across clinical, medical, utilization review, compliance, and operational functions. The role includes directing clinical services, maintaining the integrity of programming, guiding clinical decisions, leading responses to complex cases and crises, monitoring outcomes, preparing for reviews, and building a capable clinical team as the program grows. The director will establish and maintain consistent clinical expectations and workflows for assessments, treatment plans, progress notes, reviews, admissions, placement, continued stay, transitions, and discharge. The role will support programming aligned with client needs and ASAM Criteria, Illinois Part 2060, and applicable payer requirements, while identifying quality, documentation, treatment, and regulatory concerns and coordinating corrective action as needed.

Requirements

  • Master’s degree in Social Work, Counseling, Psychology, or a closely related behavioral health field.
  • Active and unrestricted Illinois LCSW or LCPC license in good standing.
  • At least five years of behavioral health clinical experience.
  • At least three years of clinical supervision, program management, or clinical leadership experience.
  • Direct experience with substance use disorder and co-occurring mental health treatment.
  • Experience supervising licensed and developing clinicians.
  • Working knowledge of ASAM Criteria and structured behavioral health levels of care.
  • Strong knowledge of clinical documentation, treatment planning, medical necessity, and quality assurance.
  • Demonstrated ability to manage staff performance and clinical accountability.
  • Ability to work primarily on-site in O'Fallon, Illinois.

Nice To Haves

  • Leadership experience within an Illinois Part 2060 licensed program.
  • Experience developing or overseeing Outpatient, IOP, or PHP services.
  • Experience serving adult populations.

Responsibilities

  • Direct the day-to-day delivery of clinical services.
  • Maintain the clinical integrity of Outpatient, IOP, and PHP programming.
  • Guide clinical decisions involving placement, treatment needs, continued stay, transfer, and discharge.
  • Review program performance and adjust clinical workflows when needed.
  • Lead responses to complex cases, safety concerns, and clinical crises.
  • Ensure programming is individualized, evidence-informed, and appropriate for the populations served.
  • Monitor clinical outcomes and lead improvement initiatives.
  • Prepare the clinical department for licensing, accreditation, payer, and quality reviews.
  • Recruit, onboard, supervise, and develop clinical team members.
  • Provide direct oversight to clinical supervisors and other assigned staff.
  • Establish consistent supervision practices and documentation.
  • Assess employee competency and provide coaching or corrective guidance.
  • Create opportunities for clinical training and professional development.
  • Support staff accountability while maintaining a collaborative work environment.
  • Evaluate staffing and coverage needs as program census changes.
  • Establish expectations for complete, accurate, and timely clinical records.
  • Monitor documentation quality and address recurring deficiencies.
  • Coordinate with utilization review to support medical necessity and authorization requirements.
  • Maintain clinical policies and procedures.
  • Identify areas of clinical or regulatory risk.
  • Develop and oversee corrective action when standards are not met.
  • Collaborate with leadership on survey preparation and ongoing compliance.
  • Establish clear supervision and clinical escalation structures and reliable processes for admission, placement, continued stay, transition, and discharge.
  • Promote productive communication among clinical, medical, administrative, and utilization review teams.
  • Build and prepare a clinical team to operate effectively as census and services grow.
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