Talk Therapy Clinical Lead

Fabric•United States,

2d•$80,000 - $100,000•Remote

About The Position

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.

Requirements

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.

Nice To Haves

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).

Responsibilities

Provide case consultations, treatment-plan review, and clinical decision support.
Support the team's risk-management pathways for suicidal or homicidal ideation, abuse and mandated reporting, duty-to-warn situations, and other clinical emergencies.
Run regular one-on-ones, support performance and retention, and help each clinician grow their craft and their career on a remote team.
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.
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.
Onboard newly hired therapists, calibrate clinical approach across the team, and deliver clinical training and oversight that raises the floor and the ceiling.
Ensure care delivery meets state licensure, telehealth, and scope-of-practice requirements across all 50 states.
Work with Clinical Operations on therapist availability, scheduling, and continuity.
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.