Licensed Therapist - Community Support Team Lead; CST

Community Support Team (CST) Team Lead (Licensed Clinician)

Location: Robeson, Bladen, Cumberland, Columbus & surrounding counties (field-based + hybrid remote)

Local Office: Elizabethtown, NC

Schedule: Full-Time | Flexible hours with field visits, remote documentation, and weekly team meetings

Pay: $40/hr for billable sessions + $50 per CCA + $400 monthly Admin & Travel Stipend + performance bonuses

At TSG Behavioral Health & Community Services, we’re expanding services into new counties to meet the need for high-quality, community-based care. Our Community Support Team (CST) provides intensive, team-based treatment for adults living with serious mental illness, co-occurring substance use disorders, and functional impairments that put them at risk of hospitalization or institutionalization.

We are seeking a licensed clinician to serve as the CST Team Lead — the Medicaid-required clinical leader for the program. This is a unique opportunity to help build CST services in a new area while leading a multidisciplinary team that delivers measurable impact.

• Competitive Pay Model
  :
• $40/hr for CST billable sessions
• $50 per Comprehensive Clinical Assessment (CCA)
• $400 monthly Admin & Travel Stipend (covers up to 6 hrs/wk documentation review, team meetings, and travel)
• Performance bonuses for compliance, quality, and caseload growth
• Flexibility
  :
  Hybrid role with field-based client work, remote documentation, and agency-supported scheduling
• Leadership Opportunity
  :
  Medicaid Team Lead designation
• Supportive Agency
  :
  You won’t build census alone — agency referral partnerships and outreach will support growth in this new service area

• Serve as the Team Lead in compliance with NC Medicaid requirements, providing clinical oversight and direct interventions as needed.
• Supervise QPs, APs, paraprofessionals, and Peer Support Specialists.
• Lead weekly team meetings and provide individualized staff supervision.
• Ensure 75%+ of services are delivered face-to-face in community settings
  .
• Review and approve treatment plans, service notes, CCAs, and discharges.
• Conduct audits and implement corrective actions for compliance issues.
• Provide direct services (therapy, crisis response, psychoeducation) as needed.
• Collaborate with MCOs, LMEs, referral sources, and community partners to ensure care coordination.

• NC Licensed Clinician (LCSW, LCMHC, LMFT, or Licensed Psychologist)
• Associate/Provisional licenses accepted with arranged supervision
• Meets Medicaid Team Lead requirements for CST
• 1+ year of clinical supervisory experience OR 2+ years of direct clinical service
• Strong knowledge of Medicaid documentation and compliance standards
• Reliable transportation and willingness to travel across counties

• $40/hr for billable sessions
• $50 per Comprehensive Clinical Assessment (CCA)
• $400 monthly Admin & Travel Stipend
• Bonuses for compliance, retention, and program outcomes
• Mileage reimbursement available beyond stipend if significant travel is required
• 401(k)

This isn’t just another clinical role — it’s the Medicaid-required Team Lead position for our CST program in a new service area. You’ll shape the future of the program, lead a multidisciplinary team, and deliver recovery-focused, community-based care where it’s needed most.

If you’re ready for a flexible, impactful leadership role with competitive compensation, apply today to join us as the CST Team Lead.