Founding Clinical Director

• Salary $115,000 to $140,000 annually, commensurate with experience
• City O'Fallon
• Country United States

Aftermath is preparing to open a new substance use disorder treatment facility in O'Fallon, Illinois. The organization plans to serve adult clients through Outpatient, Intensive Outpatient (IOP), and Partial Hospitalization (PHP) programming.

We are seeking a Founding Clinical Director who wants more than responsibility for an already-established department. This leader will have the opportunity to help create the clinical culture, assemble the team, establish expectations, and guide the program from readiness into active service delivery.

The Founding Clinical Director will be the facility’s senior clinical leader. This individual 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.

This position may begin before the facility opens to support final readiness and hiring activities. It will continue as a permanent, full-time leadership role following launch.

• A clinically sound and client-centered treatment culture
• Consistent expectations for assessments, treatment plans, progress notes, reviews, and discharge documentation
• Clear supervision and clinical escalation structures
• Reliable processes for admission, placement, continued stay, transition, and discharge
• Adult programming aligned with client needs and ASAM Criteria
• Clinical workflows that support Illinois Part 2060 and applicable payer requirements
• Quality-review processes that identify documentation, treatment, and performance concerns early
• Productive communication among clinical, medical, administrative, and utilization review teams
• A clinical team prepared to operate effectively as census and services grow

• 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 remains 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

• 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…