Clinical Supervisor - Children's Advantage

Job Description:

SUMMARY:

The Clinical Supervisor provides clinical, administrative, and programmatic oversight for all children's behavioral health services delivered by the agency. This position is responsible for the full scope of the children's office: direct supervision of clinical staff, program quality and fidelity, compliance with multiple county board contracts and funder requirements, and coordination of the agency's school-based, court-involved, and detention/jail assessment services. A defining responsibility of this position is building clinical capacity in areas where children's behavioral health staff are commonly underprepared: recognizing, diagnosing, and treating co-occurring mental health and substance use disorders (dual diagnosis) in youth, and identifying and addressing family-level needs, including parental and household substance use.

The Clinical Supervisor is expected to function as the in-house expert in these areas — reviewing staff assessments for missed or misattributed substance use presentations, coaching clinicians who have little or no alcohol and drug training, and ensuring that treatment plans reflect an integrated, family-inclusive approach rather than mental health treatment alone. The position carries a limited direct service caseload and functions as the senior clinical authority for the children's program.

SUPERVISOR:
Director of Behavioral Health or Designee SUPERVISES:
Therapists, case managers, QMHS/CPST staff, school-based clinicians, interns and licensure candidates

DUTIES AND RESPONSIBILITIES:

Clinical Supervision and Staff Development Provide individual and group clinical supervision to therapists, case managers, and paraprofessional staff in accordance with state licensure board rules and agency policy. Provide board-approved supervision toward independent licensure for licensure candidates (e.g., LSW, LPC) and document supervision hours per licensing board requirements. Review and approve diagnostic assessments, treatment plans, discharge summaries, and level-of-care determinations. Conduct chart reviews and case consultation to assess clinical quality and model fidelity.

Assess staff competency, identify training gaps, and deliver or arrange ongoing clinical training, with particular attention to staff who lack alcohol and drug assessment and treatment skills. Complete performance evaluations, coach staff on performance concerns, and participate in hiring, onboarding, corrective action, and separation decisions. Maintain a supervision schedule that meets contractual, licensure, and accreditation minimums, with documentation available for audit.

Dual Diagnosis:
Co-Occurring Mental Health and Substance Use Disorders Serve as the agency's primary clinical resource on adolescent substance use, recognizing that most children's behavioral health staff have limited training in diagnosing and treating these conditions. Build and sustain staff competency through structured training, case consultation, shadowing, and skills coaching in substance use screening, assessment, diagnosis, and treatment. Ensure universal substance use screening is completed and correctly interpreted, using validated adolescent tools (e.g., CRAFFT, GAIN-SS, S2BI) rather than informal or self-report-only inquiry.

Review diagnostic assessments for missed, minimized, or misattributed substance use, including symptoms mistakenly attributed solely to mood, anxiety, trauma, or behavioral disorders. Apply and teach ASAM criteria for adolescents; oversee level-of-care determinations and referrals to withdrawal management, IOP, residential, or recovery support services. Ensure treatment planning addresses mental health and substance use concurrently and in an integrated manner, rather than sequentially or in isolation.

Oversee use of evidence-based co-occurring interventions (e.g., Motivational Interviewing, A-CRA, Seeking Safety, adolescent CBT for substance use) and monitor fidelity. Ensure staff understand and apply 42 CFR Part 2 requirements, adolescent consent rules for substance use treatment, and the confidentiality distinctions between mental health and…