Clinical Director

Eileen's House

Dorchester, MA

JOB TITLE: Clinical Director

REPORTS TO: Program Director

SUMMARY OF POSITION: The Recovery Home Clinical Director provides clinical team leadership and supervision to counselors and case managers in a BSAS-licensed residential substance use disorder (SUD) treatment program. This role is responsible for overseeing the coordination and delivery of evidence-based treatment services, ensuring compliance with 105 CMR 164.000, and supporting the professional development of clinical staff.

PRIMARY RESPONSIBILITIES:

CLINICAL SUPERVISION & SUPPORT

• Provide weekly individual and group clinical supervision to assigned clinical staff and interns, including hours toward licensure when applicable
• Maintain and submit monthly supervision logs in accordance with agency policy
• Guide clinical staff in documentation, case conceptualization, risk assessment, and culturally responsive practices
• Lead or colead weekly clinical meetings and multidisciplinary team case reviews
• Offer performance feedback, identify growth areas, and support professional development in collaboration with the Program Director
• Assist in clinical crisis response and debriefing, and promote best practices in traumainformed care

DOCUMENTATION & BILLING COMPLIANCE

• Obtain ongoing insurance authorizations (initial and continued stay) through contracted MassHealth providers
• Process all billing in the EHR for clients insured through contracted MassHealth plans
• Review and cosign documentation for prelicensed staff and interns, including psych socials, ASI, treatment plans, progress notes, assessments, discharge summaries, and aftercare plans
• Ensure all documentation is completed within 2472 hours of service delivery and meets payor and internal standards
• Oversee billing compliance by verifying that all billable services (e.g., 1:1 therapy, group sessions, phase groups) are properly documented and coded in the EHR
• Conduct monthly chart audits using standardized tools; document findings, implementing corrective actions.
• Responsible for completion of the Quarterly Record Review in the EHR
• Maintain logs of documentation errors and corrections to ensure audit readiness and continuous quality improvement
• Integrate billing and documentation guidance into regular clinical supervision and training efforts

CLINICAL COORDINATION & COMPLIANCE

• Coordinate with the Program Director, Intake Coordinator, and clinical staff to align client onboarding, assessment, and treatment planning processes
• Collaborate with external agencies to coordinate residents’ treatment
• Support clinicians in developing treatment plans at appropriate intervals (initial, 30/60/90/120/150day, discharge, aftercare)
• Promote personcentered, ethical care practices that meet the needs of clients with cooccurring disorders
• Ensure documentation adheres to mandatory reporting, incident tracking, and discharge protocols
• Participate in monthly compliance meetings to report audit trends and share clinical insights

PROGRAM DEVELOPMENT & QUALITY IMPROVEMENT

• Support clinical program development through evaluation and integration of evidencebased practices
• Participate in strategic planning and continuous quality improvement initiatives
• Collaborate with program leadership and compliance staff on the development and maintenance of clinical SOPs and policy updates
• Monitor alignment of clinical practices with BSAS licensing standards and Medicaid billing requirements

TRAINING & CONTINUING EDUCATION

• Plan and deliver quarterly (or more frequent) inservice training on clinical and compliance topics
• Ensure training is traumainformed, culturally responsive, and aligned with current BSAS and billing regulations
• Encourage reflective practice and promote a culture of ongoing learning and professional growth

OTHER

• Perform other tasks as assigned by the Program Director or agency leadership

REQUIREMENTS:

• Master’s degree in psychology, clinical social work, counseling, psychiatric nursing, or a closely related field or current Massachusetts licensure as a Licensed Alcohol and Drug Counselor I (LADC I)
• Minimum two years of supervised experience in substance use disorder treatment
• At least one year of fulltime experience supervising clinical staff
• Working knowledge of 12Step philosophy and recovery principles
• Familiarity with documentation, billing, and regulatory requirements for substance use treatment
• Demonstrated cultural competence and commitment to equitable, clientcentered service delivery
• Must meet Massachusetts CORI and background check requirements
• Strong interpersonal and team collaboration skills
• If in recovery, a minimum of two years of continuous sobriety

DESIRED SKILLS:

• Experience providing traumainformed care
• Proficiency in EHR documentation and billing workflows
• Strong organizational, documentation, and time management abilities
• Understanding of clinical audit processes and Medicaid/BSAS billing structures

SCHEDULE: Onsite, Monday–Friday 10:00 a.m.–6:00 p.m. (occasional variation based on program needs.

#WORKATGAVIN

About Gavin Foundation Inc

The Gavin Foundation is a nonprofit agency providing comprehensive adult, youth and community substance abuse education, prevention and treatment programs. Established in South Boston in 1963, we now serve over 10,000 individuals each year from Massachusetts and beyond. The Gavin Foundation offers a continuum of care to individuals, support services to their families, and programs to increase community awareness and acceptance regarding addiction and recovery.