Clinical Manager & Lead Clinician

Job Description

Job Description

About Monarch Behavioral Health
Monarch Behavioral Health is a San Antonio-based group practice providing therapy, counseling, and psychological assessment services for children, teens, and adults.

Our Mission
To cultivate growth and reduce suffering by creating safe spaces for connection and understanding while making high-quality mental health care more accessible in our community.

Clinical Manager & Lead Clinician
Monarch Behavioral Health is seeking a full-time Clinical Manager to combine a reduced clinical caseload with meaningful leadership responsibility. In this role, you will support clinical excellence, mentor clinicians, strengthen team culture, and help improve the client and clinician experience.

This is a full-time, salaried, overtime-exempt position based in San Antonio, Texas. The ideal candidate is licensed in Texas as an LPC-S, LMFT-S, LCSW-S, or Licensed Psychologist, brings at least 4 years of post-licensure clinical experience, and has prior supervisory or management experience. Private practice experience is strongly preferred.
This role is ideal for applicants who:

• Enjoy developing clinicians and elevating clinical quality across a team.
• Are comfortable balancing leadership responsibilities with a reduced client caseload.
• Bring sound clinical judgment and can guide staff through complex situations, including crisis response and high-acuity cases.
• Communicate clearly, provide constructive feedback, and collaborate effectively with clinicians and leadership.
• Are organized, proactive, and motivated to improve systems, team effectiveness, and client experience.

To support focus and role continuity, this position is not compatible with maintaining an outside private practice.

Key Responsibilities

• Maintain a reduced clinical caseload of approximately 10-12 clients per week while leading day-to-day clinical operations.
• Supervise, mentor, and support clinicians through consultation, feedback, training, and performance management.
• Ensure high standards for documentation, ethics, compliance, and implementation of clinical best practices.
• Partner with leadership on hiring, onboarding, retention, and team development.
• Lead team meetings, provide clinical consultation, and support alignment across clinical and leadership teams.
• Identify and implement process improvements that strengthen client experience, team efficiency, and practice performance.
• Provide thoughtful, constructive feedback and proactively address operational or clinical challenges.

Required Qualifications

• Active, unrestricted Texas license as an LPC-S, LMFT-S, LCSW-S, or Licensed Psychologist.
• Master's or doctoral degree in counseling, social work, psychology, or a related clinical field.
• At least 4 years of post-licensure experience providing direct clinical care.
• Prior supervisory or management experience in a clinical setting, preferably private practice.
• Experience with hiring, onboarding, retention, or process improvement initiatives.
• Strong written, verbal, and interpersonal communication skills.
• Demonstrated ability to work independently, stay organized, and manage multiple priorities.
• Commitment to Monarch Behavioral Health's mission, values, and high standards of client care.

Preferred Qualifications

• A clinical niche or area of specialization such as trauma, anxiety, grief, or child and adolescent counseling.

Our Values

• Professionalism
• Abundance Minded
• Eager-to-Learn
• Humbly Confident
• Relationship-Oriented

Benefits and Perks
We offer a competitive benefits package designed to support your well-being and professional growth, including medical, dental, and vision coverage; an employee assistance program; short-term disability; paid time off; paid holidays; a CEU stipend plus company-provided CEUs; and participation in the federal student loan forgiveness program.

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