Founding Clinic Manager - Outpatient SUD Treatment

At Steadfast Health, we're on a mission to deliver hope, healing, and long-term health to those experiencing substance use disorder, through best-in-class addiction treatment and an unwavering belief that lasting recovery comes from partnering with our patients as respected equals in their care journey. We're a passionate team striving to raise the standard of compassionate care for our patients, and we know that to do that, we must care for our people first.

Base salary range: $90,000 - $110,000, with a 10% performance-based bonus program.

Is This You?

This role is built for someone who has managed the day-to-day of an outpatient behavioral health, mental health, or substance use disorder treatment clinic. You know what it means to run a clinic where clinical caseloads, harm reduction philosophy, and patient census directly shape daily operations, and you're fluent in the specific rhythms of behavioral health care delivery.

Why This Role Exists

We're hiring the founding Clinic Manager for our new outpatient SUD treatment center in Winston-Salem, NC. Steadfast Health operates clinics across multiple states, and Winston-Salem will be our next launch using a playbook refined through every prior launch: proven hiring processes, clinical protocols, and operational systems that let a new Clinic Manager focus on building a strong local team and culture rather than inventing infrastructure from zero.

This isn't a from-scratch build: you'll have the benefit of Steadfast's existing operational playbook, clinical standards, and organizational support, while still getting the ground-floor experience of shaping your own team and clinic culture from day one.

What You've Done Before

• Managed daily operations of an outpatient behavioral health, mental health, or SUD clinic, including staffing, scheduling, and clinical workflow
• Operated within a harm reduction, non-punitive care model — and can speak to how that philosophy shapes day-to-day decisions
• Managed clinical caseloads and patient census alongside a clinical team (therapists, case managers, peer support staff, APPs)
• Used behavioral-health-specific EHR and reporting tools to track KPIs like patient retention, no-show rates, and access times
• Navigated the specific regulatory and accreditation landscape of behavioral health/SUD treatment (e.g., CARF, state SUD licensure requirements)

Responsibilities

Operations & P&L Management

• Oversee day-to-day operations of the clinic, ensuring high-quality care delivery, strong team morale, efficiency, and compliance
• Own the clinic's P&L, managing budgets, revenue, and expenses to drive financial sustainability and growth
• Own key metrics such as retention, no-show rates, access times, and productivity to ensure the clinic meets its operational goals

Leadership & Team Development

• Lead by example, mentor, and develop staff to cultivate a supportive, collaborative, and high-performing team environment
• Ensure strong hiring, onboarding, and talent development processes to drive employee satisfaction and high-quality patient care delivery
• Foster an environment where staff feel heard and supported, conducting regular 1:1s and team meetings to align goals, address challenges, and ensure accountability

High-Quality, Harm Reduction-Aligned Care

• Champion a patient-first approach by providing clinicians with the resources and training they need to deliver exceptional, evidence-based care
• Ensure that patient care is holistic, compassionate, non-punitive, and in line with best practices for substance use treatment, including our commitment to low-barrier, harm-reduction care
• Foster a tightly integrated partnership with clinical leadership, ensuring that operational practices enable and enhance evidence-based care

Growth & Community Engagement

• Partner with the Business Development team to strengthen relationships with community organizations, local health providers, and advocacy groups to build a strong community network around the clinic
• Serve as a key operational liaison to hospital partners, ensuring a seamless, high-touch experience that reflects Steadfast's commitment to being a trusted extension of their care team — responsive, proactive, and solutions-oriented
• Collaborate with other Steadfast Clinic Managers and leaders to share insights, align strategies, and drive operational excellence across the organization

Qualifications

• Proven leadership experience managing outpatient clinic operations within a substance use disorder or behavioral health treatment setting
• Direct experience operating within a harm-reduction, non-punitive care model
• Track record of setting, monitoring, and achieving operational goals, with a focus on performance metrics and outcomes across a diverse team
• Proficiency using data dashboards, behavioral-health EHR reporting tools, and Excel to track KPIs such as patient retention, access, and staff productivity
• Skilled in leading data-driven performance improvement initiatives to elevate clinic performance and patient care quality
• Solid understanding of patient care processes, regulatory requirements, and accreditation standards specific to SUD/behavioral health treatment settings
• Strong interpersonal and team-building skills, with an ability to develop, engage, and inspire diverse clinical and operational team members
• Ability to manage crises with empathy, professionalism, and poise while supporting your team through challenges
• A natural relationship-builder with deep community ties, capable of fostering strong partnerships with local organizations and healthcare providers
• A passionate advocate for Steadfast Health's mission of providing low-barrier, non-punitive, harm-reduction substance use disorder care

Schedule: Monday - Friday, 8:30a - 5:00p EST. This schedule may evolve based on organizational needs, and flexibility may be required as Steadfast Health continues to grow.

Some of the Benefits

• Healthcare Coverage: Medical, dental, and vision insurance
• Time Off: Flexible time off with generous PTO, floating paid holidays, and paid volunteer days
• Re-Fuel Days: 4 additional paid days off per year for mental health, rest, or continuing education (CEU) activities
• Continuing Education: Annual CEU support & ongoing paid training
• Employee Assistance Program (EAP): Free, confidential access to therapist sessions, legal guidance, financial resources, health coaching, and more
• 401K Match up to 5%
• 100% employer-paid short-term and long-term disability and employer-sponsored life insurance
• SoFi student loan interest rate discount, Rightway Health Concierge, 1 year free pet Telehealth through Pawp, and Perkspot Discount Marketplace
• An opportunity to get in at the ground level and shape how we grow!

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prolonged periods of sitting at a desk and working on a computer
• Ability to operate standard office equipment (e.g., computer, keyboard, phone, printer) as part of regular work duties
• Sufficient visual acuity to read and analyze data on screens and in printed reports
• Manual dexterity sufficient to type, use a mouse, and handle office tools and documents
• Ability to participate in virtual meetings with both audio and visual components (e.g., Zoom, Teams)
• Ability to navigate outpatient clinic spaces, including group therapy rooms, counseling offices, waiting areas, and common areas
• Work may involve exposure to high-stress situations, including patient de-escalation, requiring emotional resilience, professionalism, and trauma-informed skills
• Ability to remain on your feet for extended periods, including walking and standing during clinic operations
• Ability to occasionally lift and carry office supplies or clinic materials weighing up to 20 pounds
• Ability to respond to emergency situations, which may require quick mobility and/or providing assistance to ensure patient or staff safety
• Ability to manage and oversee the physical environment of the clinic to ensure it is maintained in accordance with health and safety standards

Investors & Partners

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners. Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations, all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower healthcare costs for all). TAP emphasizes the importance of creating strong, front-line focused company cultures that enable high-quality patient care.