Job Description

Overview
The Enhanced Outpatient Lead Clinician provides treatment and leads treatment team for clients receiving Enhanced Outpatient Support, a structured outpatient level of care designed for individuals who need more than weekly therapy but do not meet criteria for higher levels of care.

This role is ideal for a clinician who enjoys complex case management, treatment planning, and collaborative care, and who is skilled at establishing and documenting medical necessity for increased frequency outpatient treatment.

The Lead Clinician serves as a primary clinical anchor for Enhanced Outpatient treatment track, ensuring continuity of care, treatment integrity, and coordinated intervention across providers.

Why This Role Matters

Enhanced Outpatient Support exists to bridge the gap between standard outpatient therapy and higher levels of care. The Lead Clinician plays a critical role in preventing unnecessary hospitalization or program escalation, while ensuring clients receive ethically sound, well-coordinated, and clinically appropriate care.

This role recognizes that high-quality outpatient leadership requires time, expertise, and clinical judgment beyond the therapy hour, and compensates accordingly.

Key Responsibilities

Duties

• Provide individual therapy sessions to EOS clients at increased frequency, as clinically indicated
• Conduct comprehensive EOS intakes and reassessments
• Develop and maintain clinically sound, insurance-supported treatment plans
• Monitor risk, symptom progression, and functional impairment across the course of care
• Oversee and coordinate care with associate clinicians providing adjunct services (skills sessions, family work, collateral support)
• Guide treatment focus, sequencing, and intensity across modalities
• Ensure alignment of interventions with identified treatment goals and medical necessity criteria
• Collaborate with internal and external providers as appropriate (psychiatrists, primary care, schools, treatment programs, referral partners)
• Participate in case consultations and care planning meetings related to EOS clients
• Establish and clearly document medical necessity for Enhanced Outpatient level of care
• Ensure treatment plans, progress notes, and assessments reflect clinical complexity, risk, and functional impairment
• Track treatment response and recommend step-up or step-down in care as clinically indicate
• Maintain fidelity to EOS model and outpatient scope of practice
• Identify when clients no longer meet criteria for EOS and support transition planning

Skills & Experience

Requirements

• Active license to practice therapy in California(LMFT, LCSW, LPCC, or Psychologist)
• Minimum 1-3 years post-licensure clinical experience
• Strong experience with complex outpatient cases (mood disorders, trauma, substance use, family systems, risk management)
• Demonstrated ability to establish and document medical necessity
• Comfort providing clinical leadership and overseeing associate clinicians
• Excellent written and verbal communication skills