Clinical Supervisor: Youth Intensive Services (PHP/IOP Clinic)

We believe in supervision-with-direct-care, not supervision from behind a desk. As the clinic scales, the thing that cannot slip is clinical quality: appropriate caseloads, faithful evidence-based programming, zero down days, and documentation that closes the same day the session does. The Clinical Supervisor owns that standard for the team while the You will be the clinical backbone of a program designed to become the benchmark of our agency.

What You'll Do

Caring for Others

• Co-facilitate daily clinical work in the Peds and Teens rooms: psychoeducational groups, skills-based curriculum, and individual pull-out sessions.
• Provide best-practice clinical supervision to assigned clinicians and interns (QMHPs, and license-eligible providers).
• Complete assigned intakes under our Centralized Intake Model: a structured 3-day clinical cascade (biopsychosocial assessment, treatment planning with DLA-20 and ISP, and program orientation/integration).
• Communicate regularly with parents and caregivers about the children under care and their progress; model that standard for the team.
• Respond to acute and emergent situations; carry cases through disposition, because we do not drop cases.
• Have fun providing services to kids in a supportive team environment; it's part of the model, not a perk.

Corporate Compliance

• Countersign, amend, and approve team documentation: progress notes, care plans, crisis plans, assessments, and authorization requests.
• Champion 100% concurrent documentation: the session isn't over until the note is done.
• Own the daily operating rhythm of both rooms: milieu schedule, coverage, and the intake cascade landing on time.
• Ensure caseloads under your supervision are clinically appropriate and that services are delivered as scheduled with zero down days (excluding noted closures).
• Ensure personal and staff compliance with agency policies and applicable DBHDS/DMAS regulations; engage the corrective action process when needed.

Creating Opportunity

• Interface with referral agents, families, and community stakeholders to keep the referral pipeline warm and the clinic's reputation strong.
• Participate in hiring and onboarding of new clinical employees as the team grows.

Comprehensive Services

• Contribute written process documentation to the maturing ICBS Procedure Manual.
• Support quarterly patient engagement surveys and continuous quality improvement.

Who Are the Clients?

The consumers for this program are children and adolescents, ages 6-17, in need of Mental Health Partial Hospitalization or Intensive Outpatient Programming: one of the highest levels of care outside an inpatient admission. We work through issues of abuse & neglect, challenging behaviors, challenging emotions, and sometimes tough clinical presentations. We do this through the lens of genuine compassion for the kids we work with: solid psychoeducation and group-based clinical work, outpatient therapy, psychiatry, and family work. Our clients are with us 3-4 hours per day, and strong candidates will be able to draw from our established curriculum to lead and supervise therapeutic group work that prioritizes 1) safety, 2) individualized care, and 3) sound clinical work.

Who You'll Work With

• CEO: your direct report line, who is deeply committed to the development of this program.
• Patient Access Manager: controls the referral-to-service pipeline so clinicians can stay clinical.
• A growing multidisciplinary team.

Help Build a Training Clinic

This role shapes our supervision and training infrastructure from the ground up. You will help build a training clinic and a curriculum organized around three core evidence-based practices (we'll talk specifics at the information session), including:

• The psychoeducational curriculum library that drives daily programming in both rooms.
• Board-compliant supervision of Residents in Counseling.
• Practicum and internship partnerships with area universities.

A Real Career Ladder

This role sits inside a defined, published career progression: Clinician * Clinical Supervisor * Program Manager * Program Director * Partial Ownership. Every step-up has defined credentials, competencies, and accountability; each rung carries expanded earning structures, from productivity incentives at this level to growth-based incentives and ownership participation above it. We promote from within by design and we want our hires to be wildly successful with the intent of building something with the agency that benefits everyone.

• Active, unrestricted clinical license in good standing (LPC or LCSW); Virginia licensure, or eligibility for Virginia licensure by endorsement, required by start date.
• Approximately 5+ years providing behavioral healthcare to individuals with mental health diagnoses; experience with children/adolescents strongly preferred.
• 5+ years with progressive clinical leadership (program direction, counseling center leadership, or formal supervisory roles) strongly preferred.
• Inpatient, PHP, or other higher-level-of-care experience preferred; familiarity with milieu-based treatment translates directly to our two-room clinic model.
• Experience (or demonstrated readiness) supervising and developing direct-service providers.
• Ability to provide board-compliant supervision to post-masters candidates pursuing licensure preferred (LPC-S, or LCSW equivalent qualified to supervise Supervisees in Social Work); our clinic begins accepting Residents in Counseling in 2027.
• Working understanding of DMAS and DBHDS regulations governing clinic-based services and documentation.
• Willingness to complete required agency trainings (Human Rights, Mandated Reporting, Therapeutic Options, First Aid/CPR, REVIVE, Documentation, Incident Reporting, P&P), background checks and TB screening, before being staffed with consumers.
• Paneled, or willing to become paneled, with relevant insurers.

Pulled from the full job description

• Loan forgiveness
• Continuing education credits
• Professional development assistance
• Health insurance
• Retirement plan
• Paid time off
• Dental insurance, * Compensation: $65,000 - $95,000+ total annual compensation. Compensation is weighted toward clinical productivity: a base salary commensurate with experience and credential, plus weekly performance-based incentives.
• Performance incentives: A weekly incentive is earned for each treatment room that meets its weekly service-delivery threshold.
• Structure: Base and incentive mix is negotiable within the posted range: a higher fixed base trades against incentive headroom, but total compensation at this level is always tied in part to weekly productivity.
• Trajectory: This role sits on a defined path toward Program Director, where growth-based incentives, profit share, and equity participation begin; the posted range is the entry point of that trajectory, not its ceiling.
• Credential application stipend: Agency support for credential applications as you advance.
• CEU allowance: Agency-sponsored continuing education.
• Health insurance: Employer pays 50% of the employee monthly premium; family members may be added at employee cost.
• Retirement: Employee-directed IRA with 3% match.
• Paid time off: 20 days annually, per agency policy.
• Professional liability insurance: Agency-sponsored coverage.
• Schedule: Monday-Friday, 9:30AM - 6:00 PM.

Our Hiring Process: It's Your Show

Our process is designed for one purpose: to bring the most qualified, most caring, most clinically focused people into our family of professionals. It is built so that the applicant always selects, or deselects, themselves from the hiring pool, so your commitment to the process is vital. This is your time to shine and show us the best of what you have to offer our field, our agency, and most importantly, our consumers.

• A scheduled information session where you interview us: learn about the agency, the role, and get a feel for fit with our mission.
• A formal interview, including a tour of the Enterprise Drive clinic with Youth Services leadership.

Apply through Indeed with a current professional resume and a cover letter. Questions? Call us at (434) 239-0003.

We are an equal opportunity employer, and we support everyone who is invested in improving the mental and behavioral health of their community. We do not discriminate. We value uniqueness in the workplace and feel that everyone has the potential to be a helper.

Pay: $65,000.00 - $95,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Loan forgiveness
• Paid time off
• Professional development assistance
• Retirement plan

The Madeline Centre was founded in 1996 as an outpatient counseling office serving individuals and families in Central Virginia. Now in our 30th year, this clinician-driven family business has treated thousands of children and adults across offices, clinics, homes, and school settings, facing some of the toughest clinical challenges our region presents. We are a "family of professionals improving the mental & behavioral health of every person we meet," and if that resonates with you, we want to meet you. Our Enterprise Drive clinic in Forest operates two age-banded treatment rooms, a Peds room and a Teens room, delivering Partial Hospitalization Program (PHP) services and Intensive Outpatient (IOP) programming to moderate to high acuity young people. The design of the program is based on the integration of 3 evidence based practices and focuses on stabilization, skills acquisition, and reintegration into school and community life. We are hiring a Clinical Supervisor to anchor the clinical quality of that growth: someone who supervises and develops the treatment team, keeps documentation and compliance airtight, and still spends their day doing what they trained to do... treating kids.