Clinical Director Outpatient SUD Program

New York, NYFull-time$120,000 – $175,000On-site

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About the role

Location: Brooklyn, NY

Employment Type: Full-Time

Salary: $120,000–$175,000 (commensurate with experience)

About Us We are an outpatient substance use treatment program in Brooklyn, NY, focused on building a strong, sustainable clinical program for the long term. We're looking for a Clinical Director who wants to build something lasting — a well-run program with real room to grow, not just manage what already exists.

This is a rare opportunity for a driven clinical leader to take ownership of a program's direction, build lasting infrastructure, and grow into a senior leadership role as the organization develops.

Position Summary The Clinical Director will take full clinical and operational ownership of our outpatient program. This role is equal parts clinician, program builder, and operator: responsible for clinical infrastructure and program design, full regulatory compliance, leading and growing a multidisciplinary team, and driving steady, sustainable growth.

This is a hands-on leadership role with a clear path for growth. The Clinical Director will be directly involved in shaping policies, procedures, and workflows, and — as the program develops — will grow into leading a larger clinical and administrative team, with the opportunity to help shape the organization's expansion over time.

Key Responsibilities

• Program Building & Growth

• Design and build clinical program infrastructure, workflows, and treatment protocols

• Develop and execute a growth strategy in partnership with leadership, aimed at building a larger, more established program over time

• Design scalable systems (staffing models, documentation workflows, onboarding, intake processes) built to support growth without breaking down

• Identify and cultivate referral sources and community/provider partnerships to drive admissions

• Support long-term planning as the program grows, including future expansion of services or team structure

• Clinical Oversight & Compliance

• Conduct chart reviews and clinical audits to ensure documentation meets state regulatory and payer standards

• Ensure treatment planning, level-of-care determinations, and discharge planning

• Maintain full compliance with applicable state substance use treatment regulations, Medicaid/insurance requirements, HIPAA, and 42 CFR Part 2 confidentiality regulations

• Serve as the program's primary compliance owner: maintain policies and procedures, ensure staff training on compliance requirements, and respond promptly to any compliance concerns

• Own preparation for and response to state audits, site visits, licensing/accreditation reviews, and corrective action plans

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Requirements

Required:
CASAC (Advanced CASAC strongly preferred) or LCSW, licensed in New York State
Minimum 3–5 years of clinical leadership or program management experience in a substance use treatment setting
Strong working knowledge of applicable state outpatient substance use treatment regulations and ASAM level-of-care criteria
Demonstrated ability to build or significantly grow a clinical program — not just maintain one
Proven leadership experience: hiring, supervising, and developing clinical teams
Strong understanding of clinical documentation, chart auditing, and regulatory compliance
Working knowledge of HIPAA and 42 CFR Part 2 confidentiality requirements
Experience with utilization review, insurance/Medicaid authorization processes, and quality assurance/QI program development
Excellent organizational and communication skills; comfortable operating with significant autonomy
Ability to pass a background check and pre-employment screening as required by state licensing bodies and applicable law
Preferred:
Experience with EHR/documentation platforms
Experience with accreditation processes
Track record of scaling a healthcare or behavioral health program (multi-site experience a plus)
Familiarity with state audit and certification processes for outpatient substance use programs
Experience developing or revising clinical policies and procedures manuals
Experience coordinating with MAT providers/prescribers
Familiarity with telehealth service delivery in a substance use treatment setting
Bilingual or multicultural competency relevant to the communities served
What We're Looking For
We are looking for a builder — someone energized by shaping a program's direction and growing it into a well-run, established organization over time. The ideal candidate:
Thinks in terms of systems and sustainable growth, not just day-to-day client management
Is comfortable operating with autonomy while planning ahead
Takes full ownership of outcomes — clinical, operational, and financial — rather than waiting for direction
Has the credibility and clinical judgment to represent the program to regulators, payers, and referral partners
Sees this as a long-term leadership opportunity, not just a job
Work Environment & Expectations
Primarily on-site in Brooklyn, NY, with availability for occasional evening hours or on-call coverage for clinical emergencies as needed. Some local travel may be required for meetings with referral partners, payers, or regulators. Fast-paced, entrepreneurial environment; responsibilities and scope of the role are expected to grow alongside the organization.