Clinical Director, Acute Treatment Services (detox)

Clinical Director, Acute Treatment Services (ATS)

Location: Roxbury, MA (Fully Onsite). Full Time, Evening or Weekend as needed in line with leadership responsibilities. Salary: $100k - $115k per year.

You are a strategic, clinically strong behavioral health leader who thrives in a fast-paced team environment and is committed to excellence in substance use disorder treatment, regulatory compliance, and patient-centered care.

The Dimock Center is a federally qualified community health center that heals and uplifts individuals, families, and communities. Our vision is to redefine the model of a healthy community by creating equitable access to comprehensive health care and education. We promote a culture of respect, excellence, equal opportunity, and commitment to our employees and the communities we serve.

Our Behavioral Health Services programs provide residential and outpatient treatment for individuals experiencing substance use disorders, mental illness, and co-occurring conditions. Our programs deliver evidence-based, trauma-informed care across the continuum of recovery services.

Summary/Objective

The Clinical Director of ATS serves as the designated Senior Clinician in accordance with Massachusetts Bureau of Substance Addiction Services (BSAS) regulations (105 CMR 164) and is responsible for clinical integrity, regulatory compliance, and day-to-day oversight of Addiction Treatment Services (ATS).

Under the supervision of the Chief Behavioral Health Officer (or designee), the Clinical Director ensures that all clinical services meet BSAS standards for medically monitored withdrawal management (ATS) and align with ASAM Level 3.7 Criteria. This role works in close collaboration with program leadership, medical providers, nursing leadership, and community partners to ensure coordinated, high-quality, and compliant care across the continuum.

Essential Functions

• Provide clinical supervision and oversight of counseling, case management, and treatment services within ATS programs.
• Ensure all patients receive comprehensive assessments and individualized treatment plans developed by a multidisciplinary team.
• Oversee clinical decision-making related to admission, continued stay, and discharge planning.
• Ensure discharge planning begins at admission and includes appropriate referrals and continuity of care.
• Supervise clinical staff and case management employees to ensure services are delivered by appropriately credentialed personnel.
• Ensure clinical documentation is accurate, timely, and compliant with BSAS, Joint Commission, HIPAA, and 42 CFR Part 2 requirements.
• Monitor implementation of trauma-informed, culturally responsive, and recovery-oriented care practices.
• Ensure delivery of required ATS services including daily clinical assessments, individual and group counseling, psychoeducation, and weekly chart reviews.
• Ensure treatment aligns with ASAM Level 3.7 withdrawal management criteria.
• Integrate co-occurring disorder treatment into clinical programming.
• Support and supervise clinical internships and training rotations.
• Provide and/or ensure regular clinical supervision in accordance with BSAS and licensing board requirements.
• Mentor and support staff development in evidence-based practices including Motivational Interviewing (MI), Cognitive Behavioral Therapy (CBT), MAT integration, and de-escalation techniques.
• Lead clinical quality assurance and performance improvement initiatives.
• Monitor key performance indicators including census, utilization, discharge outcomes, and transitions to next levels of care.
• Serve as the clinical lead during BSAS audits, licensing reviews, and Joint Commission surveys.
• Oversee incident management, clinical audits, and utilization review processes.
• Collaborate with medical and nursing leadership to support safe withdrawal management and integrated care delivery.
• Develop and maintain referral relationships with hospitals, emergency departments, outpatient providers, recovery supports, and community-based organizations.
• Participate in community partnerships, provider networks, and public health initiatives aligned with recovery-oriented systems of care (ROSC) and harm reduction principles.
• Participate in administrator on-call responsibilities.
• Perform other duties as assigned.

Competencies

• Strong knowledge of BSAS regulations, 105 CMR 164, ASAM Criteria, and withdrawal management services.

• Excellent leadership, communication, and clinical supervision skills.

• Ability to lead effectively within a highly regulated, fast-paced clinical environment.

• Strong organizational skills and ability to manage multiple priorities.

• Commitment to trauma-informed care, health equity, and culturally responsive practice.

• Demonstrates professionalism, accountability, and grace under pressure.

• Ability to foster collaboration across multidisciplinary teams and external partners.

Work Environment

This position operates primarily in a clinical treatment setting.

Physical Demands

Duties may require prolonged standing, walking, and sitting. Occasional lifting may be required.

Position Type/Expected Hours of Work

This is a full-time exempt leadership role. Schedule flexibility is required to meet program and operational needs, including participation in administrator on-call responsibilities.

Required Education and Experience

• Master's degree or higher in behavioral health, social work, counseling, psychology, or a related field required.

• Must meet BSAS Senior Clinician requirements.

• LADC I strongly preferred, or independent Massachusetts clinical licensure including LICSW, LMHC, or LMFT required.

• Must be qualified to provide clinical supervision under Massachusetts standards.

• Minimum of 5–7 years of experience in substance use disorder treatment, including ATS or detox settings.

• Demonstrated experience supervising clinical staff and managing programs operating under BSAS and Joint Commission regulations.

• Experience implementing ASAM Criteria required.

Preferred Experience

• Experience within a community health center or integrated behavioral health setting preferred.

• Experience leading quality improvement and performance management initiatives preferred.

• Experience working with co-occurring disorders and trauma-informed care strongly preferred.

Supervisory Responsibilities

This role provides direct supervision to ATS clinical staff including counselors, case managers, and clinical supervisors.

Additional Requirements

• Must pass CORI/SORI background checks.

• Must maintain all required licensure and continuing education requirements.

Other Duties

This job description is not intended to cover a comprehensive listing of duties or responsibilities and may change at any time with or without notice.