Full-Time

Director of Client and Clinical Services

Updated on 8/17/2026

Larkin Street Youth Services

Larkin Street Youth Services

201-500 employees

Nonprofit offering shelter and youth services

Compensation Overview

$110k - $120k/yr

+ $3,000 bilingual English-Spanish premium + 403(b) employer match

San Francisco, CA, USA

Hybrid

Mostly on-site and in-person work; travel independently to program and partner agency sites is required.

Master's, PhD

Category
Medical, Clinical & Veterinary (1)
Required Skills
Electronic Health Records (EHR)

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Requirements
  • A Master's or Doctoral degree in Counseling, Psychology, Social Work, Social Welfare, or a closely related field.
  • Current active and unrestricted California licensure in good standing as a Licensed Clinical Social Worker, Licensed Marriage and Family Therapist, Licensed Professional Clinical Counselor, Licensed Psychologist, or Board-Certified Psychiatrist.
  • Demonstrated eligibility to provide clinical supervision in accordance with California licensing board requirements.
  • Experience providing consultation and support to staff.
  • Experience providing individual and group therapy and psychoeducational groups with transitional-age youth, homeless and/or marginally housed individuals, and people living with mental health and/or substance use challenges.
  • Experience using crisis intervention and de-escalation skills, harm reduction strategies, motivational interviewing, and multidisciplinary collaboration.
  • Strong written and verbal communication skills, including engagement with diverse audiences.
  • Proficiency with Microsoft Office Suite.
  • Familiarity with electronic health record systems.
  • Ability to work in a hybrid, mostly on-site and in-person environment.
  • Ability to travel independently throughout the community to program and partner agency sites.
Responsibilities
  • Manage and triage the waitlist for Wellness clinical services and match client referrals to Wellness clinicians and interns.
  • Provide clinical and administrative supervision, including weekly individual and group supervision, to Wellness clinicians, interns, and non-clinical staff as needed.
  • Update and distribute monthly Wellness and Harm Reduction newsletters to staff across Larkin Street.
  • Provide one-to-one clinical consultation to program staff and Leadership and facilitate Collaborative Case Conferences for clients with mental health and/or substance use challenges.
  • Assess training needs and lead trainings on clinical topics related to mental health, substance use, harm reduction, and best practices for serving transitional-age youth communities.
  • Work with the Division Director of Client & Clinical Services to ensure coordinated service delivery, grant and contract compliance, and fiscal responsibility.
  • Develop and sustain partnerships and cooperative programs between the Wellness Department and organizations providing mental health, substance use, and harm reduction services to transitional-age youth and adults.
  • Monitor and approve clinical notes, audit files, and complete general administrative tasks.
  • Oversee the creation and maintenance of harm reduction kits for program sites and ensure appropriate data collection and tracking in accordance with agency policies and procedures.
  • Promote collaboration and cross-training among teams throughout the agency.
  • Serve on the On-Call Clinical Consultation rotation.
  • Participate in Diversity, Equity, and Inclusion work within the agency and manage programs through a DEI lens.
  • Maintain awareness of the agency's mission and promote its positive individual and social change goals.
  • Perform assigned tasks in a complete and timely manner while complying with agency policies, standards, and scheduling requirements.
  • Exercise discretion and professional judgment concerning the care and welfare of youth served.
  • Upgrade professional skills through appropriate professional training and experience.
  • Perform other duties as assigned.
Desired Qualifications
  • Licensure for a minimum of two years post-licensure, or otherwise being qualified to provide clinical supervision under applicable state regulations.
  • Experience leading trainings on mental health, substance use, and harm reduction topics.
  • Lived expertise relevant to the BIPOC and/or LGBTQ+ transitional-age youth served.
  • Bilingual Spanish language ability.
Larkin Street Youth Services

Larkin Street Youth Services

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Larkin Street Youth Services provides shelter, housing, outreach, health and wellness, education, and employment programs for youths aged 12–24 who are homeless or at risk in San Francisco. Its work includes outreach to connect youths to services, emergency shelter, transitional and supportive housing, health care and mental health support, and education plus job preparation. It differentiates itself as the largest nonprofit provider of services for homeless youth in San Francisco and reports that about three-quarters of program graduates leave street life. The goal is to help young people move from homelessness to stable, independent living and improve long-term life outcomes.

Company Size

201-500

Company Stage

Grant

Total Funding

$200K

Headquarters

San Francisco, California

Founded

1984

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Simplify Jobs

Simplify's Take

What believers are saying

  • The April 16, 2026 gala raised $1 million for programs.
  • Larkin Street received an Airbnb Community Fund grant in 2026.
  • Rapid rehousing entered the Mayor’s 2026 budget, supporting faster exits from homelessness.

What critics are saying

  • Larkin Street’s clinic closes October 31, 2026, cutting a 40-year care anchor.
  • CalOES funding missed Governor’s 2026 budget, threatening emergency youth services.
  • San Francisco DPH plans to consolidate the Michael Baxter Larkin Street Youth Clinic in 2026.

What makes Larkin Street Youth Services unique

  • Since 1984, Larkin Street has built youth homelessness care across housing, clinics, and cash support.
  • The Trust Youth Initiative with Google tests direct cash assistance for homeless youth.
  • Turning Point’s 2026 Berkeley reopening extends Larkin Street beyond San Francisco.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Paid Holidays

Paid Sick Leave

Paid Sabbatical

Employee Assistance Program (EAP)

Flexible Spending Account

Commuter Benefits

Health Advocate Service

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

3%

2 year growth

3%
Larkin Street Youth Services
May 14th, 2025
$1.5M Raised to Pave the Way for Fearless Futures

With over 400 supporters in attendance, Larkin Street Youth raised a record-breaking $1.5 million - marking the highest amount in its history - to provide transformative opportunities for youth experiencing homelessness.

Larkin Street Youth Services
Nov 6th, 2023
Larkin Street Annual Impact Report 2023

This year, Larkin Street Youth also launched the Trust Youth Initiative in collaboration with Google and a host of respected partners.

PR Newswire
Oct 26th, 2023
Redwood Credit Union Donates More Than $49,000 To Local Nonprofits For International Credit Union Day

International Credit Union Day provides an excellent opportunity for Redwood Credit Union to fulfill our purpose of inspiring hope and elevating the financial well-being of our communities. .

The Business Journals
Sep 29th, 2023
A message from the publisher of the San Francisco Business Times: Bay Area CFOs make a difference

The San Francisco Business Times team is proud to partner with Larkin Street Youth Services in celebrating your accomplishments and the important role CFOs play in the business landscape today.

Larkin Street Youth Services
Jan 30th, 2023
Trans youth need us now more than ever – Larkin Street Youth Services

Larkin Street Youth has also expanded its collaboration with St. James Infirmary to provide rental subsidies for trans youth and adults through the “Its Trans Home” program.