Clinical Supervisor - Substance Use Disorder

At Steadfast Health we’re a on a mission to deliver hope, healing, and long-term health to those experiencing substance use disorder, through best-in-class addiction treatment and an unwavering belief that lasting recovery comes from partnering with our patients as respected equals in their care journey. We’re a passionate team striving to raise the standard of compassionate care for our patients, and we know that to do that, we must care for our people first. We’d love to meet you and tell you about what we’re building!

This Role 

We are seeking a mission-driven Behavioral Health Supervisor to join our founding Raleigh team, leading our clinicians and deliveringwhole-person, trauma-informed care to individuals with substance use disorders. At Steadfast Health, we believe that clinicians shouldn't have to choose between patient-centered work and their own mental and financial wellbeing. That's why we're doing things differently, through an integrated, evidence-based behavioral health model that deeply supports both patients and clinicians. For our clinicians, that means compassionate, expert clinical support, competitive compensation, caseloads that prioritize quality over quantity and preserve time for recovery, generous and flexible time off policies, and financial investment in your ongoing professional development. 

This is a brand-new clinic with no existing census: you’ll start with little to no caseload, and your clinical caseload will grow gradually as patients enroll, consistent with our organization-wide commitment to caseloads that prioritize quality of care over volume. In parallel, your supervisory scope will grow as we add clinical staff.

As a founding member of our Raleigh team, you’ll have real influence over how our clinical program, supervision practices, and team culture take shape in a brand-new market — not just execute on an existing playbook.

Compensation

• Base salary range: $90,000 - $105,000, based on licensure, supervisory credential, and years of relevant SUD experience.
• Performance incentive: monthly incentive up to 5% of base salary, tied to clinic-level KPIs - This is a shared, clinic-level metric, rather then an individual productivity quota.
• Sign-on bonus: $2,000.

Location & Schedule

3284 Barrett Dr., Suite 310, Raleigh, NC 27609 — North Carolina requires an operating clinic location on file to apply for our facility license, so we’re opening here first. We’ll relocate to our permanent site at 3540 Maitland Dr #102, Raleigh, NC 27610 once that license and build-out are complete, anticipated around December.

Monday – Friday, 8:30a – 5:00p EST, with one work-from-home day per week.

Required Licensure & Supervisory Credential

Because this role provides board-approved clinical supervision to associate-level clinicians, candidates must hold both an active, independent North Carolina clinical license and the specific supervisory credential recognized by that license’s board. You must hold at least one of the following:

• LCSW (NC) with a minimum of 2 years of post-licensure clinical practice and an MSW from a CSWE-accredited program, in good standing with the NC Social Work Certification and Licensure Board — eligible to supervise LCSW Associates (LCSWA).
• LCMHCS (NC) — the NC Board of Licensed Clinical Mental Health Counselors’ supervisor credential, required to supervise LCMHC Associates (LCMHCA). An LCMHC license alone, without the LCMHCS credential, does not qualify.
• LMFT (NC) with board-approved supervisor status (LMFT-S) — required to supervise LMFT Associates (LMFTA).

Your Responsibilities

Clinical Supervision & Leadership

• Provide board-approved clinical supervision to associate-level clinicians through weekly individual and group supervision, in compliance with all applicable NC board requirements.
• Manage clinician caseloads and ensure behavioral health staff adherence to treatment plans.
• Collaborate with the Medical Director, Peer Supervisor, and Facility Administrator or Operations Director to align clinical care and operational goals.
• Maintain all required supervision documentation, contracts, and reporting per NC board standards.

Therapy & Patient Care

• Provide individual and group therapy for patients with substance use disorders, in-person and via telehealth, embodying the Steadfast patient-first ethos.
• Conduct comprehensive biopsychosocial assessments and develop individualized treatment plans, modeling a non-paternalistic, destigmatizing approach to care.
• Utilize evidence-based modalities — including Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Dialectical Behavior Therapy (DBT) — to support recovery.
• Collaborate with clinic-level team members, including Advanced Practice Providers, Medical Assistants, and Peer Recovery Specialists, to ensure integrated treatment.
• Support patients in crisis intervention and coordinate higher levels of care when needed.
• Maintain thorough, timely documentation in compliance with state, federal, and organizational guidelines.
• Pioneer innovative approaches to improving access and care for disadvantaged, marginalized populations.
• Educate patients and families on SUD, co-occurring disorders, and resources supporting sustained recovery.

Qualifications

• Active, independent North Carolina clinical licensure with a board-recognized supervisory credential, as detailed above (LCSW + 2 yrs post-licensure / LCMHCS / LMFT-S ).
• Minimum of 2 years of experience providing therapy to individuals with substance use disorders.
• LCAS or dual credentialing (mental health + addiction license) preferred.
• Experience with telehealth platforms and virtual care delivery is a plus.
• Strong knowledge of SUD diagnoses, medications, and treatment modalities.
• Ability to effectively interact with diverse staff, patients, and community members.
• Excellent interpersonal skills, a flexible, can-do mentality, and commitment to continuous learning.
• Passionate about Steadfast Health’s mission to provide low-barrier, non-punitive, harm-reduction-oriented SUD care.

Why Steadfast?

• Medical, dental & vision insurance, plus 100% employer-paid short- and long-term disability and life insurance
• 401(k) with up to 5% company match
• 29 days off a year to start (PTO, floating holidays, paid volunteer days), increasing on your anniversary — plus 4 Re-Fuel Days annually for mental health, rest, or CEU activities
• Annual CEU stipend and ongoing paid training
• Free, confidential EAP access to therapy, legal, financial, and wellness resources
• Protected time built into your day for recharging, clinical supervision, huddles, care planning, and admin work
• MA/LPN and Peer Recovery Specialist support, collaborative care model with physician backup, and manageable panel sizes
• Soulside AIdocumentation support — because your energy belongs with patients, not paperwork
• We believe lived experience with recovery is a strength, not a barrier — many of our team bring personal or family experience with addiction and recovery, and we welcome candidates in recovery to apply
• Ground-floor opportunity to help shape how we grow

Physical Requirements & General Policies

The physical demands described here are representative of those required to perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

• Ability to sit and move between patient sessions, meetings, and clinical documentation work throughout the day.
• Frequent use of hands for typing, writing, and handling clinical documentation and materials.
• Ability to respond promptly to emergency or crisis situations, including patients in distress.
• Sufficient visual and auditory ability to assess patient needs, review documentation, and communicate effectively with patients, families, and team members.
• Work may involve exposure to high-stress situations requiring emotional resilience, crisis intervention, and de-escalation skills.
• Schedules reflect current anticipated needs and may evolve as the organization grows; some flexibility may be required over time.

Investors & Partners

Steadfast Health is proudly funded by Google Ventures (GV) and launched out of Triple Aim Partners. Since 2019, Triple Aim Partners (TAP) has partnered with entrepreneurs across the healthcare ecosystem to build transformative organizations, all with the mission of achieving the Triple Aim (better patient experience, better population health, and lower healthcare costs for all). TAP emphasizes the importance of creating strong, front-line focused company cultures that enable high-quality patient care.

Keywords: Clinical Supervisor · Behavioral Health Supervisor · LCSW · LCMHC · LCMHCS · LMFT · LMFT-S · LCAS · CCS · CCS-I · CADC · Substance Use Disorder · SUD · Addiction Treatment · Clinical Supervision · Raleigh, NC · Opioid Treatment Program · Player-Coach