Full-Time

Associate Licensed Therapist Assistant Team Lead

Community Treatment

Updated on 8/23/2026

Monarch

Monarch

1,001-5,000 employees

Behavioral health and substance use treatment

Compensation Overview

$69k/yr

Winston-Salem, NC, USA

In Person

Driving and travel to community locations, agencies, and outreach destinations is required.

Master's

Category
Medical, Clinical & Veterinary (1)

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Requirements
  • A Master's degree in Human Services is required.
  • One of the following associate-level licenses is required: Licensed Clinical Mental Health Counselor Associate, Licensed Clinical Social Worker Associate, or Licensed Marriage and Family Therapist Associate.
  • At least two years of full-time experience working with adults with severe and persistent mental illness is required.
  • A valid United States driver's license is required.
  • Driving and travel are required.
  • The employee must maintain certification in all required agency, state, and federal training programs.
  • The employee must comply with agency policies and procedures and applicable state and federal statutes and regulations.
  • The employee must follow service definition guidelines for provided services.
Responsibilities
  • Assist the Team Leader in managing the clinical and operational aspects of the Assertive Community Treatment Team.
  • Provide oversight, direction, and administrative and clinical supervision to assigned staff and programs.
  • Participate in hiring, disciplining, firing, training, and performance appraisals, and help ensure programs are staffed with qualified employees.
  • Manage day-to-day staff schedules, coverage, and reporting information.
  • Monitor authorizations, Person-Centered Plans, and required paperwork, and hold staff accountable for timely submissions.
  • Schedule and ensure 24-hour, seven-day, year-round coverage for individuals served by the program.
  • Serve as a practicing clinician on the assigned Assertive Community Treatment Team and coordinate activities and services.
  • Lead meetings, disseminate information, and provide support to ACTT staff.
  • Facilitate independent living skills training, connect individuals with community services and agencies, help establish support networks, and assess individual needs.
  • Coordinate services with program staff, inpatient facilities, and detoxification facilities, and establish linkages to residential, self-help, and community resources.
  • Act as a liaison with after-hours staff by exchanging participant information and documenting presenting problems and after-hours plans.
  • Meet with Assertive Community Treatment Team members to formulate and disseminate information and remain available by telephone or pager.
  • Document participant activities and write event notes covering activities, goals, interventions, and outcomes.
  • Develop service plans and person-centered plans and screen referrals with other team members.
  • Review the caseload, address problems, develop plans, and determine daily duty assignments.
  • Assess and monitor service quality through chart audits, peer review, and other quality-improvement activities.
  • Develop referral sources, maintain positive relationships with communities served and external stakeholders, and participate in community and agency meetings.
  • Monitor medical-record management and ACTT activities for compliance with agency policies, Medicaid, and other requirements.
  • Attend required meetings and training.
  • Complete other relevant responsibilities assigned by the supervisor.
  • Assist the Team Leader with administrative and clinical responsibilities as needed.
  • Perform Team Leader responsibilities in the Team Leader's absence.

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify Jobs

Simplify's Take

What believers are saying

  • The Stephen M. Morris Behavioral Health Center opened in Concord on July 28, 2026.
  • Monarch secured a $32.5 million state grant for that 59,300-square-foot facility.
  • Telehealth, Open Access, and mobile clinics widen intake without matching brick-and-mortar costs.

What critics are saying

  • Cabarrus County’s July 2026 center depends on Monarch executing 24/7 staffing flawlessly.
  • Monarch relies on state grants, Partners contracts, and Medicaid reimbursement across North Carolina.
  • Any failure at Concord’s crisis hub damages Monarch’s credibility and referral pipeline quickly.

What makes Monarch unique

  • Monarch combines outpatient, telehealth, urgent care, crisis, and residential behavioral health.
  • Its statewide North Carolina footprint reaches rural counties through mobile integrated care clinics.
  • Monarch built a free I/DD addiction curriculum, targeting an ignored clinical niche.

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Benefits

Health Insurance

Paid Vacation

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

14%

1 year growth

14%

2 year growth

14%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.