Associate Clinical Director

This is a high-accountability leadership role. Candidates must be comfortable addressing underperformance and leading difficult conversations.

Associate Clinical Director

Pathways for Change | Children’s Counseling Center – Lehigh Valley, PA

Pathways for Change is a growing, multi-location children’s mental health practice known for high-quality care, strong clinical standards, and a commitment to doing things the right way—for clients and clinicians.

We are seeking an Associate Clinical Director to partner directly with the owner and take a central role in leading day-to-day clinical operations.

This is a senior leadership position for someone who is ready to step out of a purely clinical role and take ownership of team performance, accountability, and operational excellence.

The Role

This role is responsible for ensuring that the clinical team is performing at a high level—clinically, ethically, and operationally.

You will:

• Lead and manage a team of clinicians and clinical supervisors
• Enforce caseload expectations and minimum weekly session requirements
• Monitor performance metrics and address underperformance directly and promptly
• Hold high-level, professional conversations regarding productivity, accountability, and expectations
• Participate in hiring, onboarding, and training of new clinicians
• Make recommendations regarding promotions, performance improvement plans, and terminations
• Support and guide clinical supervisors in managing their teams
• Oversee scheduling efficiency and access to care for clients
• Partner with administrative staff to ensure smooth operations and strong client experience
• Assist with payroll review and approval related to clinical staff
• Maintain alignment with insurance, documentation, and compliance standards

What This Role Is (and Is Not)

This is:

• A leadership role with real authority and accountability
• A position for someone comfortable making difficult decisions
• A role that requires direct communication and follow-through

This is not:

• A passive or purely supportive position
• A role for someone who avoids conflict or struggles with accountability conversations
• A “figurehead” title without operational responsibility

Ideal Candidate

We are looking for someone who:

• Is fully licensed (LPC, LCSW, LMFT, or equivalent)
• Has experience supervising clinicians and leading teams
• Is confident, direct, and professional in communication
• Understands that access to care depends on clinician availability and productivity
• Is comfortable using data and metrics to guide decisions
• Can balance empathy with accountability
• Is highly organized and follows through consistently
• Wants to grow into a top-level leadership role within a scaling practice

Compensation & Schedule

• Competitive salary based on experience and leadership scope
• Performance-based growth opportunities
• Partial clinical caseload may be maintained (to be discussed)
• Benefits include:
  • 50% employer-paid health insurance
  • Paid time off
  • CEU stipend

Why Pathways for Change

We are building one of the region’s premier children’s therapy practices—grounded in quality care, strong systems, and a team that shows up.

This is an opportunity to step into a role where you can lead, shape culture, and make a measurable impact every day.

If you’re ready to move beyond seeing clients and into leading a high-performing clinical team, we’d love to hear from you.