The Mental Health Therapist Supervisor (Interim) is a clinical leadership position responsible for integrating direct therapeutic services with clinical supervision, program oversight, and cross-departmental coordination. This interim appointment carries a specific mandate to stabilize the clinical team, strengthen supervisory structures, and position the practice for sustained service delivery and growth. This role ensures the delivery of high-quality behavioral health services by supervising licensed therapists, maintaining a direct patient caseload, managing grant-funded program portfolios, and providing clinical input to operational teams. The position is responsible for cultivating and maintaining a work environment that is harmonious, professionally supportive, and conducive to the delivery of compassionate, patient-centered services. The position requires the ability to move fluidly between hands-on clinical work, staff development, crisis response, and collaborative leadership across organizational structures.

Interim Priorities

This interim appointment is guided by four ranked priorities, listed in order of organizational urgency. These priorities inform the allocation of the Interim Supervisor's time and attention and serve as the framework for weekly progress reporting to the Director of Treatment Care Services.

• Priority 1: Team Stabilization, Morale, and Workplace Harmony. Cultivate and maintain a work environment that is harmonious, professionally supportive, and conducive to the delivery of compassionate, patient-centered services. Assess current team dynamics, identify sources of friction or disengagement, and implement targeted interventions to rebuild trust, cohesion, and mutual professional respect among clinical staff. This is the foundational priority upon which all other objectives depend.
• Priority 2: Clinical Supervision Structure and Service Delivery Enhancement. Establish and maintain a structured clinical supervision framework that strengthens service delivery quality. This includes providing supervision to licensed therapists in accordance with applicable laws, regulations, and ethical standards; offering guidance and case consultation; monitoring clinical documentation for accuracy and compliance; and identifying competency gaps with targeted training recommendations. The goal is to ensure that supervision directly translates into improved patient outcomes.
• Priority 3: Core Values Development for Professional Conduct. Work collaboratively with the clinical team to identify, articulate, and adopt a shared set of core values governing interpersonal conduct among professionals. These values will establish clear expectations for how team members communicate, collaborate, and support one another in the clinical environment, reinforcing the harmonious and professionally supportive workplace culture outlined in this position's mandate.
• Priority 4: Community Engagement and Client Enrollment Strategies. Devise and propose clinic engagement strategies to promote enrollment of funded clients within the community. Collaborate with the clinical team to identify outreach opportunities, strengthen referral pathways, and develop targeted approaches that connect eligible individuals with available grant-funded and contracted services. Coordinate with the Practice Manager on any operational or marketing support needed to implement approved strategies. Collaborate with community partners, agencies, organizations and such to develop funding opportunities, secure contracts, and expand program resources that support client services and organizational growth.

Weekly Reporting

The Interim Supervisor will meet weekly with the Director of Substance Use Treatment Care Services and provide structured updates on progress across all four priorities. These updates will include specific actions taken, measurable progress indicators, obstacles encountered, and any issues requiring leadership intervention or resource allocation. This reporting cadence provides the Director with ongoing visibility into the stabilization and development trajectory of the clinical team.

1. Clinical Supervision and Staff Development

• Provide clinical supervision to licensed therapists in accordance with applicable laws, regulations, and ethical standards.

• Offer guidance, case consultation, and ongoing professional development support.

• Monitor clinical documentation for accuracy, timeliness, and compliance with organizational and regulatory standards.

• Identify competency gaps and recommend training to ensure therapists maintain licensure requirements and professional standards. Coordinate with the Practice Manager, who maintains the administrative tracking system for licensure files, BLS records, and competency validation.

• Facilitate team meetings and case reviews to promote a collaborative clinical environment.

2. Direct Patient Care

• Provide individual, family, and/or group therapy services as clinically appropriate.

• Conduct assessments and develop individualized treatment plans.

• Maintain timely and accurate clinical documentation.

• Collaborate with multidisciplinary teams to ensure continuity of care.

• Communicate clinical scheduling priorities and therapist availability needs to the Practice Manager, who manages therapist templates in the electronic health record (Epic) and coordinates with the UTHP team on scheduling infrastructure.

3. Crisis Response and Safety Planning

• Create, update, and implement crisis intervention plans.

• Develop and maintain individualized patient safety plans.

• Provide support and guidance to clinical staff during crisis situations.

• Ensure appropriate documentation and follow-up after crisis events.

4. Program Oversight and Grant Compliance

The following grant-funded and contracted programs fall within this position's supervisory portfolio. The Therapist Supervisor is responsible for ensuring programmatic compliance, service delivery quality, and performance benchmarks. The Practice Manager separately manages billing infrastructure and funding source configurations in Epic that support these programs.

BWC Grant Programs

• Street Medicine

• STRAC and SAFD programs, including management of programmatic meetings and operations

• HEB Contract, including care coordination and collaboration with the HEB Benefits Program Manager

Social Determinants of Health (Kronkosky Grant)

• Oversee patient needs assessment activities.

• Collaborate with the Designated Therapist for the Kronkosky Program regarding implementation and reporting requirements.

5. Cross-Departmental and Administrative Coordination

Due to the organizational structure, this position operates across departmental lines and coordinates with positions that may report through separate chains of authority. The following responsibilities reflect this position's participation in shared operational processes, with primary leadership designated to the Practice Manager unless otherwise noted.

• Participate in compliance updates and tasks as coordinated by the Institutional Compliance and Privacy Designee. The Practice Manager leads compliance meetings; the Therapist Supervisor attends and provides clinical input as needed.

• Attend Operations Meetings to provide clinical perspective and receive operational updates. The Practice Manager serves as lead for Operations Meetings.

• Participate in Monthly Operations meetings as part of Clinical Supervisor responsibilities.

• Attend Be Well Youth Clinic meetings to provide clinical input when patient care topics require clinical supervisory expertise. The Practice Manager leads Be Well operational meetings.

• Meet weekly with the Director of Treatment Care Services to review updates, priorities, and pending items. Provide structured weekly progress reports on interim priorities, team stabilization efforts, and any issues requiring leadership attention.

• Coordinate with the Practice Operations Director on long-term operational planning and logistics.

• Ensure clinical staff understand and adhere to organizational policies and procedures as implemented by the Practice Manager.

• Participate in program development and quality improvement initiatives.

• Follow the PTO Coordination Policy for therapist time-off approvals, including adherence to jointly established minimum coverage thresholds. (See PTO Coordination Policy addendum.)

Education/Experience

Master's degree with major coursework in the field of assignment is required.

Five (5) years of related experience is required.

LPC, LMFT or LCSW License is required

TX State clinical supervisor designation (LCSWS, MFTS, LPCS) is required.

License to practice mental health counseling independently in the State of Texas is required.

• Clinical knowledge and experience with mental health issues.
• Demonstrated proficiency in evidence based practices.
• Demonstrated ability to provide diagnostic assessment.
• Ability to establish and maintain trust and rapport.
• Strong verbal, written and interpersonal communication skills.
• Strong organization and time management skills.

• This position may require the ability to maintain the security and integrity of UT San Antonio and its infrastructure per Texas EO-GA-48.