Clinical Director

POSITION SUMMARY

The Clinical Director is a senior leadership role responsible for translating Metrowest Nutrition and Therapy's clinical standards, business priorities, and growth strategy into consistent day-to-day execution. The Clinical Director leads and develops the leadership team, strengthens team culture, serves as the primary escalation point for complex practice matters, strengthens organizational systems and accountability, grows referral relationships, and leads strategic initiatives that expand access to care and improve the financial sustainability of the practice.

A major component of this position is directing the implementation of an Intensive Outpatient Program (IOP), including participation in program design and clinical standards, operational planning, staffing, referral development, financial feasibility, launch, and ongoing performance management. The Clinical Director will also conduct initial client intakes, assess clinical needs and fit, and assign clients to the appropriate primary clinician based on presenting concerns, clinician expertise, and availability.

POSITION DETAILS

Reports to: Owner / Executive Leadership

Employment status: Full-time

FLSA status: Exempt

Location: Framingham/ Remote

Schedule Requirements:

• Maintain an initial caseload of approximately 12–15 client sessions per week, with the expectation to decrease over time as leadership, operational, and program-development responsibilities increase.
• Dedicate approximately 20–25 hours per week to leadership and administrative responsibilities, increasing gradually with program growth.

CORE RESPONSIBILITIES

Leadership & Team Management

• Provide direct management, supervision, training, and accountability for members of the leadership team (Clinical Supervisors, Operations Manager, and HR Consultant)
• Lead outreach and marketing efforts in partnership with the Community Outreach Clinician, Client Care Coordinator and Marketing Consultant(s).
• Conduct initial IOP intakes, assess clinical needs, and coordinate assignment to primary clinicians to support appropriate fit, continuity of care, and timely access to services.
• Lead recurring leadership meetings and team meetings with clear agendas, decisions, owners, deadlines, and follow-through.
• Establish clear expectations for leaders and help translate organizational priorities into departmental goals and measurable work plans.
• Serve as a senior escalation point for complex staff, client, clinical, and operational matters; ensure issues are addressed promptly, thoughtfully, and consistently.
• Guide leaders through performance management, difficult conversations, conflict resolution, and organizational change.
• Promote a culture of collaboration, transparency, accountability, professional development, and high-quality client care.
• Identify emerging staffing or organizational risks and bring recommendations to ownership before issues become urgent.

Clinical & Practice Operations

• Partner with Clinical Supervisors and Operations Manager to maintain high standards of care and consistent clinical operations.
• Oversee implementation and adherence to practice policies, procedures, and operational standards.
• Partner with Operations Manager to monitor recurring operational issue, identify root causes, and lead practical process improvements.
• Support appropriate response to client concerns, clinical risk, documentation concerns, staff performance issues, and other escalated practice matters.
• Use data and feedback to identify opportunities to improve client experience, staff experience, access to care, and operational efficiency.
• Coordinate cross-functional initiatives and ensure that decisions are communicated and implemented consistently.
• Provide individual and group counseling to clients within the framework of the practice’s core values and philosophy, including weight-inclusive/ Health at Every Size paradigm.
• Collaborate with other healthcare providers on clients’ care teams
• Maintain appropriate and timely documentation of client services, as well as communication with other healthcare providers.

Strategic Growth & IOP Program Development

• Lead the implementation of a financially sustainable IOP program, from feasibility assessment through implementation and ongoing optimization in partnership with Practice Owner.
• Develop the IOP operating model, staffing plan, program structure, implementation timeline, referral strategy, and performance dashboard.
• Coordinate internal and external stakeholders needed for program launch, including clinical, operational, financial, compliance, payer, and referral-development considerations.
• Collaborate with the Practice Owner to execute strategic initiatives, ensuring clear priorities, timelines, accountability, and follow-through while proactively identifying challenges and recommending solutions.
• Ensure the program launches with defined clinical, operational, utilization, revenue, and outcome measures.
• Identify and evaluate additional services or initiatives that could improve access, strengthen the practice, or generate sustainable revenue.

REQUIRED QUALIFICATIONS

• Current independent clinical licensure in Massachusetts as an LICSW or licensed psychologist, with the professional qualifications and authority to initiate an emergency psychiatric hospitalization when clinically indicated.
• Significant experience in clinical leadership, healthcare operations, behavioral health, nutrition, specifically in eating disorder treatment.
• Demonstrated experience managing people and preferably managing managers, supervisors, or other leaders.
• Proven ability to lead complex projects from planning through implementation and sustain accountability after launch.
• Strong written and verbal communication skills, sound judgment, and comfort navigating sensitive personnel and client matters.
• Ability to interpret operational and business data and translate it into decisions, priorities, and action.
• Ability to balance clinical quality, staff needs, client experience, operational discipline, and business sustainability.

About Metrowest Nutrition and Therapy:

Metrowest Nutrition and Therapy is a multi-disciplinary group practice consisting of dietitians, psychotherapists and movement specialists who are dedicated to helping individuals heal their relationship with food, movement and body. We specialize in eating disorders, disordered eating, pediatrics, athletic performance, weight inclusive medical nutrition therapy and women’s health.

Diversity, equity and inclusion are central to our mission at Metrowest Nutrition.

• We strive to create a space for growth and learning around racial and gender equality
• We hire staff with a strong commitment to diversity, inclusion and equity
• We provide BIPOC clinicians with affinity group supervision and engage a DEI consultant to provide ongoing training and support as we strive to create a space for diversity.
• We are involved in local and national organizations committed to increasing diversity in the dietetics and eating disorder fields

Metrowest Nutrition and Therapy provides strong clinical and administrative support, a cohesive team culture, ongoing opportunities for training, generous compensation and benefits and a steady flow of referrals to clinicians. Candidate must be independent, driven, collaborative, and enhance our fun, connected, and positive minded group of clinicians.

Our Values: Metrowest Nutrition and Therapy lives by values that guide who we are as a team and how we serve our community. We hire staff who share these values.

Creating strong relationships: We value building strong relationships with our clients and helping them do the same. It’s also a hallmark of our practice to promote strong, lasting bonds within our team and to build strong relationships and work collaboratively with other colleagues in the community.

Investing in quality: We’re committed to providing an optimal environment to care for our clients and our team. Our commitment is seen in our beautiful workspace for our employees and a comforting space for our clients, a collaborative environment for our team, and wrap around services for our clients. We offer extensive ongoing training through individual and group supervision, paid speakers and team buliding activities.

Promoting inclusion: We strive to create a space for diversity, hiring clinicians of varying backgrounds, beliefs, and specialties to better serve the diverse and unique experience of our clients. It’s also important that our office promotes a foundation of diversity, equity, and inclusivity in its culture and practice.

Mentoring and growth: We operate with a growth mindset and provide ample opportunities for ongoing growth and development both as an individual and as a team. This includes regular access to individual supervision, weekly multi-disciplinary group supervision and trainings based on identified need in the practice.

Practicing from Weight Inclusive/ Body Liberation Orientation: At Metrowest Nutrition and Therapy we practice EXCLUSIVELY from a trauma-informed, weight-inclusive/body liberation HAES-aligned framework. It is essential that any clinician who joins our practice aligns with this philosophy. We specialize in eating disorders, disordered eating, feeding issues, body image, women’s health, and athletic performance. Ideally, clinicians have some experience in these areas prior to joining our team.