Residential Clinical Director

Job DetailsJob Location: Sacramento, CA 95823Salary Range: $120,000.00 - $120,000.00 SalarySalary: $120,000 annually, plus eligibility for an annual performance-based bonus of up to 10% of base salary
Benefits: PTO, sick time, paid holidays, medical benefits, 401(k), professional development opportunities, and additional employee perks

Diamond House Detox is seeking a dynamic and experienced Residential Clinical Director to lead and strengthen our residential clinical services. This is an exciting opportunity for a licensed clinical leader who is passionate about high-quality client care, residential programming, team development, and creating a safe, structured, and recovery-focused treatment environment.

The Residential Clinical Director provides clinical leadership and oversight for all residential treatment services, including supervision of therapists, oversight of residential programming and the therapeutic milieu, and support for clinical quality, documentation, compliance, and client outcomes. This role is ideal for someone who thrives in a collaborative 24/7 treatment environment, enjoys mentoring clinicians, and is motivated by building strong systems that support both clients and staff.

The Residential Clinical Director works closely with the Program Director, Outpatient Clinical Director, Admissions, Medical, Behavioral Health Technicians, Program Managers, and other interdisciplinary team members to ensure seamless coordination of care, strong program performance, and continuity across levels of service.

What You’ll Do

Clinical Leadership

The Residential Clinical Director provides direct supervision, guidance, and support to therapists and clinical staff within the residential program. This role ensures that individual, group, and family therapy services are clinically sound, consistent, effective, and aligned with evidence-based practices. The Director also oversees treatment planning, discharge planning, clinical documentation, and level-of-care decision-making to support high-quality client care in a residential setting.

Program Oversight and Milieu Management

This position oversees the implementation, consistency, and integrity of residential programming, including daily schedules, therapeutic activities, group structure, and the overall clinical environment. The Residential Clinical Director helps ensure the therapeutic milieu supports recovery, engagement, accountability, and safety. This role works closely with Program Managers and Behavioral Health Technicians to maintain structure, consistency, and appropriate client supervision within a 24/7 treatment setting.

Compliance and Quality Improvement

The Residential Clinical Director plays a key role in maintaining clinical compliance with applicable regulatory and accrediting standards, including DHCS, Joint Commission, and ASAM criteria for residential levels of care. This role conducts chart audits, clinical reviews, and documentation quality checks to support audit readiness and ongoing improvement. The Director also helps identify trends, address deficiencies, and implement training or corrective action when needed.

Team Development and Supervision

This role provides ongoing clinical supervision, mentorship, coaching, and professional development to therapists and clinical staff. The Residential Clinical Director supports employee performance, conducts evaluations, assists with corrective action when needed in partnership with HR, and contributes to recruitment, hiring, onboarding, and training of clinical team members. A major focus of this position is fostering a culture of clinical excellence, accountability, teamwork, and consistency within a 24/7 environment.

Interdisciplinary Collaboration

The Residential Clinical Director partners closely with the Program Director and Outpatient Clinical Director to align clinical services with operational workflows and overall program goals. This role also collaborates with Nursing, Medical, Admissions, Behavioral Health Technicians, Program Managers, and other support staff to support coordinated, integrated care. The Director participates in multidisciplinary treatment team meetings, case consultations, utilization reviews, discharge planning, and step-down coordination to support continuity of care.

We are looking for a clinically strong, organized, and collaborative leader who can balance quality care, compliance, staff development, residential programming, and the unique needs of a 24/7 treatment environment. The ideal candidate is confident supervising licensed and associate-level clinicians, experienced in substance use and co-occurring treatment, and passionate about creating a safe, structured, compassionate, and client-centered residential program.
What We're Looking For
Master’s degree in Psychology, Social Work, Counseling, or a related field required
Current, active clinical licensure in the State of California required, such as LCSW, LMFT, LPCC, or equivalent
Minimum of five years of experience in substance use treatment, including experience in residential treatment settings and at least two years in a supervisory or leadership role
Strong knowledge of evidence-based practices and ASAM criteria, particularly residential levels of care
Working knowledge of DHCS, Joint Commission standards, and clinical documentation requirements
Demonstrated ability to lead, supervise, coach, and develop clinical teams within a 24/7 treatment environment
Strong organizational, analytical, and problem-solving skills
Excellent communication and interpersonal skills, with the ability to collaborate across departments and disciplines
Proficiency with electronic health record systems and clinical documentation practices
Successful completion of background check, drug test, physical, and TB screening
Valid driver’s license and insurability under the company’s automobile insurance policy

Why Join Diamond House Detox?

At Diamond House Detox, we are committed to providing compassionate, evidence-based care to individuals navigating substance use and co-occurring mental health challenges. Our team is mission-driven, collaborative, and focused on creating a supportive environment for both clients and staff.

This is a meaningful leadership opportunity for someone who wants to help shape residential treatment services, support clinical excellence, strengthen the therapeutic milieu, mentor a growing team, and contribute to a strong culture of accountability, compassion, safety, and continuous improvement.