Intensive In-home Lead Therapist - Winston-Salem, NC

Interested in a leadership opportunity with a leading mental health organization in the Triad area?  Alexander Youth Network is looking for a licensed or provisionally Therapist to act as Intensive In-home (IIH) Team Lead for our team in Winston-Salem. Qualified applicants should be a Licensed Independent Practitioner, or have a provisional license and be working under a fully licensed clinician.  One year of documented experience with the child/adolescent mental health population required.

Salary starting at $41,800.


Provides intensive behavioral and emotional services to children and their families within a community-based model; leads a 3-person team, with a maximum case load of 8 families, in providing such services and oversees the functioning of children with mental health diagnoses by conducting individual and family therapy, overseeing skill building activities, providing parenting education, intervening during a crisis, providing on-call coverage within the intensive in-home team 24/7/365, and monitoring symptoms of the child.  Responds appropriately and timely to crisis situations and develops plans involving the least restrictive setting; receives and provides clinical feedback; leads and participates in the clinical direction of each case assigned, including designating the appropriate team member for each consumer in accordance with their specialized expertise; collaborates, coordinates and advocates with collateral agencies and natural supports in order to meet family and consumer needs in all domains; applies knowledge of child growth and development to intervention development. Services are provided in the client's home, school, and community settings.


  • Complete targeted direct service hours 
  • Manages a team
  • All documentation including progress notes are completed accurately and in a timely manner
  • Maintain active service plan on each client
  • Engages client effectively
  • Accurately maintains client Electronic Health Record
  • Completes all mandated training
  • Maintains availability in CDT calendar 
  • Provides regular and consistent therapy
  • Successfully meet discharge outcomes


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Must be a Licensed Independent Practitioner, or have a provisional license and be working under a fully licensed clinician.  One year of documented experience with the child/adolescent mental health population required.

Proficiency in Microsoft Office applications


Ability to develop evidenced based practices and analyze programmatic outcomes.  Ability to read, analyze, and interpret common professional journals.  Ability to respond to sensitive inquiries or complaints from consumers and families, and outside treatment providers, and members of the community.  Ability to write articles for publication that conform to prescribed style and format.  Ability to effectively present information to management and public groups.


Familiarity with mathematical operations to such tasks as frequency distribution, determination of test reliability and validity, analysis of variance, correlation techniques, sampling theory, and factor analysis; ability to comprehend billable units as it relates to the service authorization process.


Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to deal with several abstract and concrete variables.


LPC, LCSW, LMFT; LPC-A, LCSW-A, and LMFT-A can also be Team Leader as long as they obtain full licensure within 30 months of date of hire. 

Completion of minimum hours of service definitions training including but not limited to Cognitive Behavior Therapy, Person Centered Planning Instructional Elements, Person Centered Thinking, Introductory to Motivational Interviewing, Crisis Response, System of Care and Intensive In Home Service Definition Training within the appropriate timeframes as defined by the Service Definition; Completion of ongoing refresher trainer as described by Service Definition.

Valid NC driver's license


  • Alexander boasts a comprehensive benefits package which includes:
  • Medical with Employer-Sponsored HRA
  • Dental
  • Vision
  • 401(k) with Employer Match
  • Employer-Paid Life, AD&D, STD, and LTD
  • Paid Time Off and Paid Holidays
  • Continuing Education Units (CEUs)
  • Employee Recognition Programs
  • Discounts and Perks such as AAA, credit union membership, and more!