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Job description
Achieve Behavioral Health is looking for an experienced behavioral health clinical leader who wants to build a new ACT program.
Achieve Behavioral Health has been awarded a NYS Office of Mental Health contract to launch a new 68-capacity Adult Assertive Community Treatment (ACT) team, and we're hiring the leader who will build it. This is a senior role for a proven clinician-leader ready to own a program launch end to end; it is not a first leadership position. Achieve is one of New York's original CCBHC demonstration sites, a 650-person organization serving more than 5,300 people annually across Rockland and Orange Counties since 1981. This program extends that care to the county's highest-need adults.
Why This Role
Build from the ground up: You'll play a central role in recruiting the team you lead, and you'll shape its policies, workflows, and culture from day one
Real demand: This program exists because OMH determined Rockland County needs more ACT capacity. You'll be building a service the county has been waiting for
Full backing: A direct reporting line to executive clinical leadership and the full infrastructure of an established organization behind you, from fiscal, HR, and compliance support to vehicles, field technology, and ACT Institute training
The Role
The Team Leader's job is three-fold: practicing clinician on the team, clinical supervisor to each specialty role, and administrator of day-to-day operations. Time splits roughly 50/50 between direct care and supervisory/administrative work. ACT is an evidence-based, mobile, team-based model serving adults with serious mental illness who haven't been well served by office-based care; at least 80% of the team's contacts happen in the community, not the office.
What You'll Do
Lead a multidisciplinary team of ~9 (nursing, substance use, vocational, family, and peer specialists plus a psychiatric provider), maintaining fidelity to the OMH ACT model and a 10:1 participant-to-staff ratio
Facilitate the Daily Morning Meeting; provide individual and field-based supervision grounded in evidence-based practice
Build referral relationships with SPOA, hospitals, and community partners; manage a measured admission pace to full census
Monitor adherence for participants under court-ordered AOT and coordinate with the county AOT team
Oversee documentation quality, CAIRS reporting, chart audits, and the annual fidelity self-assessment; use PSYCKES and program data to drive quality improvement
Ensure 24/7 clinical consultation coverage and share in the team's rotating on-call schedule
Strong Preference For
Prior ACT team experience, ideally as a Team Leader, Assistant Team Leader, or senior clinician
Program start-up or new service implementation experience
Requirements
Master's degree with current NYS licensure (LCSW, LMSW, LMHC, etc.); OR NYS-licensed RN; OR licensed physician
5+ years serving adults with serious mental illness, including 2+ years of supervisory experience
Experience on a multidisciplinary community-based team (e.g., ACT, AOT, mobile crisis, intensive care management)
Demonstrated competency in evidence-based practices such as motivational interviewing, harm reduction, and trauma-informed care
Valid driver's license (agency vehicles provided); pre-employment clearances required, including fingerprinting and NYS Justice Center Staff Exclusion List check
Compensation
Salary of $95,000–$105,000 commensurate with experience, plus comprehensive benefits (medical, dental, life, retirement, PTO), full ACT Institute training support.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.