Intensive In-Home (IIH) Team Lead – Charlotte, NC
Pathways to Life, Inc
Charlotte, NC
Intensive In-Home (IIH) Team Lead – Charlotte, NC
Licensed Clinician (LCSW / LCMHC / LMFT)
Pathways to Life, Inc. is seeking an experienced and highly accountable IIH Team Lead to provide leadership and clinical oversight for our Intensive In-Home (IIH) program in the Charlotte area. This is a key leadership role for someone who already understands IIH, knows what makes programs succeed, and wants to lead a stable, well-supported team — not walk into a crisis.
This role exists because the program is strong enough to need leadership, not because it’s falling apart. You’ll lead a small, focused IIH team with manageable workloads, strong organizational support, and the opportunity to shape program quality, staff success, and family outcomes.
You’ll oversee a small IIH team designed to maintain reasonable caseloads and sustainable service delivery. This role is structured to ensure quality care, staff retention, and program stability, not burnout or overload.
Clinical Oversight
Review and approve assessments, treatment plans, progress notes, and clinical documentation
Catch documentation or compliance risks before audits do
Monitor authorizations and continuity of care so services do not lapse
Maintain fidelity to NC Medicaid IIH requirements, LME/MCO standards, and Pathways to Life policies
Supporting QPs
Provide weekly individual and group supervision
Set clear expectations around productivity, documentation, and clinical quality
Offer early coaching and guidance when issues arise — before they become disciplinary
Support onboarding, training, professional development, and long-term staff success
Program Stability & Quality Assurance
Maintain IIH compliance and clinical excellence across the program
Participate in audits and record reviews with leadership support
Help leadership determine when and how the program can responsibly grow
Strengthen workflows, improve outcomes, and reinforce sustainable team operations
External Communication & Collaboration
Serve as a primary clinical contact for families, referral sources, schools, and community partners
Coordinate care and problem-solve when escalation is needed
Support referrals and intakes as capacity allows
Collaborate closely with Clinical Directors, HR, and Operations leadership
Why Join Pathways to Life?
Lead and mentor a dedicated team of behavioral health professionals. Be part of a growing organization committed to quality, accountability, and person-centered care. Opportunity to shape and strengthen IIH services across North Carolina.Required Qualifications
- Master’s degree in Human Services field (Social Work, Counseling, Psychology, or related)
- Fully Licensed or Associate-Level Licensed in North Carolina (LCSW/LCSWA, LCMHC/LCMHCA, LMFT/LMFT-A, or equivalent)
- Minimum 2 years of IIH experience (required)
- Supervisory or lead experience strongly preferred
- Working knowledge of NC Medicaid IIH service definitions and requirements
- Valid NC driver’s license and reliable transportation
- Ability to pass background check and credentialing requirement
Preferred Qualifications
- Prior experience leading or launching IIH teams
- Strong documentation and audit readiness skills
- Experience working with children, adolescents, and families
- Ability to manage performance, accountability, and deadlines in a fast-paced environment
Pathways to Life, Inc is an EEO Employer - M/F/Disability/Protected Veteran Status
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