Clinical Manager - Psychotherapy

About the Role

We're hiring a clinical manager to lead a single Lorenz site that houses both an outpatient psychotherapy practice and an intensive outpatient program (IOP) as one integrated clinical team. Lorenz Clinic is a training institute with a longstanding clinical practice, engaging in Reflective Practice at scale. The disciplines that make someone excellent in the therapy room—attunement, containment, clear boundaries, fidelity to the work—are the same ones this role asks for at the level of a whole site. The work is genuinely demanding but offers a rare opportunity for clinical leadership in Minnesota, designed to develop the person in the role with structured support.

Responsibilities

• Carry an individual, couples, family, or group clinical caseload—roughly half your week—to maintain clinical judgment and credibility with the team.
• Support a team of licensed clinicians by fostering conditions that keep strong, autonomous therapists engaged and developing.
• Provide clinical and administrative supervision to pre-licensed clinicians within a structured framework.
• Lead the site's reflective team space, a standing meeting where the team collaboratively examines clinical work, distinct from operational authority.
• Anchor the IOP clinically, ensuring group quality, debriefs, family work, and a healthy referral-and-screening rhythm.
• Protect the integrity of care, including who delivers it, how groups are run, and ensuring family work occurs despite census pressure or fatigue.
• Manage operational responsibilities, including appraisals, scheduling, coverage, performance, prior authorizations, and compliance with documentation standards, payer requirements, board rules, and the APA Code of Ethics.

How We Practice

We treat the system, not just symptoms. Our approach locates presenting problems in their relational and developmental context—family, history, and patterns—rather than treating behavior as an individual flaw. The therapeutic relationship and family work are central to change. Our IOP operates on the same logic, offering a corrective interpersonal experience in the group and addressing the family system where the symptom resides. Holding this model steady under pressure is a key responsibility of this role.

Lorenz is owned and governed by psychotherapists, not private equity, medical systems, or insurance companies. This allows us to prioritize the depth of care and the development of clinicians over throughput.

Our Reflective Practice Model

Our culture and clinical operating model are built around a mentalization-based approach. Every clinical team meets in a standing, protected space dedicated to thinking together about the emotional substance of the work—what’s happening between people in the room, what a challenging case stirs up, and what the team carries but hasn’t articulated. This is not case review or venting; it’s the discipline of holding difficulty long enough to understand it rather than react.

The premise is that clinicians can only offer clients the steady, thinking presence they’ve experienced themselves. We support our team the way we ask them to support their clients—reliably, without being thrown by difficulty, and with honest repair when mistakes occur. For the team, this means a culture where uncertainty is safe to share, and mistakes are data about the system, not verdicts. For the manager, it means the core skill is the capacity to absorb a team’s anxiety and not-knowing without passing it up the chain or internalizing it, returning it in a form the team can use. This requires staying regulated in activated spaces, sitting with difficulty without rushing to fix it, and tolerating ambiguity.

Who Thrives Here

• Excellent clinicians who think systemically and remain curious about their impact on others. You work at the level of pattern—case formulation, relational dynamics, rupture and repair—and use your own reactions as clinical information.
• Leaders in group and family work with competence in relational/systemic group therapy and family therapy, sufficient to anchor an IOP’s clinical core.
• Balanced authority and reflection: You can hold both operational authority (e.g., performance reviews) and reflective leadership (e.g., supporting a clinician’s uncertainty) without conflating the two. This is the most critical and often missing capacity.
• Reflective-supervision competence or a genuine willingness to develop it. You can stay with your reactions without defensiveness, remain with another’s difficulty to surface their thinking, and tolerate not yet knowing.
• Supervision as a craft: We assess supervision against a competency-based model (Falender & Shafranske), with structured self-assessment and individual learning plans. This is a development-centered environment where we invest deeply in our people and expect a lot in return.

Requirements

• A master’s or doctoral degree in a mental health profession from an accredited program.
• Full, unrestricted Minnesota licensure as a Mental Health Professional (LP, LICSW, LMFT, or LPCC).
• Demonstrated competence in relational and systemic psychotherapy.
• Demonstrated competence in relational/systemic group psychotherapy and family therapy, sufficient to anchor an IOP clinically.
• Approved clinical supervisor status with your licensing board, with supervision competence assessable against a competency-based framework.
• Reflective-supervision competence—or a demonstrated capacity and willingness to develop it.
• The capacity to hold operational authority and reflective leadership as distinct functions.
• Prior leadership, management, or program responsibility (preferred).
• Formal training in child or family therapy (preferred).
• BBHT- or AAMFT-approved supervisor status (preferred).

Internal candidates who meet Manager-in-Training criteria may be considered through an MiT nomination.

Pay

The hiring range is $95,000–$150,000 annually, depending on experience, credentials, breadth of clinical competence, leadership history, and program.

• For independently licensed master’s clinicians (LICSW, LMFT, LPCC): $95,000–$130,000.
• For doctorally-prepared licensed psychologists (LP): $125,000–$150,000.

Benefits

• Eligibility for student loan repayment.
• Robust benefits package for full-time independently licensed clinicians, including:
  • Paid burnout time.
  • Annual CEU allowance.
  • Employer-sponsored health, dental, vision, and life insurance.
  • Short- and long-term disability.
  • 401(k) with match.
  • Tuition reimbursement.
  • Privately-funded student loan forgiveness.
  • Paid time off (PTO), holidays, service/volunteer time, and CE hours.
  • Paid parental leave.
  • Employee Assistance Program (EAP).
  • Flexible schedule.
  • Professional development support.
• As an active training clinic, most clinicians earn roughly 100 hours a year of board-approved CE by participating in:
  • Annual conference.
  • Monthly Grand Rounds.
  • Four hours a month of case consultation with a specialist.