Wesley Behavioral Health Services logo
Wesley Behavioral Health Services
Winston Salem, North Carolina · Hybrid

CST Team Lead/ Licensed Clinical Therapist

CounselorFull-Time

Listed compensation

$40.00–$65.00 /hr

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 6mo ago

Job Description

Wesley Behavioral Health Services is seeking a dedicated and experienced Community Support Team (CST) Team Lead to oversee and support our CST program in Asheville, NC. This position is responsible for clinical and administrative oversight of the team, ensuring services are delivered in accordance with North Carolina Medicaid standards and agency expectations.

This is a hybrid role requiring a combination of in-office and community-based service delivery as needed.

Key Responsibilities

  • Provide individual outpatient therapy
  • Provide direct supervision and leadership to CST staff, including QPs and Associate Professionals
  • Facilitate and lead weekly CST team meetings
  • Ensure all services are delivered in compliance with NC Medicaid, LME/MCO, and agency standards
  • Monitor documentation for accuracy, timeliness, and clinical quality
  • Support staff with crisis response planning and interventions
  • Review and approve person-centered plans and service documentation
  • Assist with onboarding and training of new team members
  • Collaborate with community providers, referral sources, and natural supports
  • Participate in audits and ensure readiness for compliance reviews

Qualifications

  • Master’s degree in Social Work, Counseling, Psychology, or related human services field
  • Fully licensed or license-eligible in North Carolina (LCMHC, LCSW, LCMHCA, LCSWA preferred)
  • Minimum of 2 years’ experience working with adults or children with mental health and/or substance use needs
  • Previous supervisory experience preferred
  • Strong knowledge of NC Medicaid CST service definitions and documentation standards
  • Skills & Competencies
  • Strong leadership and team-building abilities
  • Excellent documentation and compliance oversight skills
  • Ability to manage multiple priorities
  • Effective communication and conflict-resolution skills
  • Organized, proactive, and solution-focused
  • Schedule & Work Environment
  • Hybrid schedule (in-office presence required for meetings and supervision)
  • Community-based work required to support clients and staff as needed
  • Full-time position

What We Offer

  • Competitive salary
  • Supportive leadership team
  • Opportunity to shape and strengthen a growing CST program
  • Professional development opportunities

Location: Winston Salem, North Carolina (Hybrid)

Employment Type: Full-Time

Compensation

$40.00 - $65.00 per hour

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Clinical OversightTeam LeadershipDocumentation ReviewCompliance Monitoring

Clinical Psychology — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$109k midpoint carries the purchasing power of roughly $116k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Clinical Psychology listings this role was benchmarked against, 54% are remote, 36% have no call, 62% require no weekends — this position is remote.

Clinical Psychology pay on WeekdayDoc is up 9.4% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates CST Team Lead/ Licensed Clinical Therapist at Wesley Behavioral Health Services a 7.7 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Clinical Psychology (Counseling) — ranked against 363 active Clinical Psychology (Counseling) listings on WeekdayDoc. Contributing factors include remote work flexibility.

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution36 jobs · 30 employers

17
<$80k
7
$80k-100k
6
$100k-120k
4
$120k-140k
2
$140k+

Annual compensation range

Benefits & Perks29 jobs

401k / retirement match
93%
Sign-on bonus
41%
CME allowance
28%
Loan repayment
7%
Relocation assistance
3%

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Outpatient Therapist (Licensed Psychologist or LICSW)

Allina Health · Edina, Minnesota

$125k-$140k
#3

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

$74k-$126k
#4

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
+ 34 more · ranked by pay

Work-life snapshot

median 7.2this job 7.7
Better work-life than 80% of Clinical Psychology (Counseling) listings

Listing-based score, 0–10, across 363 comparable listings. Shaded area = the share scoring below this one.

  • Hybrid
  • Remote
Wesley Behavioral Health Services logo

About Wesley Behavioral Health Services

Mental Health Care
Charlotte, North Carolina