About Fabric Health

At Fabric Health, we are powering boundless care by solving healthcare’s biggest challenge: clinical capacity. We aren’t here to disrupt healthcare; we’re here to fix it. We unify the care journey from intake to treatment, using intelligent automation to remove administrative burdens and make care delivery 2-10x more efficient. Our technology empowers clinicians to move faster and focus on what matters most: the patient.
We are a mission-driven team of brilliant minds trusted by leading organizations including Intermountain Health, OSF HealthCare, SSM Health, and MUSC Health. Our vision is backed by premier investors such as Thrive Capital, GV (Google Ventures), General Catalyst, and Salesforce Ventures. We move quickly for good reason, listen deeply to solve big challenges, and build products with the same care and quality we’d want for our own loved ones.
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About the Role

We deliver talk therapy across all 50 states through our virtual care service: licensed therapists, the same therapist visit over visit, and 45 or 50 -minute sessions. As demand grows, our therapist team is growing fast, and we need a clinical leadership layer purpose-built to support it.
The Talk Therapy Clinical Lead is that layer. Reporting to our senior behavioral health clinical leader, you will provide clinical support to a team of licensed therapists delivering care on the platform. You support the clinical quality, safety, and consistency of the therapy they provide, and their experience as members of a remote team. In this role, you will also keep a small direct caseload so you stay close to the work your team does every day.

What You'll Do

As the Talk Therapy Clinical Lead, you will supervise a team of licensed therapists, reporting to the senior behavioral health clinical leader and partnering with Clinical Operations, Product, and Member Experience. Your primary responsibilities will include:

• Case Consultation and Clinical Support: Provide case consultations, treatment-plan review, and clinical decision support, so that every member receives safe, effective, evidence-based care.
• Risk and Crisis Oversight: Support the team's risk-management pathways for suicidal or homicidal ideation, abuse and mandated reporting, duty-to-warn situations, and other clinical emergencies. Be the escalation point for high-acuity and complex cases and ensure clinicians know exactly what to do and when.
• Clinical Oversight: Run regular one-on-ones, support performance and retention, and help each clinician grow their craft and their career on a remote team.
• Clinical Quality and Documentation: Oversee the chart review team, conduct chart and documentation reviews, monitor measurement-based-care and outcome data, and close the loop with coaching when quality or consistency drifts.
• Standards and Protocols: Partner with the senior behavioral health leader to maintain clinical protocols, safety workflows, and care pathways for the talk therapy program, and keep them current as the program evolves.
• Onboarding and Calibration: Onboard newly hired therapists, calibrate clinical approach across the team, and deliver clinical training and oversight that raises the floor and the ceiling.
• Multi-State Compliance: Ensure care delivery meets state licensure, telehealth, and scope-of-practice requirements across all 50 states.
• Capacity Partnership: Work with Clinical Operations on therapist availability, scheduling, and continuity , so that clinical quality and access scale together rather than against each other.
• Direct Care: Maintain a small direct therapy caseload to stay close to the member and clinician experience and to model the standard you hold the team to.

Why You Might Be a Good Fit

• You are an experienced, fully licensed therapist who has already supervised or led other clinicians and found that you love developing people as much as treating members.
• You hold a high clinical bar and can articulate what good therapy looks like, then coach a team toward it without micromanaging.
• You are calm and decisive in clinical risk situations.
• You think about quality and access at the same time, and you understand that continuity and time-to-care are part of the clinical outcome, not separate from it.
• You are comfortable in a fast-moving, remote, technology-forward environment and curious about how AI and good tooling can make clinicians' work better rather than harder.

This Might Not Be The Right Fit If...

• You want a pure individual-contributor caseload with no responsibility for other clinicians' work; the heart of this role is supervision and leadership.
• You are uncomfortable being the clinical escalation point for high-acuity or crisis situations across a team.
• You prefer a single-state, single-setting practice and are not interested in the complexity of multi-state telehealth.
• You see documentation review, outcome measurement, and quality oversight as busywork rather than as core to safe care at scale.

Your Qualifications

• Active, unrestricted, independent clinical license in good standing as an LCSW, LMFT, LPC or LPCC, or a licensed psychologist (PhD or PsyD), in at least one US state, with the willingness and ability to obtain additional state licenses.
• 5+ years of post-licensure clinical practice delivering psychotherapy providing care to a variety of populations and acuity levels.
• 2+ years supervising, leading, or formally mentoring other clinicians.
• Direct experience in telehealth or virtual behavioral health, and comfort delivering and overseeing care over video and other virtual modalities.
• Strong command of clinical risk management, crisis and safety protocols, mandated reporting, and evidence-based, measurement-based care.
• Excellent written and verbal communication and the ability to give clear, supportive, direct feedback to other clinicians.
• Authorized to work in the United States without sponsorship.

Bonus Points

• Licensed in multiple states, or participation in PSYPACT or the Counseling Compact.
• Experience standing up or scaling a clinical supervision structure at a high-growth telehealth or virtual care company.
• Experience with outcome-measurement tools and modern EHR or documentation systems, including AI-assisted documentation.
• Background across multiple therapeutic modalities (for example, CBT, DBT, ACT)

The national pay range for this role is $80,000.00 – $100,000.00 per year. Actual compensation will be determined by factors such as the candidate's geographic market, experience, skills, and qualifications. Certain roles may also be eligible for additional compensation, including a comprehensive benefits package such as medical, dental, vision, unlimited PTO, and a 401(k) plan, and bonuses. If your compensation requirement is greater than our posted range, please still consider applying; a determination can be made based on unique qualifications. Expected compensation ranges for this role may change over time.
At Fabric, we believe that a diverse workforce is essential to our success. We are an equal opportunity employer and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other legally protected characteristic. We actively encourage individuals from all backgrounds to apply.

Recruitment Fraud Alert: Protect Yourself

Fabric Health is aware of scammers attempting to impersonate employers. To ensure that any recruiting contact you receive is legitimate, please adhere to the following:

• Verify the Domain: Official recruitment emails will only come from addresses ending in @fabrichealth.com or @gem.com. No other domain names are legitimate.
• Official Interview Tools: We use Gem for our recruitment process and Google Meet for all video interviews. Google Meet is always the platform used for your first interview; you will never be sent a Zoom link to set up or conduct an initial interview. All interviews are conducted via video unless specifically stated by our team as an audio call. We never conduct interviews via chat, social media, Skype, or WhatsApp.
• Zoom Usage: Zoom is utilized only for specific meetings set directly by our team for purposes outside of the standard interview process (e.g., coordination or onboarding discussions). It is never the first link you will receive from us.
• Authorized Contact & Texting: Fabric will only contact you if you have submitted an application or if you are connected to a current employee who shared your information with us. We will only send text messages if you have provided explicit authorization and consent, either through your application or while communicating directly with our team. If you have not explicitly authorized us to reach out, treat any SMS or unsolicited outreach as fraudulent and do not respond.
• Sensitive Data: We will never ask you for sensitive personal or financial documents (ID, banking info, SSN) during the application, interview, or candidacy stages. All sensitive data is handled through secure internal systems post-offer.
• Verify the Team: You can reference LinkedIn to verify members of our recruiting team; however, please remain vigilant as scammers may create fraudulent profiles. Always cross-reference the sender's email domain with our official @fabrichealth.com address.

If you question the validity of a contact or receive a suspicious message, do not click any links. Please submit a report via this link: https://forms.gle/N1AGAiXcAL2W57H9A
Please note: The security inbox is for reporting fraudulent activity only. Do not email this address for application status updates or to share application materials, as these will not be reviewed. Applications are only accepted and reviewed if submitted through our official application portal, and no application status information will be provided via the security email.