Clinical Director Jobs in North Carolina
Clinical Director jobs in North Carolina are in strong demand, concentrated in healthcare systems, behavioral health networks, and outpatient specialty clinics, with openings ranging from newly promoted clinical leads through senior executive directors overseeing multi-site operations. The largest hiring metros are Charlotte, Raleigh, and Greensboro, where employers like Atrium Health, Duke University Health System, and Cone Health consistently recruit for these roles. Behavioral health, home health and hospice, and substance use treatment are among the most active specialties in the state right now. Find a role that fits below and apply directly.
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- Coordinates and facilitates a system approach to common imaging functions; specific initiatives include infrastructure, collaborative operations, compliance, medical staff partnerships, strategic planning, capital budget coordination, freestanding imaging strategy, Radiation Safety Coordination, Picture Archiving and Communication System (PACS), Transcription and cost reduction initiatives.
- Coordinates an ongoing Quality Assurance Program to ensure a high level of patient care is being delivered.
- Ensures imaging services are in compliance with The Joint Commission and other regulatory and compliance standards.
- Monitors fees charged to patients for services, including evaluating the pricing and cost structure to ensure alignment with departmental guidelines.
- Ensures implementation of the equipment service program and maintains proper operations of imaging equipment. Directs capital equipment planning, purchasing and maintenance for imaging services.
- Coordinates all maintenance agreements with appropriate system functions to control costs, service and compliance with established market and/or system guidelines.
- Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
- Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
- Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
Licensure, Registration, and/or Certification Required:
- None Required.
Education Required:
- Bachelor's Degree (or equivalent knowledge) in Health Care Administration or related field.
Experience Required:
- Typically requires 7 years of experience in a large, complex radiology department with multiple modalities to include Nuclear Medicine. Includes 3 years of management experience in managing staff, budgets and multiple modalities at the manager/director level.
Knowledge, Skills & Abilities Required:
- Knowledge of various imaging modalities, health care administration and general business principles.
- Knowledge and demonstrated abilities in dealing with human resource management issues, financial management as well as a thorough knowledge and understanding of radiologic service areas and operations.
- Strong decision making and critical thinking skills.
- Significant successful high-level interaction with medical staff.
- Strong skills in successfully managing multiple units.
- Strong skills in diplomacy and conflict resolution at various levels within the organization.
- Excellent written and verbal communication skills and the ability to communicate effectively with all levels of leadership and staff.
- Proficient in the use of Microsoft Office (Excel, PowerPoint and Word) or similar products.
Physical Requirements and Working Conditions:
- Must be able to operate all equipment essential in performing the job.
- Occasionally will lift up to 10 lbs.
- Must be able to sit for 50% of the workday and stand or walk for 50%.
- May occasionally be exposed to radiation.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
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Find Clinical Director JobsClinical Director Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Clinical Director Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Education
- Telecommunications
What North Carolina Employers Look For
The qualifications that appear most often in clinical director jobs across North Carolina.
- Active North Carolina license in a clinical discipline such as RN, LPC, or LCSW
- Master's degree in nursing, social work, counseling, or a related clinical field
- Minimum five years of direct clinical experience in a relevant care setting
- Prior supervisory or management experience overseeing clinical staff and programs
- Demonstrated knowledge of Joint Commission standards, state regulations, and accreditation requirements
- Strong background in quality improvement, outcomes tracking, and clinical program development
Clinical Director Jobs in North Carolina: Frequently Asked Questions
How do you become a clinical director in North Carolina?
Becoming a clinical director in North Carolina typically starts with earning an active clinical license in your discipline, such as a Registered Nurse license through the North Carolina Board of Nursing, a Licensed Clinical Social Worker credential through the NC Social Work Certification and Licensure Board, or a Licensed Professional Counselor designation through the NC Psychology Board. Employers generally require a master's degree and several years of progressive clinical and supervisory experience before hiring into a director-level role.
Which companies hire clinical directors in North Carolina?
Employers hiring clinical directors in North Carolina right now include IQVIA, Action Behavior Centers - ABA Therapy for Autism, and Mosaic Pediatric Therapy, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and growing behavioral health networks tend to post the most consistent volume of these openings across the state.
Which North Carolina cities have the most clinical director jobs?
Durham, Raleigh, and Charlotte have the most clinical director openings in North Carolina. Charlotte and Raleigh drive the highest volume, anchored by major health systems like Atrium Health and WakeMed, while Greensboro's concentration of regional behavioral health and home health agencies accounts for strong demand in the Piedmont Triad.
Are there remote clinical director jobs in North Carolina?
Yes, but they're rare. Clinical director roles are primarily on-site positions that involve direct oversight of clinical staff, patient care environments, and facility operations. About 88% of clinical director openings tied to North Carolina are remote or hybrid as of August 2026, and those tend to be in utilization management, telehealth program leadership, or managed care settings where day-to-day duties don't require a physical presence.
How can I get hired as a clinical director in North Carolina with little or no experience?
The most realistic entry path is moving into a clinical supervisor or program manager role first, then building toward director-level positions. Large North Carolina health systems like Novant Health and Duke University Health System often hire clinical leads and charge nurses internally before elevating candidates to director roles. Earning a North Carolina clinical license in your discipline, completing a graduate degree, and gaining quality improvement or accreditation project experience are the credentials that most consistently open the door to director-track opportunities.
Where can I find and apply to clinical director jobs in North Carolina?
You can find and apply to clinical director jobs in North Carolina on Migrate Mate, which lists current North Carolina openings from employers across the state. Find roles that fit your background and apply directly to the ones that match.
See All 64 Clinical Director Jobs in North Carolina
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