Join Boys and Girls Homes of North Carolina to begin a meaningful and rewarding career where you are changing the lives of children and families!  If you want more than just a job, and are seeking a calling to help abused, abandoned and neglected children, we want you on our team. Our magnificent direct care and support staff are the reason behind the success of children who thrives under our care. If you are ready to provide children with guidance, structure and encouragement, join us.  We offer competitive salaries and a comprehensive employee benefits package.  As one of North Carolina's premier youth services agencies, we are seeking dedicated individuals and experienced professionals to join our team and support our goal of providing an environment of care where health, healing and hope are experienced by those who enter our doors.


Responsible for therapeutic environment/culture of the assigned Cottage, provide therapeutic interventions as needed and therapy with individuals and groups per Agency Policies and State/Federal Regulations. Prepare treatment plans and lead the treatment team meetings.  Responsible for the daily operation of the treatment setting (Cottage) including staff supervision.

Much of the work is performed in a residential setting for at-risk youth. Work is subject to frequent interruptions. Work can be stressful.


  • Master’s Degree in the Human Services Field with three years of experience or two years of experience working with children and families and hold a license or certification to provide therapy. A combination of education and experience may be substituted to meet the minimum requirements unless to do so would be inconsistent with the requirements of the organizations that license, regulate or accredit the Agency.  Valid driver’s license in state of residence. 
  • Reasonable accommodations may be made to those who are able to perform the essential duties of the job.  The incumbent must be able to pass any required drug test.  Background investigation required.


1. Provides Program Leadership and Supervision

a. Direct the milieu of the assigned Cottage

b. Mentor/Coach Cottage Staff with assistance from the Campus Life Director

c. In coordination with the Cottage Life Director develop and maintain the appropriate therapeutic culture 

d. Keeps Cottage team informed of Resident’s Individual Treatment Plan

e. Implements action plans/Resident Precautions as needed

f. Communicates Cottage/Staff/Client issues, concerns, and plans to Chief Clinical Officer or his/her designee

g. Ensure documentation all Cottage/Staff/Client activities and information

h. Enforces rules and limits of Cottage Life/Culture

i. Participates in Performance Activities

j. Evaluates Staff needs

k. Assesses Staff effectiveness

2. Protects the Rights of Children

a. Ensures that each child receives care/services within the mission of the Agency and applicable laws and regulation

b. Informs the children of their rights in language they can understand
c. Assures that children and their families receive adequate information regarding the clinical and direct care staff

d. Ensures the need for resolving complaints of each child and their family

e. Ensures protection of children's rights, dignity, and well-being during restraint and seclusion

3. Provides Assessment of Children and their Families

a. Develops/writes an initial screening of all children's physical, psychological, social and family functioning to determine the need for treatment, the type of treatment provided, & the need for further assessment

b. Develops/writes complete psychosocial assessments on each child

4. Provides Individual Comprehensive Treatment Planning

a. Writes initial treatment plans based on initial screening within 24 hours of resident admission and review and refine ITP as resident progresses or regresses.

b.  Writes treatment plans that reflect the organization's treatment philosophy

c. Writes treatment plans that reflect the resident's clinical needs, condition, functional strengths, and limitations

d. Writes treatment plans that address the involvement of family

e. Writes treatment plans that include specific, measurable objectives

f. Writes treatment plans that contain specific goals

g. Writes treatment plans that specify the interventions and approaches necessary to meet the residents's needs and goals

h. Writes treatment goals that are linked to living, learning and work activities 

i. Writes treatment plans that specify the frequency of treatment interventions

j. Writes treatment plans that reflect agency policy

k. Writes treatment plans that contain discharge planning and plans for continuing care for six (6) months post-discharge

l. Ensures that the clinical record is complete, accurate, and all necessary information is timely

m. Safeguards client records and information against loss, destruction, tampering, and unauthorized use

5. Provides Treatment Services and Therapeutic Milieu

a. Be familiar with the current Diagnostic and Statistical Manual of Mental Disorders (DSM V)

b. Provides individual therapy

c. Provides group therapy

d. Provides family engagement therapy

e. Teaches life skills

f.  Utilizes community resources

g. Facilitates family involvement when applicable

h. Limits the use of emergency safety physical interventions to those situations with appropriate clinical justification

i. Ensures the safe preparation, dispensing, and storage of medications according to law, licensure, and agency policy in coordination with Medical Services

j. Orchestrates the building of and maintaining a therapeutic milieu 

k. Requests medical services

l. Demonstrates the belief that each child is to be successful

m. Monitors the health, education, spiritual, physical development of children

n.  Provides emergency support and supervision for campus as On-call Clinician as schedule

o. Applies and teaches the skills of LSI in crisis situations

6. Assists in Providing Quality Staff

a. Assists with staff orientation, education, guidance that creates a culture of prevention that encourages the use of the least restrictive, most effective intervention as necessary and assigned

b. Provides staff support

c.  Documents activities and information as relevant

d. Builds positive, cohesive teams

e. Provides positive role model

7. Implements and Monitors Environment 

a. Communicates the environment of care plans to treatment team

b.   Ensures that the EOC plans are implemented and followed by all team members

c. Ensures that children's living spaces are maintained in a safe/attractive manner

d. Helps develop and maintain the Infection Control Plan within the treatment team

8. Maintains Professional Development 

a. Participates in internal/external training

b. Provides one agency wide training annually

c. Networks with other professionals

9. Perform Other Duties as Assigned


  • Must be able to read, walk, see, hear, and speak.  Sitting, standing, walking and stooping Ability to perform Emergency Safety Physical Intervention, as needed.
  • Must be able to defuse potentially dangerous situations, and remain calm in an emergency.  Must be able to utilize behavior management techniques and serve as a role model.   Must be able to interact in a warm compassionate manner; de-escalating, and restraining clients when necessary.
  • Must be able to handle verbally and/or physically abusive and aggressive clients and utilize aggression control techniques to ensure the safety and well being of the client, other clients, and employees within the department.
  • Must be able to communicate effectively with suicidal, mentally, emotionally, and/or psychologically disturbed clients in person and over the telephone.

You can apply by completing the Boys and Girls Homes Application and sending it by email to or fax to 910-646-3609 and/or mail to Boys & Girls Homes of NC, Inc. - P.O. Box 127, Lake Waccamaw, NC 28450 - Attn: Tesa Bush, Human Resources Manager. For questions, please call Tesa Bush at 910-646-3083 ext 205.