How to Hire For Leadership Positions with Lindsay Keisman | GP 74

Are you wanting to hire people for leadership positions in your practice? When is a good time to consider hiring admin assistance? What should you hire out for and what should you keep doing yourself?

In this podcast episode, Alison Pidgeon speaks with Lindsay Keisman about how to hire for leadership positions in your practice.

Podcast Sponsor

Do you need help building your brand? Feel like you don’t even know where to begin when it comes to marketing your practice online? Whether you’re a seasoned clinician with a website in need of a refresh, or you’re fresh out of school needing your very first therapist website, Brighter Vision is the perfect solution.

Right now, they’re offering one of their biggest discounts ever during their 4th of July Sale.

Sign up for any new website package by Tuesday, July 6th to receive your entire first year of service for just $49/month and pay no setup fees – that’s a savings of $220 on your first year with Brighter Vision! All you have to do is go to to learn more and take advantage of this great deal.

Meet Lindsay Keisman

Lindsay Keisman is a multi-location insurance-based group practice owner in Illinois. Also, she is a leadership, business, and executive coach at Leading Your Practice with a focus on making the workplace a happy, healthy, and productive place to spend a good portion of our lives at. As a mom of 3 boys, she also knows how important work-life balance is and wants to support people to find the right balance between making a living and making a difference, without sacrificing what matters most.

Visit her website and schedule a free consultation.

Download free organizational charts here and email Lindsay at

In This Podcast


  • Common leadership roles
  • When to hire out in your practice
  • Financial mathematics for hiring assistance

Common leadership roles

  • Clinical director
  • Psych director
  • Site supervisor (multiple offices)
  • Practice manager (non-clinical)
  • Intake manager (for larger practices)

Hiring people to fill leadership roles in your practice will depend on what you need help with and how large you would like to grow your practice. It is entirely up to you but remember that you can hire out if you need to.

You do not have to do the job of 10 people if you can easily find another eight people to take over the majority of those roles.

I think the why is important because it can really determine [if you] do really need leadership support or do you need administrative support. (Lindsay Keisman)

Depending on the issue or aspect that you need help with, you can hire to fill that role.

When to hire out in your practice

This number varies greatly across group practices. In the majority, however, most group practices hire people for leadership roles when they sit with around seven to eight clinicians on staff.

This assistance can be in the form of a clinical director, admin assistance, an office manager, whatever you and your practice need.

I think it depends on a combination of what you love and what you hate and what’s available to you but at seven or eight [clinicians] I think that any one of us would be burnt out if we were still doing it all. (Lindsay Keisman)

When you are trying to figure out what you need in your practice:

  • Write on a piece of paper love, neutral, and hate.
  • For the next couple of weeks or a month, write down all the things that you do and divide them up in between these columns.
  • This will help you see where your talents lie and what you prefer doing. You can then decide whether you want to hire someone to handle the things that you hate.

Remember, you can do what you love. Even if you are the CEO and you love to do bookkeeping, you do not need to give it to someone else if doing that is something that you enjoy.

Financial mathematics for hiring assistance

Figuring out the income:

  • $100 an hour about 20 clients a week,
  • $2000 from the position. Multiply this by 48 weeks which allows paid holidays and three weeks of PTO.
  • $96 000 a year that is available to you. This is how much is self-funded by the work completed from this position.

Books mentioned in this episode:

Useful Links:

Meet Alison Pidgeon

A portrait of Alison Pidgeon is shown. She discusses ways to grow your group practice on this week's episode of Practice of the Practice. Alison is a serial entrepreneur with four businesses, one of which is a 15 clinician group practice. She’s also a mom to three boys, wife, coffee drinker, and loves to travel. She started her practice in 2015 and, four years later, has two locations. With a specialization in women’s issues, the practices have made a positive impact on the community by offering different types of specialties not being offered anywhere else in the area.

Alison has been working with Practice of the Practice since 2016. She has helped over 70 therapist entrepreneurs start and grow their businesses, through mastermind groups and individual consulting.

Thanks For Listening!

Feel free to leave a comment below or share this podcast on social media by clicking on one of the social media links below! Alternatively, leave a review on iTunes and subscribe!

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.