@agriggio so in RawTherapee we get the drop down menu that shows us the presets we have in our Profiles folder. If in that folder we have further folders, they can be browsed within that menu turning into a potentially overcrowded array of cascading mess.
I believe doing thing the way Lightroom does it would help. In the screenshot below, numbered as 1, is the list of presets available, clickable and easy to overview.
Also when selecting a preset, then proceeding to make further changes, the list of things you did features the name of the preset selected, rather than just “Profile changed” as it is now in RawTherapee