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Duke University
Durham, North Carolina

Behavior Health Therapist - Signature Care

CounselorNo weekendsNo nightsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 42m ago · Verified live

Job Description

careers.dukehealth.org

Pursue your passion for caring with Duke Health Integrated Practice, which comprises more than 110 primary and specialty outpatient clinics, extending the reach of Duke Health's mission across the state of North Carolina.

Job Location

Signature Care of South Durham - 234 Crooked Creek Pkwy

Job Summary

The Behavioral Health Therapist is a member of the interdisciplinary team committed to focusing on the individual health care needs of adult patients within the Duke Signature Care concierge practice, a Primary Care Medical Home. The Behavioral Health Therapist collaborates with the patient, physicians, and other members of the health care team to provide assessments and formulate treatment plans using a holistic approach to care.

Job Duties and Responsibilities

Provide psychosocial assessments of patients and families to identify emotional, social, and environmental strengths and problems related to their diagnosis, illness, treatment, and/or life situation. Formulate, develop, and implement a comprehensive psychosocial treatment plan utilizing appropriate treatments and interventions to treat and manage mental health and/or substance abuse problems

Document assessment, plan, interactions, and interventions in the electronic health record according to departmental, hospital and/or health system guidelines and standards. Maintain records in accordance with department, hospital, medical center and/or health system policies.

Provide education to patients and loved ones around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation; consultative services to health care team members within scope of care; teaching and training for staff and faculty.

Maintain a working knowledge of health system resources to access and relevant medical/legal issues that impact patient care; liaison with community agencies and resources to further support patient care needs.

Collaborate with members of the interdisciplinary team to identify and resolve issues and improve work flow processes. Attend and participate in huddles, staff, committee, and departmental meetings; identify and engage in continuous quality improvement initiatives.

Adhere to licensure, health system, and regulatory guidelines and requirements; complete annual and required trainings within defined timelines; other projects and duties as directed by clinic leadership.

Job Eligibility Requirements

Master's degree in human services/sciences from an accredited school. Doctorate degree in human services will be acknowledged

Two years of outpatient psychotherapy experience as a fully licensed, autonomous clinician. Experience working as a licensed therapist in a medical setting and/or in a team-based community program is preferred.

Current licensure as a licensed LCSW, LMFT, and/or LCMHC. LCAS is preferred as a secondary license.

Job Hours

The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Key Responsibilities

The Behavioral Health Therapist provides psychosocial assessments and develops comprehensive treatment plans for adult patients within a primary care setting. They collaborate with an interdisciplinary team to manage mental health and substance abuse needs while maintaining accurate electronic health records.

Requirements

Candidates must hold a Master's degree in human services or sciences and possess current licensure as an LCSW, LMFT, or LCMHC. A minimum of two years of outpatient psychotherapy experience as a fully licensed clinician is required.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Psychosocial assessmentTreatment planningMental health counselingSubstance abuse counselingInterdisciplinary collaborationPatient educationCrisis interventionClinical documentationCase management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavior Health Therapist - Signature Care at Duke University a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Mental Health Therapy (Counseling) — ranked against 7,961 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 54% are remote, 32% have no call, 74% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

46 matches · ranked by pay

Salary Distribution42 jobs · 35 employers

18
<$70k
11
$70k-90k
6
$90k-110k
7
$110k-130k

Annual compensation range

Benefits & Perks38 jobs · 35 employers

401k / retirement match
97%
Sign-on bonus
26%
Loan repayment
26%
CME allowance
24%
PSLF eligible
16%

Share of similar jobs offering each benefit

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Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

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$74k-$126k
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Work-life snapshot

median 6.1this job 6.4
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,961 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights

Living in Durham

Typical 3-bedroom home value
$363k
Typical market rent
$1,659/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.