Primary Therapist
Listed compensation
$75k-$85k
The week · per this posting · Monday – Friday
Ask the employer about the work setting, call expectations, nights and shift pattern and time off.
Job Description
The Primary Therapist is the primary clinical lead for an assigned caseload of residents within the facility. The Primary Therapist is responsible for the creation, implementation, and regular review of Individualized Treatment Plans (ITPs).
This role involves providing high-intensity therapeutic interventions, conducting comprehensive biopsychosocial assessments, and ensuring that all clinical services meet the "Medical Necessity" standards for residential care.
The Primary Therapists work as part of a multidisciplinary team to move residents toward successful community reintegration.
Essential Duties and Responsibilities
1. Clinical Assessment and Treatment Planning
- Conduct comprehensive biopsychosocial assessments for new residents within the state-mandated time frames.
- Develop, write, and update Individualized Treatment Plans (ITPs) as required by the state regulatory bodies, ensuring goals are SMART (Specific, Measurable, Achievable, Relevant, Time-bound) and reflect the resident’s voice.
- Interpret clinical data to identify trends in resident behavior and adjust treatment strategies accordingly.
2. Therapeutic Interventions
- Provide individual, group, and family therapy sessions utilizing evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or Trauma-Informed Care (TIC).
- Facilitate specialized clinical groups focused on symptom management, emotional regulation, and recovery skills.
- Provide clinical "real-time" intervention and de-escalation for residents experiencing acute psychological distress.
3. Documentation and Regulatory Compliance
- Maintain precise and timely clinical documentation in the Electronic Health Record (EHR) according to state regulations and national accreditation bodies(The Joint Commission).
- Prepare comprehensive discharge summaries and transition plans in collaboration with the Case Manager.
- Ensure all documentation supports the "Medical Necessity" of the residential level of care for insurance utilization reviews (UR).
4. Multidisciplinary Collaboration
- Participate in weekly Treatment Team meetings to provide clinical updates.
- Provide clinical consultation to Behavioral Health Technicians (BHTs) to ensure the therapeutic milieu is consistent with residents’ treatment goals.
- Coordinate with external providers to ensure a seamless continuum of care.
Qualifications
Education and Experience
- Minimum Requirement: Master’s degree from an accredited college or university in a human services field (Social Work, Psychology, Counseling, or related).
- Experience: Minimum of two (2) years of post-graduate clinical experience in a mental health setting. Residential experience is preferred.
- Licensure: Preferred to be a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) in the state of practice. Associate licensed Master's-level candidates considered with residential experience and eligibility to obtain clinical licensure within one year of hire.
Monday-Friday 8:30am-5:00pm
Key Responsibilities
The Primary Therapist serves as the clinical lead for an assigned caseload, responsible for developing and implementing individualized treatment plans. They provide evidence-based therapeutic interventions and collaborate with a multidisciplinary team to support resident recovery and community reintegration.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Counselor Career Context
ABHS ranks #7 of 23 employers hiring Counselor on WeekdayDoc by average advertised pay.
Of the 50 active Mental Health Therapy listings this role was benchmarked against, 42% are remote, 26% have no call, 68% require no weekends.
Mental Health Therapy pay on WeekdayDoc is down 2.7% vs. the prior quarter (through Aug 2026).
The cost-of-living index for Pennsylvania is 97.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$80k midpoint carries the purchasing power of roughly $82k in an average-cost state. 61.7% of Pennsylvania clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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