Eating Recovery Center logo
Eating Recovery Center
Round Rock, Texas

Milieu Therapist PRN

Counselor / TherapistNo callNo weekendsPer Diem

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 20m ago · Verified live

Job Description

Who We Are

At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same.

As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery.

Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.

Why Join Us

When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always.

Here, your work matters. Your ideas matter. You matter.

If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.

Come build hope. Come save lives. Come grow with us.

Schedule: PRN/ AS Needed; 10‐hour shifts Monday - Friday

What You’ll Be Doing

The Milieu Therapist facilitates groups based on core curriculum, provides meal monitoring and meal support., and offers milieu support, de-escalation and behavior coaching to patients in IP/Res and PHP programs. The Milieu Therapist may be required to work on-call shifts based on business needs, in accordance with applicable federal, state, and local labor laws.

Essential Duties and Responsibilities

  • Facilitates curriculum-based groups.
  • Provides meal monitoring and support.
  • Documentation of groups, meals and patient check-ins and observations

Provides Support to Milieu Including the Following

  • De-escalation and crisis management
  • Bathroom monitoring
  • Monitoring outside breaks
  • Conducts self-harm and suicide assessment
  • Support morning routine in IP/Res programs
  • Collect weights, vitals and urine in some settings

Implements individual behavior management plans for some patients and serves as clinical lead for the program in standalone programs in evenings and weekends. Will lead more advanced groups.

Coverage for Primary Therapists with support from Clinical Manager or Clinical Director

Must Haves

  • Bachelor’s degree in mental health or related degree program (required)
  • Master’s degree in mental health or related degree program (required)
  • Intern or associate license from appropriate state licensing board (required)

Minimum 18 months of experience in a behavioral health or related field (requirement waived with relevant master's degree)

Bonus Qualities

1+ year facilitating groups (preferred)

What We Offer

At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life.

We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career.

We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home.

When you thrive, you can do your best work. And your best work changes lives.

Key Responsibilities

The Milieu Therapist facilitates curriculum-based groups and provides essential meal monitoring and milieu support for patients. They are responsible for conducting safety assessments, documenting patient observations, and implementing behavior management plans.

Requirements

Candidates must hold both a Bachelor's and a Master's degree in a mental health-related field along with an active intern or associate license. A minimum of 18 months of experience in behavioral health is required, though this may be waived for those with a relevant Master's degree.

Qualifications

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

Key Skills

Group facilitationSelf-harm assessmentClinical documentationPatient observationVital signs monitoringMental health support

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Milieu Therapist PRN at Eating Recovery Center a 6.6 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 7,846 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 46% are remote, 14% have no call, 58% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.5% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.6 / 10 · above average in mental health therapy (counseling)ranked against 7,846 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Mental Health Therapy listings in Texas457 active7,884 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 46% remote · 14% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTexas Counselor listings: 8% state a sign-on bonus (median $2k) · 22% offer loan repayment711 active listings, Nov 2026
New Mental Health Therapy listings2,571 in the last 30 days1,547 the 30 days before (+66%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.5% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (7,846 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Counselor Jobs

50 matches · ranked by pay

Salary Distribution

50 jobs · 39 employers
21
<$80k
16
$80k-105k
6
$105k-130k
7
$130k-155k

Annual compensation range

Benefits & Perks

35 jobs
401k / retirement match
77% this job
CME allowance
34%
Loan repayment
31%
Sign-on bonus
29%
PSLF eligible
11%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Remote Licensed Mental Health Therapist

$66/hr
#4

Remote Licensed Professional Therapist

$66/hr
+ 48 more · ranked by pay

Work-life snapshot

median 6.0this job 6.6
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,846 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
Eating Recovery Center logo

About Eating Recovery Center

Mental Health Care
Denver, Colorado
1,001-5,000 employees

Benefits & Perks

Competitive compensation
Medical, dental, and vision coverage
Generous Paid Time Off
Parental Leave benefits
Retirement benefits
Tuition reimbursement

Living in Round Rock

Typical 3-bedroom home value
$335k
Typical market rent
$1,709/mo
Residents’ average commute
25 min
State income tax
None
Sources & methodology

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

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