Primary Therapist
Listed compensation
$62K–$83K /yr
The week · per this posting · weekdays assumed
Ask the employer about the work setting, call expectations, weekend coverage and time off.
Job Description
About Forward Recovery
Forward Recovery is an outpatient mental health and substance use disorder treatment center serving adults with co-occurring (dual diagnosis) presentations. Our PHP/IOP/OP tracks combine individual therapy, process and skills-based groups, case management, and behavioral health technician support so clients get a coordinated level of care rather than isolated services. We run daytime and evening tracks with both in-person and virtual group options.
Position Summary
The Primary Therapist carries a caseload of dual-diagnosis outpatient clients and is the clinical owner of each assigned client's course of treatment—from biopsychosocial assessment through individualized treatment planning, weekly individual therapy, group facilitation, coordination with the treatment team, and discharge/aftercare planning. This is a hands-on clinical role in a fast-moving program where documentation timeliness and team communication matter as much as strong therapeutic skill.
Key Responsibilities
Clinical Care
Complete comprehensive biopsychosocial assessments (BPS) for newly admitted clients, generally within 24 hours of admission.
Carry a primary caseload of 10-20 clients, providing a minimum of one individual therapy session per client per week.
Develop, review, and update individualized treatment plans with measurable objectives; complete required updates on schedule and with client participation.
Facilitate approximately 5-10 process and curriculum-based groups per week (90 minutes each), across in-person and virtual tracks.
Provide crisis intervention, risk assessment, and safety planning; escalate to the Clinical Director per policy.
Deliver evidence-based, co-occurring-competent interventions: CBT, DBT skills, motivational interviewing, relapse prevention, trauma-informed care, and harm-reduction-informed approaches.
Coordination and Documentation
- Serve as the clinical point of contact for assigned clients, coordinating with case managers, behavioral health technicians, prescribers/medical staff, and utilization review.
- Participate in treatment team meetings, daily standups, and clinical supervision.
- Document all sessions, groups, assessments, and contacts in the EMR [Kipu] accurately and within required timeframes.
- Support intake handoffs, level-of-care changes, discharge summaries, and aftercare/continuing care plans.
- Coordinate collateral contacts, family sessions, and outside provider communication with appropriate consent.
Required Qualifications
Master's degree in Social Work, Counseling, Marriage and Family Therapy, Psychology, or a closely related field.
Active California license or registration: LCSW, LMFT, LPCC, or PsyD/PhD — or registered associate (ASW, AMFT, APCC) in good standing with the BBS.
- Demonstrated experience treating co-occurring mental health and substance use disorders.
- Working knowledge of ASAM criteria, DSM-5-TR diagnosis, treatment planning, and medical necessity documentation.
- Strong clinical documentation skills and comfort working in an electronic medical record.
- Understanding of HIPAA and 42 CFR Part 2 confidentiality requirements.
Ability to pass a background check and meet health screening requirements; [CPR/First Aid] certification or willingness to obtain.
Preferred Qualifications
- 2+ years in a PHP/IOP/outpatient behavioral health setting.
- Group facilitation experience with adult dual diagnosis populations.
- Formal training in DBT, CBT, EMDR, Seeking Safety, or MI.
- Experience with Kipu or a comparable behavioral health EMR.
- Bilingual (Spanish/English) a plus.
What We Offer
- Health coverage
- Paid time off and paid holidays
- Clinical supervision toward licensure hours for registered associates at no cost
CEU/professional Development Support
- Manageable caseloads with dedicated case management and BHT support so therapists can focus on clinical work
- A collaborative treatment team with clear operational structure and defined role boundaries
To Apply
Submit a resume and brief cover letter to amanda@forwardrecovery.com and justin@forwardrecovery.com with the subject line "Primary Therapist." Applications are reviewed on a rolling basis.
Forward Recovery is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, marital status, or any other protected characteristic. We are committed to providing reasonable accommodation to applicants and employees with disabilities.
Pay transparency: the posted range reflects the good-faith salary range for this position at the time of posting, as required by California law.
Requirements
Candidates must hold a Master's degree in a mental health field and possess an active California license or registration (LCSW, LMFT, LPCC, or associate equivalent). Experience in treating co-occurring mental health and substance use disorders is required, along with proficiency in clinical documentation and EMR systems.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Primary Therapist at Forward Recovery a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Mental Health Therapy (Counseling) — ranked against 8,029 active Mental Health Therapy (Counseling) listings on WeekdayDoc.
Counselor Career Context
Of the 50 active Mental Health Therapy listings this role was benchmarked against, 42% are remote, 24% have no call, 68% require no weekends.
The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$73k midpoint carries the purchasing power of roughly $66k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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