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Fabric
Remote - Nationwide

Telehealth Therapist

Counselor / TherapistContract

Listed compensation

$80-$100/hr

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 11m ago · Verified live

Job Description

About the Role

Forty million Americans currently live in a designated mental health professional shortage area. For millions more, the barrier is not geography but time: waitlists that stretch for weeks or a system that was not built around how they actually live.

VirtualCare Medical Group (VCMG), the clinical organization delivering care to Fabric Health's patients and partners nationwide, exists to close that gap. Through a network of licensed mental health professionals, we connects patients with therapists who can meet them where they are, via video across all 50 states.

As a Behavioral Health Therapist, you define your own availability and carry a caseload you can sustain alongside your other clinical work. The minimum commitment is ten hours of patient-facing availability per week. You bring the license, the clinical training, and the experience; we provide the platform, credentialing support, and the clinical infrastructure that keeps you focused on the work. This is an independent contractor engagement.

The patient population is intentionally diverse. We serve patients across demographics, geographies, and presenting concerns, because the access gap cuts across all of them. You will deliver the full scope of evidence-based outpatient teletherapy, from initial intake through ongoing treatment and documentation, without the overhead of running a private practice.

What You'll Do

You will deliver independent outpatient behavioral health care via video, managing your own patient relationships from initial intake through ongoing treatment.

  • Conducting initial intake assessments and follow-up teletherapy sessions with patients via secure video technology.
  • Developing individualized, evidence-based treatment plans aligned with each patient's presenting concerns, goals, and clinical needs.
  • Completing accurate, timely clinical documentation in the EMR following each session.
  • Adhering to our clinical quality parameters, practice guidelines, and patient care standards.
  • Monitoring patient progress and adjusting treatment plans as clinically indicated.
  • Identifying and navigating community resources, referral networks, and support systems appropriate to each patient's situation.
  • Complying with federal and state telehealth regulations, including licensure and scope-of-practice requirements across the states where you practice.
  • Maintaining ongoing professional development through continuing education and clinical training

Why You Might Be a Good FIT

  • You hold a fully independent clinical license and have practiced as an independently licensed clinician for at least two years post-licensure.
  • You have delivered teletherapy before and know how to build a genuine therapeutic relationship through a screen.
  • You value flexibility: you want to define your own hours, maintain other clinical commitments, and practice without managing a practice.
  • You are experienced working with a diverse patient population across backgrounds, demographics, and diagnoses.
  • You are grounded in at least one evidence-based treatment modality and committed to structured, outcome-oriented care.
  • You treat clinical documentation as part of the therapeutic process, not an afterthought.
  • Expanding access for patients who cannot easily reach care in person is part of why you do this work.

This Might Not Be the Right FIT If...

  • You are still completing supervised hours toward independent licensure; this role requires a fully unrestricted, independently practicing license.
  • You have not delivered teletherapy before and are unsure whether the video format suits your clinical style.
  • You are looking for a W-2 position with employer-provided benefits such as health insurance, a 401(k) match, or paid time off.
  • You are unwilling to complete our credentialing and onboarding processes or to practice within its clinical quality standards.

Your Qualifications

  • Master's degree or higher in counseling, social work, psychology, marriage and family therapy, or a related clinical field from an accredited program.
  • Current, unrestricted independent clinical license in good standing (LPC, LMFT, LCSW, LPCC, or equivalent) in the state(s) where you will practice.
  • At least two years of post-licensure independent clinical practice providing outpatient psychotherapy.
  • Experience working with a diverse patient population across demographics and presenting concerns
  • Direct experience delivering care via teletherapy or other virtual modalities.
  • Strong clinical assessment, documentation, and diagnostic skills.
  • Comfort with technology: computers, video conferencing platforms, smartphones, and tablets.
  • Knowledge of community resources, referral networks, and support systems relevant to the populations you serve.
  • Authorized to work in the United States without sponsorship.

Bonus Points

  • Licensed in multiple states, or actively enrolled in PSYPACT or the Counseling Compact.
  • Deep training in one or more evidence-based modalities: CBT, DBT, ACT, CPT, or motivational interviewing.
  • Experience treating specific populations such as adolescents, older adults, complex trauma, or co-occurring behavioral health and substance use disorders.
  • Experience with measurement-based care tools and clinical outcome tracking.
  • Fluency in Spanish or another language broadly spoken in your patient population.
  • Familiarity with AI-assisted clinical documentation or modern EHR platforms.

INDEPENDENT CONTRACTOR COMPENSATION FOR THIS ROLE RANGES FROM $80.00 TO $100.00 PER COMPLETED SESSION. THE FINAL RATE OFFERED IS DETERMINED BASED ON THE CONTRACTOR'S YEARS OF CLINICAL EXPERIENCE AND NUMBER OF LICENSES HELD, AND WHETHER THE CONTRACTOR WILL BE TREATING ADOLESCENT CLIENTS. AS AN INDEPENDENT CONTRACTOR ENGAGEMENT, THIS ROLE DOES NOT INCLUDE EMPLOYEE BENEFITS SUCH AS HEALTH INSURANCE, 401(K), OR PAID TIME OFF HOWEVER WE DO COVER MALPRACTICE.

Key Responsibilities

The therapist will conduct initial intake assessments and ongoing teletherapy sessions via secure video technology. They are responsible for developing evidence-based treatment plans, maintaining accurate clinical documentation, and monitoring patient progress.

Requirements

Candidates must hold a master's degree or higher in a clinical field and possess a current, unrestricted independent clinical license. A minimum of two years of post-licensure independent clinical practice and experience with teletherapy are required.

Qualifications

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

Key Skills

Treatment planningCrisis interventionPatient relationship managementElectronic medical recordsCommunity resource navigationRegulatory compliance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Telehealth Therapist at Fabric 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 7,454 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include remote work flexibility.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 68% are remote, 28% have no call, 80% require no weekends — this position is remote.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.4 / 10 · above average in mental health therapy (counseling)ranked against 7,454 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Listed pay$166k–$208kMental Health Therapy median $95k (middle half $85k–$118k)214 comparable listings, Nov 2026
Work settingremotepeers: 68% remote · 28% no call · 80% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS counselor listings (all specialties): 13% state a sign-on bonus (median $3k) · 11% offer loan repayment1,000 active listings, Nov 2026
New Mental Health Therapy listings2,504 in the last 30 days1,350 the 30 days before (+85%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (7,454 Mental Health Therapy (Counseling) listings); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

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Salary Distribution

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Annual compensation range

Benefits & Perks

34 jobs · 8 employers
401k / retirement match
100% this job
Sign-on bonus
62%
CME allowance
9%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.0this job 6.4
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,454 comparable listings. Shaded area = the share scoring below this one.

  • Remote
Fabric logo

About Fabric

Software Development
San Francisco, California
501-1,000 employees

Benefits & Perks

Flexible schedule
Malpractice coverage