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Ascend Healthcare
Texas · Remote OK

Bilingual Independent Mental Health Therapist- Texas, (Remote)

CounselorFull-Time

Pay as listed: $77k-$87k · remote · Texas · pays below the median of 140 Counselor listings (31st percentile).

Listed compensation

$77k-$87k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Ascend Healthcare is committed to providing fully integrated, quality psychiatric and behavioral health services in a compassionate, convenient, and affordable manner.

We work with external partners to provide services to patients across the country through integrated psychiatric medication management, substance use disorder treatment, counseling services, peer support and care coordination for seamless patient care.

We believe in a “no wrong door” treatment model which finds ways to say “yes” to any patient referral rather than a multitude of exclusionary criteria found elsewhere. This approach reflects our values of improved patient and clinician experience, better outcomes, and lower costs.

The Ascend Story

Founded to transform mental health care access, Ascend Healthcare delivers integrated psychiatric and behavioral health solutions with a commitment to equity, compassion, and operational excellence. We partner directly with health centers to build fully integrated, sustainable behavioral health programs—bringing deep clinical expertise, operational support, and long-term stability.

Our Work Environment Fosters

  • Collaboration and teamwork
  • Patient-First Mindset
  • Work from home opportunities
  • Career Growth and Professional Development Training

Why Ascend?

You’ll be joining a team delivering innovative, compassionate care to communities that need it most. At Ascend, your work drives real impact—and your career grows alongside it. We believe in a “no wrong door” treatment model that finds ways to say “yes” to any patient referral rather than a multitude of exclusionary criteria found elsewhere.

Position Summary

We are looking for a Bilingual Licensed Therapist or Counselor (LPC, LCSW, LMFT) to provide counseling and therapy treatment to our patients. Services will be provided remotely, through telemedicine, to patients of our Community Health Center partners. We are a "say yes" first clinical provider and look to treat patients where they are and guide them along their journey to recovery and stabilization.

*Clinician must be active or willing to obtain a license in Arizona, Oregon, or Washington in addition to holding an active license in state of primary residence

*Clinician must be bilingual (English/ Spanish)

Key Areas of Ownership

Provides patient care modalities of evidence-based practices to best meet the clinical needs of the patients. Examples include; CBT, DBT, Solution-Focused Therapy, Psychoeducation (Symptom Recognition), Trauma Therapy, Addiction Therapy, Acceptance and Commitment Therapy, Bereavement/Grief Counseling, etc.

These specific treatment modalities will be implemented in both the individual and group therapy setting, with a focus of engaging patients in their treatment plan.

Review and signature of patient clinical Psychosocial assessment, diagnosis, treatment plan, and consents as needed for the patient in a timely manner. Maintenance of the clinic record, including documentation of activities performed as part of the service delivery process.

Documents all services and patient activities appropriately. Ensures documentation complies with best clinical practices, contracts, regulatory and other legal

Conducts crisis intervention for the individual and family based on the individual’s safety plan.

Participate in regular case planning with the involved Multidisciplinary Team as new information is gathered to ensure the most clinically appropriate patient disposition.

Participate in individual and group supervision as required. Participate in ongoing education, including in-services, training, and other activities to maintain and improve competency. Demonstrate competency through post-testing, skill observation, and performance as assessed by direct supervisor

  • Provides case management services to promote recovery and community reintegration as needed.
  • Performs other duties as assigned

Qualifications

Active, unrestricted mental health license in state of primary residence and state of medical services being provided

  • Comfortable working in a remote environment
  • Bilingual English/Spanish (Required)

Patient-first Mindset

  • Physical Requirements: This is a fully remote position but may require in-person attendance as company needs arise. Please be aware the below physical requirements should be considered prior to applying to the position:
  • Prolonged Sitting: Ability to sit for extended periods during working hours.
  • Manual Dexterity: Good hand-eye coordination and manual dexterity for using a computer keyboard, mouse, and other office equipment.
  • Visual Requirements: Adequate vision for reading computer screens and documents.
  • Communication: Clear verbal and written communication skills for virtual meetings and correspondence.
  • Hearing: Sufficient hearing ability for participating in phone calls or virtual meetings.

Work Environment: Access to a quiet, dedicated workspace free from distractions with reliable internet connectivity.

Perks

  • Competitive Salary
  • Medical, Dental, Vision, Life and LTD benefits
  • PTO + Company and Floating Holidays
  • Yearly CEU Stipend
  • Collaborative Environment
  • Remote-first setting
  • Clinician Founded and Operated
  • Job Type: Full-time
  • Starting Minimum Salary: $77,000 - $87,000 with primary residence located in TX
  • Monthly Bonus Program

Benefits

  • 401(k)
  • 401(k) matching
  • Dental Insurance
  • 5, 8-hour or 4, 10-hour shifts
  • Health insurance
  • Life insurance
  • Paid time off
  • Professional development assistance

Vision Insurance

Ascend Healthcare is an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances.

Ascend Healthcare participates in conducting comprehensive background checks and drug screenings for all potential employees as a contingency to gaining employment status.

Key Responsibilities

Provide evidence-based individual and group therapy services to patients via telemedicine. Maintain accurate clinical documentation, conduct psychosocial assessments, and participate in multidisciplinary case planning.

Qualifications

Experience
2+ years of experience

Key Skills

Mental health therapy

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Bilingual Independent Mental Health Therapist- Texas, (Remote) at Ascend Healthcare 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 8,061 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include remote work flexibility.

Counselor Career Context

Ascend Healthcare ranks #7 of 18 employers hiring Counselor on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 73/100, 20 active listings.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 80% are remote, 36% have no call, 78% require no weekends — this position is remote.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$82k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Counselor Jobs

39 matches · ranked by pay

Salary Distribution39 jobs · 21 employers

6
<$85k
11
$85k-100k
10
$100k-115k
10
$115k-130k
2
$130k+

Annual compensation range

Benefits & Perks34 jobs · 21 employers

401k / retirement match
100% this job
Sign-on bonus
32% this job
CME allowance
24% this job
Loan repayment
12%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Psychotherapist, Behavioral Health

Sutter Health · Santa Clara, California

$94k-$132k
#2

Mental Health Therapist

Brightways Counseling Group · Portland, Oregon

$131k
#3

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
#4

Licensed Clinical Professional Counselor (LCPC)

$115k-$120k
+ 37 more · ranked by pay

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 8,061 comparable listings. Shaded area = the share scoring below this one.

  • Remote
Ascend Healthcare logo

About Ascend Healthcare

Mental Health Care
Encino, CA
51-200 employees

Benefits & Perks

Competitive Salary
Medical, Dental, Vision, Life and LTD benefits
PTO + Company and Floating Holidays
Yearly CEU Stipend
401(k) with matching
Monthly Bonus Program
Remote-first setting
Professional development assistance