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Rochester Regional Health
Zephyr Cove, Nevada

Primary Therapist

CounselorNo callNo weekendsFull-Time

Listed compensation

$63k-$80k

The week · per this posting · Monday – Friday

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

Posted 1h ago · Verified live

Job Description

As a Licensed Primary Therapist, you are an important resource and trusted confidant for each patient, providing treatment while allowing the patient the highest quality of life.

  • STATUS: Full Time
  • LOCATION: 100 Pinewild Drive Rochester NY 14606
  • DEPARTMENT: Behavioral Health/Mental Health

SCHEDULE: Monday-Friday; 40 hours per week; 4 days 8:30am-5:00pm with 1 day a week 10:30am-7pm (Wednesday or Thursday)

  • ATTRIBUTES
  • Compassionate, warm and patient focused
  • Strong analytical and critical thinking ability
  • Ability to multitask, plan and balance multiple responsibilities
  • Two (2) years of relevant experience preferred- can include an internship

Responsibilities

Assessment. Interview and observe patients to form assessment; document findings

Relationship Development. Establish a therapeutic alliance with each patient; collaborate with patient and other resources to review objectives and outcomes of care; focus on the patient’s needs and provide a structured process for patient to reach objectives

Treatment Plan Development. Formulate a comprehensive treatment plan that integrates initial assessment; coordinate care with primary medical providers; continually evaluate and revise treatment plan based on most current assessment

Caseload Management. Maintain a dynamic caseload and ensure quality care throughout each case

Education

MS (Required)

Licenses / Certifications

PHYSICAL REQUIREMENTS:

Drive - Clinical - Roles in this category require frequent driving combined with mobile clinical care across settings such as emergency response, mobile clinics, and home health environments.

Staff must repeatedly enter and exit vehicles, occasionally lift and carry equipment weighing up to 100 lbs. or more, and perform care within patients’ homes or other confined, unpredictable, or uncontrolled environments.

These positions demand strong fine and gross motor control, firm grasping, and heightened visual and auditory awareness to ensure safe and effective care delivery.

Emotional and cognitive demands are substantial due to rapid decision‑making, direct exposure to critical or sensitive situations, and independently managing patient care in the field or home setting.

Environmental exposures may include traffic hazards, infectious agents, extreme temperatures, variable home conditions, and hazardous materials. Valid licensure, physical readiness, and flexibility for extended or on‑call schedules are typically required.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Pay Range

$63,000.00 - $80,000.00

City

Rochester

Postal CODE

14606

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Requirements

Candidates are required to hold a Master's degree and possess strong analytical and critical thinking skills. Two years of relevant experience, including internships, is preferred for this role.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Treatment planningAnalytical abilityMultitaskingClinical documentation

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist at Rochester Regional Health 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 7,851 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, 56% are remote, 40% have no call, 80% require no weekends.

The cost-of-living index for Nevada is 100.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$72k midpoint carries the purchasing power of roughly $72k in an average-cost state. 57.5% of Nevada clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.6 / 10 · above average in mental health therapy (counseling)ranked against 7,851 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Listed pay$63k–$80kMental Health Therapy median $71k (middle half $63k–$83k)306 comparable listings, Oct 2026
Cost-of-living adjusted pay~$72k in purchasing powerNevada index 100.0 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Nevada34 active7,857 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 56% remote · 40% no call · 80% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index (7,851 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Nevada has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$72k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Counselor Jobs

36 matches · ranked by pay

Salary Distribution

36 jobs · 15 employers
11
<$90k
6
$90k-105k
6
$105k-120k
12
$120k-135k
1
$155k

Annual compensation range

Benefits & Perks

31 jobs · 15 employers
401k / retirement match
100%
Sign-on bonus
48%
CME allowance
13% this job
Loan repayment
6%
PSLF eligible
3%

Share of similar jobs offering each benefit

#1

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From $155k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

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$74k-$126k
#3

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

$92k-$125k
#4

Licensed Mental Health Counselor (LMFT, LMHC, LCSW)

$115k-$120k
+ 34 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 7,851 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • On-site

Living in Zephyr Cove

Typical 3-bedroom home value
$1.42M≈ 22.5× annual pay
Median resident rent
$1,500/mo≈ 29% of gross pay
Residents’ average commute
22 min
State income tax
None
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.