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Monarch
Raleigh, North Carolina

Behavioral Health Therapist, Behavioral Health Urgent Care, Non-Exempt

CounselorPer Diem

Listed compensation

$32.69/hr

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Scheduled Weekly Hours

0

Schedule: PRN as needed

Pay Range Minimum

$32.69

Education We're Looking For

Masters: Human Services (Required)

Certifications We're Looking For

Licensed Clinical Mental Health Counselor (LCMHC) - State Board of Licensed Professional Counselors, Licensed Clinical Social Worker (LCSW) - State Social Work Certification and Licensure Board, Licensed Marriage and Family Therapist (LMFT) - State Marriage and Family Therapy Licensure Board

Experience We're Looking For

Counseling/Therapy Experience | Not Required Experience in a crisis management setting or service during which the individual provided crisis response | 1 Year | Required

Additional Details

The Behavioral Health Therapist, Behavioral Health Urgent Care should have one of the following minimum qualifications:

  • LCSW
  • LCMHC
  • LMFT

Job Description Summary

The primary responsibilities of the BHUC Therapist is to provide a clinical assessment to determine the level of behavioral health and substance use services needed for persons of all ages who present to the BHUC, and are experiencing psychological and/or substance use difficulties.

What You'll Do

1. Maintain a therapeutic and safe environment while persons supported receive services and help facilitate appropriate linkage and transition to additional services or into the community upon discharge.

2. Participate in team meetings, and discharge planning for all individuals served on the Behavioral Health Urgent Care.

3. Serve as a resource for non-licensed staff by assisting with in-service training and supports to educate BHUC staff in the areas of mental health and substance abuse.

4. Perform interviews with individuals and/or families to aid in identifying presenting problems, assessing mental status and dangerousness, gathering relevant facts of psychosocial history, and assigning accurate diagnoses that will help determine the best intervention to help the individual and his or her family achieve stated goals.

5. Provide expertise in assessing psychiatric crises and crisis intervention while working closely with other BHUC staff.

6. Maintain necessary medical records in compliance with state, federal, and agency guidelines.

7. Assist individuals and families in meeting other psychosocial needs by referring them to appropriate outside agencies upon discharge from the BHUC (such as specialty providers, doctors, social services, and other community resources) and providing information needed within the guidelines of confidentiality standards.

8. Provide crisis assessments, stabilization, and service coordination in order to de-escalate crisis and potential crisis situations in an effort to maintain lowest level of care that promotes safety.

9. Maintain licensure as required by licensing board and attend educational trainings/seminars to remain up to date on current best practices.

10. Maintain positive working relationships within the communities served, including with individuals, families, staff, monitoring and licensing agencies, organizations, funding resources, and other human service agencies.

11. Be an active participant in the ongoing continuous quality improvement activities of the agency.

12. Provide clinical consultation as required or requested by other professionals within Monarch to provide ongoing professional development and to process difficult client situations that may arise.

13. Drive or travel to community locations, various agencies, and other outreach destinations as assigned.

14. Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.

15. Demonstrate knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to specific program areas

16. Demonstrate knowledge of emergency procedures and assist in crisis situations.

17. Demonstrate knowledge of and comply with all agency policies and procedures.

18. Follow service definition guidelines for services being provided.

19. Complete all other relevant responsibilities as assigned by the supervisor.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department: BH - Licensed Professional

Key Responsibilities

The therapist provides clinical assessments to determine the level of behavioral health and substance use services needed for individuals experiencing psychological or substance use difficulties. They also facilitate crisis stabilization, maintain a safe therapeutic environment, and coordinate discharge planning and community referrals.

Requirements

Candidates must hold a Master's degree in Human Services and possess a valid license as an LCSW, LCMHC, or LMFT. One year of experience in a crisis management or crisis response setting is required.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Substance use counselingMental health counselingPsychosocial assessmentTreatment planningDe-escalationMedical record keepingPsychiatric crisis assessmentMental status examinationDiagnostic assessment

Urgent Care — Counselor Career Context

Of the 40 active Counselor listings this role was benchmarked against, 60% are remote, 28% have no call, 65% require no weekends.

Counselor pay on WeekdayDoc is up 2.6% vs. the prior quarter (through Sep 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top contract/1099 Counselor Jobs

40 matches · ranked by pay

Salary Distribution15 jobs

7
<$65k
1
$72k
2
$85k-105k
5
$105k-125k

Annual compensation range

Benefits & Perks25 jobs · 18 employers

401k / retirement match
80% this job
CME allowance
44%
Sign-on bonus
20%
Loan repayment
12%
PSLF eligible
8%

Share of similar jobs offering each benefit

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#3

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#4

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+ 38 more · ranked by pay

Work-life snapshot

median 6.2this job 3.0
Better work-life than 20% of Counseling listings

Listing-based score, 0–10, across 13,820 comparable listings. Shaded area = the share scoring below this one.

Living in Raleigh

Typical 3-bedroom home value
$372k
Typical market rent
$1,577/mo
Residents’ average commute
23 min
Metro price indexU.S. average = 100
98.2
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Raleigh-Cary, NC metro prices. Housing figures are city-level.

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