High Country Community Health logo
High Country Community Health
Mt Airy, North Carolina

School Based Mental Health Specialist/LCSW, LCMHC, LPA

Social WorkerPart-Time

Listed compensation

$45k-$60k

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 6m ago · Verified live

Job Description

HCCH clinics participate in the National Health Service Corps loan repayment program Our clinics are located in the mountains of western North Carolina. All of our clinics are within two hours of Charlotte and minutes away from the Blue Ridge Parkway.

This area offers ample opportunities for snow skiing and snowboarding, hiking, biking, fishing and kayaking. This position may have the option of being hired as a 10-month or 11-month contract employee. Details to be discussed during the interview process.

This is a Part-Time position.

Job Summary and Responsibilities

The School-Based Behavioral Health Specialist (SBBHS) is responsible for providing and coordinating behavioral health care for patients at High Country Community Health (HCCH), a fully integrated primary care setting. Services may be provided in a clinic or in a school-based setting.

This clinician provides evidence-based behavioral health assessment and treatment services to referred patients, predominantly children and adolescents.

The clinician monitors symptoms and response to treatment, and works closely/collaborates with the primary care provider, educational system, school staff, consulting psychiatrist/PMHNP, and resource specialist.

There is also the opportunity to supervise graduate-level trainees, including doctoral students from the local university.

Primary Job Responsibilities

Assess strengths, weaknesses, and presenting problems through completion of assessment tools and intake screening interview

Uses assessment information to formulate a diagnosis and treatment plan

Provide individual and family therapy, as well as consultation with caregivers and teachers related to patients’ needs

Collaborate with supervisor, school staff, medical provider and other treatment staff regarding observations and treatment interventions

Complete necessary documentation in accordance with service records requirements, Medicaid guidelines, and other insurance requirements

  • Creates, reviews, and modifies crisis plan as needed
  • Monitors, evaluates and records clients progress according to treatment plan

Requirements

Requirements/Qualifications/Skills/Experience

Independently licensed psychological associate, clinical social worker or clinical mental health counselor. Applicants should have experience treating children and adolescents. The candidate will possess experience working within a team-based, interdisciplinary treatment environment.

The ideal candidate will have experience working within integrated primary care and/or school- based treatment settings.

Effective written and verbal communication skills. Demonstrated ability to establish rapport quickly with a wide range of patients.

Ability to work under supervision and collaboratively in an inter-disciplinary team setting. Possess a pleasant, open attitude and a professional awareness of boundaries with patients, co-workers, and supervisors.

Seek supervision and consultation as needed with peers and supervisors.

Demonstrate an ongoing interest in learning. Competent computer usage. Desire to work with an ethnically and culturally diverse population.

Excellent working knowledge of DSM-5-TR diagnoses and evidence-based treatments for mental health conditions, behavioral and relationship challenges.

Key Responsibilities

The specialist provides behavioral health assessments and evidence-based therapy to children and adolescents in clinic or school settings. They collaborate with medical providers, school staff, and families to monitor patient progress and coordinate care.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Individual therapyTreatment planningCrisis interventionClinical documentationInterdisciplinary collaborationEvidence-based treatmentPatient rapportCase managementComputer literacy

Social Worker Career Context

Of the 31 active Licensed Clinical Social Worker (LCSW) listings this role was benchmarked against, 32% are remote, 45% have no call, 81% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$53k midpoint carries the purchasing power of roughly $56k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Licensed Clinical Social Worker (LCSW) by the numbers
MeasureThis jobMarket
Listed pay$45k–$60kLicensed Clinical Social Worker (LCSW) median $76k (middle half $63k–$86k)299 comparable listings, Nov 2026
Cost-of-living adjusted pay~$56k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Licensed Clinical Social Worker (LCSW) listings in North Carolina230 active7,081 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 32% remote · 45% no call · 81% no weekends31 benchmarked listings
Sign-on & loan repaymentloan repaymentNorth Carolina Social Worker listings: 16% state a sign-on bonus (median $5k) · 3% offer loan repayment230 active listings, Nov 2026
New Social Work listings2,510 in the last 30 days1,443 the 30 days before (+74%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Licensed Clinical Social Worker (LCSW) Jobs

17 matches · ranked by pay

Salary Distribution

15 jobs · 11 employers
3
<$90k
6
$90k-110k
4
$110k-130k
2
$135k

Annual compensation range

Benefits & Perks

12 jobs · 11 employers
401k / retirement match
100%
Sign-on bonus
42%
CME allowance
33%

Share of similar jobs offering each benefit

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Adelphi Staffing · Frederick, Maryland

$65/hr
#2

Licensed Certified Social Worker - Clinical (LCSW-C) - Full School YearContract

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#3

School Therapist/Licensed Clinical Social Worker

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Licensed Clinical Social Worker (LCSW)

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Work-life snapshot

median 6.1this job 3.0
Better work-life than 20% of Licensed Clinical Social Worker (LCSW) listings

Listing-based score, 0–10, across 2,010 comparable listings. Shaded area = the share scoring below this one.

High Country Community Health logo

About High Country Community Health

Medical Practices
Boone, North Carolina
51-200 employees

Benefits & Perks

NHSC loan repayment program
10-month or 11-month contract option

Living in Mount Airy

Typical 3-bedroom home value
$235k≈ 5.2× annual pay
Typical market rent
$1,134/mo≈ 30% of gross pay
Residents’ average commute
18 min
State income tax
Up to 4.8%
Sources & methodology

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

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