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Signet Health
St Paul, Nebraska

Lead Therapist - onsite

Counselor / TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Lead Therapist for outpatient program - Nebraska Licensed Mental Health Practitioner or Licensed Social Worker

Signet Health is actively interviewing Master's Level candidates for the Lead Therapist with our Senior Adult Outpatient Behavioral Health program based at Howard County Medical Center in St. Paul, NE. Must be licensed as a Nebraska Social Worker or Counselor to be considered for this position.

Very competitive compensation package, generous PTO. Relo allowance.

On-site, in-person position.

Specific Qualifications Include

  • Nebraska State Licensure as a Nebraska Licensed Mental Health Practitioner or Licensed Social Worker.
  • 2+ year(s) related work experience.
  • Good communication and organization skills.
  • Marketing Skills.

Responsibilities

  • Managing the day-to-day operations of the Senior Adult Outpatient Program.
  • Supervision of staff.
  • Marketing the program and establishing referral connections within the community to promote /foster the growth and reputation of the program.
  • Providing both group and individual therapy.

Requirements/Qualifications

Very competitive compensation package, generous PTO. Relo allowance.

Hospital/Program Description

Howard County Medical Center, St. Paul, NE is a small 10-bed critical access hospital with a huge personal touch. The Medical Center has been providing quality services since 1955 and serves individuals in Howard, Merrick, Valley, sherman, Greeley, and Hall Counties. Tele-Health is available for those patients unable to attend in-person.

Requirements

Candidates must hold a Nebraska State Licensure as a Licensed Mental Health Practitioner or Licensed Social Worker. A minimum of two years of related work experience is required for this position.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Mental health therapyClinical supervisionReferral developmentGroup therapyProgram management

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 64% are remote, 26% have no call, 56% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.5% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed paynot listedMental Health Therapy median $75k (middle half $64k–$84k)317 comparable listings, Nov 2026
Cost of livingNebraska index 90.1US average = 100BEA Regional Price Parities (2024)
Mental Health Therapy listings in Nebraska67 active7,909 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 64% remote · 26% no call · 56% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS Counselor listings: 14% state a sign-on bonus (median $4k) · 13% offer loan repayment1,000 active listings, Nov 2026
New Mental Health Therapy listings2,572 in the last 30 days1,547 the 30 days before (+66%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.5% vs prior quarter—through Oct 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 Counselor Jobs

41 matches · ranked by pay

Salary Distribution

23 jobs
7
<$75k
3
$75k-95k
4
$95k-115k
4
$115k-135k
5
$135k+

Annual compensation range

Benefits & Perks

22 jobs
401k / retirement match
82%
CME allowance
64%
Loan repayment
36%
Sign-on bonus
23%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Remote Licensed Mental Health Therapist

$66/hr
#4

Remote Licensed Professional Therapist

$66/hr
+ 39 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,846 comparable listings. Shaded area = the share scoring below this one.

  • On-site
Signet Health logo

About Signet Health

Hospitals and Health Care
North Richland Hills, Texas
51-200 employees

Benefits & Perks

Very competitive compensation package
Generous PTO
Relocation allowance

Living in St. Paul

Typical 3-bedroom home value
$218k
Median resident rent
$707/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
86.7
State income tax
Up to 6.6%
Sources & methodology

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

BEA 2024 · Grand Island, NE metro prices. Housing figures are city-level.

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