Sanitas logo
Sanitas
San Antonio, Texas

Behavioral Health Counselor

CounselorIncludes weekendsFull-Time

Compensation

Pay not disclosed

Listing transparency2 of 6 stated

Ask the employer about the pay range, the work setting and call expectations.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Includes weekends
Posted 49m ago · Verified live

Job Description

Job Details: Job Location: San Antonio - Region - San Antonio, TX, Position Type: Full Time, Salary Range: Undisclosed, Travel Percentage: Rotating, Job Shift: On Site, Job Category: Mental Health, “Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for our patients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of our patients and their families creating a memorable experience through compassion, respect, and kindness.” Job Summary Behavioral Health Counselors are core members of the Sanitas medical team and provide hope, empowerment, and psychoeducation in order to promote autonomy and self-management by arranging comprehensive mental health care services in a primary care setting. Essential Job Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Develop and implement care plans Complete and maintain all documentation in a timely and accurate manner according to all federal, state and center guidelines Collaborate with a variety of health professionals in the patient’s circle of care including but not limited to primary care providers, care nurses, care coordinators, community health workers, psychiatrists, and other mental health professionals and specialists Ensure a comprehensive continuity of care Provide individual, family or group educational interventions Guide patients in the development of skills and strategies for dealing with their diagnosis Assist patients in adjusting to life and making changes Participate in regularly scheduled weekly caseload consultation and complex case review meetings Facilitate care plan adjusts for patients who are not improving as expected in consultation with the medical providers Facilitate referrals to the appropriate provider or in-house intervention program as clinically indicated Connect patients and family members with community and social resources Guide clinical staff on how to manage common behavioral health situations Screen and assess patients for common mental health and substance abuse disorders Facilitate patient engagement and follow-up care Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment Promote early detection, accurate diagnosis, personalized treatment, and ongoing support, ultimately leading to improved overall well-being for individuals facing these challenges Track treatment response and monitor patients for changes in clinical sym

  • ptoms and treatment side effects or complications Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial as clinically indicated Guide clinical staff on how to manage common behavioral health situations Resolve emergency problems in crisis situations The position includes providing behavioral health services via telehealth, consistent with state and federal guidelines Qualifications: Supervisory Responsibilities This position has no supervisory responsibilities. Required Education Master’s degree in counseling or related field (Social work, Mental health counseling, marriage and couples’ therapy) from accredited program. Required Experience Relevant experience 1 year. Required Licenses and Certifications BLS certification. Required Knowledge, Skills, and Abilities Able to establish and maintain effective working relationships with mentally or emotionally disabled persons and their families. Flexible schedule weekdays – weekends. Good communication and listening skills. Ability to show empathy and compassion.

Preferred Qualifications Preferably 1 year of experience providing CBT-based interventions with adults with depression and anxiety. Registered Mental Health Counselor Interns are preferred. Financial Responsibilities This position does not currently have financial responsibilities. Budget Responsibilities This position does not currently have budget responsibilities. Languages English is required. Spanish is preferred. Travel This position requires the ability to travel in the assigned region. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Includes all patient-facing clinical staff ( Medical Assistants, Phlebotomists, Mammography Technologists, Radiologic Technologists, Multi-Specialty staff, Providers) as well as Facilities Technicians. These positions typically require prolonged standing and walking, frequent bending, reaching, lifting, pushing, and pulling of equipment or supplies (up to 50 pounds), manual dexterity, and compliance with infection control and safety protocols. Facilities Technicians may also perform repairs, renovations, remodeling, preventive maintenance, and use tools and equipment to support our medical centers. Environmental Conditions Inside: The employee is subject to environmental conditions, protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level. Physical/Environmental Activities Please confirm for the following questions if these working conditions are encountered Occasionally (1-33% of time on the job), Frequently (34-66% of time on the job), Constantly (67-100% of time on the job), or Not Applicable N/A Must be able to travel to multiple locations for work (i. e. travel to attend meetings, events, conferences). Occasionally (1-33% of time on the job) May be exposed to outdoor weather conditions of cold, heat, wet, and humidity. N/A May be exposed to outdoor or warehouse conditions of loud noises, vibration, fumes, dust, odors, and mists. N/A Must be able to ascend and descend ladders, stairs, or other equipment. N/A Subject to exposure to hazardous material. N/A All job requirements listed indicate the minimum level of knowledge, skills, and/or ability deemed necessary to perform the job proficiently. This job description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees will be responsible for performing all other assigned duties given by their supervisor, subject to reasonable accommodation

Key Responsibilities

Behavioral Health Counselors provide comprehensive mental health care services, including assessments, care plan development, and educational interventions within a primary care setting. They collaborate with medical teams to monitor patient progress, facilitate referrals, and provide crisis support both in-clinic and via telehealth.

Requirements

Candidates must hold a Master’s degree in counseling, social work, or a related field and possess at least one year of relevant experience. A BLS certification is required, and experience with CBT-based interventions is preferred.

Qualifications

Education
Professional certificate or licensure

Key Skills

Behavioral health counselingCare planningCrisis interventionMental health assessmentSubstance abuse screeningCase managementCollaborationCommunication skills

Counselor Career Context

Of the 50 active Mental Health Counseling listings this role was benchmarked against, 48% are remote, 18% have no call, 54% require no weekends.

Mental Health Counseling pay on WeekdayDoc is down 14.9% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Counselor Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 39 employers

16
<$80k
15
$80k-100k
9
$100k-120k
10
$120k-140k

Annual compensation range

Benefits & Perks37 jobs

401k / retirement match
81%
CME allowance
32%
Loan repayment
19%
Sign-on bonus
16%
PSLF eligible
8%

Share of similar jobs offering each benefit

#1

West Virginia Licensed Professional Counselor (Remote)

Adjuvant Behavior Health · Morgantown, West Virginia

$60-$62/hr
#2

Clinical Supervisor & Therapist

Mindfully Behavioral Health · Longmont, Colorado

#3

Clinic Based Counselor|Exceptional Pay & Benefits| Full-Time|

$75k-$127k
#4

Licensed Telehealth Therapist / Mental Health Counselor (South Carolina)

$55-$60/hr
+ 48 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score
  • Includes weekends

Living in San Antonio

Typical 3-bedroom home value
$226k
Typical market rent
$1,386/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

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

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

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

Sanitas logo

About Sanitas

Wellness and Fitness Services
Madrid, Madrid
10,000+ employees

Benefits & Perks

Bilingual Spanish preferred
Telehealth services
Flexible schedule weekdays – weekends