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Rochester Regional Health
Rochester, New York

Primary Therapist, Senior (Full-Time)

Counselor / TherapistNo callNo weekendsFull-Time

Listed compensation

$66k-$88k

The week · per this posting · Monday – Friday

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

Posted 58m ago · Verified live

Job Description

  • STATUS: Full Time
  • LOCATION: Genesee Mental Health Center
  • DEPARTMENT: Outpatient Adult Behavioral Therapy
  • SCHEDULE: Monday-Friday, 8:30-5:00

Position Summary

The primary therapist, senior, provides mental health diagnostic assessment, treatment planning, and mental health therapies for persons with mental illness/substance abuse. Treatment is provided in the context of a clinical team, supervised by the staff psychiatrist. Provide superior customer service.

Health Reach Only: The therapist will work within the Health Reach Health Care for the Homeless Program which incorporates both a central clinical site as well as outreach within the community. Treatment is provided in the context of a multidisciplinary clinical team.

Key Responsibilities

  • Provides initial and ongoing assessment, counseling and clinical intervention to a designated caseload.
  • Provides individual, group, and family psychotherapy.
  • Participates functionally as a member of a multidisciplinary team in coordination and delivery of patient care, and communicates with relevant internal and external care providers.
  • Participates in and incorporates professional supervision and ongoing education toward quality care
  • Utilizes efficient computer skills to complete all required documentation in a timely and comprehensive manner.
  • Maintains a full caseload, meeting productivity requirements and seeks to keep the incidence of failed appointments to a minimum.
  • Productivity standards have been met over the past 12 months
  • Documentation standards have been met over the past 12 months
  • No disciplinary action over the past 12 months
  • Ability to supervise interns
  • Shows initiative (ie. supervision of an intern or; participation or leading a project team; process development, in charge of a committee in the program)
  • Trains, coaches and mentors new therapists
  • ACT Program Only: Primary resource for team on integrating family goals and services with the tasks of all team members.
  • ACT Program Only: Provides individual and group family psycho-education.
  • Health Reach Only: Will be an active member of the Health Reach Continuous Quality Improvement Committee and will participate in other program and community wide activities.
  • For Child and Youth Services Only: Off-site and in-home delivery of services to clients and families.

Minimum Qualifications

  • Masters Degree or PHD in Human Services field required.
  • Two years of mental health experience preferred.

Required Licensure / Certification Skills

LCSW, LMSW, LMHC, LCAT, LMFT or earned doctorate in human services field required. Limited permit or license required within 6 months of hire.

Education

MS: Human Services (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

$66,000.00 - $88,000.00

City

Rochester

Postal CODE

14607

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 must hold a Master's degree or PhD in a human services field and possess a valid clinical license such as LCSW, LMSW, LMHC, LCAT, or LMFT. Two years of mental health experience is preferred, along with the ability to perform mobile clinical care.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Individual psychotherapyGroup psychotherapyMultidisciplinary team collaborationCrisis interventionSupervision of internsMentoring

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist, Senior (Full-Time) at Rochester Regional Health a 6.3 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 7,896 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, 44% are remote, 28% have no call, 64% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.9% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.3 / 10 · above average in mental health therapy (counseling)ranked against 7,896 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Listed pay$66k–$88kMental Health Therapy median $73k (middle half $67k–$82k)42 comparable listings, Nov 2026
Cost-of-living adjusted pay~$71k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in New York320 active7,888 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 44% remote · 28% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York Counselor listings: 11% state a sign-on bonus (median $5k) · 10% offer loan repayment784 active listings, Nov 2026
New Mental Health Therapy listings2,512 in the last 30 days1,528 the 30 days before (+64%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−1.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (7,896 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

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Salary Distribution

50 jobs · 34 employers
16
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23
$80k-95k
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Annual compensation range

Benefits & Perks

34 jobs
401k / retirement match
85%
Sign-on bonus
38%
CME allowance
35% this job
Loan repayment
21%
PSLF eligible
12%

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Work-life snapshot

median 6.0this job 6.3
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,896 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends

Living in Rochester

Typical 3-bedroom home value
$240k≈ 3.6× annual pay
Typical market rent
$1,454/mo≈ 26% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
97.0
State income tax
Up to 10.9%
Sources & methodology

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

BEA 2024 · Rochester, NY metro prices. Housing figures are city-level.

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