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Sierra Health and Wellness
Orangevale, California

Licensed Therapist / Associate Therapist

CounselorIncludes callFull-Time

Listed compensation

$80k-$115k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Job Details: Job Location: Orangevale - Orangevale, CA, Position Type: Full Time, Salary Range: $80000.00 - $115000.00Salary/year, Job Shift: Any, Job Category: Clinical, Job Description: The Licensed Therapist is responsible for treating, assessing, monitoring, and developing a comprehensive plan to meet the needs of clients while in treatment for chemical and alcohol abuse and dependency.

The Licensed Therapist is responsible for providing ongoing direct client care through weekly individual and group therapy, as well as responding to immediate clinical needs such as AMA prevention, crisis response, and milieu management.

In addition, the Licensed Therapist provides family therapy to clients who request this service and where clinically indicated.

The Licensed Therapist is a primary member and participant in weekly multidisciplinary treatment planning and works collaboratively with the certified SUD counselor to develop a comprehensive aftercare plan post-discharge.

Documentation within the electronic healthcare record is required for all clinical interactions and relevant case management activities. The Licensed Therapist may also provide weekly formal clinical supervision to associate therapists, and ongoing clinical consultation and support for the certified SUD counselors.

Participation in the Regional Clinical On-Call Service is a requirement for licensed clinicians as well. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

Performs professional mental health and substance use disorder services with clients in treatment for chemical and alcohol abuse and dependency. Provides individual, group, and family therapy services. Assesses and monitors client’s progress and behavior while in treatment.

Participates in multidisciplinary treatment planning and aftercare planning. Participates in collaborative treatment with representatives of other agencies. Responds to clinical emergencies and acute client needs. Responds to client complaints in an efficient and timely manner.

Records noteworthy events involving clinical services and client activities in the electronic medical record. Reviews client chart for completion of all paperwork with appropriate signatures; may complete weekly audits.

Attends conferences, workshops, and training to maintain current awareness of mental health and SUD methodologies and issues. Maintains confidential information in accordance with legal standards and/or County regulations. Operates a personal computer and other office equipment.

Communicates effectively with others in person and over the telephone. May be assigned some lead and special work coordination responsibilities. May be responsible for providing formal clinical supervision of associate therapists.

Competencies: Principles, procedures, techniques, trends of clinical and casework services, therapy, and treatment. Social aspects and characteristics of mental and emotional disturbances and substance use disorders. Principles of mental health and substance use disorder education.

A wide variety of therapeutic and treatment approaches for persons with mental and emotional problems. Scope, availability, and activities of community resources, including other mental health and social service agencies.

Current trends in mental hygiene, mental health, public health, and social services, including State and Federal programs in these areas. Expert communication skills and counseling abilities Commitment to the philosophy of recovery, continuity of the program, and to affirming the dignity and respect of all clients.

Supervisory Responsibilities: May oversee other team members Work Environment: Office and Health care setting with clients and other employees present. Working indoors primarily and outdoors occasionally. Working in close proximity to others. May walk on slippery and uneven walking surfaces.

Excessive continuous noise at times. Typical office and group counseling environment. Mostly indoor office environment with windows and lights. Physical Demands: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Attending conferences or training session.

Travel Required: Ability to travel to various office or facility locations. Affirmative Action/EEOC Statement: Sierra Health & Wellness is an Equal Opportunity Employer.

Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Associate Salary: $80,000 - $90,000 Licensed Salary: $90,000 - $115,000 Qualifications: Required education and experience: Must obtain and maintain a license as a mental health professional regulated by a state board (LCSW, LMFT, LPCC) Must possess a master’s degree in social work, marriage and family therapy, or counseling.

Have at minimum two years of experience in Drug and Alcohol counseling. Very familiar with HIPAA/client confidentiality and personal rights. Must possess a current CPR and First Aid certification.

Must possess a valid Driver’s License Preferred education and experience: Two to five years of experience in drug and alcohol counseling Bachelor's degree in a related field. Additional Eligibility Requirements: N/A Work authorization/security clearance requirements: Valid Drivers License

Key Responsibilities

The Licensed Therapist provides direct clinical care, including individual, group, and family therapy for clients with substance use disorders. They are also responsible for multidisciplinary treatment planning, clinical documentation, and providing supervision to associate therapists.

Requirements

Candidates must hold a master's degree in social work, marriage and family therapy, or counseling and possess a valid state license (LCSW, LMFT, or LPCC). A minimum of two years of experience in drug and alcohol counseling is required, along with current CPR and First Aid certification.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Individual therapySubstance use disorder counselingMental health assessmentHIPAA compliance

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 44% are remote, 24% have no call, 68% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$98k midpoint carries the purchasing power of roughly $88k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

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Salary Distribution34 jobs · 27 employers

7
<$90k
10
$90k-105k
4
$105k-120k
8
$120k-135k
5
$135k+

Annual compensation range

Benefits & Perks28 jobs · 27 employers

401k / retirement match
93%
CME allowance
43%
Sign-on bonus
32%
Loan repayment
7%
PSLF eligible
7%

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Work-life snapshot

median 6.2this job 2.4
Better work-life than 10% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,058 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Orangevale

Typical 3-bedroom home value
$522k≈ 6.5× annual pay
Typical market rent
$2,207/mo≈ 33% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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