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Monarch
Charlotte, North Carolina

Behavioral Health Therapist, Child Crisis I

Crisis CounselorIncludes weekendsFull-Time

Listed compensation

$60k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Scheduled Weekly Hours

40

Schedule: Week 1: Monday, Wednesday, Saturday & Sunday 8am-5pm

Week 2: Tuesday, Wednesday, Thursday, Friday 8am-5pm

Pay Range Minimum

$60,000.00

Education We're Looking For

Masters (Required)

Certifications We're Looking For

Licensed Clinical Addiction Specialist - Associate (LCAS-A) - State Substance Abuse Professional Practice Board, Licensed Clinical Mental Health Counselor - Associate (LCMHC-A) - State Board of Licensed Professional Counselors, Licensed Clinical Social Worker - Associate (LCSW-A) - State Social Work Certification and Licensure Board, Licensed Marriage and Family Therapist - Associate (LMFT-A) - State Marriage and Family Therapy Licensure Board

Experience We're Looking For

Experience with children/youth/adolescents in a Crisis setting | 1 Year | Required Experience working with youth and families with a mental health diagnosis and/or substance use disorder | 2 Years | Required Post-graduate experience working with youth and families with a mental health diagnosis and/or substance use disorder | 1 Year | Required

Additional Details

$3,000 Sign On Bonus ($750 at 3 months of continuous employment, $750 at 6 months of continuous employment, $1,500 at 12 months of continuous employment)

A Behavioral Health Therapist, Child Crisis must have two years' experience working with youth and families with a mental health diagnosis and/or substance use (at least one year postgraduate)

  • Additionally, a Behavioral Health Therapist, Child Crisis must meet one of the following qualifications:
  • Associate Licensed Clinical Addiction Specialist (LCAS-A)
  • Associate Licensed Clinical Social Worker (LCSW-A)
  • Associate Licensed Marriage & Family Therapist (LMFT-A)
  • Associate Licensed Clinical Mental Health Counselor (LCMHC-A)

Job Description Summary

The primary responsibilities of the Behavioral Health Therapist, Child Crisis is to provide behavioral health and substance abuse services to persons of all ages while receiving Facility-Based Crisis services and who are experiencing psychological and/or substance use difficulties.

What You'll Do

  • Maintain a therapeutic and safe environment while persons supported receive services and help facilitate appropriate linkage and transition into the community upon discharge.
  • Participate in team meetings, person-centered planning and discharge planning as appropriate for all individuals served on the Behavioral Health Urgent Care or Facility Based Crisis Unit and the Non-Hospital Medical Detox unit.
  • Serve as a resource for non-licensed staff by assisting with in-service training and supports to educate FBC staff in the areas of mental health and substance abuse.
  • Perform interviews with individuals and/or families to aid in identifying presenting problems, assessing mental status and dangerousness, gathering relevant facts of psychosocial history, and assigning accurate diagnoses that will help determine the best intervention to help the individual and his or her family achieve stated goals.
  • Provide individual, group, and family therapy to individuals of all ages receiving FBC services using person-centered philosophies and best practices in all service delivery.
  • Provide expertise in assessing psychiatric crises and crisis intervention while working closely with other FBC staff.
  • Maintain necessary medical records in compliance with state, federal, and agency guidelines.
  • Assist individuals and families in meeting other psychosocial needs by referring them to appropriate outside agencies upon discharge from the FBC (such as specialty providers, doctors, social services, and Christian Ministries) and providing information needed within the guidelines of confidentiality standards.
  • Provide crisis assessments, stabilization, and service coordination in order to de-escalate crisis and potential crisis situations in an effort to maintain lowest level of care that promotes safety.
  • Maintain licensure as required by licensing board and attend educational trainings/seminars to remain up to date on current best practices.
  • Maintain positive working relationships within the communities served, including with individuals, families, staff, monitoring and licensing agencies, organizations, funding resources, and other human service agencies.
  • Be an active participant in the ongoing continuous quality improvement activities of the agency.
  • Provide clinical consultation as required or requested by other professionals within Monarch to provide ongoing professional development and to process difficult client situations that may arise.
  • Drive or travel to community locations, various agencies, and other outreach destinations as assigned.
  • Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well as state and federal statutes and regulations related to specific program areas
  • Demonstrate knowledge of emergency procedures and assist in crisis situations.
  • Demonstrate knowledge of and comply with all agency policies and procedures.
  • Follow service definition guidelines for services being provided.
  • Complete all other relevant responsibilities as assigned by the supervisor.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department: BH - Licensed-Associate Professional

Key Responsibilities

The Behavioral Health Therapist provides behavioral health and substance abuse services to individuals in a crisis setting, including assessments, therapy, and discharge planning. They also serve as a resource for staff, maintain medical records, and facilitate community linkages to ensure continuity of care.

Requirements

Candidates must hold a Master's degree and possess a valid associate-level clinical license (LCAS-A, LCMHC-A, LCSW-A, or LMFT-A). At least two years of experience working with youth and families with mental health or substance use disorders, including one year of post-graduate experience, is required.

Qualifications

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

Key Skills

Behavioral health therapySubstance abuse counselingMental health assessmentIndividual therapyGroup therapyClinical documentationPsychosocial assessmentCrisis stabilization

Counselor Career Context

Monarch ranks #11 of 13 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 50% are remote, 38% have no call, 66% require no weekends.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$60kMental Health Therapy median $65k (middle half $62k–$66k)14 comparable listings, Oct 2026
Cost-of-living adjusted pay~$64k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in North Carolina280 active7,906 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 50% remote · 38% no call · 66% no weekends50 benchmarked listings
Monarch#11 of 13 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

26 matches · ranked by pay

Salary Distribution

26 jobs · 19 employers
14
<$80k
4
$80k-95k
3
$95k-110k
5
$110k-125k

Annual compensation range

Benefits & Perks

19 jobs
401k / retirement match
100% this job
Sign-on bonus
32% this job
Loan repayment
21%
CME allowance
21%
PSLF eligible
16%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Davie, Florida

$115k-$120k
#2

Licensed Marriage and Family Therapist (LMFT)

Gotham Enterprises · New Bern, North Carolina

$115k-$120k
#3

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

$74k-$117k
#4

Licensed Clinical Therapist (LSCSW, LCPC, LCMFT) Sign-on Bonus $5,000

$81k-$117k
+ 24 more · ranked by pay

Work-life snapshot

median 6.0this job 1.5
Below most Mental Health Therapy (Counseling) listings for work-life

Listing-based score, 0–10, across 7,891 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
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About Monarch

Hospitals and Health Care
Albemarle, NC
1,001-5,000 employees

Benefits & Perks

Sign-on bonus $3,000
Competitive benefits package

Living in Charlotte

Typical 3-bedroom home value
$352k≈ 5.9× annual pay
Typical market rent
$1,729/mo≈ 35% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
97.3
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.

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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