Appalachian Mountain Health logo
Appalachian Mountain Health
Asheville, North Carolina

Behavioral Health Clinician

CounselorFull-Time

Listed compensation

$60k-$65k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago · Verified live

Job Description

The Licensed Integrated Behavioral Health Provider is responsible for providing outpatient mental health resources for patients within the primary care setting.

The Integrated Behavioral Health provider will work collaboratively with an interdisciplinary team of providers, including, primary care MD’s, NP’s, PA’s, Nurses, clinical pharmacists, medical assistants, and psychiatric providers.

Responsibilities of this role include short term mental health counseling to Appalachian Mountain Health patients to help them build resiliency and internal resources to cope with stressors in their lives.

Key Accountability #1

Work collaboratively within a team of medical and mental health providers. Must maintain open communication and accessibility to encourage mental health integration in the clinic setting.

Initiate behavioral health care services with patients through introductions to care, conducting a diagnostic assessment through interviews with patients to determine behavioral health needs, address symptoms of concern, complete risk assessments, and develop appropriate response plans for patients, specific to their behavioral health concerns.

Work with a variety of patients with a wide range of mental health diagnoses, and lived experiences, including substance use disorders.

Provides consultation services for mental health recommendations to patient’s multidisciplinary team of providers.

Initiates treatment interventions; coping tools, individual counseling, and family counseling and crisis interventions as appropriate.

Key Accountability #2

  • Support patients through challenges with an emphasis on building sense of internal locus of control.
  • Document every patient interaction, and outcomes, including referrals
  • Provide patient education as it relates to their mental health needs.
  • Charts and maintains notes within 72 hours in compliance with CMS documentation standards.
  • Protects confidentiality and the abide by HIPPA Laws as well as 42 CFR.

Requirements

  • EDUCATION/EXPERIENCE
  • Master's Degree in Social Work
  • Master’s Degree in Mental Health Counseling

Performance Requirements

Knowledge and Credential

  • 3+ years in a Clinical Setting
  • Licensed Clinical Social Worker (LCSW, LCSWA)
  • Licensed Clinical Mental Health Counselor (LCMHC, LCMHCA)
  • Licensed Psychologist (LPA, PsyD)

Skills

  • Experience with behavioral health screening tools and risk assessments
  • Experience with a wide range of patient populations, all ages and stages preferred.
  • Experience with substance use treatment and willingness to work with populations experience substance use disorders.
  • Training in brief, evidence-based treatment models
  • Familiarity with population health and team-based care models

Abilities

  • Strong clinical assessment and brief intervention skills
  • Ability to work in a fast-paced, team-based medical environment
  • Excellent communication and collaboration skills
  • Flexibility and adaptability in a dynamic care setting
  • Cultural humility and trauma-informed approach

Physical Requirements

Seeing: Must be able to read written and printed material, as well as use computer, fax machine, Xerox machine and other office equipment.

Hearing: Must be able to hear well enough to communicate with coworkers and others. Good hearing is necessary to receive detailed information through oral communication and to make fine discriminations in sound.

Sitting: Must be able to sit for the majority of the work shift while answering telephone and communicating with others.

Standing/Walking/Mobility: Must be able to stand intermittently and be capable of walking on hardwood and linoleum floors with concrete underpayments. Must be able to walk between various clinical areas and departments.

Fingering/Grasping/Feeling: This position requires manual and finger dexterity and eye-hand coordination for easy and skillful use of hands when working with and performing normal office duties and responsibilities.

Work Environment

  • Fast paced work environment.
  • The noise level in the work environment is usually moderate.

DISCLAIMER: The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills and/or abilities deemed necessary to perform the job proficiently.

This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.

Key Responsibilities

The clinician provides outpatient mental health counseling and diagnostic assessments within a primary care setting. They work collaboratively with an interdisciplinary team to develop response plans and provide crisis interventions for patients.

Qualifications

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

Key Skills

Risk assessmentCrisis interventionInterdisciplinary collaborationTrauma-informed careHIPAA compliance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavioral Health Clinician at Appalachian Mountain Health a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Mental Health Therapy (Counseling) — ranked against 8,029 active Mental Health Therapy (Counseling) listings on WeekdayDoc.

Counselor Career Context

Appalachian Mountain Health ranks #11 of 18 employers hiring Counselor on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 80/100, 24 active listings.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 42% are remote, 38% have no call, 70% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$63k midpoint carries the purchasing power of roughly $66k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

29 matches · ranked by pay

Salary Distribution29 jobs · 23 employers

9
<$75k
8
$75k-95k
5
$95k-115k
7
$115k-135k

Annual compensation range

Benefits & Perks26 jobs · 23 employers

401k / retirement match
96%
CME allowance
35%
Sign-on bonus
19%
Loan repayment
12%

Share of similar jobs offering each benefit

#1

Mental Health Therapist

Brightways Counseling Group · Portland, Oregon

$131k
#2

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

LifeStance Health · Madison, Wisconsin

$92k-$125k
#3

Licensed Mental Health Therapist (LMFT, LPC, LCSW)

$115k-$120k
#4

Remote Mental Health Counselor (LMFT, LCSW, LMHC)

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+ 27 more · ranked by pay

Work-life snapshot

median 6.2this job 7.2
Better work-life than 80% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,029 comparable listings. Shaded area = the share scoring below this one.

Living in Asheville

Typical 3-bedroom home value
$455k≈ 7.6× annual pay
Typical market rent
$1,704/mo≈ 34% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

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