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Children's Hope Alliance
Lexington, North Carolina

TASK Therapist

CounselorFull-Time

Listed compensation

$49k-$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

Job Description

Make a Difference Where It Matters Most

At Children’s Hope Alliance, we serve youth and families with complex needs—helping them build safer futures and stronger relationships. As a TASK Therapist, you’ll be at the forefront of that mission, providing specialized clinical care to children and adolescents who have caused sexual harm.

This is a highly impactful role for clinicians who want to lead, influence outcomes, and work collaboratively across systems to create lasting change.

  • What You’ll Do
  • Deliver High-Impact Clinical Care
  • Provide individual, family, and group therapy using evidence-based approaches
  • Complete Comprehensive Evaluations of Sexual Harm (CESH) and make recommendations for treatment, placement, and safety planning
  • Conduct clinical assessments and mental status evaluations to guide care
  • Develop meaningful, individualized treatment plans rooted in assessment data
  • Support youth and families in building safe, sustainable behaviors across home, school, and community settings
  • Lead Clinical Decision-Making
  • Serve as the clinical lead on multidisciplinary teams
  • Co-facilitate Child and Family Team meetings and guide care planning
  • Advocate for youth in schools, courts, and community systems
  • Recommend the least restrictive, most effective level of care
  • Guide & Supervise Team Members
  • Supervise and support TASK Case Managers in treatment planning and documentation
  • Ensure quality and compliance across treatment plans and records
  • Provide consultation, coaching, and support to strengthen team performance
  • Ensure Quality & Compliance
  • Complete timely, accurate documentation in the electronic health record
  • Maintain compliance with Medicaid, DJJ, and other regulatory standards
  • Participate in peer reviews and quality assurance processes
  • Track client progress through assessments, life plans, and outcome tools
  • Support Continuity of Care
  • Develop discharge plans and step-down recommendations
  • Coordinate with external providers to ensure smooth transitions
  • Assist families in accessing resources that support long-term stability
  • What Sets This Role Apart
  • Clinical leadership opportunity with real influence on treatment outcomes
  • Work within a collaborative, multidisciplinary model
  • Opportunity to engage in court advocacy, school collaboration, and community training
  • Meaningful, mission-driven work that directly improves safety and well-being

What You Bring

  • Strong clinical assessment and treatment planning skills
  • Experience working with youth and families with complex behavioral needs
  • Ability to balance clinical expertise with compliance and documentation requirements
  • Leadership skills with the ability to supervise and guide others
  • Strong communication skills across clinical, legal, and community settings
  • A commitment to ethical, trauma-informed, and evidence-based care

What We Expect from All Team Members

  • At Children’s Hope Alliance, every employee contributes to our mission of Hope, Health, and Healing for Generations by demonstrating:
  • Professionalism, accountability, and teamwork
  • Strong communication and collaboration
  • Commitment to continuous growth and development
  • Cultural awareness and respect for all individuals and families

Join Our Mission

This is more than a clinical role—it’s an opportunity to lead change, support healing, and make communities safer for children and families.

Equal Opportunity Employer

Children’s Hope Alliance is committed to creating a diverse and inclusive workplace and provides equal employment opportunities to all employees and applicants.

Requirements

Education and Experience Requirements

  • Minimum of Master’s Degree in a human service field and NC licensure or provisional licensure in one of the following disciplines: LPC, LCSW, LMFT.
  • Strongly preferred one experience in human service field.
  • Preferred credentialing with various MCOs.
  • Preferred experience with populations who have caused sexual harm and/or adolescents under the court's jurisdiction.
  • Preferred knowledge of and experience with family systems, family therapy, and behavioral interventions.
  • Must be culturally sensitive to clients and families and support cultural diversity throughout the program.
  • Requires effective communication, decision making, analytical, interpersonal, leadership and professionalism skills and abilities.
  • Must be familiar with supervision and group facilitation.
  • Must have basic computer and math skills.
  • Must have a valid North Carolina’s Driver’s License.
  • Must submit to and pass pre-employment drug screening, criminal, HCPR and driving checks.

Physical Requirements

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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit, use hands and fingers, handle or feel objects, tools, or controls, talk, and hear. The employee is frequently required to reach with hands or arms, stand, walk, climb or balance, stoop, kneel, crouch, or crawl.

The employee must occasionally lift and/or move up to 30 pounds.

Specifics vision abilities required by this position include close, distance, color, and peripheral vision, depth perception, and the ability to adjust focus.

Physical functions which are considered essential to the satisfactory performance of the job include the following: reading, typing, writing, speaking, and using the telephone and prolonged sitting at a desk and working on a computer.

Employee must be able to operate a vehicle for job duties, and keep a valid NC drivers license with insurance.

The work environment will contain slight to moderate office-related noises. The employee is not exposed to extreme weather conditions, toxic fumes, or airborne particles.

The employee must occasionally travel to different locations in the course of work.

Physical functions which are considered essential to the satisfactory performance of the job include the following: public speaking, reading, typing, writing, using the telephone, driving, therapeutically restraining children and adolescents in crisis situations.

Key Responsibilities

The TASK Therapist provides specialized clinical care, including individual, family, and group therapy for youth who have caused sexual harm. They also lead multidisciplinary teams, supervise case managers, and ensure compliance with regulatory standards.

Qualifications

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

Key Skills

Individual TherapyCrisis InterventionCase ManagementClinical SupervisionMultidisciplinary CollaborationTrauma-informed CareEvidence-based Practice

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates TASK Therapist at Children's Hope Alliance 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

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 52% are remote, 36% have no call, 72% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.2% vs. the prior quarter (through Sep 2026).

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$57k midpoint carries the purchasing power of roughly $60k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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Salary Distribution29 jobs · 23 employers

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Annual compensation range

Benefits & Perks25 jobs · 23 employers

401k / retirement match
96%
CME allowance
36%
Sign-on bonus
20%
Loan repayment
12%

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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 Lexington

Typical 3-bedroom home value
$276k≈ 5.6× annual pay
Typical market rent
$1,578/mo≈ 38% of gross pay
Residents’ average commute
26 min
Metro price indexU.S. average = 100
92.0
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 · Winston-Salem, NC metro prices. Housing figures are city-level.

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