Access: Supports for Living logo
Access: Supports for Living
Middletown, New York

Clinical Engagement Therapist

CounselorNo weekendsFull-Time

Listed compensation

$80k–$88k

The week · per this posting · Monday – Friday

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

Posted 4mo ago

Job Description

Do Work That Matters. In a Culture That Means It.

Be part of a team that values connection, accountability, and real impact.

Why Access?

Because how we work matters just as much as what we do. At Access, our Culture Playbook isn’t a poster on the wall – it’s how we show up for each other and for the people we support.

You’ll Be Part of a Team That Is

  • Clear about expectations
  • Supportive and accountable
  • Focused on outcomes that matter to people.
  • And committed to helping people live the healthiest and fullest lives possible – while making sure out staff can do the same.
  • Location: Middletown, NY
  • Hours: 8.5 hours a day, M-F
  • Rate of Pay: $80,000 (LMSW, LP-MHC/MFT) $87,500 (LCSW/LMHC/LMFT)

Overview of Primary Responsibilites

Provide individual and group clinical services to a diverse caseload including adolescents, adults, and families who are experiencing life stressors or behavioral challenges through Evidenced Based Clinical Screenings and Practices. Conduct intakes and complete psychosocial assessments. Responsible for a hard to engage caseload and all required documentation including notes, individual recovery/ treatment plans, and required assessments.

Partner with our Psychiatric Providers to engage clients who have not yet engaged in therapy and who are not looking for the weekly therapy session but who are connected with our psychiatric providers for medication management.

Responsibilities for treatment planning and completing other required documents related to treatment. This position does not carry a traditional caseload instead collaborates closely with our psychiatric providers and joins their sessions with the clients.

Licensed Therapists have the primary responsibilities of providing individual, family and group therapy. Working in a therapeutic environment, Licensed Therapists lead the culture of recovery by providing strength based, person-centered services to assist people in acquiring and maintaining skills to increase their quality of life. Each person receiving our services has a treatment plan that guides them through their recovery.

Primary Functions

  • Professional and Therapeutic communication with persons served and co-workers.
  • Ability to submit timely and accurate documentation with use of technology
  • Provide assessments and therapy with persons served in their primary language by self or interpretive services
  • Physical demands, include but are not limited to long periods of sitting, standing, moving / walking, with occasional squatting, lifting, bending, pushing & pulling with low intensity, driving self or clients
  • Professional demands include prolonged periods of interacting with the public and making independent decisions
  • Diagnose in collaboration with psychiatrist and clinical team.
  • Collaboration with natural and formal supports.
  • Monitor treatment outcomes in partnership with consumers.
  • Promote health & wellness and recovery-oriented initiatives in response to client needs.
  • Perform other duties as assigned

Additional Functional / Organizational Support

Assignments may be determined at a future date

Qualifications and Attributes

NYS Professional Licensure - Licensed Mental Health Counselor, Licensed Master of Social Work, or Licensed Clinical Social Work or a Registered Nurse

  • Computer skills and experience working with electronic medical records
  • Bilingual, English-Spanish speaking, is a plus

Education and Experience

  • Master’s Degree in Mental Health Counseling or Social Work or a Bachelor’s Degree in Nursing
  • Previous experience working with adolescents and families and be comfortable in both individual and group settings
  • Previous experience working with adults in Mental Health field, preferred

Physical Characteristics

These physical demands are representative of the physical requirements necessary for an employee to perform the job's essential functions successfully. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the position, which are reviewed in each case.

  • Must be capable to sit or stand in front of a computer for long-periods of time
  • Able to work in open space floor plan
  • Must be capable to move throughout work day (and follow individuals throughout the community)
  • Work alongside co-workers within 3 feet
  • Must be able to move in tight spaces
  • Occasional lifting of > _15+ pounds
  • An Equal Opportunity Employer, including disability and Veterans

Key Responsibilities

Provide individual, group, and family clinical services to a diverse caseload using evidence-based practices. Collaborate closely with psychiatric providers to engage hard-to-reach clients and manage comprehensive treatment documentation.

Requirements

Requires a Master's degree in Mental Health Counseling or Social Work (or a Bachelor's in Nursing) and valid NYS Professional Licensure. Previous experience working with adolescents, families, and adults in the mental health field is required or preferred.

Qualifications

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

Key Skills

Individual TherapyFamily TherapyCase ManagementDiagnostic AssessmentCrisis InterventionPerson-Centered Care

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Clinical Engagement Therapist at Access: Supports for Living a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Mental Health Therapy counselor listings evaluated on our platform. Contributing factors include no weekend requirements.

Counselor Career Context

Access: Supports for Living ranks #6 of 20 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 32% are remote, 40% have no call, 72% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$84k midpoint carries the purchasing power of roughly $78k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

39 matches · ranked by pay

Salary Distribution39 jobs · 31 employers

11
<$75k
16
$75k-90k
6
$90k-105k
2
$105k-120k
4
$120k+

Annual compensation range

Benefits & Perks28 jobs

401k / retirement match
96%
CME allowance
21%
PSLF eligible
21%
Sign-on bonus
14%
Loan repayment
11%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Milwaukee, Wisconsin

$92k-$125k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Davie, Florida

$115k-$120k
#3

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
#4

NY Licensed DBT Therapist - DBT Master’s or Doctoral - Telehealth - Full-Time

$93k-$120k
+ 37 more · ranked by pay

Work-life snapshot

median 6.0this job 6.0
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,995 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Middletown

Typical 3-bedroom home value
$408k≈ 5.1× annual pay
Typical market rent
$2,340/mo≈ 35% of gross pay
Residents’ average commute
36 min
State income tax
Up to 10.9%
Sources & methodology

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

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

Access: Supports for Living logo

About Access: Supports for Living

Non-profit Organizations
Middletown, NY
501-1,000 employees

Benefits & Perks

Supportive team culture