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Rochester Regional Health
Massena, New York

Primary Therapist - Lead

Counselor / TherapistNo weekendsNo nightsFull-Time

Listed compensation

$70k-$98k

The week · per this posting · Monday – FridayWeekdays only

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

Posted 54m ago · Verified live

Job Description

  • STATUS: Full Time
  • LOCATION: 1 Hospital Drive, Massena, NY 13662
  • DEPARTMENT: Psychiatry
  • SCHEDULE: Monday-Friday, Day Shift

Position Summary

The primary therapist provides mental health diagnostic assessment, treatment planning, and mental health therapies for persons suffering from mental illness. Treatment is provided in the context of a clinical team, supervised by the staff psychiatrist. Leadership and/or supervisory duties as delegated by manager. Provide superior customer service by modeling the Brand Promise and Core Values.

Key Responsibilities

  • Provides initial and ongoing assessment, counseling and clinical intervention to a designated caseload.
  • Provides individual, group, and family psychotherapy.
  • Participates functionally as a member of an interdisciplinary team in coordination and delivery of patient care.
  • Communicates in a timely and complete manner with internal and external care providers to complete ongoing assessment and to coordinate care.
  • Participates in and incorporates professional supervision and ongoing education toward quality care.
  • Utilizes efficient computer skills for electronic documentation.
  • Completes all required documentation in a timely and comprehensive manner.
  • Maintains a caseload, meeting productivity requirements as stated by the Department of Psychiatry and Behavioral Health, and seeks to keep the incidence of failed appointments to a minimum.
  • Must maintain licensure in a timely manner.
  • Undertakes planning, problem solving and quality improvement activities regarding program functioning.
  • Pursues personal and professional growth using internal and external sources available for supervision/consultation to staff and provides direction, feedback, and positive feedback to supervisors.
  • Provides clinical supervision/consultation to the clinical team or program staff as delegated by manager.
  • Assists Team Leader/Manager in assuring smooth, effective delivery of care in response to community requests for services, as delegated.

Minimum Qualifications

  • Master’s Degree in Human Services field required.
  • Five to seven year of experience preferred.

Required Licensure/Certification Skills

  • LCSW, LMHC, LMSW, LMFT, LCAT, PhD, or Licensed Psychologist required.

Education

MS (Required)

Licenses / Certifications

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability.

Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

Pay Range

$69,500.00 - $98,000.00

City

Massena

Postal CODE

13662

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

Requirements

Candidates must hold a Master’s degree in a Human Services field and possess a valid clinical license such as LCSW, LMHC, LMSW, LMFT, LCAT, or PhD. Five to seven years of professional experience is preferred for this role.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Key Skills

Individual psychotherapyGroup psychotherapyInterdisciplinary team coordinationCrisis interventionCase managementPatient care coordination

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist - Lead at Rochester Regional Health a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Mental Health Therapy (Counseling) — ranked against 7,863 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Counselor Career Context

Rochester Regional Health ranks #21 of 27 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 44% are remote, 34% have no call, 66% require no weekends.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.1 / 10 · above average in mental health therapy (counseling)ranked against 7,863 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Listed pay$70k–$98kMental Health Therapy median $70k (middle half $67k–$81k)30 comparable listings, Oct 2026
Cost-of-living adjusted pay~$78k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in New York311 active7,830 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 44% remote · 34% no call · 66% no weekends50 benchmarked listings
Rochester Regional Health#21 of 27 for payTop Employers work-life index
Sources: WeekdayDoc live listing index (7,863 Mental Health Therapy (Counseling) listings), 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

47 matches · ranked by pay

Salary Distribution

47 jobs · 37 employers
14
<$75k
17
$75k-90k
10
$90k-105k
1
$113k
5
$120k+

Annual compensation range

Benefits & Perks

32 jobs
401k / retirement match
94%
CME allowance
31% this job
Sign-on bonus
25%
Loan repayment
9%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Milwaukee, Wisconsin

$92k-$125k
#2

Behavioral Health Clinician (POTFF)

Maximus · Tampa, Florida

$59k-$124k
#3

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

$115k-$120k
#4

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
+ 45 more · ranked by pay

Work-life snapshot

median 6.0this job 6.1
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,863 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • On-site

Living in Massena

Typical 3-bedroom home value
$129k≈ 1.9× annual pay
Median resident rent
$722/mo≈ 12% of gross pay
Residents’ average commute
18 min
State income tax
Up to 10.9%
Sources & methodology

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

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