Sierra Health and Wellness logo
Sierra Health and Wellness
Carmichael, California

Associate Therapist

CounselorFull-Time

Listed compensation

$80K - $93K

The week · per this posting · weekdays assumed

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

Posted 6mo ago · Verified live

Job Description

  • Job Location: Carmichael, CA 95608
  • Position Type: Full Time
  • Education Level: Masters Degree
  • Salary Range: $80,000.00 - $93,000.00 Salary/year
  • Job Shift: Any
  • Job Category: Clinical
  • Licensed Therapists or Associate Therapist opportunity. (please note: Licensed Therapists, LMFT, LCSW or LPCC, will also be considered. The list of essential functions reflects that of Associate Therapists) Sierra Health and Wellness use evidence-based methods to accomplish the restoration of families, relationships, and self-worth. By transforming the character, we give life back to the people who have lost it through substance abuse and mental health issues. Job Description: The Associate Therapist is responsible for treating, assessing, monitoring, and developing a comprehensive plan to meet the needs of clients while in treatment for chemical and alcohol abuse and dependency. The Associate Therapist is responsible for providing ongoing direct client care through weekly individual and group therapy, as well as responding to immediate clinical needs such as AMA prevention, crisis response, and milieu management. In addition, the Associate Therapist provides family therapy to clients who request this service and where clinically indicated. The Associate Therapist is a primary member and participant in weekly multidisciplinary treatment planning and works collaboratively with the certified SUD counselor to develop a comprehensive aftercare plan post-discharge. Documentation within the electronic healthcare record is required for all clinical interactions and relevant case management activities. The Associate Therapist may also provide ongoing clinical consultation and support for the certified SUD counselors. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Performs professional mental health and substance use disorder services with clients in treatment for chemical and alcohol abuse and dependency. Provides individual, group, and family therapy services. Assesses and monitors client’s progress and behavior while in treatment. Participates in multidisciplinary treatment planning and aftercare planning. Participates in collaborative treatment with representatives of other agencies. Responds to clinical emergencies and acute client needs. Responds to client complaints in an efficient and timely manner. Records noteworthy events involving clinical services and client activities in the electronic medical record. Reviews client chart for completion of all paperwork with appropriate signatures; may complete weekly audits. Attends conferences, workshops, and training to maintain current awareness of mental health and SUD methodologies and issues. Maintains confidential information in accordance with legal standards and/or County regulations. Operates a personal computer and other office equipment. Communicates effectively with others in person and over the telephone. May be assigned some lead and special work coordination responsibilities. Competencies: Principles, procedures, techniques, trends of clinical and casework services, therapy, and treatment. Social aspects and characteristics of mental and emotional disturbances and substance use disorders. Principles of mental health and substance use disorder education. A wide variety of therapeutic and treatment approaches for persons with mental and emotional problems. Scope, availability, and activities of community resources, including other mental health and social service agencies. Current trends in mental hygiene, mental health, public health, and social services, including State and Federal programs in these areas. Expert communication skills and counseling abilities Commitment to the philosophy of recovery, continuity of the program, and to affirming the dignity and respect of all clients. Work Environment: Office and Health care setting with clients and other employees present. Working indoors primarily and outdoors occasionally. Working in close proximity to others. May walk on slippery and uneven walking surfaces. Excessive continuous noise at times. Typical office and group counseling environment. Mostly indoor office environment with windows and lights. Physical Demands: Prolonged periods sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Attending conferences or training session
  • Travel Required: Ability to travel to various office or facility locations

Affirmative Action/EEOC Statement: Sierra Health and Wellness is an Equal Opportunity Employer. Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PM21 Qualifications

Required Education and Experience

Must obtain and maintain a registration number regulated by a state board (ASW, AMFT, APC) Must possess a master’s degree in social work, marriage and family therapy, or counseling. Have at minimum one-year experience in Drug and Alcohol counseling. Very familiar with HIPAA/client confidentiality and personal rights.

Must possess a current CPR and First Aid certification. Must possess a valid Driver’s License Preferred education and experience: Two to three years of experience in drug and alcohol counseling BA or MA degree in related field.

Key Responsibilities

The Associate Therapist provides direct client care through individual, group, and family therapy while monitoring progress in substance abuse and mental health treatment. They also participate in multidisciplinary treatment planning and maintain accurate clinical documentation in electronic healthcare records.

Requirements

Candidates must hold a master's degree in social work, marriage and family therapy, or counseling and maintain a valid state registration number (ASW, AMFT, or APC). At least one year of experience in drug and alcohol counseling, along with CPR and First Aid certification, is required.

Qualifications

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

Key Skills

Individual therapySubstance abuse counselingMental health assessmentHIPAA compliance

Addiction Medicine — Counselor Career Context

Of the 50 active Addiction Medicine listings this role was benchmarked against, 40% are remote, 40% have no call, 64% require no weekends.

In California, the Addiction Medicine weighted monthly median benchmark on WeekdayDoc is ~$62k (228 salary observations; 359 listings), vs ~$62k nationally (1,362 salary observations; 3,995 listings). Monthly aggregates cover 2026-01-01 through 2026-10-01; these are not the modal's selected comparable-job medians.

How many Addiction Medicine jobs are remote?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in addiction medicine (counseling)ranked against 1,265 Addiction Medicine (Counseling) listingslisting-based score, 0–10
Listed pay$80k–$93kAddiction Medicine median $91k (middle half $73k–$108k)35 comparable listings, Oct 2026
California vs national$62k median in California$62k nationally (+1%)228 state / 1,362 national salary observations
Cost-of-living adjusted pay~$78k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in California129 active1,265 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 40% remote · 40% no call · 64% no weekends50 benchmarked listings
Addiction Medicine pay trend+2.3% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index (1,265 Addiction Medicine (Counseling) listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Associate Therapist at Sierra Health and Wellness a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Addiction Medicine (Counseling) — ranked against 1,265 active Addiction Medicine (Counseling) listings on WeekdayDoc.

Top Counselor Jobs

38 matches · ranked by pay

Salary Distribution38 jobs · 29 employers

9
<$90k
15
$90k-110k
10
$110k-130k
4
$130k-150k

Annual compensation range

Benefits & Perks27 jobs

401k / retirement match
93%
Sign-on bonus
41%
CME allowance
41%
Loan repayment
7%
PSLF eligible
7%

Share of similar jobs offering each benefit

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LifeStance Health · San Diego, California

$117k-$134k
#2

Licensed Mental Health Clinician (LMFT, LCSW, LPCC)

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$117k-$134k
#3

Psychotherapist, Behavioral Health

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#4

MCRT Licensed Team Lead LCSW LMFT LPCC - Mental Health 639

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Work-life snapshot

median 6.0this job 6.6
Better work-life than 80% of Addiction Medicine (Counseling) listings

Listing-based score, 0–10, across 1,265 comparable listings. Shaded area = the share scoring below this one.

Living in Carmichael

Typical 3-bedroom home value
$525k≈ 6.6× annual pay
Typical market rent
$1,741/mo≈ 26% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
106.7
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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