Paradigm Treatment Centers logo
Paradigm Treatment Centers
Coeur d'Alene, Idaho

Lead Therapist - Residential Treatment!

Counselor / TherapistFull-Time

Listed compensation

$95k-$100k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

About Altior Healthcare

Our family of services comprises three distinct mental health treatment programs, including a specialized program for US Veterans. With over 15 unique locations, we manage and support 500+ dedicated employees serving over 300 residential clients daily located across five states: California, Idaho, Maine, New Hampshire, and Texas.

Paradigm Treatment (West Coast) and Ridge RTC (East Coast) partner together under Altior, united by a shared commitment to providing exceptional mental health care. For over a decade, our core clinical and support teams have worked side-by-side, delivering compassionate, evidence-based treatment that changes lives.

As part of the Altior network, you’ll find the stability of an established organization with the heart of a close-knit treatment community where every role matters.

Paradigm Treatment Centers is seeking a compassionate and experienced Lead Therapist to join our Idaho team. This position is ideal for a clinician who wants to remain involved in direct client care while expanding their leadership experience.

Reporting to the Clinical Director, the Lead Therapist provides individual, family, and group therapy to adolescents while serving as a clinical resource and mentor to therapists, interns, associates, and support staff.

Key Responsibilities

  • Provide individual, family, and group therapy.
  • Develop and update individualized treatment plans.
  • Facilitate mental health, substance use recovery, psychoeducational, and process groups.
  • Provide crisis intervention and support complex clinical situations.
  • Participate in case conferences and multidisciplinary treatment planning.
  • Maintain timely and accurate clinical documentation.
  • Assist the Clinical Director with staff training, coaching, and clinical development.
  • Promote consistent, ethical, and high-quality clinical practices across the program.

Qualifications

  • Master’s degree in psychology, counseling, marriage and family therapy, or a related field.
  • Current applicable clinical licensure in marriage and family therapy or psychology.
  • At least three years of behavioral healthcare experience.
  • Experience providing individual, family, and group therapy.
  • Strong clinical judgment, communication, and leadership skills.
  • Adolescent or residential treatment experience preferred.
  • Doctorate in psychology or a related field preferred.
  • This is an exciting opportunity to make a meaningful impact on adolescents and families while helping strengthen and develop a collaborative clinical team.
  • Paradigm Treatment Centers is an equal opportunity employer committed to maintaining an inclusive workplace.

Salary Range

$95,000—$100,000 USD

Benefits

  • Comprehensive benefits package: medical, dental, and vision.
  • 401k with 4% match.
  • Paid Time Off Programs including vacation, holidays, and illness.

For Direct Care Roles

  • Chef made meals onsite.
  • Professional trainings provided for development; continuing education assistance for clinicians.
  • Supportive clinical supervision and professional development.
  • Altior Healthcare is an Equal Opportunity Employer and considers applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics or any other basis forbidden under federal, state, or local law.
  • Privacy Policy l CCPA Notice for CA Applicants l Discrimination Policy

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Individual therapyClinical leadershipMental health counselingPsychoeducationCase managementAdolescent care

Counselor Career Context

Of the 49 active Mental Health Therapy listings this role was benchmarked against, 57% are remote, 41% have no call, 82% require no weekends.

The cost-of-living index for Idaho is 95.5 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$98k midpoint carries the purchasing power of roughly $102k in an average-cost state. 58.2% of Idaho clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$95k–$100kMental Health Therapy median $73k (middle half $65k–$83k)336 comparable listings, Oct 2026
Cost-of-living adjusted pay~$102k in purchasing powerIdaho index 95.5 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Idaho42 active7,907 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 57% remote · 41% no call · 82% no weekends49 benchmarked listings
Sources: WeekdayDoc live listing 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

31 matches · ranked by pay

Salary Distribution

31 jobs · 13 employers
9
<$85k
5
$85k-100k
5
$100k-115k
12
$115k-130k

Annual compensation range

Benefits & Perks

26 jobs · 13 employers
401k / retirement match
100% this job
Sign-on bonus
46%
CME allowance
15% this job
Loan repayment
12%
PSLF eligible
12%

Share of similar jobs offering each benefit

#1

Clinical Manager LCSW, LPC, LMHC, LMFT

Eating Recovery Center · Bellevue, Washington

$103k-$129k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#3

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

$92k-$125k
#4

Licensed Mental Health Counselor (LMFT, LMHC, LCSW)

$115k-$120k
+ 29 more · ranked by pay

Work-life snapshot

median 6.0this job 1.5
Below most Mental Health Therapy (Counseling) listings for work-life

Listing-based score, 0–10, across 7,891 comparable listings. Shaded area = the share scoring below this one.

Paradigm Treatment Centers logo

About Paradigm Treatment Centers

Hospitals and Health Care
Los Angeles, CA
51-200 employees

Benefits & Perks

Medical, dental, and vision
401k with 4% match
Paid Time Off (vacation, holidays, illness)
Chef-made meals onsite
Professional trainings
Continuing education assistance
Supportive clinical supervision

Living in Coeur d'Alene

Typical 3-bedroom home value
$567k≈ 6.0× annual pay
Typical market rent
$1,865/mo≈ 24% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
98.3
State income tax
Up to 5.8%
Sources & methodology

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

BEA 2024 · Coeur d'Alene, ID metro prices. Housing figures are city-level.

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