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Rochester Regional Health
Rochester, New York

Primary Therapist - School Based

CounselorNo callNo weekendsFull-Time

Listed compensation

$53k-$68k

The week · per this posting · Monday – Friday

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

Posted 46m ago · Verified live

Job Description

  • STATUS: Full Time
  • LOCATION: Outpatient Mental Health - Genesee Mental Health Center
  • DEPARTMENT: School Therapy
  • SCHEDULE: Monday-Friday, School Hours

Summary

As a Primary Therapist, your excellent communication and evaluation abilities greatly assist care providers in the assessment and treatment planning for patients with mental illness or those struggling with substance abuse.

*This position is in the Gates-Chili Central School District, supporting their middle and high school, occasionally additional support at an elementary school.

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 with relevant 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.
  • Completes all required documentation in a timely and comprehensive manner.
  • Maintains a full caseload, meeting productivity requirements and seeks to keep the incidence of failed appointments to a minimum.
  • Utilizes efficient computer skills for electronic documentation.
  • Must obtain licensure or permit in a timely manner.
  • Off-site and in-home delivery of services to clients and families.

Desired Attributes

  • Compassionate, warm and patient focused.
  • Strong analytical and critical thinking ability.
  • Ability to multitask, plan and balance multiple responsibilities.
  • Two (2) years of relevant experience preferred.

Minimum Qualifications

  • Masters Degree in Human Services field required.

New Graduates

  • Official transcript from accredited school or letter emailed directly from the school’s registrar’s office confirming program completion will be accepted upon graduation.
  • Primary source education verification required within 90 days of start date.

Required Licensure/Certification

  • LCSW, LMSW, LMHC, LCAT, LMFT license or permit required within 1 year of hire

Education

LICENSES / CERTIFICATIONS:

Physical Requirements

Drive - Clinical - Roles in this category require frequent driving combined with mobile clinical care across settings such as emergency response, mobile clinics, and home health environments.

Staff must repeatedly enter and exit vehicles, occasionally lift and carry equipment weighing up to 100 lbs. or more, and perform care within patients’ homes or other confined, unpredictable, or uncontrolled environments.

These positions demand strong fine and gross motor control, firm grasping, and heightened visual and auditory awareness to ensure safe and effective care delivery.

Emotional and cognitive demands are substantial due to rapid decision‑making, direct exposure to critical or sensitive situations, and independently managing patient care in the field or home setting.

Environmental exposures may include traffic hazards, infectious agents, extreme temperatures, variable home conditions, and hazardous materials. Valid licensure, physical readiness, and flexibility for extended or on‑call schedules are typically required.

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

$53,310.00 - $67,700.00

City

Rochester

Postal CODE

14607

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 or be eligible for licensure such as LCSW, LMSW, LMHC, LCAT, or LMFT. Two years of relevant experience is preferred, along with strong analytical and communication skills.

Qualifications

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

Key Skills

Individual counselingGroup therapyFamily therapyInterdisciplinary collaborationCrisis managementAnalytical thinkingMultitaskingPatient care coordination

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist - School Based at Rochester Regional Health a 6.3 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 8,084 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Counselor Career Context

Rochester Regional Health ranks #11 of 20 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 40% are remote, 34% have no call, 56% 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 ~$61k midpoint carries the purchasing power of roughly $56k 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

43 matches · ranked by pay

Salary Distribution43 jobs · 33 employers

12
<$80k
22
$80k-95k
4
$95k-110k
4
$110k-125k
1
$125k

Annual compensation range

Benefits & Perks29 jobs

401k / retirement match
97%
CME allowance
28% this job
Sign-on bonus
17%
PSLF eligible
17%
Loan repayment
10%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Brookfield, Wisconsin

$92k-$125k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Rome, New York

$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
+ 41 more · ranked by pay

Work-life snapshot

median 6.1this job 6.3
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,084 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends

Living in Rochester

Typical 3-bedroom home value
$247k≈ 4.6× annual pay
Typical market rent
$1,476/mo≈ 33% of gross pay
Residents’ average commute
19 min
Metro price indexU.S. average = 100
97.0
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.

BEA 2024 · Rochester, NY metro prices. Housing figures are city-level.

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