RB Primary Therapist

Counselor / TherapistNo weekendsFull-Time

Listed compensation

$60k-$70k

The week · per this posting · Monday – Friday

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

Posted 36m ago · Verified live

Job Description

The Primary Therapist is the primary clinical lead for an assigned caseload of residents within the facility. The Primary Therapist is responsible for the creation, implementation, and regular review of Individualized Treatment Plans (ITPs).

This role involves providing high-intensity therapeutic interventions, conducting comprehensive biopsychosocial assessments, and ensuring that all clinical services meet the "Medical Necessity" standards for residential care.

The Primary Therapists work as part of a multidisciplinary team to move residents toward successful community reintegration.

Essential Duties and Responsibilities

1. Clinical Assessment and Treatment Planning

  • Conduct comprehensive biopsychosocial assessments for new residents within the state-mandated time frames.
  • Develop, write, and update Individualized Treatment Plans (ITPs) as required by the state regulatory bodies, ensuring goals are SMART (Specific, Measurable, Achievable, Relevant, Time-bound) and reflect the resident’s voice.
  • Interpret clinical data to identify trends in resident behavior and adjust treatment strategies accordingly.

2. Therapeutic Interventions

  • Provide individual, group, and family therapy sessions utilizing evidence-based modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or Trauma-Informed Care (TIC).
  • Facilitate specialized clinical groups focused on symptom management, emotional regulation, and recovery skills.
  • Provide clinical "real-time" intervention and de-escalation for residents experiencing acute psychological distress.

3. Documentation and Regulatory Compliance

  • Maintain precise and timely clinical documentation in the Electronic Health Record (EHR) according to state regulations and national accreditation bodies(The Joint Commission).
  • Prepare comprehensive discharge summaries and transition plans in collaboration with the Case Manager.
  • Ensure all documentation supports the "Medical Necessity" of the residential level of care for insurance utilization reviews (UR).

4. Multidisciplinary Collaboration

  • Participate in weekly Treatment Team meetings to provide clinical updates.
  • Provide clinical consultation to Behavioral Health Technicians (BHTs) to ensure the therapeutic milieu is consistent with residents’ treatment goals.
  • Coordinate with external providers to ensure a seamless continuum of care.

Qualifications

Education and Experience

  • Minimum Requirement: Master’s degree from an accredited college or university in a human services field (Social Work, Psychology, Counseling, or related).
  • Experience: Minimum of two (2) years of post-graduate clinical experience in a mental health setting. Residential experience is preferred.
  • Licensure: Preferred to be a Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Marriage and Family Therapist (LMFT) in the state of practice. Associate licensed Master's-level candidates considered with residential experience and eligibility to obtain clinical licensure within one year of hire.

Monday-Friday 8:30am-5:00pm

Key Responsibilities

The Primary Therapist serves as the clinical lead for an assigned caseload, responsible for creating and implementing individualized treatment plans. They provide high-intensity therapeutic interventions and collaborate with a multidisciplinary team to support resident recovery and community reintegration.

Qualifications

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

Key Skills

Individual TherapyGroup TherapyCrisis InterventionCase Management

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 38% are remote, 30% have no call, 54% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.9% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$60k–$70kMental Health Therapy median $60k (middle half $57k–$65k)17 comparable listings, Nov 2026
Cost-of-living adjusted pay~$70k in purchasing powerOhio index 92.8 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Ohio396 active7,454 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 30% no call · 54% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedOhio counselor listings (all specialties): 23% state a sign-on bonus (median $5k) · 17% offer loan repayment611 active listings, Nov 2026
New Mental Health Therapy listings2,563 in the last 30 days1,376 the 30 days before (+86%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−1.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

33 matches · ranked by pay

Salary Distribution

33 jobs · 23 employers
11
<$65k
8
$65k-75k
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3
$85k-95k
3
$95k+

Annual compensation range

Benefits & Perks

29 jobs · 23 employers
401k / retirement match
93%
Sign-on bonus
45%
CME allowance
45%
Loan repayment
31%
PSLF eligible
14%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.0this job 3.9
Better work-life than 30% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,479 comparable listings. Shaded area = the share scoring below this one.

  • No weekends

Living in Lancaster

Typical 3-bedroom home value
$284k≈ 4.7× annual pay
Typical market rent
$1,226/mo≈ 25% of gross pay
Residents’ average commute
28 min
Metro price indexU.S. average = 100
95.5
State income tax
Up to 4%
Sources & methodology

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

BEA 2024 · Columbus, OH metro prices. Housing figures are city-level.

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