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Nec
Fayette Township, Ohio

IHBT Therapist

CounselorIncludes callFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 3mo ago

Job Description

Position Summary

Necco has an opportunity for a career as an Intensive Home-Based Treatment (IHBT) Therapist. In this role, you will deliver intensive home-based treatment services to you facing significant emotional and behavioral challenges. Your primary focus will be empowering youth and caregivers to develop robust coping mechanisms, preventing the need for out-of-home placement, or aiding in a seamless transition back home from a more intensive care setting.

Intensive Home-Based Treatment Services & Case Load Management

  • Deliver behavioral health services by assessing clients’ therapeutic needs and strengths, establishing therapeutic relationships, and employing interventions to enhance overall functioning
  • Act as a central point of contact for families, agencies, and court, maintaining communication within Necco’s confidentiality policies and procedures regarding clients’ performances
  • Take on the role of clinical lead for cases, developing, writing, and coordinating individual treatment plans. Responsibilities encompass reviewing external materials, discussing client progress with staff, revising plans for optimal care, monitoring plan compliance, participating in team meetings, and attending group meetings to discuss treatment
  • Implement best practice treatment models to ensure effective intervention strategies and Individual and Family Therapies, Therapeutic Behavioral Services (TBS), and/or community psychiatric supportive treatment, tailoring interventions to meet client requirements
  • Consult with parents/caregivers, school personnel, probation officers, or other treatment team members to address client’s diagnosis, progress and barriers as needed.
  • Maintain prior authorizations for each client (if applicable)
  • Delivers services to clients across multiple environments, including in-home and community-based settings, and is required to transport clients as needed and travel between locations as essential functions of the position

Caseload Management and Productivity

  • Maintain caseload of no less than 3- IHBT clients but not to exceed 6-IHBT clients at any given time
  • Drive the treatment planning process from intake to discharge based on client diagnosis and need
  • Meets social impact expectations
  • Maintain complete and accurate client records per regulations
  • Ensure treatment goals are tied to IHBT outcomes

Documentation

  • Timely submission of all documentation within three calendar days of service delivery
  • Adherence to Ohio Medicaid documentation standards of proactive to ensure the integrity of all documentation
  • Sustain ongoing compliance with client clinical chart requirements
  • Meet Necco standards and productivity through comprehensive documentation, including assessments, progress notes, reports, and Individual Service Plans

Corporate Citizen

  • Practice ruthless pragmatism
  • Engage in peer-to-peer feedback
  • Know and live the Necco Corporate Culture Principles
  • Embody the three essential virtues: humble, hungry, and smart
  • Drive your individual performance scorecard results
  • Adhere to and contribute to the Necco meeting structure

Position Qualifications

  • Bachelor Degree in Social Work (LSW), or Masters Degree in Social Work, Counseling, or Marriage and Family Therapy with at least dependent license (LSW, LPC, or LMFT)
  • Hold a current Certified CANS Assessor credential or is able and willing to become a Certified CANS Assessor
  • Demonstrate the ability to visit clients' homes, recognizing that accessibility may vary
  • Limited Liability Auto Insurance Coverage of 100/300/100
  • Work effectively with culturally diverse populations and families
  • Fulfill additional duties as required
  • Valid driver’s license with the ability to drive during day and night
  • Reliable transportation
  • Successful completion of all criminal and background checks
  • Must possess the skills to navigate and execute software programs used by Necco (i. e. Microsoft Office, Electronic Health record, and Dashboard)

At Necco, we value diversity and are committed to creating an inclusive and equitable work environment. We embrace individuals of diverse backgrounds, experiences, and perspectives.

We believe that a diverse team fosters innovation and creativity, and we actively seek candidates from all races, ethnicities, religions, genders, sexual orientations, abilities, and ages to join our organization.

We are dedicated to providing equal opportunities for employment and advancement to all qualified individuals, and we encourage applicants of all backgrounds to apply.

Key Responsibilities

Deliver intensive home-based treatment to youth with emotional and behavioral challenges to prevent out-of-home placement. Manage a caseload of 3-6 clients, coordinating individual treatment plans and collaborating with families, schools, and court agencies.

Requirements

Requires a Bachelor's in Social Work (LSW) or a Master's in Social Work, Counseling, or Marriage and Family Therapy with a dependent license. Must have a valid driver's license, reliable transportation, and the ability to become a Certified CANS Assessor.

Qualifications

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

Key Skills

Behavioral Health AssessmentCase ManagementIndividual and Family TherapyCrisis InterventionClinical DocumentationCANS AssessmentInterdisciplinary CollaborationPatient AdvocacyCultural CompetencyElectronic Health Records

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 58% are remote, 20% have no call, 60% require no weekends.

The cost-of-living index for Ohio is 92.8 (US average = 100; BEA Regional Price Parities (2024)). 61.3% of Ohio clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

45 matches · ranked by pay

Salary Distribution45 jobs · 35 employers

15
<$75k
14
$75k-95k
5
$95k-115k
5
$115k-135k
6
$135k+

Annual compensation range

Benefits & Perks37 jobs · 35 employers

401k / retirement match
81%
CME allowance
49%
Sign-on bonus
46%
Loan repayment
27%
PSLF eligible
11%

Share of similar jobs offering each benefit

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+ 43 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,033 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Fayette

Typical 3-bedroom home value
$187k
Median resident rent
$806/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
91.5
State income tax
Up to 4%
Sources & methodology

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

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

City-level figures. Not a cost-of-living guarantee.