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Trillium Health
Rochester, New York

Behavioral Health Counselor

CounselorFull-Time

Listed compensation

$65k-$94k

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 1mo ago · Verified live

Job Description

Job Title: Behavioral Health Counselor

Department: Clinic

Position type: Full-Time

FLSA: Exempt

Job Summary

Join us and be a part of Trillium—a mission driven team committed to expanding access to high quality, compassionate care for everyone we serve. The Behavioral Health Counselor provides integrated behavioral health services to address the psychological, emotional, and behavioral needs of patients served by the Organization.

Duties/Responsibilities

  • Complete initial assessments and determine patient diagnoses.
  • Provide individual, family, and group therapy services as appropriate.
  • Work collaboratively with medical providers and the interdisciplinary team to integrate behavioral health services into treatment plans.
  • Develop and update treatment plans in collaboration with patients and significant others as appropriate.
  • Document all treatment sessions within 72 business hours, following Trillium policy.
  • Participate in clinical team meetings and supervision to support ongoing development of competencies and skills.
  • Develop discharge plans and coordinate transition planning for patients completing treatment.
  • Mentor or supervise interns as needed.
  • Collaborate with other Trillium programs and services to support patient needs.
  • Prepare regular reports on individual, group, and program outcomes as assigned.
  • Provide therapeutic support and education to patients and significant others regarding mental health issues and management.
  • Offer short-term motivational counseling to patients who are not yet ready or able to participate in behavioral health services.
  • Demonstrate respect and support for inclusiveness and diversity.
  • Model One Trillium values, behaviors, and business impacts within the organization.
  • Maintain confidentiality and security of all protected and proprietary information.
  • Participate in compliance audits, process improvement, and quality improvement plans as requested.
  • Perform other duties as assigned.

Required Skills/Abilities

  • Excellent verbal and written English communication skills.
  • Ability to work effectively with individuals from diverse backgrounds, cultures, races, ages, sexual orientations, gender identities or expressions, and experiences.
  • Commitment to inclusiveness, diversity, and modeling organizational values.
  • Ability to maintain confidentiality of sensitive information.
  • Strong organizational and documentation skills.

Education and Experience

  • Master’s degree in counseling, social work, psychology, or a closely related field required.
  • Professional licensure required (LCSW, LMHC, LMSW, LMFT); candidates practicing with a permit while working toward licensure will be considered.
  • Minimum of one year of experience providing individual, family, and/or group behavioral health counseling preferred.
  • Experience with trauma-informed care, co-occurring disorders, and LGBTQ+ populations preferred.

Physical Requirements

While performing the duties of this job, the employee is regularly required to stand, sit, walk, use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee may occasionally need to stoop, bend, and lift or move up to 25 pounds. Specific vision requirements include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Key Responsibilities

The Behavioral Health Counselor provides integrated psychological and emotional support through individual, family, and group therapy. They collaborate with medical providers to develop treatment plans and ensure comprehensive patient care.

Requirements

Candidates must hold a Master's degree in counseling, social work, or psychology and possess a professional license such as LCSW, LMHC, LMSW, or LMFT. At least one year of experience in behavioral health counseling is preferred, along with strong communication and documentation skills.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Individual therapyFamily therapyClinical assessmentTreatment planningCrisis interventionInterdisciplinary collaborationCase managementDischarge planningClinical supervision

Behavioral Health — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 40% are remote, 28% have no call, 64% 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 ~$79k midpoint carries the purchasing power of roughly $73k 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

41 matches · ranked by pay

Salary Distribution41 jobs · 34 employers

13
<$80k
14
$80k-95k
6
$95k-110k
7
$110k-125k
1
$131k

Annual compensation range

Benefits & Perks28 jobs

401k / retirement match
89%
CME allowance
43%
Sign-on bonus
18%
PSLF eligible
7%
Loan repayment
4%

Share of similar jobs offering each benefit

#1

Mental Health Therapist

Brightways Counseling Group · Portland, Oregon

$131k
#2

Remote Mental Health Counselor (LMFT, LCSW, LMHC)

Gotham Enterprises · Watertown, New York

$115k-$120k
#3

NY Licensed DBT Therapist - DBT Master’s or Doctoral - Telehealth - Full-Time

$93k-$120k
#4

Licensed Mental Health Counselor (LMFT, LCSW, LMHC)

$115k-$120k
+ 39 more · ranked by pay

Work-life snapshot

median 3.0this job 1.5
Below most Behavioral Health (Counseling) listings for work-life

Listing-based score, 0–10, across 339 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Rochester

Typical 3-bedroom home value
$247k≈ 3.8× annual pay
Typical market rent
$1,476/mo≈ 27% 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.