IB
Integrated Behavioral Health
San Diego, California

Primary Therapist

Counselor / TherapistFull-Time

Listed compensation

$80K - $90K

The week · per this posting · weekdays assumed

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

Posted 5mo ago

Job Description

Primary Therapist Job Description

Position Summary

The Primary Therapist provides individual, group, and family therapy services to patients in residential and outpatient treatment settings. Working as part of a multidisciplinary team, the Primary Therapist is responsible for clinical assessments, treatment planning, case management, discharge planning, crisis intervention, documentation, and coordination of care to ensure patients receive high-quality, evidence-based treatment.

Essential Duties and Responsibilities

  • Conduct biopsychosocial assessments and develop individualized treatment plans.
  • Maintain an assigned caseload and provide individual, group, and family therapy sessions.
  • Facilitate psychoeducational and process-oriented groups.
  • Participate in treatment team meetings and communicate patient progress and treatment goals.
  • Assess and intervene in situations involving suicide risk, self-harm, relapse, or other behavioral health crises.
  • Collaborate with physicians, nursing staff, behavioral health technicians, families, referral sources, and community providers.
  • Coordinate care, discharge planning, and post care services beginning at admission.
  • Complete all clinical documentation, treatment plans, progress notes, and discharge summaries in a timely manner and in accordance with all regulatory, accreditation, and payer requirements.
  • Support utilization review activities and provide clinical information necessary for insurance authorizations and continued stay reviews.
  • Maintain compliance with HIPAA, regulatory agencies, and company policies.
  • Provide support and clinical guidance to direct care staff as needed.
  • Perform other duties as assigned.

Qualifications

  • Master's or Doctoral degree in Social Work, Psychology, Counseling, Marriage and Family Therapy, or a related behavioral health field.
  • Licensed or registered with the California Board of Behavioral Sciences (AMFT, ACSW, APCC, LMFT, LCSW, LPCC) or licensed Psychologist preferred.
  • Experience working with substance use, mental health, and co-occurring disorders.
  • Knowledge of ASAM Criteria, DSM-5 diagnoses, and evidence-based treatment practices.
  • Current CPR/First Aid certification or ability to obtain within 90 days of hire.
  • Valid California Driver's License and acceptable driving record.

Education

  • Master's or Doctoral degree in Psychology, Social Work, Counseling, Marriage and Family Therapy, or a related behavioral health field required.
  • Registration or licensure with the California Board of Behavioral Sciences (BBS) or California Board of Psychology preferred.

Experience

  • Minimum one (1) year of experience providing behavioral health, mental health, or substance use disorder treatment services.
  • Experience working with co-occurring mental health and substance use disorders preferred.
  • Experience in residential treatment, outpatient treatment, or other behavioral healthcare settings preferred.
  • Experience with utilization review, insurance authorizations, and discharge planning preferred.

Knowledge, Skills, and Abilities

  • Working knowledge of ASAM Criteria, DSM-5 diagnostic criteria, and evidence-based treatment modalities.
  • Strong clinical assessment, treatment planning, crisis intervention, and case management skills.
  • Strong ability to build therapeutic relationships with patients, families, and referral sources.
  • Strong written and verbal communication skills.
  • Ability to manage multiple priorities in a fast-paced treatment environment.
  • Proficiency in electronic health records (EHR) and clinical documentation systems.
  • Ability to work collaboratively within a multidisciplinary treatment team.

Key Responsibilities

The Primary Therapist provides individual, group, and family therapy services within residential and outpatient settings. Responsibilities include conducting clinical assessments, developing treatment plans, and coordinating care with a multidisciplinary team.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Individual TherapyGroup TherapyBiopsychosocial AssessmentMultidisciplinary Collaboration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist at Integrated Behavioral Health a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Mental Health Therapy (Counseling) — ranked against 7,479 active Mental Health Therapy (Counseling) listings on WeekdayDoc.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 62% are remote, 22% have no call, 68% 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
Work-life score7.2 / 10 · top 25% in mental health therapy (counseling)ranked against 7,479 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Listed pay$80k–$90kMental Health Therapy median $89k (middle half $80k–$114k)39 comparable listings, Nov 2026
Cost-of-living adjusted pay~$77k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in California576 active7,509 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 62% remote · 22% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia counselor listings (all specialties): 12% state a sign-on bonus (median $3k) · 9% offer loan repayment1,000 active listings, Nov 2026
New Mental Health Therapy listings2,561 in the last 30 days1,395 the 30 days before (+84%)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 (7,479 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

47 matches · ranked by pay

Salary Distribution

47 jobs · 37 employers
12
<$90k
16
$90k-105k
10
$105k-120k
5
$120k-135k
4
$135k+

Annual compensation range

Benefits & Perks

40 jobs · 37 employers
401k / retirement match
98%
CME allowance
48%
Sign-on bonus
38%
Loan repayment
13%
PSLF eligible
8%

Share of similar jobs offering each benefit

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$123k-$141k
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#4

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+ 45 more · ranked by pay

Work-life snapshot

median 6.0this job 7.2
Better work-life than 80% of Mental Health Therapy (Counseling) listings

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

IB

About Integrated Behavioral Health

Mental Health Care
Lincoln, Nebraska
11-50 employees

Living in San Diego

Typical 3-bedroom home value
$1.00M≈ 12.5× annual pay
Typical market rent
$3,004/mo≈ 45% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
111.9
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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