Alter Management logo
Alter Management
San Diego, California

Primary Therapist - AMFT/ACSW/APCC

CounselorIncludes callNo weekendsNo nightsFull-Time

Listed compensation

$73k-$75k

The week · per this posting · Monday – Friday

Ask the employer about the work setting and time off.

Posted 3mo ago

Job Description

Job DetailsJob Location: San Diego, CA 92115Position Type: Full TimeSalary Range: $73,000.00 - $75,000.00 SalaryJob Shift: DayPrimary Therapist | San Diego Alter Behavioral Health is an adult mental health treatment provider with a network of upscale inpatient residential facilities in Orange County and San Diego.

Schedule

Monday – Friday, 8:30 AM – 5:00 PM + on-call rotation to support 24/7 operations Competitive Compensation: $73,000 – $75,000/year DOE Location: San Diego Comprehensive Benefits: Medical, dental, and vision insurance with employer contribution | 401(k) with employer match up to 6% | PTO & CA Paid Sick Leave | Gym membership/wellness reimbursement (up to $50/month) | Weekly clinical supervision & ongoing professional development opportunities Make a Difference Every Day At Alter Behavioral Health, every session matters.

As a Primary Therapist, you play a vital role in supporting clients through meaningful change, guiding them toward stability, healing, and long-term growth.

This role goes beyond providing therapy — it’s about building trust, collaborating with a multidisciplinary team, and delivering high-quality, evidence-based care in a structured residential setting.

What You’ll Do Client Therapy & Treatment Planning Conduct individual and group therapy sessions using evidence-based modalities Complete biopsychosocial assessments and develop individualized treatment plans Monitor client progress and adjust interventions to support clinical outcomes Client Support & Engagement Build therapeutic rapport and maintain professional boundaries Support clients in developing coping skills, emotional regulation, and insight Encourage participation in programming and adherence to treatment plans Collaboration & Care Coordination Partner with psychiatrists, nurses, case managers, and residential staff Participate in treatment team meetings and case consultations Ensure continuity of care across all levels of treatment Documentation & Compliance Maintain accurate, timely clinical documentation in accordance with regulatory standards Complete progress notes, treatment plans, and discharge summaries Ensure compliance with DHCS, DSS, Joint Commission, and HIPAA requirements Crisis Intervention Respond appropriately to clients in distress using de-escalation and clinical judgment Assess risk and involve appropriate clinical leadership when necessary Professional Development Participate in supervision, staff meetings, and ongoing trainings Pursue growth in clinical skills and evidence-based practices Qualifications

What We’re Looking For Compassionate, ethical, and client-centered clinician Strong clinical judgment and ability to work independently and collaboratively Comfortable in a fast-paced residential treatment environment Knowledgeable in California BBS regulations and documentation standards Committed to continuous learning and professional growth Preferred

Qualifications

Experience in residential treatment or higher levels of care Training or certification in EMDR or Brainspotting Familiarity with trauma-informed care practices Experience working within multidisciplinary treatment teams EMR experience (Kipu preferred) Minimum

Qualifications

Master’s Degree in Marriage & Family Therapy, Counseling, Social Work, or related field Active BBS registration (AMFT, ACSW, or APCC) required Experience in mental health treatment, preferably with co-occurring disorders Ability to safely and effectively interact with clients experiencing psychiatric symptoms

Requirements

Valid California Driver’s License required CPR & First Aid certification required (or ability to obtain prior to start) Must pass Live Scan fingerprint clearance Must be legally authorized to work in the United States Physical

Requirements

Frequent sitting, standing, and movement throughout the facility Ability to navigate multi-level residential homes, including stairs Ability to respond to crisis situations as needed Ability to operate computers and documentation systems Compliance Employment is contingent upon: Successful Live Scan clearance Completion of required health screenings, drug testing, and TB testing Compliance with DHCS, DSS, Joint Commission standards, HIPAA, and applicable California employment laws DISCLAIMER – This posting provides a general overview of the Primary Therapist role at Alter Behavioral Health.

It is not a complete or exhaustive list of all responsibilities, duties, requirements, or conditions of employment. Specific job functions and expectations may be modified at the discretion of the company in accordance with business needs.

Alter Behavioral Health complies with all applicable federal, state, and local employment laws, including the California Labor Code, Industrial Welfare Commission (IWC) Wage Order 5, Fair Labor Standards Act (FLSA), and all laws relating to non-discrimination, equal opportunity employment, disability accommodation, and workplace safety.

Key Responsibilities

Conduct individual and group therapy sessions while developing individualized treatment plans for clients in a residential setting. Collaborate with a multidisciplinary team to ensure continuity of care and maintain compliant clinical documentation.

Requirements

Requires a Master's degree in a related field and active BBS registration (AMFT, ACSW, or APCC). Must possess a valid California Driver's License and be able to pass a Live Scan fingerprint clearance.

Qualifications

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

Certifications

CPR (preferred)

Key Skills

Individual TherapyCase CoordinationPatient Monitoring

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Primary Therapist - AMFT/ACSW/APCC at ALTER MANAGEMENT a 6.6 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 7,961 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 66% are remote, 34% have no call, 58% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$74k midpoint carries the purchasing power of roughly $67k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

41 matches · ranked by pay

Salary Distribution41 jobs · 27 employers

9
<$90k
13
$90k-105k
8
$105k-120k
11
$120k-135k

Annual compensation range

Benefits & Perks34 jobs · 27 employers

401k / retirement match
94% this job
Sign-on bonus
38%
CME allowance
32%
Loan repayment
15%
PSLF eligible
9%

Share of similar jobs offering each benefit

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+ 39 more · ranked by pay

Work-life snapshot

median 6.1this job 6.6
Better work-life than 60% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,961 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights
  • Includes call

Living in San Diego

Typical 3-bedroom home value
$1.01M≈ 13.8× annual pay
Typical market rent
$3,036/mo≈ 50% 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 (Aug 2026), Zillow market rents (Aug 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.

Alter Management logo

About Alter Management

Mental Health Care
Dana Point, California
51-200 employees

Benefits & Perks

Medical, dental, vision insurance
401(k) with employer match up to 6%
PTO & CA Paid Sick Leave
Gym membership/wellness reimbursement up to $50/month
Weekly clinical supervision