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Tailwind Care
Texas · Remote OK

Pediatric Therapist (Remote) - Texas License

CounselorIncludes weekendsContract

Listed compensation

$70-$85/hr

The week · per this posting · weekdays assumed

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

Posted 1mo ago

Job Description

About Tailwind Care

Tailwind Care is building a better way to care for kids and teens with metabolic health concerns through a family-centered model. Too often, families are left to navigate fragmented care, long waitlists, and a system that treats medical, nutritional, and behavioral needs separately.

We bring medical care, nutrition, and behavioral health together in one coordinated, evidence-based program, covered by insurance. Our goal is to help kids and teens build healthier lives, with care that’s practical, compassionate, and built around the whole family.

About the Role

As a Licensed Pediatric Therapist at Tailwind Care, you’ll provide evidence-based behavioral health care to children and adolescents with obesity and weight-related health concerns, and their caregivers, through virtual care.

You’ll help patients and families address the emotional, behavioral, and family factors that influence health, including motivation, self-esteem, family dynamics, anxiety, mood, body image, and sustainable behavior change. You’ll work with physicians, registered dietitians, and care coordinators as part of an integrated care team.

As a 1099 independent contractor with Tailwind Care, you will not be eligible for employee benefits, including health insurance or paid time off. Tailwind will provide services to support your practice, such as patient matching, billing, and admin support.

What You’ll Own

Assess and treat patients and their families. Conduct behavioral health assessments and deliver developmentally appropriate, evidence-based therapy to children, adolescents, and caregivers, matched to each family's needs and goals.

Support sustainable behavior change. Help families identify barriers, build skills, set realistic goals, and shape home routines that support health without shame.

Deliver culturally responsive, stigma-free care. Approach weight-related care in a clinically direct, culturally responsive, and respectful way that is free of shame.

Address weight-related emotional health. Support patients navigating body image, self-esteem, stigma, bullying, anxiety, or mood concerns tied to weight and health.

Catch when additional care is needed. Screen for and recognize concerns such as significant anxiety, depression, or disordered eating, and coordinate referrals or escalation when appropriate.

Keep records that hold up. Timely, accurate documentation supporting continuity of care, medical necessity, and payer requirements.

What Makes This Role Different

Your hours are guaranteed. Most telehealth platforms pay per visit and guarantee nothing. We reserve a weekly block and pay all of it while we fill your schedule.

Behavioral health is part of the core care model. You won’t be treating patients in isolation. Behavioral health care is integrated with medical and nutrition treatment.

Work with the whole family. Our model recognizes that a child’s health is shaped by family relationships, routines, environment, and caregiver support.

Spend less time on non-clinical admin. Credentialing, billing, technology, and care coordination are on us, so you spend time working with patients and families.

Deliver longitudinal care. You’ll have the opportunity to build ongoing relationships with families and support meaningful change over time.

Who You Are

  • Minimum Qualifications
  • Independently licensed behavioral health clinician as an LCSW, LPC, LMFT, or equivalent
  • Active, unrestricted license in Texas
  • Willing to obtain additional state licenses or practice privileges as needed (Tailwind covers licensing costs)
  • 3+ years providing behavioral health care to children, adolescents, and families
  • Training in at least one relevant evidence-based approach, such as motivational interviewing, CBT, or family-based treatment
  • Experience with pediatric overweight or obesity, or in integrated health settings

Experience screening for and addressing disordered eating, emotional eating, and body image concerns in children or adolescents

Comfortable conducting telehealth risk assessment and safety planning with children and adolescents, including coordinating local crisis resources when needed

Experience and comfort delivering care via telehealth

Nice to Have

  • Licenses in multiple states or a Counseling Compact privilege
  • Experience with Medicaid-insured families
  • Spanish or other non-English language proficiency
  • Schedule & commitment

Schedule

Part-time and fully remote, with a consistent weekly schedule. Initially, we’re looking for 8 hours per week: two 3-hour blocks on weekdays between 3–7 pm, plus one 2-hour block on Saturday between 9 am–1 pm. Hours will grow over time based on patient volume and your availability.

Patient care: Virtual visits with children, adolescents, and parents, together or individually.

Between sessions: Brief check-ins and care team coordination are all paid. Tailwind is not a crisis service, and all visits are scheduled.

  • What Tailwind provides
  • Malpractice insurance coverage
  • Paid orientation to Tailwind’s systems, clinical protocols, and workflows
  • All state licensing, credentialing, and payer enrollment, paid by Tailwind
  • EHR, telehealth technology, scheduling, and care coordination support
  • Clinical protocols, case consultation, and ongoing education

Key Responsibilities

Provide evidence-based behavioral health care to children, adolescents, and their families through virtual sessions. Collaborate with an integrated care team including physicians and dietitians to support sustainable behavior change and emotional health.

Requirements

Requires an active, unrestricted Texas license as an LCSW, LPC, or LMFT. Candidates must have at least 3 years of experience in pediatric behavioral health and proficiency in evidence-based therapeutic approaches.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Pediatric therapyClinical assessmentCulturally responsive carePediatric obesity management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Pediatric Therapist (Remote) - Texas License at Tailwind Care a 6.4 out of 10 for work-life balance — classified as good. This places the position in the Above average in Counseling — ranked against 13,631 active Counseling listings on WeekdayDoc. Contributing factors include remote work flexibility.

Pediatrics — Counselor Career Context

Tailwind Care holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 83/100, 7 active listings.

Of the 40 active Pediatrics listings this role was benchmarked against, 90% are remote, 33% have no call, 65% require no weekends — this position is remote.

Pediatrics pay on WeekdayDoc is up 4.6% vs. the prior quarter (through Sep 2026).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$161k midpoint, that is roughly $6k–$11k a year versus a typical 4–7% state rate.

Top contract/1099 Counselor Jobs

28 matches · ranked by pay

Salary Distribution28 jobs · 10 employers

9
<$100k
8
$100k-115k
10
$115k-130k
0
$130k-145k
1
$155k

Annual compensation range

Benefits & Perks28 jobs · 10 employers

401k / retirement match
100%
Sign-on bonus
71%
CME allowance
18%
Loan repayment
14%
PSLF eligible
7%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.4this job 6.4
Better work-life than 50% of Pediatrics (Counseling) listings

Listing-based score, 0–10, across 79 comparable listings. Shaded area = the share scoring below this one.

  • Remote
  • Includes weekends
Tailwind Care logo

About Tailwind Care

Benefits & Perks

Guaranteed hours
Malpractice insurance coverage
Paid orientation
State licensing and credentialing paid
EHR and telehealth technology support
Clinical protocols and case consultation