HH
Horizon Health Services
Buffalo, New York

Perinatal Counselor

CounselorFull-Time

Listed compensation

$50k-$59k

The week · per this posting · Monday – Thursday

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

Posted 7mo ago

Job Description

Are you passionate about helping to improve maternal mental health and challenges that women face? Is your goal to work with pregnant and postpartum patients and families who struggle with mental health and substance use?

Are you interested in working for an innovative company who has been voted a Best Place to Work in New York State for the last 17 years?

Is it important to you to have scheduling flexibility, student loan assistance, generous paid time off, and quarterly bonus potential?

If you answered yes to any of the questions above, a role at Horizon Health Services might be the perfect fit for you!

“Horizon is truly a best company to work for. Our person-centered approach allows me to be flexible with my patients, resulting in strong professional bonds that work to foster dynamic change!”

  • Rachel S., LMSW, Senior Counselor II

What Will Your Day Look Like?

Our highly regarded onboarding program will offer you direct mentorship with experienced counselors, individualized training, and a team of coworkers who want to ensure your success here at Horizon! We are all about collaboration. We want to hear your thoughts, work with you as a team, and help you build confidence!

Some of the day-to-day responsibilities you will have include:

  • Maintain a primary caseload consisting of pregnant and postpartum patients, women and families struggling with loss or fertility challenges, as well as providing therapy to additional populations as needed
  • Attending trainings via our new state-of-the-art learning management system where you will gain the necessary knowledge to be a successful counselor
  • Conducting comprehensive patient assessments and developing treatment plans that identify patient needs and strengths
  • Building effective therapeutic relationships as you develop rapport and hope to patients of diverse backgrounds
  • Participating in weekly one-on-ones with your supervisor, as well as team meetings, to discuss case presentations
  • Utilization of evidenced based practices such as CBT, DBT, and MI to help serve as a catalyst for change and improved quality of patients’ lives
  • Creatively problem solve with patients around practical obstacles, in effort to increase whole body wellness
  • Collaborating with psychiatrists, care coordinators and family members to increase patient support network.
  • Facilitating group therapy as part of our perinatal intensive outpatient program

Why choose Horizon to build your counseling career?

At Horizon, we don’t just offer a workplace—we offer a community where you can thrive while making a meaningful impact in the lives of others. Recognized as a Best Place to Work in NYS for 17 consecutive years and one of America’s Best Workplaces, we take pride in fostering a culture where motivated teammates collaborate to make a difference, every day. Join us and experience the satisfaction of doing work that matters alongside people who share your passion!

As a counselor, we want you to feel challenged, supported, and fulfilled in your work! The work we do is not easy, but it is rewarding. We pride ourselves on our unique corporate culture of caring and respect, while also being progressive and highly spirited!

What We Offer That You Will Love

  • Evidence-based clinical programming designed by leaders in the behavioral health field
  • Horizon offers clinicians a Behavioral Health AI-powered platform to assist with note documentation requirements. This assist with reducing administrative burden and enhancing quality documentation/clinical outcomes.
  • State-of-the-art onboarding program, complete with your own clinical attending
  • Hundreds of clinical and nonclinical trainings available at our own Horizon University, 100% free!
  • Reimbursement of expenses for licensure, certification, and renewal
  • Career growth opportunities, including the flexibility to work in both mental health and addiction services
  • Student loan assistance. This program helps pay off our team members' student loans every month. One year after joining you will have been able to pay off an extra $600!
  • Quarterly bonuses with an annual earning potential of eight thousand dollars!
  • Horizon employees and their families (includes spouses and children up to age

30) are eligible for a 10% discount on their tuition through a partnership with Capella University.

  • Paid time off and paid holidays!

What has prepared you for this opportunity?

In addition to all of the all-nighters and cramming for exams…

  • Completed Master’s degree in a program that will grant licensure in the state of New York

AND

  • Certification as a PMH-C or at least 2 years of experience working in the maternal mental health/perinatal field

Location: This position is for our Hertel Elmwood Clinic located in the City of Buffalo at 699 Hertel Ave, Buffalo NY.

Position Hours

You’ll coordinate a personalized schedule with your supervisor that will meet both the clinic and patients’ needs as well as yours. Our outpatient clinics offer expanded hours Monday – Thursday so we’ll ask you to be available at least 2 evenings per week, but don’t worry about jeopardizing your work-life balance… we can help you create a schedule that works for you, as many locations close earlier on Fridays!

Compensation

Horizon is consistently evaluating our compensation and benefit packages to ensure we remain competitive. The range of pay for this position is $49,712 - $58,552. Starting pay may be impacted based on experience and education. This position includes a bonus earning opportunity, with an annual max potential of $9,000, based on volume of service visits provided and cash equivalent opt out benefits. Compensation adjustments are evaluated annually.

Physical Demands Associated with This Position Include

  • Sitting for extended periods, alternating between standing and sitting
  • Mobility required with repetitive wrist, hand, and finger movements
  • Handling light duties, occasionally lifting objects up to 20 pounds

Horizon DEIB Statement

Horizon is committed to fostering a respectful, inclusive environment where dignity, safety, and opportunity are core values. We uphold principles that support autonomy and authenticity, creating a culture of accountability and collaboration that prioritizes well-being, drives innovation, and expands opportunities for our employees, patients, and communities.

Disclaimers

Horizon endorses public health measures including vaccinations. We encourage all applicants to be mindful of the fact that Horizon is a healthcare agency providing in person services throughout our community.

This information is intended to provide a general overview of the position; it is not a full job description.

Key Responsibilities

The role involves maintaining a primary caseload of pregnant and postpartum patients, women, and families dealing with loss or fertility challenges, while also conducting comprehensive patient assessments and developing individualized treatment plans. Responsibilities include utilizing evidence-based practices like CBT, DBT, and MI, participating in supervision, and collaborating with other healthcare professionals to support patients.

Requirements

Candidates must have completed a Master’s degree in a program that grants licensure in New York State, along with either PMH-C certification or at least two years of experience working in maternal mental health or the perinatal field. The position requires availability for at least two evenings per week as part of a personalized outpatient schedule.

Qualifications

Education
Professional certificate or licensure

Key Skills

Perinatal CounselingSubstance Use CounselingCaseload ManagementPatient AssessmentTreatment PlanningTherapeutic Relationship BuildingGroup Therapy FacilitationClinical Documentation

Perinatal Mental Health — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 40% are remote, 44% 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 ~$54k midpoint carries the purchasing power of roughly $50k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Counselor pay on WeekdayDoc is up 2.5% vs. the prior quarter (through Sep 2026).

Top Counselor Jobs

38 matches · ranked by pay

Salary Distribution38 jobs · 27 employers

10
<$75k
13
$75k-90k
5
$90k-105k
4
$105k-120k
6
$120k

Annual compensation range

Benefits & Perks27 jobs

401k / retirement match
93%
Sign-on bonus
22% this job
CME allowance
22%
PSLF eligible
22%
Loan repayment
11% this job

Share of similar jobs offering each benefit

#1

Licensed Professional Counselor (LPC)

Gotham Enterprises · Warren, Michigan

$115k-$120k
#2

Licensed Clinical Professional Counselor (LCPC)

Gotham Enterprises · Bethesda, Maryland

$115k-$120k
#3

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

$115k-$120k
#4

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
+ 36 more · ranked by pay

Work-life snapshot

median 6.1this job 2.8
Better work-life than 20% of Counseling listings

Listing-based score, 0–10, across 13,794 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Buffalo

Typical 3-bedroom home value
$251k≈ 5.1× annual pay
Typical market rent
$1,425/mo≈ 34% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
95.8
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 · Buffalo-Cheektowaga, NY metro prices. Housing figures are city-level.

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

HH

About Horizon Health Services

Benefits & Perks

Student Loan Assistance
Quarterly Bonuses
Paid Time Off
Paid Holidays
Clinical Training
Licensure Reimbursement
Career Growth Opportunities
Tuition Discount