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Access: Supports for Living
Middletown, New York

Outreach Licensed Therapist

Counselor / TherapistIncludes weekendsFull-Time

Listed compensation

$83k-$88k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 1h ago · Verified live

Job Description

Do Work That Matters. In a Culture That Means It.

Be part of a team that values connection, accountability, and real impact.

Why Access?

Because how we work matters just as much as what we do. At Access, our Culture Playbook isn’t a poster on the wall – it’s how we show up for each other and for the people we support.

You’ll be part of a team that is:

  • Clear about expectations
  • Supportive and accountable
  • Focused on outcomes that matter to people.
  • And committed to helping people live the healthiest and fullest lives possible – while making sure out staff can do the same.
  • Location: Middletown, NY, Newburgh, NY (Covers Orange County)
  • Salary: $82,500 to $87,500 (depending on licensure)
  • Hours: M-F 40 hours weekly

Overview of Primary Responsibilites

This position is designed to bring behavioral health services directly into the community, serving individuals who have been recently discharged from behavioral health hospitalizations, lack access to remote technologies, or face barriers to onsite engagement.

The clinician will provide individual, family, and group therapy using Evidence-Based Practices, with an emphasis on initial engagement and retention in care. Services will be provided in clients’ homes, shelters, and other accessible locations, often integrating telemedicine tools.

Primary Functions

  • Provide clinical therapy services (individual, family, group) in community-based and home settings.
  • Engage and retain clients who are disconnected from traditional services, including those discharged from psychiatric hospitals.
  • Use telehealth technologies to support care delivery in the field.

Collaborate closely with peer advocates, case managers, medical providers, and other members of the interdisciplinary team.

Utilize Evidence-Based Practices to support individuals with behavioral health needs, including crisis intervention when necessary.

Maintain a clinical caseload and complete all documentation in a timely, accurate, and compliant manner.

Support the implementation of specialized programming (e. g., first episode psychosis treatment).

Participate in weekend rotation hours as scheduled.

Additional Functional / Organizational Support

  • Attend regular clinical supervision and ongoing training sessions.
  • Support and participate in program development efforts, especially as related to expansion of mobile and home-based services.
  • Utilize EMR and mobile documentation tools effectively in the field.
  • Assist with quality improvement efforts and outcome tracking.
  • Work collaboratively across CCBHC sites in Middletown, Newburgh, and surrounding communities.

Qualifications and Attributes

Strong interpersonal engagement skills with the ability to build rapport in diverse and underserved populations.

  • Flexibility and adaptability to provide care in changing and non-traditional settings.
  • Ability to work independently while maintaining communication with supervisors and team members.
  • Commitment to trauma-informed, recovery-oriented, and person-centered care.
  • Comfortable using technology and telehealth tools in a mobile setting.

Education and Experience

Required

  • Licensed Master Social Worker (LMSW) or LP-MHC or MFT in New York State.
  • Master’s degree in Social Work or Mental Health Counseling.
  • Experience with crisis intervention and working with diverse populations.
  • Valid NYS driver’s license and reliable transportation for community-based work.

Preferred

Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC) or Licensed Marriage and Family Therapist (LMFT).

  • Experience with substance use disorders; CASAC credential is a plus.
  • Experience working with individuals diagnosed with intellectual/developmental disabilities.
  • Prior work experience in mobile, home-based, or outreach-focused behavioral health programs.

Physical Characteristics

These physical demands are representative of the physical requirements necessary for an employee to perform the job's essential functions successfully. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions of the position, which are reviewed in each case.

  • Must be capable to access all rooms in a 2-story home
  • Able to work in open space floor plan
  • Must be capable to move throughout work day
  • Occasional lifting of > _25+ pounds
  • An Equal Opportunity Employer, including disability and Veterans

Key Responsibilities

Provide community-based behavioral health services, including individual, family, and group therapy to clients in their homes or shelters. Collaborate with an interdisciplinary team to ensure client retention and effective care delivery using evidence-based practices.

Requirements

Requires a Master's degree in Social Work or Mental Health Counseling and a valid New York State license (LMSW, LP-MHC, or MFT). Candidates must possess a valid driver's license and have experience with crisis intervention and diverse populations.

Qualifications

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

Key Skills

Individual therapyFamily therapyClinical documentationTrauma-informed careRecovery-oriented careInterdisciplinary collaborationCase managementCommunity outreach

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 40% are remote, 32% have no call, 70% 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 ~$85k midpoint carries the purchasing power of roughly $79k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$83k–$88kMental Health Therapy median $74k (middle half $70k–$83k)35 comparable listings, Oct 2026
Cost-of-living adjusted pay~$79k in purchasing powerNew York index 107.9 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in New York325 active7,918 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 40% remote · 32% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNew York Counselor listings: 12% state a sign-on bonus (median $5k) · 10% offer loan repayment826 active listings, Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

42 matches · ranked by pay

Salary Distribution

42 jobs · 25 employers
17
<$85k
13
$85k-100k
0
$100k-115k
11
$115k-130k
1
$131k

Annual compensation range

Benefits & Perks

30 jobs · 25 employers
401k / retirement match
87%
Sign-on bonus
30%
CME allowance
13%
PSLF eligible
10%
Loan repayment
7%

Share of similar jobs offering each benefit

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$95k-$131k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#3

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
#4

Licensed Mental Health Counselor (LMFT, LMHC, LCSW)

$115k-$120k
+ 40 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,918 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends

Living in Middletown

Typical 3-bedroom home value
$407k≈ 4.9× annual pay
Typical market rent
$2,442/mo≈ 36% of gross pay
Residents’ average commute
36 min
State income tax
Up to 10.9%
Sources & methodology

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

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