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Tellurian
Monona, Wisconsin

Outpatient Mental Health & Substance Use Therapist

Addiction CounselorFull-Time

Listed compensation

$70k-$80k

The week · per this posting · weekdays assumed

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

Posted 1mo ago

Job Description

  • Job Location: Outpatient Madison - Monona, WI 53716
  • Position Type: Full Time
  • Education Level: Graduate DegreeOutpatient Mental Health & Substance Use Therapist LCSW, LPC, or LMFT – Full Wisconsin Licensure Required
  • Salary Range: $70,000–$80,000 annually

Starting salary will be determined based on relevant clinical experience, years of independent licensure, and experience working with mental health, substance use, and co-occurring disorders. Position Summary We are seeking an experienced, fully licensed therapist to join our Outpatient Services team.

This position is ideal for a clinician who enjoys working independently while also being part of a collaborative, multidisciplinary behavioral health team. Our outpatient clinicians work with adults experiencing a wide range of mental health, substance use, and co-occurring concerns.

Clients may voluntarily seek treatment or may be involved with probation, courts, driver safety programs, or other community systems.

Because of the diversity of the individuals we serve, this role provides an opportunity to deliver meaningful clinical care across a broad range of presenting needs and levels of complexity.

What You'll Do

The Outpatient Therapist provides: Individual psychotherapy Comprehensive clinical assessments Individualized treatment planning Crisis intervention and safety assessment Case coordination and collaboration with community providers Ongoing progress monitoring and treatment plan reviews Group and family therapy opportunities, depending on program needs and clinician interest We are looking for a clinician who values compassionate, person-centered care while also being comfortable establishing expectations, maintaining professional boundaries, completing timely documentation, and helping clients take an active role in their treatment.

Our Clinical Approach Our approach is individualized rather than one-size-fits-all.

Clinicians may incorporate evidence-based and evidence-informed approaches based on each client's needs and goals, including: Cognitive Behavioral Therapy (CBT) Motivational Interviewing (MI) Solution-Focused interventions Relapse prevention strategies Harm reduction Other clinically appropriate therapeutic modalities Essential Functions Provide individual psychotherapy to adults with mental health, substance use, and/or co-occurring diagnoses.

Complete comprehensive clinical assessments and identify appropriate treatment recommendations. Develop individualized, strength-based treatment plans in collaboration with clients.

Complete treatment plan reviews, progress notes, discharge summaries, and other required clinical documentation accurately and within established timelines. Utilize evidence-based and clinically appropriate therapeutic interventions based on client presentation, readiness for change, and treatment goals.

Assess client safety and respond appropriately to behavioral health crises, including consultation with clinical leadership when indicated. Monitor client progress and make appropriate adjustments to treatment recommendations and level of care.

Provide education and support related to recovery, relapse prevention, mental health symptoms, coping skills, and behavior change.

Coordinate care with psychiatric providers, primary care providers, referral sources, probation or legal systems, treatment programs, and community resources when clinically appropriate and authorized by the client. Participate in clinical consultation, supervision, case review, and interdisciplinary collaboration.

Maintain clear, ethical, and professional boundaries with clients. Maintain timely and accurate electronic health records in accordance with organizational expectations, professional standards, and applicable state and federal regulations, including Wisconsin DHS 75 requirements, when applicable.

Follow HIPAA, confidentiality requirements, professional licensing standards, organizational policies, and all applicable state and federal regulations. Maintain all required professional licenses, credentials, continuing education, and certifications.

Qualifications

Qualifications Required Master’s degree in Social Work, Professional Counseling, Marriage and Family Therapy, Psychology, or another qualifying behavioral health discipline from an accredited college or university. Current Wisconsin LCSW, LPC, or LMFT license in good standing.

Full independent clinical licensure is required. Training licenses are not being considered for this position at this time. Experience providing psychotherapy to adults. Strong clinical assessment, diagnostic, treatment planning, and documentation skills.

Ability to independently manage an outpatient caseload and prioritize clinical responsibilities. Ability to work effectively with clients who may have complex mental health, substance use, psychosocial, or legal concerns. Strong interpersonal and written communication skills. Why This Role?

This is an opportunity to provide meaningful behavioral health services to individuals with diverse needs while working within a collaborative clinical environment.

You'll have the ability to use your clinical judgment, tailor treatment to each client, and support individuals in making meaningful progress toward their mental health and recovery goals.

Key Responsibilities

The therapist provides individual psychotherapy, comprehensive clinical assessments, and individualized treatment planning for adults with mental health and substance use concerns. They also manage crisis interventions, coordinate care with community providers, and maintain accurate clinical documentation.

Requirements

Candidates must hold a Master's degree in a behavioral health discipline and possess a current, full Wisconsin LCSW, LPC, or LMFT license. Strong clinical assessment, diagnostic, and documentation skills are required to manage an independent outpatient caseload.

Qualifications

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

Key Skills

HIPAA compliance

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 52% are remote, 36% have no call, 68% require no weekends.

The cost-of-living index for Wisconsin is 94.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $80k in an average-cost state. 60.7% of Wisconsin clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Listed pay$70k–$80kSubstance Use / Addiction Counselor median $63k (middle half $55k–$68k)216 comparable listings, Nov 2026
Cost-of-living adjusted pay~$80k in purchasing powerWisconsin index 94.1 (US = 100)BEA Regional Price Parities (2024)
Substance Use / Addiction Counselor listings in Wisconsin241 active13,504 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 52% remote · 36% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedWisconsin Counselor listings: 15% state a sign-on bonus (median $3k) · 15% offer loan repayment241 active listings, Nov 2026
New Addiction Medicine listings465 in the last 30 days243 the 30 days before (+91%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

29 matches · ranked by pay

Salary Distribution

29 jobs · 22 employers
8
<$80k
11
$80k-100k
5
$100k-120k
2
$120k
3
$140k+

Annual compensation range

Benefits & Perks

23 jobs · 22 employers
401k / retirement match
87%
CME allowance
52% this job
Sign-on bonus
35%
Loan repayment
26%
PSLF eligible
13%

Share of similar jobs offering each benefit

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+ 27 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 30% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

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About Tellurian

Hospitals and Health Care
Madison, WI
51-200 employees

Living in Monona

Typical 3-bedroom home value
$462k≈ 6.6× annual pay
Typical market rent
$1,820/mo≈ 31% of gross pay
Residents’ average commute
20 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 7.7%
Sources & methodology

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

BEA 2024 · Madison, WI metro prices. Housing figures are city-level.

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