Behavioral Health Counselor
Listed compensation
$32-$36/hr
The week · per this posting
Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.
Job Description
- Part-Time: 2-3 days per week, with Potential to Become Full-Time
- Hybrid: scheduled onsite days each month in Engelhard and Manteo
- Pay: $32–$36 per hour
Are you a licensed behavioral health professional looking for a flexible opportunity where you can make a meaningful impact in rural communities?
Ocracoke Health Center, Inc. is seeking a Behavioral Health Counselor / Integrated Care Program Lead to provide behavioral health services as part of our Patient Centered Health Team. This position offers a combination of remote work and scheduled onsite days at our Engelhard Medical Center and Manteo Community Health Center locations.
The position is hybrid and will initially be part-time, approximately two to three days per week. We are flexible in establishing the onsite schedule and will work with the selected candidate based on their availability and patient needs.
We are also pursuing grant funding to expand behavioral health services, allowing this position to be full-time. Full-time employment is contingent upon funding and organizational needs. If expanded to a full-time position, employees are eligible for a comprehensive benefits package that currently includes medical, dental, vision, short-term disability, long-term disability, life insurance, and paid time off (PTO).
What You’ll Do
- Provide evidence-based behavioral health interventions within a primary care setting.
- Assess patients referred by primary care providers and develop patient-centered care plans.
Use behavioral health screening and assessment tools to identify concerns, support triage, and measure outcomes.
Collaborate with medical providers and other members of the care team to support patients with emotional, behavioral, and mental health needs.
- Refer patients to specialty behavioral health, case management, or community resources when appropriate.
- Maintain accurate and timely documentation in the electronic health record – we use Athena
- Participate in chart reviews, quality improvement initiatives, clinical guideline development, staff education, and Patient-Centered Medical Home collaboration.
- Provide guidance and supervision to the Behavioral Health Case Manager.
Requirements
Master’s degree from an accredited program in social work, psychology, marriage and family therapy, counseling, behavioral health, or a closely related field.
- Current North Carolina licensure as one of the following:
- Licensed Clinical Social Worker, LCSW
- Licensed Marriage and Family Therapist, LMFT
- Licensed Clinical Mental Health Counselor, LCMHC
- Strong communication, clinical assessment, documentation, crisis intervention, and care coordination skills.
- Ability to build effective working relationships with patients, providers, team members, and community partners.
- Experience in integrated care, primary care, community health, or rural behavioral health is a plus.
- Leadership or supervisory experience is preferred, but not required.
- Spanish-speaking ability is a plus.
Why Join Our Team?
Flexible Part-time Schedule
- Potential full-time employment in the near future, along with eligibility for benefits!
- Hybrid work arrangement
- Opportunity to serve patients in rural coastal communities
- Collaborative, team-based care environment
- Opportunity to help shape and lead an expanding integrated behavioral health program
Ocracoke Health Center, Inc. is an equal opportunity employer committed to creating an inclusive workplace and providing high-quality, patient-centered care to the communities we serve.
Key Responsibilities
Provide evidence-based behavioral health interventions and develop patient-centered care plans within a primary care setting. Collaborate with medical providers to support patients' emotional and mental health needs while maintaining accurate electronic health records.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Behavioral Health Counselor at Ocracoke Health Center a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Clinical Psychology counselor listings evaluated on our platform. Contributing factors include remote work flexibility.
Clinical Psychology — Counselor Career Context
Ocracoke Health Center holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 77/100, 5 active listings.
Of the 50 active Counselor listings this role was benchmarked against, 74% are remote, 12% have no call, 80% require no weekends — this position is remote.
Counselor pay on WeekdayDoc is down 1.1% vs. the prior quarter (through Aug 2026).
The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $75k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
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