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Monarch
Charlotte, North Carolina

Behavioral Health Therapist IV

Counselor / TherapistIncludes callNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, the work setting, nights and shift pattern and time off.

Posted 46m ago · Verified live

Job Description

Compensation Information

  • Sign On Bonus: 1500 (375 at 3 months; 375 at 6 months; 750 at 12 months)
  • A Behavioral Health Therapist IV must have one of the below qualifications:
  • LCSW-A
  • LMFT-A
  • LCMHC-A
  • LPA

Scheduled Weekly Hours

40

Schedule: Monday-Friday (8:00am - 5:00pm)

Education We're Looking For

Masters: Human Services (Required)

Certifications We're Looking For

Licensed Clinical Mental Health Counselor - Associate (LCMHC-A) - State Board of Licensed Professional Counselors, Licensed Clinical Social Worker - Associate (LCSW-A) - State Social Work Certification and Licensure Board, Licensed Marriage and Family Therapist - Associate (LMFT-A) - State Marriage and Family Therapy Licensure Board, Licensed Psychological Associate (LPA) - State Psychology Board

Experience We're Looking For

Counseling/Therapy Experience | Not Required

Job Description Summary

The primary responsibility of the Behavioral Health Therapist is to provide outpatient behavioral health services to persons of all ages experiencing psychological difficulties in order to help them interact appropriately and develop meaningful relationships within community.

What You'll Do

  • Perform interviews with individuals and/or families to aid in identifying presenting problems, assessing mental status and dangerousness, gathering relevant facts of psychosocial history, and assigning accurate diagnoses (using all five Axes of the current DSM manual) that will help determine the best intervention to help the individual and their family achieve their stated goals.
  • Provide individual, group, and family therapy to individuals of all ages using person-centered philosophies and best practices in all service delivery.
  • Provide expertise in assessing psychiatric crises and crisis intervention while working closely with psychiatrists.
  • Maintain necessary medical records in compliance with state, federal, and agency guidelines.
  • Assist individuals and families in meeting other psychosocial needs by referring them to appropriate outside agencies (such as doctors, social services, and Christian Ministries) and providing information needed within the guidelines of confidentiality standards.
  • Provide crisis assessments, stabilization, and service coordination in order to de-escalate crisis and potential crisis situations in an effort to maintain lowest level of care that promotes safety.
  • Provide coverage or back-up for Emergency Services during clinical hours and on-call coverage after hours and on weekends as needed.
  • Maintain licensure as required by licensing board and attend educational trainings/seminars to remain up-to-date on current best practices.
  • Maintain positive working relationships within the communities served, including with individuals, families, staff, monitoring and licensing agencies, organizations, funding resources, and other human service agencies.
  • Be an active participant in the ongoing continuous quality improvement activities of the agency.
  • Demonstrate knowledge of and comply with all agency policies and procedures.
  • Provide clinical consultation as required or requested by other professionals within Monarch to provide ongoing professional development and to process difficult client situations that may arise.
  • Drive and travel to community locations, various agencies, and other outreach destinations as assigned.

Benefits

We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members.

In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location.

We look forward to discussing the details of your personalized compensation and benefits package—and what matters most to you—during the interview process.

Make a Difference in Someone’s Life!

At Monarch Healthcare, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.

You Belong at Monarch Healthcare

You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you’ll find at Monarch Healthcare. Here, we care for people, including our team members.

We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.

Monarch Healthcare Is an Equal Opportunity Employer

Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.

Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.

This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.

Department: BH - Licensed-Associate Professional

Key Responsibilities

The therapist provides outpatient behavioral health services, including individual, group, and family therapy to individuals of all ages. They are also responsible for performing clinical assessments, managing psychiatric crises, and maintaining accurate medical records.

Requirements

Candidates must hold a Master's degree in Human Services and possess an active associate-level license such as LCSW-A, LMFT-A, LCMHC-A, or LPA. The role requires the ability to travel to community locations and provide on-call coverage as needed.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Behavioral health therapyPsychosocial assessmentIndividual therapyGroup therapyMental status examinationDiagnosisMedical record maintenanceCase managementPsychiatric crisis assessmentPerson-centered care

Counselor Career Context

Monarch ranks #19 of 32 employers hiring Counselor on WeekdayDoc by average advertised pay.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 34% are remote, 36% have no call, 66% require no weekends.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed paynot listedMental Health Therapy median $60k (middle half $55k–$74k)14 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Mental Health Therapy listings in North Carolina273 active7,851 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 34% remote · 36% no call · 66% no weekends50 benchmarked listings
Sign-on & loan repayment$2k sign-onNorth Carolina Counselor listings: 14% state a sign-on bonus (median $4k) · 15% offer loan repayment479 active listings, Nov 2026
New Mental Health Therapy listings2,512 in the last 30 days1,528 the 30 days before (+64%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−1.9% vs prior quarter—through Oct 2026
Monarch#19 of 32 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life 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

50 matches · ranked by pay

Salary Distribution

50 jobs · 38 employers
20
<$75k
19
$75k-95k
6
$95k-115k
5
$115k-135k

Annual compensation range

Benefits & Perks

41 jobs · 38 employers
401k / retirement match
85% this job
Sign-on bonus
32% this job
CME allowance
32%
Loan repayment
24%
PSLF eligible
2%

Share of similar jobs offering each benefit

#1

Mental Health Therapist - Portland

Headlight · Portland, Oregon

$90k-$123k
#2

Licensed Marriage and Family Therapist (LMFT)

Gotham Enterprises · Fuquay-Varina, North Carolina

$115k-$120k
#3

Licensed Mental Health Therapist (LMFT, LCMHC, LCSW)

$115k-$120k
#4

Licensed Clinical Mental Health Therapist - LICSW - LPCC - LMFT

$74k-$117k
+ 48 more · ranked by pay

Work-life snapshot

median 6.0this job 3.9
Better work-life than 30% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,896 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • Includes call

Living in Charlotte

Typical 3-bedroom home value
$352k
Typical market rent
$1,729/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.