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Monarch

Behavioral health and substance use treatment

Certified Occupational Therapist Assistant

Part-TimeUpdated on 10/24/2026
$26.50
Mid
Associate's
Charlotte, NC, USA
In PersonDriving and travel may be required.
Medical, Clinical & VeterinaryRehabilitation Therapies

About the job

Requirements
  • An Associate's degree in Occupational Therapy is required.
  • Complete an accredited occupational therapy educational curriculum.
  • Maintain certification/licensure and trainings required by the agency, state, and federal requirements.
  • Demonstrate knowledge of emergency procedures and assist in crisis situations.
  • Comply with agency policies and procedures and service definitions for specific programs.
  • Driving and travel may be required.
Responsibilities
  • Provide individual and group mental health occupational therapy services to youth and adolescents at the facility-based crisis site under the supervision of a licensed Occupational Therapist.
  • Address occupational needs of individuals, groups, and populations through quality, outcome-oriented occupational therapy services, following the Occupational Therapist's plan of care and using person- and occupation-centered interventions.
  • Document interventions and progress toward goals in accordance with reimbursement and practice act standards.
  • Coordinate care with the treatment team and incorporate occupational therapy services into each individual's person-centered or treatment plan while admitted to the crisis unit.
  • Educate individuals' families and natural supports about accommodating and supporting occupational engagement.
  • Plan, organize, and hold daily group sessions.
  • Supervise ancillary staff under the supervision of an OTR/L and supervise Level I OT/OTA students and Level II OTA students in compliance with state practice guidelines.
  • Attend and actively participate in interdisciplinary team meetings and other internal and external meetings and trainings as required.
  • Maintain necessary documentation and records in a timely manner, including use of an Electronic Health Record system when applicable.
  • Provide and ensure care that promotes safety, rights, confidentiality, comfort, and dignity in a therapeutic environment.
  • Ensure the milieu supports recovery and crisis stabilization within the parameters of individual treatment and crisis plans.
  • Complete required group documentation and progress notes; complete assessments and provide input on admission and discharge summaries.
  • Lead or co-lead daily youth groups on topics including activities of daily living, functional mobility, cognitive and perceptual skills, family topics, and individual supported education.
  • Collaborate with and mentor or lead Behavioral Technicians as needed to support youth engagement in quality treatment in a safe milieu.
  • Complete other relevant responsibilities assigned by the supervisor.

About the company

Monarch NC provides behavioral health services across North Carolina, addressing mental health and substance use disorders. It offers telehealth, crisis intervention, urgent care, and outpatient services to deliver personalized care. The approach combines in-person clinics, telehealth, and crisis support across multiple locations (Asheville, Charlotte, Greensboro) to coordinate care and support recovery. Its goal is to improve clients' mental health by delivering the right level of care tailored to each person and expanding access through integrated services.

Company Size

1,001-5,000

Company Stage

Series A

Total Funding

$23.9M

Headquarters

Albemarle, North Carolina

Founded

1958

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Simplify's Take

What believers are saying

  • North Carolina backed Monarch with a $32.5 million Cabarrus grant and $500,000 Nash allocation.
  • Monarch opened Pittsboro's Chatham Opportunities Center in summer 2026, broadening I/DD capacity.
  • Cabarrus expects Monarch's new behavioral health center to serve 200 youth in 2027.

What critics are saying

  • August 2022 ransomware settlement still exposes Monarch to trust and compliance damage in 2026.
  • Monarch's Concord expansion requires staffing about 150 jobs before mid-2026 opening.
  • North Carolina funding dependence ties Nash County and Cabarrus growth to state appropriations.

What makes Monarch unique

  • Monarch's June 2026 Concord center bundles urgent care, crisis, and residential youth services.
  • Monarch's mobile clinics reach six northeastern counties with on-site and telehealth treatment.
  • Monarch's I/DD and substance-use curriculum uniquely targets underserved patients with developmental disabilities.

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Benefits

  • Health Insurance
  • Paid Vacation
  • Professional Development Budget

Growth & Insights and Company News

6 month growth

14%

1 year growth

15%

2 year growth

15%
The Financial Technology Report
Jun 6th, 2025
Monarch Raises $75M, Valued at $850M

Monarch, a personal finance app, raised $75M in a Series B round, valuing the company at $850M. The funding was co-led by FPV Ventures and Forerunner Ventures, with support from Accel, SignalFire, Clocktower Ventures, and Menlo Ventures. Following Intuit's announcement to shut down Mint, Monarch saw a surge in users. The company plans to expand its platform and team, hiring in engineering and marketing across North America.

Businessuite Media Group International
May 23rd, 2025
Fontana Reports $835.9M Gross Profit Growth

Fontana Limited reported a Q3 2025 gross profit of $835.9 million, a 15.2% increase from the previous year, driven by a 15.3% rise in revenue to $2.2 billion. The Monarch acquisition led to a 13.3% increase in operating expenses, mainly due to staffing costs. Operating profit grew 25% to $148.1 million. Finance costs rose 38.4% to $63 million due to foreign exchange losses and loan interest. Net profit increased by 10.6% to $102.8 million, with earnings per share rising to $0.08.

CNBC
May 23rd, 2025
Monarch raises $75M amid fintech downturn

Monarch, a personal finance app, raised $75 million in a Series B round, valuing the company at $850 million. This funding comes amid a challenging period for consumer fintechs. Monarch's growth surged after Mint's closure, as it offers a paid, ad-free service. The round, led by FPV, highlights Monarch's innovative approach to financial planning. Despite a 38% decline in fintech funding, Monarch's success stands out in the current "nuclear winter" for fintech startups.

PR Newswire
Oct 11th, 2023
Monarch Breaks Ground With Free, Online Curriculum For Those With Intellectual Or Developmental Disabilities Struggling With Addiction

ALBEMARLE, N.C., Oct. 11, 2023 /PRNewswire/ -- Monarch has launched "Understanding Addiction and Developmental Disabilities," a first-of-its-kind web-based resource to help an underserved population of people living with intellectual or developmental disabilities (I/DD) and substance use disorders (SUD)."Substance use is often overlooked and people with I/DD are less likely to seek help." - Peggy Terhune, Ph.D. Tweet this Understanding Addiction and Developmental Disabilities, a curriculum developed by Monarch to assist professionals and caregivers in helping those with Intellectual and/or developmental disabilities and substance use disorders, features our hero Eddie learning about the health risks that come from mixing medicines and alcohol, and the importance of taking only the medicines and dosages prescribed by his doctor.The " Understanding Addiction and Developmental Disabilities '' website features screening tools and helpful guides for those who work with individuals with I/DD, such as mental health clinicians and caregivers, guardians or parents and teachers. The free, open-source curriculum consists of 14 animated videos that provide relevant therapeutic information for the person with I/DD and SUD. To learn more, visit understanding.monarchnc.org .Those interested in learning more can attend the "Understanding Addiction and Developmental Disabilities" webinar, a free training for professionals, family members and other caregivers, Friday, Nov. 17, 2023 11 a.m

Roanoke-Chowan News-Herald
Feb 24th, 2023
Monarch’s Mobile Integrated Care Clinic services begin in Bertie and Hertford counties

Monarch, in partnership with Trillium Health Resources, has launched its second Mobile Integrated Care Clinic offering mental health and substance use disorder services to communities within Bertie and Hertford counties.