Mental Health Therapist

Why Choose Two Chairs?

• Compensation: North Carolina residents earn a clinical session rate of $58.50/hour (which covers attended sessions, mandatory trainings, and monthly all hands) and an administrative rate of $17.50/hour (which covers documentation, no shows/late cancels, meetings, onboarding). For out-of-state residents, clinical rates range from $58.50 to $85.00/hour based on location.
• AI-Assisted Documentation: Spend less time on administrative notes and more time on client care with our optional built-in AI documentation tools.
• Support for Wellness & Professional Growth: Enjoy a wellness/professional development stipend (up to $300 annually), case consultation, free CE credits through monthly APA-accredited courses, Psych Hub membership, and wellness events.
• Additional W-2 advantages you won’t find with 1099 contract work:
  • No tax headaches – We handle withholdings and filings, so you don’t have to
  • Earn paid sick time – Accrue up to 80 hours per year
  • Merit-based raises – Be recognized and rewarded for your contributions
  • Retirement benefits – Access an employer-sponsored 401(k) plan
  • Malpractice insurance provided – Full coverage at no cost to you
  • Access to state-mandated benefits  –  Like unemployment, disability, and paid leave where available

About You 

• Independently Licensed in North Carolina as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Mental Health Counselor (LCMHC), or Licensed Psychologist (PhD or PsyD). 
• Willing and motivated to become licensed in other states. We'll cover the entire cost. 
• 2+ years of clinical experience with adults (18+), 6+ months of teletherapy experience, proficiency with clinical assessments (e.g., PHQ-9), and comfort with EHR systems.

About the Role

• Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT, ACT, MBCT, TLDP, IPT, EFT, and MI.
• Schedule & Caseload:
• Maintain a client caseload of 7-20 sessions per week, with a commitment of 8-24 total hours of weekly availability Monday - Friday, 8:00 a.m. - 9:00 p.m. EST. 
• Approximately 85% of total time will be dedicated to direct client care, including ongoing therapy sessions and new client assessments.
• Available for manager check-ins (1 hour/week during your first 6 weeks, followed by 30 minutes/month.
• Use data to drive effective treatment and adjust your approach based on client progress.
• Collaborate with other mental health providers as needed and refer clients when appropriate.
• All documentation to be completed, signed, and locked in EMR within 48 hours of client contact.

About Two Chairs

Two Chairs is setting a new standard in mental health care with seamlessly integrated therapy and psychiatry delivered by highly trained clinicians, powered by smart technology, and measured for real impact. By combining timely access, personalized care, and proven outcomes — we’re creating a system that works — for patients, providers, health plans, and clinicians alike. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune’s Best Workplaces in Healthcare.

One of our company values is "Embrace Differences" and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply, even if you don't think they meet some expectations of the role.

What to Expect After Applying: Our Interview Process 

Typically takes 2 weeks

• Recruiter Interview: 45-minute phone interview with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Managers 

Once you complete your interviews and sign your offer, you can begin onboarding in as little as 7 days!

Important Notes: 

• If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.
• Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html 
• See our AI Usage Policy for Hiring here

Clinical Rate 58.5 - 85 USD