Senior Licensed Therapist, LCSW / LCMHC -- Turn Compassion Into Action
- Driver's license
How this pay compares
This posting does not state an hourly rate. Open mental health therapist jobs in North Carolina post a median of $41.33 an hour, the middle half $34.85–$56.50, across 23 jobs that state their pay. Mental health therapists employed in North Carolina earn a median of $26.68 an hour (source: BLS Occupational Employment and Wage Statistics, opens in a new tab), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).
Mental health therapists in North Carolina: pay by town and employer
The Mental Health & Social Work job market: pay, applicant demand and hiring, researched nightly
About the job
Compensation Information
Senior Therapist, Outpatient must have one of the following qualifications:
LCSW
LCMHC
All of the following qualifications are required
- Knowledge of DSM 5/ICD10 nomenclature, psychotherapy, psychodynamics, therapeutic techniques, interviewing skills, addictions, family and gro up theories.
2 years of counseling/therapy experience
2 years of experience working with children and adults in a behavioral health capacity
1 year of clinical supervision experience
1 year of supervisory experience
Scheduled Weekly Hours
40
Schedule
Monday - Friday (8am-5pm)
Education We're Looking for
Masters: Human Services (Required)
Certifications We're Looking For
Drivers License (Valid) - USA, Licensed Clinical Mental Health Counselor (LCMHC) - State Board of Licensed Professional Counselors, Licensed Clinical Social Worker (LCSW) - State Social Work Certification and Licensure Board
Experience We're Looking For
Clinical Supervision Experience | 1 Years | Required Counseling/Therapy Experience | 2 Years | Required Experience treating substance use disorder or a dually diagnosed population | Not Required Experience working with children and adults in a behavioral health capacity | 2 Years | Required Knowledge of DSM 5/ICD10 nomenclature, psychotherapy, psychodynamics, therapeutic techniques, interviewing skills, addictions, family and group theories | Required Strong clinical skills, particularly in relation to completing comprehensive clinical assessments making treatment recommendations with clinical judgment | Required Supervisory Experience | 1 Year | Required
Job Description Summary
The Senior Therapist for Outpatient Services in Behavioral Health provides leadership, clinical oversight, and administrative supervision for a team of outpatient therapists, including associate-level licensed professionals. This role is responsible for ensuring the delivery of high-quality, timely, and effective psychotherapy services, including individual and group therapy. The Senior Therapist collaborates closely with the Director of Operations for Outpatient Services to enhance clinic operations. This is a hybrid position that requires both on-site presence at designated clinic(s) and remote work.
What You'll Do
- Supervise, support, and lead a team of outpatient therapists through clinical and administrative oversight.
- Monitor therapist productivity, compliance, and quality of services to ensure alignment with agency standards and timelines.
- Manage human resources functions for assigned staff, including hiring, training, performance reviews, disciplinary actions, and terminations.
- Maintain a small clinical caseload, providing individual, group, and family therapy using person-centered approaches and evidence-based practices.
- Collaborate with the Vice President of Best Practices to ensure therapist clinical competency, proper documentation, and participation in audits and peer review.
- Lead regular clinical team meetings for case assignment, treatment planning, and collaborative consultation.
- Support clinicians in crisis intervention and safety planning; oversee transitions to higher levels of care when necessary.
- Ensure timely and accurate documentation in compliance with state, federal, and agency standards.
- Refer clients to appropriate external resources to address broader psychosocial needs while adhering to confidentiality guidelines.
- Foster collaborative relationships with clients, families, community agencies, licensing bodies, and funding sources.
- Complete and submit required reports, evaluations, assessments, and documentation as needed.
- Maintain compliance with all required trainings and certifications, as well as agency, state, and federal regulations.
- Remain current on best practices and maintain professional licensure through ongoing training and education.
- Perform additional duties as assigned by the supervisor.
- Driving and travel may be required
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 Professional
From Monarch's job posting, checked Oct 28, 2026. The employer's own page is the final word on requirements and availability.
Selected agencies hiring now
All agencies and apps →
Onward Search EducationHealthcare staffing agency
School staffing agency placing school psychologists, counselors, social workers, nurses, SLPs, OTs, PTs and BCBAs with districts.
Places: Nurses, Therapy & rehab, Mental health

The Stepping Stones GroupHealthcare staffing agency
Places school-based therapists, psychologists, nurses and behavior specialists in K-12 and community roles.
Places: Therapy & rehab, Mental health, Nurses
These agencies and apps pay CareJobs.Now a referral fee when someone we introduce is placed or signs up. It costs you nothing and never changes your pay. Hospital and clinic jobs below keep their own order.
Sponsored jobs from job networks, which pay CareJobs.Now when you click one.
Free tools for this application: check your resume against this job, answer the application's questions or see every free tool.
New mental health and social work jobs in North Carolina, by email
One email a week with the newest ones, straight from the employers' own careers sites, with the pay each posting states. Free, stop anytime.
About Monarch
Monarch hires mental health staff, caregivers and nurses in North Carolina and Rhode Island.
Hires in North Carolina, Rhode IslandPay on its listings: 0.6% of its open jobs state an hourly rate
More open jobs at Monarch
- PMHNP or Psychiatric Physician Assistant - OutpatientCary, NC
- Behavioral Health Technician / BHT -- Compassionate Care for Families in CrisisConcord, NC
- Administrative Assistant, Behavioral HealthPittsboro, NC
- Behavioral Technician, Child Crisis33 openings in United States
- Join Our Caring Direct Support Professional / DSP Team at Monarch NC32 openings in United States
- Join Our Caring Direct Support Professional / DSP Team at Monarch NC (Floater) - $2K Sign-on Bonus3 openings in United States
More mental health and social work jobs
- Behavioral Health CounselorHenry J Austin Health Center · Trenton, NJ
- Clinical Supervisor of Behavioral HealthHenry J Austin Health Center · Trenton, NJ
- Case ManagerHearts and Hands of Care · 3 openings in United States
- Licensed Clinical Social Worker (LCSW)First Choice Community Health Centers · 2 openings in United States
- BCBA - Center BasedFiesta Health · 3 openings in United States
- BCBA - In-HomeFiesta Health · 2 openings in United States
A licensed counselor or social worker?
One profile for every employer here. Hospitals, clinics and care companies ask us for people with a specific license, specialty, language or schedule: add yours once, and when a job fits, we introduce you, only with your yes. Free.
Monarch openings, sent to you weekly
Each week we send the newest postings from Monarch's own careers site, along with similar openings at other hospitals and care employers. It costs nothing and you can stop anytime.