Mental Health Therapist (Full-Time, W-2)

Two Chairs; Seattle (WA); On-site; USD 81,000 - 101,000; Full time

Benefits offered by this job

PTO & holidays

Medical cover

401(k)

FSA/HSA contributions

Parental leave

Licensure reimbursement

Malpractice coverage

Job summary

Two Chairs is transforming mental health care with remote therapy delivered by licensed clinicians in Washington and across the United States. Therapists provide evidence-based modalities to adults, maintain caseloads, and use measurement-based care to monitor progress.

The role emphasizes HIPAA-compliant documentation, collaboration with other providers, and ongoing professional development, with strong compensation, benefits, and sign-on incentives.

Qualifications

• Active WA license in good standing (LICSW/LMFT/LMHC or Psychologist).
• Willingness to become licensed in other states; costs covered.
• Maintain a caseload of ongoing therapy and new client assessments.
• 2+ years of active, unrestricted licensure (Texas) and clinical assessments like PHQ-9.
• Teletherapy experience and proficiency with EHR systems.
• Schedule sessions 8am–7pm PST, Mon–Fri, with five-day work week.
• Documentation to be completed in EMR within 48 hours; AI-assist option available.

Responsibilities

• Deliver remote, evidence-based therapy to adults (18+).
• Maintain ongoing therapy caseload and assess new clients.
• Use measurement-based care tools to guide treatment and adjust approaches.
• Maintain HIPAA-compliant documentation in EMR within 48 hours.
• Collaborate with other providers and refer clients when needed.
• Participate in weekly case consultations and ongoing professional development.

Skills

WA licensure

Cross-licensure

Teletherapy

EHR experience

Adult therapy

Caseload mgmt

Tools

EHR systems

Job description

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 they don't think they meet some expectations of the role.

Why Choose Two Chairs?

• Consistent Pay: Get paid semi-monthly, with an annual salary ranging between $61,300 to $104,000.
• Balanced Caseloads and Tailored Schedules: 40 working hours per week (structured as a 45-hour week to include a daily 1-hour lunch), with an average of 25 attended sessions (29 scheduled) per week.
• Support for Wellness & Professional Growth: We provide a wellness and productivity stipend ($1,000 annually), a one-time $200 remote work stipend, free CE credits through monthly APA-accredited courses, consultation opportunities, a biennial Learning Day, and wellness events to support your growth.

About the Role

• Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT, ACT, MBCT, TLDP, IPT, EFT, and MI
• Maintain a caseload of ongoing therapy sessions per week and assessments for new clients
• Use measurement-based care tools to drive effective treatment and adjust your approach based on client progress
• Maintain progress notes and documentation in compliance with HIPAA and state regulations
• Collaborate with other mental health providers as needed and refer clients when appropriate
• Participate in weekly case consultation, monthly wellness groups and professional development

Requirements

• License: Active license and in good standing as a LICSW, LMFT, LMHC, or Psychologist (PhD or PsyD) in Washington
• Cross-licensure: Willing and motivated to become licensed in other states. We will cover the cost.
• Caseload: Maintain a caseload of ~25 attended ongoing therapy and consult sessions per week (schedule a minimum of 29 per week)
• Experience: 2+ years of active and unrestricted licensure in Texas, clinical experience with adults (18+), and proficient with clinical assessments (e.g., PHQ-9) for tracking client progress
• Tech: At least six months of teletherapy experience and experience with electronic health record (EHR) systems
• Schedule: Select session hours between 8am and 7pm PST, Monday through Friday, with the work week spread across five days.
• Documentation: All documentation to be completed, signed, and locked in EMR within 48 hours of client contact. Option to use an AI-assist tool.

Compensation: The salary range for this full-time, exempt role is based on place of residence, years of licensure, and level (Clinician or Clinician II), as assessed during interviews. Your total compensation also includes quarterly incentive opportunities, giving you the chance to grow your earnings while making an impact. Sign-on Bonus: Sign by November 30th, 2026 and earn a sign-on bonus of $2000!

• Zone 1 / New York City, San Francisco | $87,700 - $109,500
  New hires can reasonably expect an offer between $87,700 - $104,000
• Zone 2 / Washington, Portland, Boston, Chicago, Washington DC, New Jersey, all other CA locations | $81,400 - $101,100
  New hires can reasonably expect an offer between $81,400 - $95,100
• Zone 3 / Austin, Dallas, Houston | $64,600 - $81,700
  New hires can reasonably expect an offer between $64,600 and $77,600
• Zone 4 / All other Texas locations | $61,300 - $77,600
  New hires can reasonably expect an offer between $61,300 and $73,700

Additional Perks and Benefits:

• Paid time off, including nine paid holidays, one annual Learning Day, and an additional Winter Office Closure from Christmas Day (Observed) through New Year's Day
• Comprehensive medical, dental, and vision coverage
• 401(k) Retirement savings options
• Annual $500 company contribution to your healthcare FSA or HSA, with an additional $500 contribution for employees enrolled in a dependent coverage tier
• Paid parental leave
• Dedicated Clinical Care team to manage billing, tech support, and scheduling support
• Full malpractice insurance coverage and licensure fee reimbursement

Our Interview Process

• Application Review: We’ll promptly review your application to ensure you meet the minimum qualifications
• Recruiter Interview: 30-minute phone interview with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Leaders
• Offer: If all goes well, you’ll receive an offer to join our team!
• Expected Interview Timeline: The entire process typically takes 2 weeks
• If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.