Virtual IOP Therapist - (Internal Hire)

NOCD Inc.; United States; Remote; USD 90,000 - 180,000; Full time

Job summary

NOCD Inc. is seeking a highly skilled clinician with advanced ERP and ACT expertise to deliver intensive, evidence-based virtual OCD care.

The role requires clinical judgment, crisis-management skills, and the ability to provide structured individual and group therapy in a fast-paced higher level of care setting. You will work across time zones, maintain strict documentation, and contribute to a cohesive clinical team.

Qualifications

• Licensed mental health professional with CBT/ERP/ACT expertise and OCD specialization.
• Master's degree in a relevant clinical field and licensure in good standing.
• Experience delivering high-acuity virtual OCD treatment and crisis management.

Responsibilities

• Conduct virtual evaluations for intensive OCD treatment.
• Provide individual and group therapy using CBT, ERP, ACT, HRT, and PE.
• Collaborate across a multidisciplinary virtual team and maintain documentation.
• Manage safety, risk, and crisis protocols; coordinate with external providers.

Skills

ERP

ACT

CBT

OCD treatment

Virtual care

Crisis management

Documentation

Team collaboration

Education

Master's degree

Tools

EHR software

Job description

NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions.NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment.At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We’re changing the world and need other like-minded individuals to accelerate and expand our efforts.

Job Description

We are seeking a highly skilled clinician with advanced expertise in ERP and ACT to provide intensive, evidence-based virtual care for individuals with high-acuity OCD. A strong therapist candidate for a virtual OCD Intensive Treatment Service is a clinician with advanced training in CBT, ERP, ACT, HRT, and PE. This role requires exceptional clinical judgment, strong crisis-management skills, and the ability to deliver structured individual and group therapy in a fast-paced higher level of care setting. The ideal candidate demonstrates steady clinical presence, clear directive intervention, excellent documentation, and the capacity to support complex presentations. Reliability, strong boundaries, and effective collaboration across a multidisciplinary, virtual team are essential.This clinician is skilled in delivering clear, directive interventions while maintaining warmth, transparency, and collaborative communication with both members and their families. They excel in virtual care delivery, adapt seamlessly across time zones, and can confidently hold boundaries, manage crises appropriately, and document to a high standard. Ideal candidates bring experience treating complex presentations (including co-occurring PTSD and body-focused repetitive behaviors) even if formal program tracks for those conditions are not yet active. Above all, they show strong clinical presence, reliability, and the ability to motivate members through intensive, evidence-based work while contributing to a cohesive, high-functioning clinical team.

Key Responsibilities

• 6th months of employment in good standing in your current role at NOCD.
• Conduct evaluations virtually for internal and external candidates for Intensive
• Treat high-acuity OCD as the primary presentation, including common co-occurring conditions (depression, anxiety, trauma, body-focused repetitive behaviors), using CBT, ERP, ACT, HRT, Motivational interviewing and PE.
• Demonstrates knowledge of the variety of ways clients express stress reactions both behaviorally (e.g., avoidance, aggression, passivity) and psychologically/emotionally (e.g., hyperarousal, avoidance, intrusive memories)
• Provide individual and group therapy in a virtual setting with a team approach to clinical and administrative functions.
• Provide ongoing case management, ensuring continuity between members, clinicians, external providers, community agencies, and support systems.
• Ongoing assessment of safety concerns and risk, escalating per protocol
• Support Members’ engagement and treatment adherence through check-ins, motivational strategies, and consistent communication.
• Session-level clinical adjustments and exposure hierarchy changes
• Group redirection and in-the-moment management of treatment-interfering behavior
• Initial risk assessment and safety planning within protocol
• Routine coordination with outside providers and community agencies
• Aftercare and discharge planning within program guidelines
• Maintaining assigned caseload for members individual and family therapy while members are in program
• Develop treatment plans, assist in aftercare and discharge planning.
• Maintain strategic relationships with community therapists and local agencies to support referral pathways and program partnerships..
• Collaborate cross-departmentally (clinical, operations, leadership) to maintain clinical excellence, communicate program needs, and support workflow efficiency.
• Maintain accurate documentation and track program outcomes, including EHR records, metrics, KPIs, workflow updates, and improvement feedback.
• Maintain Member records and ensure compliance with ethical and legal standards.
• Develop and implement individualized treatment plans using evidence-based practices.
• Provide individual, group, multi-family groups, and family therapy sessions.
• Collaborate with other clinicians to provide comprehensive care.
• Full Time Providers:
• Complete 25 hours of direct clinical work per week
• Attend world-class training program developed by industry leaders
• Attend 2 hours of weekly group clinical consultation
• Will participate in and complete cross-license application as needed for program expansion
• Only 4 hours of nights and weekends versus the normal 10 required in outpatient
• 25 total clinical hours per week: 15 hours are dedicated to IOP services and 10 hours to outpatient therapy. IOP responsibilities include facilitating Intensive groups, conducting Intensive admission assessments, individual sessions, supported ERP, pre-screening calls, and family sessions. The outpatient portion is scheduled at 12 hours per week for utilization purposes, while the combined clinical workload remains 25 hours per week. The allocation between IOP and outpatient services is based on program census and is reviewed monthly to ensure staffing aligns with program needs.
• Clinicians move between both functions within the same day.
• Organized, quick and enthusiastic learner, excellent communicator, good with time management
• Have a confidential, private location to work remotely from with reliable internet access
• Comfortable and efficient with using technology to communicate
• Ambitious and ready to keep up with a goal-driven, start-up environment

Qualifications

• Full and unrestricted license in good standing to practice in your state.
• Masters Degree Required
• Licensed Psychologist, Licensed Professional Counselor, Licensed Clinical Social Worker or equivalent in California.
• Licensed Marriage and Family Therapist preferred
• Highly organized and flexible professional who is a quick and enthusiastic learner, equipped with excellent communication, strong interpersonal skills, and effective time-management capabilities.
• Navigate complex cases in a group setting
• Raises disagreement with the person involved, close to when it happens, with a specific proposal rather than letting concerns accumulate or escalating first.
• Takes clinical feedback in group consultation and applies it to program skills
• Navigation of group dynamics and works collaboratively with team to pivot the milieu
• Have a confidential, private location to work remotely from with reliable internet access
• Comfortable and efficient with using technology to communicate
• Ambitious and ready to keep up with a goal-driven, start-up environment
• Proficiency in various treatment modalities like CBT, ERP, and ACT. MI is a plus.
• 2 year+ experience Group curriculum, facilitation and therapeutic milieu skills preferred
• 2 year+ experience in higher level of care models (IOP, PHP, RES, IP) preferred
• 3 year + Experience with a wide range of evidenced based interventions preferred
• Strong problem-solving and decision-making abilities.
• Empathy and a genuine desire to help patients with high levels of avoidance and resistance.
• Ability to handle high-stress situations with members in group settings, including risk assessments, variable use of interventions and strategies, and needed follow-up.
• Flexibility to work in shifts, including evenings.
• A positive attitude and a commitment to delivering exceptional customer experiences and team support.
• Ability to work independently and as part of a virtual team
• Effective with shifting roles, responsibilities, and expectations in an unpredictable environment.