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Fee For Service Therapist Jobs (NOW HIRING)

MJHS

Physical Therapist (Fee For Service)

Queens, NY · On-site

$250/day

Physical Therapy Agency: MJHS Home Care Status: Fee for Service Office: Field-based Fee-For-Service Rate: $82 per visit Orientation daily rate: $250 per day MJHS is a large not-for-profit health ...

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Fee For Service Therapist information

What is the difference between Fee For Service Therapist vs Licensed Professional Counselor?

AspectFee For Service TherapistLicensed Professional Counselor
CredentialsVaries; often includes state licensure or certificationRequires state licensure (LPC or equivalent)
Work EnvironmentPrivate practice, outpatient clinics, telehealthPrivate practice, clinics, hospitals
UsageCommonly used for billing and service deliveryLegal credential for practice and licensing

Fee For Service Therapists and Licensed Professional Counselors often share similar credentials and work environments. The main difference is that 'Fee For Service Therapist' describes the billing model, while 'Licensed Professional Counselor' refers to the official credential required to practice legally. Many therapists operate under both roles, providing services on a fee-for-service basis while holding LPC licensure.

What are the key skills and qualifications needed to thrive as a fee for service therapist, and why are they important?

To thrive as a Fee For Service Therapist, you need a master's degree in counseling, social work, or a related field, along with state licensure (such as LCSW, LMFT, or LPC). Familiarity with electronic health record (EHR) systems, telehealth platforms, and evidence-based therapeutic modalities is typically required. Strong interpersonal skills, time management, and the ability to build rapport with diverse clients are crucial soft skills. These competencies ensure effective client care, compliance with regulatory standards, and the ability to manage a flexible, client-driven caseload.

What are some common challenges faced by fee for service therapists when managing their caseloads?

Fee For Service Therapists often face challenges related to fluctuating client schedules and income variability, as their earnings depend on the number of sessions they conduct. Maintaining a consistent caseload can require proactive outreach, flexibility, and effective time management, especially when clients cancel or reschedule appointments. Additionally, therapists must balance administrative tasks, such as documentation and billing, with client care, all while adhering to agency or practice guidelines. Building strong relationships within the team can also help in sharing referrals and support when workloads shift.

What is a fee for service therapist?

A Fee For Service Therapist is a mental health professional who provides therapy sessions to clients and is paid based on the number of sessions or services they deliver, rather than receiving a fixed salary. These therapists typically work as independent contractors or part of a group practice, and their income depends on the volume of clients they see. This arrangement offers flexibility in scheduling but may not guarantee a consistent income. Fee For Service Therapists often manage their own billing and may work with insurance companies or accept private pay clients.
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Fee For Service Therapist jobs near you
Infographic showing various Fee For Service Therapist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, and 3% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Bilingual Fee for Service Therapist (English/Spanish)

Hudson Guild

Manhattan, NY • On-site

Other

Re-posted 27 days ago

Job description

Salary: $45 per session

About Hudson Guild
Hudson Guilds mission is to create and sustain a strong, effective community that acknowledges and responds to the potential, achievements, and interdependence of its diverse members. Rooted in and primarily focused on the Chelsea neighborhood, we aim to empower individuals and families to achieve their highest potential, with a special focus on those experiencing economic hardship.


Position Overview

Hudson Guild is currently expanding its mental health team and seeking passionate, dedicated Fee-for-Service Therapists Bilingual (English/Spanish) to join our dynamic outpatient program. This highly flexible position requires a minimum commitment of 815 hours per week (minimum 10 patients). Our program operates five days a week and offers both on-site and telehealth servicesallowing clinicians to create schedules that best suit their availability.

The role may also include supporting special mental health initiatives funded by public and private grants, assisting with the creation and implementation of new program initiatives as needed, and serving as a task supervisor or clinical supervisor for social work student interns, as appropriate.


At Hudson Guild, we place a strong emphasis on professional development and career growth. Our Mental Health program offers access to experienced clinical supervisors as well as a wide range of highly regarded training programs and post-graduate certificate opportunities, fully funded by the agency, to support your clinical expertise and long-term career advancement.


Key Responsibilities

  • Provide outpatient mental health services to children, adolescents, and adults through individual, group, and family therapy sessions.
  • Conduct culturally competent and inclusive therapy that respects and incorporates the clients background, identity, and lived experiences.
  • Perform intake evaluations, including psychosocial assessments, preliminary diagnoses (DSM-5), and coordination of psychiatric evaluations as needed.
  • Develop and maintain treatment plans with clear, measurable short- and long-term goals; update quarterly.
  • Document all clinical work using the Theranest/Ensora Health electronic health record system in a timely, organized, and comprehensive manner.
  • Support clients in accessing community resources, entitlements, and services.
  • Collaborate with schools, medical providers, and community organizations to support client care.
  • Participate in weekly clinical supervision and ongoing professional development.
  • Provide after-hours emergency coverage on a rotating basis as per program policy.
  • Other duties as assigned by the Clinical Supervisor or Program Director.

Qualifications

  • Required: LMSW, LCSW OR LMHC; must be fully licensed (Limited Permits are not accepted).
  • Engish/Spanish speaker
  • Minimum of one (1) year of post-licensure experience providing psychotherapy to a diverse population or relevant prior work experience
  • Willingness to be credentialed with Medicaid and Medicare.
  • Strong organizational and clinical documentation skills.
  • Must be available to work a minimum of 815 hours per week within program hours:
    • MondayThursday: 9:00 AM 8:00 PM
    • Friday: 9:00 AM 5:00 PM
  • Bilingual candidates are strongly encouraged to apply.

What We Offer

  • Managed client referrals and case assignments, eliminating the need for individual marketing responsibilities.
  • Highly flexible scheduling and hybrid work options (in-person and telehealth).
  • Supportive and collaborative clinical environment.
  • Opportunities for professional development and supervision.
  • The ability to make a meaningful impact in the Chelsea community.

Hudson Guild is an Equal Opportunity Employer.