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What are the key skills and qualifications needed to thrive as a Live-In Caregiver on Orcas Island, and why are they important?

To thrive as a Live-In Caregiver on Orcas Island, you need experience in personal care, household management, and often a background in healthcare or caregiving certifications such as CNA or HCA. Familiarity with care documentation systems and basic first aid tools is typically required. Strong interpersonal skills, patience, and adaptability help build trust and effectively support clients in their home environment. These skills ensure quality care, safety, and comfort for clients while maintaining a well-managed household.

What are some unique challenges of working in a live-in role on Orcas Island, and how can job seekers prepare for them?

A live-in role on Orcas Island often requires adapting to a remote, close-knit community where resources and amenities may be more limited compared to urban areas. Job seekers should be prepared for the unique logistics of island life, such as limited transportation options, seasonal fluctuations in activity, and the need for flexibility in work hours. Building strong relationships with both coworkers and the local community is key, as teamwork and communication are essential in such environments. Embracing the island’s pace and fostering a strong sense of self-reliance will help ensure a positive experience in this role.

What does it mean to be a Live In on Orcas Island?

Being a 'Live In' on Orcas Island typically refers to someone who resides on the island as part of their job arrangement, such as working as a caretaker, housekeeper, property manager, or staff member in exchange for housing. Many jobs on Orcas Island offer live-in positions because of the island's remote location and limited rental housing. These roles may include additional responsibilities like property maintenance, hospitality services, or personal assistance. Living on Orcas Island can be rewarding due to its natural beauty and tight-knit community, but it also requires adapting to a slower pace of life and limited access to urban amenities.

What is the difference between Live In Orcas Island vs Live In San Juan Islands?

AspectLive In Orcas IslandLive In San Juan Islands
Work EnvironmentRemote, rural setting with close-knit communitySimilar remote setting, with diverse island communities
Employer & Industry UsageHospitality, healthcare, and tourism sectorsHospitality, healthcare, and tourism sectors
Required CredentialsDepends on role; often certifications in healthcare, hospitality, or serviceSimilar credential requirements as Orcas Island

Both Orcas Island and San Juan Islands offer remote work opportunities in hospitality, healthcare, and tourism. The main differences lie in community size and local amenities, with Orcas Island being slightly more rural and intimate. Job seekers should consider the specific community environment and employer requirements when choosing between these island locations.

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Infographic showing various Live In Orcas Island job openings in the United States as of June 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 100% In-person job distribution.
Clinical Mental Health / Family Therapy Internship [In-Person or Hybrid] in our Orcas Island Office

Clinical Mental Health / Family Therapy Internship [In-Person or Hybrid] in our Orcas Island Office

Twin Lakes Counseling

Eastsound, WA

$2K/wk

Other

Posted 5 days ago


Job description

Candidates must be able to see clients at least one day a week in-person and on-site from our beautiful Orcas Island office.


Please Note: Our competitive internship is now associated with an $2,400 scholarship (paid directly to your university, at $600 per quarter) to help offset the costs of taking on an unpaid internship.


Twin Lakes Counseling is an insurance-based group psychotherapy practice in Orcas Island, WA.We are dedicated to making transformative mental health counseling and family therapy accessible to our community. We are looking for clinical mental health counselors or marriage and family therapists currently enrolled in COAMFTE- or CACREP-accredited masters programs for our competitive internship program.


Candidates must be independent, driven, collaborative, and able to enhance our fun, connected, and positive-minded team of therapists. Evening and weekend availability to see clients is required, and incoming clinicians must be able to offer in-person sessions at our beautiful Orcas Island office at least one day per week. Minority and bi-lingual candidates encouraged to apply.


We provide:


  • Excellent weekly supervisionthat meets program requirements
  • A group practice environment that requires independence but provides support
  • Avariety ofclinical experience, including individuals, couples, children, adolescents, and families
  • A diverse caseload including clients from many ethnicities, religions, backgrounds, and gender identities
  • Access to our in-house psychiatric nurse practitioner (ARNP) for referrals and consultation
  • Full office support including in-house billing, intake scheduling, and insurance specialists
  • Weekly group case consultation
  • $2,400 in scholarship funds paid directly to your university, at $600 each quarter
  • Comfortable office space
  • Strong potential for employment after graduation


Position requirements are:


  • Evening and weekend availability required
  • Willing to schedule at least 10 clients per week
  • Ability to see clients at least one day a week in-person and on-site from our beautiful Orcas Island office, required.
  • No other internship placements, except with prior approval by the director
  • Comfort with or interest in working with children, couples, and families
  • Prior experience in crisis counseling, domestic violence advocacy, or other service areas a plus
  • Ability to offer bilingual therapy services is a plus


Required education:


  • Completed Bachelors degree, preferably in a psychology-related field
  • Currently enrolled in a CACREP- or COAMFTE-accredited Masters program


Please Note: To enhance equitable hiring practices, all qualified candidates will be sent a series of assessments by our partner, CriteriaSelect, to determine initial fit and aptitude for the position.
These assessments are important to our process and may take between 45 - 60 minutes. If you have not received the assessments within a week of applying, please check your spam folder and/or contact hr@twinlakescounseling.com.