Remote Tier 2 Support Jobs in Spokane, WA (NOW HIRING)

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

Why Choose Two Chairs?

• Compensation: Earn a clinical rate of $76/hour (includes mandatory training) and an administrative rate (includes late shows/cancellations) of $23/hour as a WA resident with semi-monthly pay. If based out-of-state clinical rates will range between $58.50 - $85.
  • Sign-on Bonus: Start by September 30th and earn a sign-on bonus of $500 for 7-12 client hours and $1,000 for 13+ client hours.
• Balanced Caseloads and Schedules: Select a weekly caseload ranging from 7 to 20 clients, with session availability between 7:00 a.m. to 9:00 p.m. PST, Monday through Friday.
• Support for Wellness & Professional Growth: We provide a wellness and professional development stipend (up to $300 annually), case consultation, free CE credits through monthly APA-accredited courses, and wellness events to support your growth.
• Additional W-2 advantages you won't find with 1099 contract work:
  • No tax headaches – We handle withholdings and filings, so you don't have to
  • Earn paid sick time – Accrue up to 80 hours per year
  • Merit-based raises – Be recognized and rewarded for your contributions
  • Retirement benefits – Access an employer-sponsored 401(k) plan
  • Malpractice insurance provided – Full coverage at no cost to you

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 7-20 attended ongoing therapy and consult sessions per week
• Use data to drive effective treatment and adjust your approach based on client progress
• Collaborate with other mental health providers as needed and refer clients when appropriate
• Maintain progress notes and documentation in compliance with HIPAA and state regulations
  

Requirements

• Licensed in Washington as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Mental Health Counselor (LMHC), Licensed Psychologist (PhD or PsyD)
• Cross-licensure: Willing and motivated to become licensed in other states. We will cover the cost.
• Caseload: Available for 8-24 hours per week, with 85% of time in client sessions. Sessions will include ongoing therapy appointments and assessments for new clients.
• Experience: 2+ years of clinical experience with adults (18+), at least six months of teletherapy experience, 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 7-10 session hours between 8am and 9pm PST, Monday through Friday. Available during regular business hours for a minimum of 1 hour per week during the first 6 weeks for training, followed by 30 minutes per month for ongoing support.
• Documentation: All documentation to be completed, signed, and locked in EMR within 48 hours of client contact. Option to use an AI-assist tool

What to Expect: Our Interview Process

• Application Review: We'll promptly review your application to ensure you meet the minimum qualifications
• Recruiter Interview: 45-minute phone interview with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Managers
• Offer: If all goes well, you'll receive an offer to join our team!
• Expected Interview Timeline: The entire process typically takes 2 weeks
  

Important Notes:

• If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.
• Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html
• See our AI Usuage Policy for Hiring here

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