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$43

$66

How much do teletherapy jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for teletherapy in California is $43.67, according to ZipRecruiter salary data. Most workers in this role earn between $37.26 and $50.29 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a teletherapist, and why are they important?

To thrive as a Teletherapist, you need a counseling or psychology degree, state licensure, and strong clinical assessment abilities. Familiarity with secure video conferencing platforms, electronic health records (EHRs), and telehealth compliance protocols is essential. Exceptional communication, empathy, and adaptability help build rapport and effectively support clients remotely. These skills ensure ethical, effective care and positive therapeutic outcomes in a virtual environment.

What are some common challenges teletherapists face when transitioning from in-person therapy to remote sessions?

Teletherapists often encounter challenges such as building rapport with clients through a screen, managing potential technical issues, and ensuring client privacy in remote environments. Adapting therapeutic techniques to a virtual format may require creativity and flexibility, as nonverbal cues can be harder to interpret. Additionally, teletherapists must be proactive about setting clear boundaries and maintaining a professional workspace to foster effective sessions. Support from a collaborative team and access to ongoing training can help ease this transition.

What is a teletherapy job?

Teletherapy can refer to radiation therapy, but it most commonly refers to online speech therapy. As a speech teletherapist, your responsibilities are to provide speech therapy and treatment via video calls. Your duties are to consult online with patients to determine their goals and needs and then develop therapeutic programs that utilize telecommunications designed to meet those goals. These programs may involve synchronous or asynchronous therapies. The former refers to interactive treatments, such as live video, while the latter refers to pre-recorded lessons or therapies that your clients can practice on their own.

What is teletherapy?

Teletherapy is a form of mental health counseling or therapy that takes place remotely using technology such as video calls, phone calls, or secure messaging platforms. It allows clients to connect with licensed therapists from the comfort of their own homes, making mental health services more accessible and convenient. Teletherapy is effective for many types of therapy, including individual, couples, and group sessions, and is used to address a wide range of mental health concerns. It also ensures privacy and confidentiality while offering flexibility in scheduling.
More about Teletherapy jobs
What are the most commonly searched types of Teletherapy jobs in California? The most popular types of Teletherapy jobs in California are:
What are popular job titles related to Teletherapy jobs in California? For Teletherapy jobs in California, the most frequently searched job titles are:
What job categories do people searching Teletherapy jobs in California look for? The top searched job categories for Teletherapy jobs in California are:
What cities in California are hiring for Teletherapy jobs? Cities in California with the most Teletherapy job openings:
Teletherapy jobs near you
Infographic showing various Teletherapy job openings in California as of August 2026, with employment types broken down into 46% Full Time, 43% Part Time, and 11% Contract. Highlights an 53% Physical, 1% Hybrid, and 46% Remote job distribution, with an average salary of $90,833 per year, or $43.7 per hour.

Substitute Teletherapy Facilitator- Fresno, CA

Presence

Fresno, CA • On-site

Full-time

Posted 16 days ago

Job description

Looking for a flexible school-based position? Join our substitute coverage team supporting teletherapy services across Fresno Unified School District.As a Substitute Teletherapy Facilitator, you will provide coverage for planned and unplanned facilitator absences across multiple school sites. Instead of being assigned to one school, you'll step in where you're needed most to help ensure students continue receiving uninterrupted teletherapy services.This role is ideal for candidates seeking flexible or supplemental work during the school day and who enjoy variety in their schedule.Expected Hours: Hours will vary based on facilitator absences, vacancies, and district needs. This position is intended to provide substitute coverage and does not guarantee a consistent 30-hour weekly schedule.
Position Timing and Start Date: This role is being hired in advance of the 2026 to 2027 school year. Interviews and hiring will occur on a rolling basis, with start dates aligned to individual school district calendars. Final start dates will be confirmed closer to the beginning of the school year.
  • Must be available to begin work at the start of the 2026 to 2027 school year based on district assignment.
  • Hiring process will take place ahead of the school year, with a potential gap between offer and start date.

About Presence
As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform, assessment and therapy materials, continuing education, and networking opportunities to help them succeed. Through ongoing, clinically-led career resources and support, we're meeting the needs and creating career options for clinicians today-wherever they are.
Who is ideal for the Teletherapy Facilitator role?
This role is ideal for those with an interest in k-12 education, special education, or related services roles, such as speech and language pathology, occupational therapy, counseling services, or school psychology services. This is an on-site and in-person role.
Why is this role important?
The Teletherapy Facilitator is vital to the success of our remote therapy and assessment sessions, acting as the critical, in-person link between students, clinicians, teachers, and schools. Your role ensures seamless therapy and assessment sessions, supporting not just the student's success, but also enhancing the collaborative efforts between Presence and educational institutions.
What Will You Do?
  • Escort students safely and efficiently from their in-person classroom to the designated therapy room and return them to class following their teletherapy session.
  • Log students into the therapy room of the Presence platform.
  • Communicate with clinicians about schedule changes that impact attendance, including unplanned absences, assemblies, field trips...etc.
  • Act as the primary contact for scheduling and paperwork between clinicians and the rest of the educational team.
  • Prepare the therapy computer and equipment, ensuring everything is operational.
  • Offer in-person support during therapy sessions by monitoring and observing the student, ensuring they remain engaged and on task. Assist the student according to the clinician's directions and communicate any pertinent observations or feedback to the clinician.
  • Collaborate with the clinician to source and stage hands-on materials for therapy and assessments.

Core Components of the Role Include:
  • Student support: Ensure students are prepared and present for their therapy sessions, facilitating smooth transitions to and from therapy. Occasionally engage in sessions alongside students at the direction of clinicians depending on the student's level of need.
  • Technology management: Manage and prepare all necessary technology and equipment.
  • Communication: Serve as a key communicator between clinicians, teachers, and students in support of student Individualized Education Plans (IEP).
  • Observation and assistance: Observe therapy sessions and assist students based on the clinician's instructions. Stage assessment materials and retain test security for special education evaluations with guidance from remote assessors.

What Are We Looking For?
  • Educational background: A high school diploma or equivalent; further education or certifications in education, technology, or related fields is beneficial.
  • Skills:
    • Experience in educational support, technology assistance, or a related field.
    • Strong organizational and communication skills.
    • Proficiency with technology; familiarity with educational technology is a plus.
    • Reliable, punctual, and adaptable.
    • Supportive and patient demeanor.
    • Ability to work effectively with children and professionals.
    • Effectively communicates by email and manages multiple schedules.
    • Can create environments conducive to therapy and evaluations.
  • Transportation: Ability to travel between school locations within designated district (including some same-day travel between multiple sites)

Just so you know
  • All your information will be kept confidential according to Equal Employment Opportunity guidelines.
  • Compensation is between $23 to $26 per/hour depending on experience.

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