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Virtual Licensed Therapist – Foster-Impacted Youth and Families (Medicaid – North Carolina)
Employment Type: Full-Time (35 hours/week; may begin part-time for the right candidate)
Reports To: Director of Clinical Care, Here Now Health
About Here Now Health
Here Now Health is the first virtual behavioral health company built exclusively for children and families impacted by the child welfare system. We serve Medicaid members eligible due to their foster status, including children in foster care, adopted youth, young adults aging out, and those involved in family preservation or juvenile justice.
Our care model delivers trauma-informed, high-touch mental health services that prioritize consistency, trust, and accessibility in systems where those qualities are too often missing. Our mission is to make consistent, early, and preventative care the standard for youth and young adults impacted by child welfare — reducing crisis escalation, improving family stability, and creating measurable value for states and Medicaid partners.
Role Summary
As a Virtual Licensed Therapist with Here Now Health , you will provide compassionate, trauma-informed mental health care to Medicaid-covered youth and families impacted by foster care and related systems. You will support clients navigating instability, system involvement, and complex trauma, often across multiple placements or life transitions.
Our care model centers relational continuity, caregiver support, and evidence-informed clinical practice. You will join a collaborative, mission-driven team focused on transforming how care is delivered to system-impacted youth.
Key Responsibilities
Provide virtual one-on-one therapy to youth and caregivers using evidence-informed, trauma-focused modalities
Conduct clinical assessments and develop collaborative, measurement-based care plans
Build relational continuity across transitions, supporting clients through placement or life changes
Collaborate with non-clinical Care Advocates to ensure clients can access needed services and supports
Offer caregiver support sessions to improve family stability and outcomes
Maintain thorough and timely clinical documentation aligned with Medicaid and telehealth standards
Attend weekly supervision, team meetings, and required trainings
Provide support during moments of escalation or crisis in alignment with trauma-informed care practices
Engage in peer consultation and cross-functional collaboration with clinicians and care team members
What Sets This Role Apart
Low caseloads designed to prioritize depth, trust, and sustained engagement
The opportunity to serve youth often excluded from traditional care models, including those without stable placements or consistent caregivers
A team culture where lived experience in foster care, kinship care, or system involvement is valued and welcomed
An integrated care model connecting therapy with caregiver support, care coordination, and advocacy
What You Need
Licensure: Active, unrestricted independent license in North Carolina as an LCSW (strongly preferred) or LCMHC/LPC. Additional licenses beneficial.
Licensure Longevity: Minimum 5+ years of post-independent licensure experience(Required to satisfy multi-state endorsement rules and streamline cross-licensing into VA, MO, and NM).
Clinical Experience: Direct experience working within child welfare and foster care systems, pediatric mental health, and complex trauma. Comfortable working with youth ages 5 - 26 years old.
Technical & Managed Care: Experience with telehealth platforms and Medicaid clinical documentation standards.
Experience with or strong interest in foster care, adoption, family preservation, or juvenile justice systems
Ability to build trust and consistency with youth navigating instability or mistrust
Ability to complete background checks required by Medicaid and child welfare systems
Approval to provide Medicaid-covered services or prior Medicaid billing experience strongly preferred
Bilingual Spanish/English strongly preferred; additional languages a plus
Licensure Growth
Willingness to obtain additional state licenses within Here Now Health ’s service areas is an important part of this role. Here Now Health covers all associated licensing costs to support your professional growth and expand your impact.
Compensation & Schedule
Full-time, salaried role based on a 35-hour workweek
Salary range: $65,000–$80,000 annually, based on licensure, experience, and relevant expertise
Salary includes 24 hours per week of required client-facing (billable) care, plus non-client clinical responsibilities to total 35 hours
Therapists may have the opportunity to provide up to 5 additional client-facing hours per week beyond the required 24 hours, compensated at $70/hour
Up to an additional $350 per week, and
Up to an additional approximately $17,000 per year, if consistently worked
Availability requirement:
15 hours per week after 4:00 PM on weekdays and/or on Saturdays (8:00 AM–5:00 PM) to support youth and families during peak demand hours
100% remote; work hours follow the therapist’s local time zone
Benefits (W-2, Full-Time)
Medical, dental, and vision insurance
Comprehensive 401(k) retirement plan
Paid time off, including vacation, sick time, company holidays, floating holidays
Technology and equipment necessary to perform the role
We’d Especially Love to Hear From You If
You have lived experience in the foster system or as a system-impacted parent or caregiver
You thrive in a mission-driven, startup-style environment
You are passionate about building equitable systems of care for children and families who have been overlooked
