Pre-Licensed Therapist / Counselor (LCSWA, LCMHCA, or LMFTA) - North Carolina

Overview

Allswell is building the leading mental health services company for the LGBTQIA+ community. Affirming, high-quality care for this population is still hard to find and harder to afford, and we are addressing that need with a diverse team of clinicians trained in LGBTQIA+-affirming practices and specialty care, digital tools that makes our clinicians more effective, and insurance coverage that puts real care within reach.

The clinical outcomes are strong and the growth is fast. Since launching we have served hundreds of clients across Maryland, Virginia, and Washington, DC, (and soon North Carolina) in-network with Medicaid and major commercial plans in all three regions. 71% of clients report reduced depression (based on PHQ-9 scores) and 77% report reduced anxiety (based on GAD-7 scores) after 60 or more days of care.

We are expanding our services and footprint quickly, and building the team to match. Backed by leading healthcare and impact investors, we have the runway to do it right.

Our Clinical Model

Our care model uses gold standard approaches to address the unique needs of the LGBTQIA+ community. Developed with leading clinical experts in trauma-informed and LGBTQIA+ care, it pairs affirming, evidence-based treatment with proprietary tools that extend care beyond the session.

Chief among them is our Trauma Journal, a structured Written Exposure Therapy-inspired tool that supports clients with trauma-related presenting concerns between visits and deepens the impact of their therapy work. This is what allows our clinicians to deliver the outcomes above, and it is a core part of what makes practicing at Allswell different.

About the Role

Allswell is seeking pre-licensed therapists / counselors in North Carolina (LCSWA, LCMHCA, or LMFTA) to provide individual telehealth therapy to LGBTQIA+ clients. This is a fully remote contractor role with a minimum commitment of 10 sessions per week and flexible scheduling (you pick your own hours).

You will deliver affirming, trauma-informed, evidence-based care while working toward full independent licensure, supported by free clinical supervision. We handle billing, scheduling, and client outreach so you can focus on care. You will report to the Clinical Director and participate in required clinical supervision hours, which count toward your licensure requirements.

What You'll Do

• Direct Client Care: Provide individual (1-1) therapy in a telehealth setting to LGBTQIA+ clients, delivering affirming, trauma-informed, evidence-based treatment tailored to the community's needs.
• Assessment & Documentation: Conduct clinical assessments and maintain timely, HIPAA-compliant documentation in our EMR (Avon).
• Clinical Model: Deliver care using a range of evidence-based modalities (including CBT, DBT, EMDR, and CPT) matched to each client's needs, and use our proprietary tools such as the Trauma Journal and Written Exposure Therapy protocol to extend support between sessions.
• Supervision & Growth: Participate in regular clinical supervision to support your development toward full independent licensure.
• Availability: Maintain a minimum of 10 sessions per week of client-facing time, with flexible scheduling.

Who You Are

• Active North Carolina license as an LCSWA, LCMHCA, or LMFTA.
• Experience and a strong passion for working with LGBTQIA+ clients.
• Cultural competence delivering affirming, identity-centered care.
• Comfortable providing individual / 1-1 therapy in a telehealth setting.
• Skilled in clinical assessment and timely, HIPAA-compliant documentation.
• Able to commit to a minimum of 10 sessions per week with flexible scheduling Monday to Sunday.

What We'd Love to See

• A deep passion for expanding access to affirming, high-quality mental health care for the LGBTQIA+ community.
• Experience serving clients at the intersections of the LGBTQIA+ community, including BIPOC and neurodivergent clients.
• Familiarity with a range of evidence-based modalities, such as CBT, DBT, EMDR, or CPT.
• Comfort with outcomes-based, measurement-informed care.
• Having additional licensure in Maryland, DC, or Virginia is a bonus.

Why You'll Like Working at Allswell

• The mission: we are building the definitive mental health company for the LGBTQIA+ community, and the work changes clients' lives.
• The support: free clinical supervision to help you grow and work toward full independent licensure.
• Flexible scheduling: set your own hours and caseload, fully remote.
• We bring clients to you: we source and fill your schedule for you.
• No admin hassle: we handle billing, scheduling, and client outreach so you can focus on care.
• Clinical growth: training in LGBTQIA+-affirming models and free courses to earn CE credits.
• The model: an expert-built, best-in-class clinical model with proprietary tools that extend care beyond the session.
• The team: a queer-led, clinician-led company that takes the work seriously and holds a high clinical bar.
• Bonuses: available for higher caseload.