Regional Float Psychotherapist - Skilled Nursing Facilities and Nursing Homes

Title: Regional Float Psychotherapist – SNF & Nursing Homes

Location: Charlotte, Raleigh, Durham, NC

Hybrid

Job Description:

Employment Type: Full-Time Exempt

Coverage Model: Skilled nursing facilities within a regional territory

Program Overview

The Float Psychotherapist Program provides outpatient-style psychotherapy services embedded directly within nursing homes and skilled nursing facilities (SNFs). The Regional Float Psychotherapist supports residents experiencing depression, anxiety, grief, adjustment disorders, trauma history, and behavioral distress commonly seen in long-term care settings.

This role is essential for improving resident quality of life, reducing behavioral escalations, supporting facility staff, and decreasing unnecessary psychiatric hospitalizations.

Key Responsibilities

• Provide psychotherapy services to residents in skilled nursing facilities and nursing homes


• Support residents experiencing depression, anxiety, grief, trauma, and adjustment disorders


• Conduct clinical assessments and ongoing psychotherapy interventions


• Assist with behavioral stabilization and crisis prevention


• jd" data-start="1292">Develop and support resident-centered care plans


• Collaborate with facility staff regarding resident mental health concerns


• Maintain timely, compliant clinical documentation


• Support reduction of psychiatric hospitalizations and crisis events


• Participate in interdisciplinary treatment planning and care coordination

Coverage Model (Float Role)

The Regional Float Psychotherapist provides coverage for:

• Therapist PTO and leave of absence coverage


• Staffing shortages


• New facility onboarding


• Census surges requiring additional clinical support


• Urgent resident referrals and crisis intervention needs


• Multi-site regional travel across SNF and long-term care settings

Interdisciplinary Collaboration

• Directors of Nursing (DONs), RNs, and LPNs


• Social workers and discharge planners


• Physicians, nurse practitioners, and PMHNPs


• Activity directors and care teams


• Hospice and palliative care providers


• Family members and legal guardians

Typical Weekly Schedule

• Monday: SNF A


• Tuesday: Nursing Home B


• Wednesday: SNF C


• Thursday: SNF A follow-up visits


• Friday: Coverage, documentation, and care planning

Schedules are typically released 1–2 weeks in advance. Occasional adjustments may occur based on facility needs.

Productivity Expectations

• Daily Patient Encounters: 6–10+


• Documentation Completion: Same day


• Follow-Up Compliance: 95%+


• Patient Engagement Rate: High consistency


• Coverage Reliability: 100%

Required Qualifications

• Master's degree or doctoral degree in Counseling, Marriage & Family Therapy, Psychology, or a related field


• Active and unrestricted clinical licensure in North Carolina

Preferred Licensure

Because this role serves short-term and long-term care populations across SNFs and nursing homes, the following licensures are strongly preferred:

• Licensed Psychologist (PsyD or PhD)


• Licensed Clinical Mental Health Counselor (LCMHC) (North Carolina)


• Licensed Marriage and Family Therapist (LMFT)


• Licensed Clinical Social Worker (LCSW)

Core Skills

• Clinical assessment and psychotherapy


• Behavioral intervention and de-escalation


• Crisis intervention and stabilization


• Dementia-related behavioral management


• Interdisciplinary care coordination


• Documentation and regulatory compliance


• Independent multi-site clinical practice

Why This Role Matters

• Reduces behavioral escalation and psychiatric crises


• Improves resident emotional well-being and quality of life


• Supports nursing staff managing complex resident needs


• Decreases unnecessary psychiatric hospital transfers


• Strengthens facility survey readiness and compliance


• Enhances interdisciplinary care coordination


• Provides consistent psychotherapy services across multiple facilities

Benefits & Perks

Available to All Employees (Full-Time & Part-Time)

• Flexible work-life balance schedule


• Hybrid model (in-person care with documentation flexibility where appropriate)


• Company-provided equipment (as applicable)


• Telos swag


• Mileage reimbursement per company travel policy

Travel & Coverage Support

• Mileage reimbursement per company travel policy


• Overnight lodging provided when:
  
  
  • Approved by supervisor
  
  
  • Multi-day coverage is required at a single facilit 

Professional & Clinical Support

• Malpractice insurance coverage


• Annual CEU and licensure reimbursement support


• Professional development opportunities


• Clinical leadership support and mentorship


• Ongoing training and education

Full-Time Employee Benefits (30+ Hours/Week; Eligible After 30-Day Waiting Period)

Health & Retirement

• 401(k) through Nationwide


• Medical insurance


• Dental insurance


• Vision insurance

Voluntary Benefits (Aflac)

• Life and AD&D insurance


• Short-term disability


• Accident insurance


• Hospital indemnity coverage


• Critical illness coverage


• Voluntary life insurance options (term or whole life)

Time Off & Holidays

• PTO: 15 days (Years 1–2), increasing with tenure


• 6 paid holidays:
  
  
  • New Year's Day
  
  
  • Memorial Day
  
  
  • Independence Day
  
  
  • Labor Day
  
  
  • Thanksgiving Day
  
  
  • Christmas Day