Two Chairs is building a new kind of mental health system based on the idea that the status quo isn’t good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we’ll raise the bar for the entire industry. 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?

• Consistent Pay: Earn a clinical rate (including mandatory training) of $85/hour and an administrative rate (including no shows/late cancellations) of $25.50/hour with semi-monthly pay.
• 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, Psych Hub membership, 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

• License: Active license and in good standing as a LCSW, LMFT, LPCC, or Psychologist (PhD or PsyD) in California
• 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 and new client consults appointments. 
• 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: 

• 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

#LI-REMOTE 

About Octave

Octave is a modern mental health practice that offers both in-person and virtual therapy. We focus on making high-quality care more accessible and affordable by partnering with insurance providers. Our goal is to support clients and clinicians with a system built on equity, effectiveness, and sustainability.

About the Role

Octave is seeking to partner with existing group practices in California (Los Angeles, Sacramento, Riverside, San Francisco, and San Diego areas) that want to provide excellent mental health care, both in-person and virtually. As an Octave partner, your team will join a supportive community of clinicians focused on client-centered, evidence-based therapy. 

At Octave, we take care of all backend operations so your clinicians can focus on providing care. Our team manages credentialing, billing, marketing, technology support, and client referrals. This allows your clinicians to focus primarily on seeing the clients we connect them with and completing session documentation, removing the administrative burden from your group practice.

Your providers will support adult clients managing stress, anxiety, depression, and related concerns. We emphasize evidence based practices such as CBT and DBT with a strong commitment to culturally responsive care. 

What You’ll Do

• Provide therapy to adults dealing with stress, anxiety, depression, and other concerns.
• Use short-term, evidence-based approaches like CBT or DBT.
• Offer culturally responsive care.
• See clients virtually and/or in person (you must have your own office space to hold in-person sessions).

Qualifications for Group Practices

• Must have at least 3 or more fully licensed clinicians who would be joining Octave.
• Required to have your own office space and are willing to provide in-person services (located within the markets we're currently hiring for).
• All clinicians must be fully licensed (no associate or intern level providers).
• Licensed in California (LMFT, LPCC, LCSW, PsyD)
• Must be licensed and in good standing with your governing licensing board.
• At least 1 year of post-license experience (2+ preferred).
• Training in therapies such as CBT, DBT, trauma-focused treatments, or similar.
• Certain payor relationships may exclude you from employment.
• Master’s Degree or higher from an accredited school of Social Work, Psychology, Counseling or Marriage, or Family and Child Counseling.

Octave's Company Values: 

The below values drive our day-to-day operations.

• We’re human beings first. We operate with empathy and kindness – with our clients, with our collaborators, and with ourselves.
• People deserve better than status quo. We’re willing to tackle the intractable problems, no matter how big, because someone should. We ask big questions, we craft big solutions, and we challenge ourselves and others to make it happen.
• No bystanders. No stars. No tourists. Each person has been selected to be here, and with that comes a responsibility to bring your expertise, share your ideas, and help make this company better.
• Partnership paves the path ahead. We don’t operate in a silo, internally or externally. To transform the system, we believe in working with others to create something bigger, better, and stronger.
• Quality is crucial at scale. Quality is core to our business, and we refuse to sacrifice it as we grow.
• Progress is a process. In the pursuit of progress, we iterate, reflect, learn, adjust – and always leave things better than we found them.
• There are people behind every data point. We recognize that numbers tell only one part of the story, and we also do the work to understand impacts at the individual level.

Physical Requirements: 

• Prolonged periods sitting at a desk and working on a computer. 
• Must be able to frequently communicate with others through virtual meeting applications such as Zoom and Google Meet. 
• Must be able to observe and communicate information on a laptop. 
• Move up to 10 pounds on occasion. 
• Must be eligible to work in the United States without sponsorship now or in the future.
• Octave’s policy requires that all clinical sessions be conducted while you are physically located in the United States.

System Requirements

Octave IT supports these minimum system requirements for the most optimized experience using Octave telehealth tools:

• Computers that are Mac OS (Ventura or later) and Windows OS (10/11)
• Computers kept up with the most recent security updates
• An unmanaged device (a device not provided to you by another company/organization)

Additionally, Octave IT does not support using iOS, Android, or ChromeOS as your primary device.

Compensation

Starting pay for qualified applicants will depend on a combination of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected salary range for this role is set forth below and this range may be modified in the future.

The hourly compensation range for this role is listed below dependent on licensure:

In-Person Rates:
$122-$135/hour for master's level license.
$122-$145/hour for doctoral level license.

Virtual Rates:
$117-$130/hour for master's level license.
$117-$140/hour for doctoral level license.

How We Use Technology in Hiring:

As part of our hiring process, we may use technology tools, including AI-supported systems, to assist with reviewing applications or documenting interviews. These tools are designed to support our team, not replace human judgment, and final hiring decisions are always made by our team.

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.