Peoples Injury Network Northwest, a brand partner of Upstream Rehabilitation, is looking for a Certified Occupational Therapist Assistant to join our team in Vancouver, Washington

***SIGN ON BONUS OFFERED***

Upstream Rehabilitation, an industry-leading family of world-class brands, is actively seeking exceptional occupational therapists who are determined and committed to consistently providing patients with industry leading clinical care.  We proudly serve our communities with clinically superior occupational therapy services focusing on evidence based interventions and remarkable customer service experiences.   Our Upstream Family boasts the most advanced certified clinicians in the industry fueled by generous continuing education offerings and leadership committed to continued growth and development.

REQUIREMENTS:

• Current or pending state licensure
• Graduate from an accredited Occupational Therapy Program
• Drive to pursue personal and professional goals

RESPONSIBILITIES:

• Specialized evaluations and evidence-based treatment based on each patients’ specific needs
• Engagement with patients, with clinical teammates and within your organization
• Setting and achieving personal and professional goals
• Understand and live the company’s mission, vision, values and operational standards

COMPANY PERKS:

• Excellent benefits package, including 401k matching, health, dental, PTO & more!
• New Grad mentoring & onboarding
• Professional Development courses
• Partnership
• Continuing Education (URI) + dollars allowance + unlimited use of Med Bridge
• Investment from a company that wants you to succeed and thrive
• Salary Range $25-35/hr 

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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 of $76/hour (includes mandatory training) and an administrative rate (includes late shows/cancellations) of $23/hour as a WA resident with semi-monthly pay. If based out-of-state clinical rates will range between $58.50 - $85.
• 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 LICSW, LMFT, LMHC, or Psychologist (PhD or PsyD) in Washington
• 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 

*** Psychiatrist with interest in APN supervision at 300/APN

About BlueSky: 

We are a clinician-led, patient-centered, collaborative behavioral health company of mental health professionals committed to improving access to very high-quality mental health care! Each clinician is dedicated to evidence-based care and a conservative controlled substance prescribing style. Our objective is to make our services more available to those in need of high-quality mental health care. We aim to serve not only those in rural areas but be available to all regions for those who would prefer to make use of the privacy, security, and convenience of a telehealth consultation.

• Enjoy the autonomy of practicing in the best interest of the patient without corporate administrative interference!
• Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min or 20 min follow-up appointments.
• Option to supervise clinician-selected, evidence-based Nurse Practitioners at 300/APN/mo.
• We are growing in the form of teams composed of multiple therapists and a prescriber.
• We emphasize regular staffing with your collaborating therapists, at least monthly, to discuss patient cases or clinical topics.
• Clinical work is performed from home, and days and hours are per the clinician's choosing. Clinical team meetings are also virtual.
• Compensation is per patient and per code billed, there is a medical, dental, vision, and short-term disability insurance benefit for full-time clinicians.
• Seeking someone excited to collaborate actively in a team-based format to ensure coordination between our Psychiatric and therapist providers.

Job Requirements:

• Must have a clean and unrestricted medical license 
• Must demonstrate a positive, non-judgmental, and accepting attitude toward our patient population.
• Excellent verbal and written communication, organizational, and time management skills.
• Excellent patient-relation skills 
• Significant experience as a Psychiatrist is preferred but not required