Clinical Therapist Jobs in North Carolina

Clinical Therapist jobs in North Carolina are in strong and steady demand, concentrated in community mental health centers, hospital behavioral health units, private group practices, and school-based programs, with openings at every level from associate-licensed new graduates through licensed clinical social workers and senior clinicians. The largest hiring markets are Charlotte, Raleigh, and Greensboro, where established employers such as Atrium Health, UNC Health, and Centerstone maintain broad behavioral health workforces. Substance use treatment, trauma-informed care, and child and adolescent therapy are the most consistently sought specialties across the state. Find a role that fits below and apply directly.

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Overview

Open roles22
Top employerOptum
Top cityNorth Carolina
Cities hiring16
Work type50% On-site
Top industryInsurance

Showing 5 of 22+ Clinical Therapist jobs

Clinical Massage Therapist
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New 16h ago
Clinical Massage Therapist
UNC Health
Chapel Hill, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$19.98 - $28.54/hr
On-Site
BLS Certification
10,000+

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Clinical | Therapist - Respiratory - Contract - Nights
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Added 1d ago
Clinical | Therapist - Respiratory - Contract - Nights
HealthTrust Workforce Solutions
Hickory, North Carolina
Business Development
Growth Marketing
Marketing
$52.5 - $54.6/hr
1,001-5,000

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Clinical Therapist
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Added 4d ago
Clinical Therapist
NC Youth Violence Prevention Center
Lumberton, North Carolina
Clinical Support
Healthcare Administration
Human Resources
On-Site
Master's degree in social work

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Outpatient Licensed Clinical Therapist
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Added 4d ago
Outpatient Licensed Clinical Therapist
Epiphany Family Services, LLC
Charlotte, North Carolina
Customer Service
Technical Program Management
Master's degree in social work

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Licensed Clinical Social Worker or Provisionally Licensed Clinical Social Work Associate- OPT Therapist
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Added 1w ago
Licensed Clinical Social Worker or Provisionally Licensed Clinical Social Work Associate- OPT Therapist
RHA Health Services
Taylorsville, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$50k - $60k/yr
Master's degree in social work
5,001-10,000

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See All 22 Clinical Therapist Jobs in North Carolina

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Clinical Therapist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Charlotte
3 jobs
Chapel Hill
2 jobs
Durham
1 job
Monroe
1 job
Hickory
1 job
Gastonia
1 job
Asheville
1 job
Lumberton
1 job
Shallotte
1 job

Clinical Therapist Job Market in North Carolina

A snapshot from current North Carolina openings, updated as new roles post.

Who's Hiring

Optum2 open roles
Evergreen Behavioral Health2 open roles
HealthTrust Workforce Solutions2 open roles

Top Industries Hiring

  • Insurance

What North Carolina Employers Look For

The qualifications that appear most often in clinical therapist jobs across North Carolina.

  • Active LCSW, LCMHC, or LMFT license issued by North Carolina licensing board
  • Master's degree in social work, counseling, marriage and family therapy, or related field
  • Experience providing individual, group, or family therapy in a clinical setting
  • Proficiency with electronic health record systems and clinical documentation standards
  • Ability to conduct psychosocial assessments and develop individualized treatment plans
  • Strong knowledge of evidence-based modalities such as CBT, DBT, or trauma-focused approaches

Clinical Therapist Jobs in North Carolina: Frequently Asked Questions

How do you become a clinical therapist in North Carolina?

You must earn a master's degree in counseling, social work, or marriage and family therapy, then apply for licensure through the relevant North Carolina board: the NC Board of Licensed Clinical Mental Health Counselors for the LCMHC credential, the NC Social Work Certification and Licensure Board for the LCSW, or the NC Marriage and Family Therapy Licensure Board for the LMFT. Each pathway requires supervised post-graduate hours and a board-approved exam before full licensure is granted.

Which companies hire clinical therapists in North Carolina?

Employers hiring clinical therapists in North Carolina right now include Optum, Evergreen Behavioral Health, and HealthTrust Workforce Solutions, based on current listings on Migrate Mate as of October 2026. North Carolina's mix of large academic health systems, community mental health agencies, and private group practices means openings appear across both urban and rural parts of the state.

Which North Carolina cities have the most clinical therapist jobs?

North Carolina, Charlotte, and Chapel Hill have the most clinical therapist openings in North Carolina. Charlotte and Raleigh drive the largest share of postings because of their major hospital systems, growing outpatient behavioral health networks, and substantial managed care presence, while Greensboro's concentration of community mental health and substance use treatment providers sustains consistent demand in the Triad region.

Are there remote clinical therapist jobs in North Carolina?

Yes, and more than most clinical fields, since licensed therapists can deliver talk therapy and counseling services via telehealth without the hands-on requirements that limit remote work in nursing or physical rehabilitation. About 50% of clinical therapist openings tied to North Carolina are remote or hybrid as of October 2026, with telehealth-only roles most common in outpatient counseling, employee assistance programs, and school-based teletherapy platforms.

How can I get hired as a clinical therapist in North Carolina with little or no experience?

The most realistic entry path is securing an associate-licensed position, such as an LCMHC-Associate or LCSW-A role, where you complete supervised hours under a fully licensed clinician. Atrium Health, UNC Health behavioral health divisions, and community mental health centers across North Carolina regularly hire associate-licensed candidates into resident or staff clinician roles. Candidates coming from case management, psychiatric technician, or crisis counselor positions also make strong transitions, and completing a practicum or internship at a North Carolina agency during graduate school is often the fastest way to a first hire.

Where can I find and apply to clinical therapist jobs in North Carolina?

You can find and apply to clinical therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring across the state right now. Find roles that fit your license level, specialty, and preferred location, then apply directly to each one.

See All 22 Clinical Therapist Jobs in North Carolina

Find roles in North Carolina that match your experience and apply in just a few clicks.

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