Mental Health Jobs in Rochester, NY
Mental health jobs in Rochester are concentrated in the South Wedge, University District, and downtown Medical Mile corridor, with strong demand from hospital systems, community behavioral health centers, and outpatient clinics. Employers actively hiring include Gavia Lifecare Center, University of Rochester, and FLACRA. See the openings below and apply to the ones that match your experience.
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Are you a mental health therapist looking for an environment that values reasonable caseloads? Do you strive to make a difference in the lives of your clients? Gavia LifeCare Center is hiring a primary therapist as a part of our general adult team who values a team-building culture where you can practice at the top of your license.
At Gavia Lifecare Center, we are an OMH licensed outpatient mental healthcare center on the forefront of implementing integrated mental healthcare services independent of a large medical facility. We pride ourselves on providing high quality mental health counseling, medication management, and crisis services in an outpatient setting.
Reasonable accommodation may be made to enable individuals with disabilities to perform these essential functions.
Responsibilities:
Primary therapists expected to carry a caseload of approximately 45-60 clients providing individual adult and/or family counseling. This is a 32-40 hour per week position.
Requirements:
- MS or MA in Social Work, Mental Health Counseling, or Creative Arts Therapy required
- LMHC (or limited permit eligible) or LMSW/LCSW/LCAT
- 1-2 years working in the clinical mental health setting with the general adult population
- In depth understanding of ethical and theoretical considerations for counseling
- Ability to sit, stand, and fulfill other job-related physical duties
Compensation:
This position may be compensated on a fee-per-session basis after the first 90 days, or a salaried basis depending on the needs of the employee. Fee-per-session rates are $45-55 per client contact hour. We also do offer full-time salaried roles, along with health insurance, a 401K retirement program, PTO/sick time, and continuing education incentives.
Other duties:
Please note 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.
Job Type: Full-time
Pay: $54,000.00 - $64,000.00 per year
Benefits:
- 401(k)
- Health insurance
- Paid time off
- Professional development assistance
Work Location: Hybrid remote in Rochester, NY 14626
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Who's Hiring



Top Industries Hiring
- Education
- Consulting & Professional Services
Mental Health Jobs in Rochester: Frequently Asked Questions
How do I get a mental health job in Rochester?
The strongest path into Rochester's mental health market runs through its dense network of hospital-affiliated outpatient programs, community mental health centers, and addiction treatment providers concentrated near the Medical Mile and South Wedge. Candidates who have experience with evidence-based modalities such as CBT or DBT, or who have worked in integrated care settings, stand out locally. Targeting roles at federally qualified health centers and nonprofit behavioral health agencies gives you the broadest range of entry points in the city.
Which companies hire mental healths in Rochester?
Employers hiring mental healths in Rochester right now include Gavia Lifecare Center, University of Rochester, and FLACRA, based on current listings on Migrate Mate as of July 2026. Rochester's hiring is driven by a mix of large academic medical systems, county-operated behavioral health programs, and independent nonprofit agencies serving the city's diverse communities.
Are there remote mental health jobs in Rochester?
Yes, though remote availability in mental health is selective: direct clinical roles typically require in-person presence, while care coordination, utilization review, and some telehealth therapy positions can be fully remote. About 67% of mental health openings tied to Rochester are remote or hybrid as of July 2026. Telehealth therapy roles tied to Rochester-based group practices represent the largest share of fully remote positions in the local market.
How can I get a mental health job in Rochester with little or no experience?
The most realistic entry point in Rochester is a mental health technician or peer support specialist role at one of the city's community behavioral health agencies or residential treatment programs. Organizations serving Monroe County's public behavioral health system regularly hire candidates without clinical licensure for direct support and case management aide positions. Volunteering or completing a practicum with a Rochester nonprofit mental health provider is a concrete way to build local references and transition into paid roles.
Which industries hire the most mental healths in Rochester?
Most mental health openings in Rochester sit in Education and Consulting & Professional Services, per current listings on Migrate Mate as of July 2026. Rochester's concentration of hospital systems, university-affiliated clinics, and county behavioral health infrastructure makes these sectors the dominant employers for mental health professionals in the region.
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