Senior Level Primary Counselor Jobs

Senior level primary counselor jobs place experienced clinicians in charge of treatment planning, clinical supervision, and the outcomes of the caseloads and teams they lead. Openings are concentrated across in-person, remote, and hybrid settings in Education, Healthcare & Medical Services, and Investment & Asset Management, with employers like Optum, University of Utah, and MaineGeneral Health hiring at this level now.

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Overview

Open roles7
Top stateNew York
Top employerOptum
Top cityNew York, NY
Work type100% On-site
Top industryEducation

Showing 5 of 7+ Senior Level Primary Counselor jobs

Medical Director - Elmwood Primary Care
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Added 2w ago
Medical Director - Elmwood Primary Care
MaineGeneral Health
Waterville, Maine
Allied Health
Community & Nonprofit Services
Human Resources
Social Work & Counseling
$245k - $295k/yr

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Vice President, Primary
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Added 3mo ago
Vice President, Primary
Adams Street Partners
Menlo Park, California
Finance
Accounting
Partnerships & Business Development
Consulting & Professional Services
Project & Program Management
Business Development
$200k/yr
On-Site
Master's

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Nurse Practitioner (Primary Care)
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Added 5mo ago
Nurse Practitioner (Primary Care)
NYC Health + Hospitals
New York, New York
Healthcare Administration
Nursing
Patient Services & Wellbeing
Bachelor of Science
1,001-5,000

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Primary Care Physician (FM or IM) | New Paltz, NY
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Added 7mo ago
Primary Care Physician (FM or IM) | New Paltz, NY
Optum
New Paltz, New York
Healthcare Administration
Patient Services & Wellbeing
Physicians
$239k - $393k/yr
On-Site
10,000+

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Director, Primary Care Pediatric Nurse Practitioner Specialty Emphasis
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Added 9mo ago
Director, Primary Care Pediatric Nurse Practitioner Specialty Emphasis
University of Utah
Salt Lake City, Utah
Nursing
Healthcare Administration
Academic & Educational Administration
On-Site
Doctorate

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See All 7 Senior Level Primary Counselor Jobs

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Senior Level Primary Counselor Job Market

Who's Hiring

Optum1 open role
University of Utah1 open role
MaineGeneral Health1 open role

Top Industries Hiring

  • Education
  • Healthcare & Medical Services
  • Investment & Asset Management

Senior Level Primary Counselor Jobs: Frequently Asked Questions

How do I get a senior level primary counselor job?

Employers at this level look for demonstrated clinical leadership, not just years on the job. Strong candidates hold an active state licensure, show a history of supervising other counselors or interns, and can speak to measurable client outcomes they have owned. Specializations in substance use, trauma, or co-occurring disorders are frequently cited as differentiators in senior postings.

Which companies hire senior level primary counselors?

Companies hiring senior level primary counselors right now include Optum, University of Utah, and MaineGeneral Health, based on current listings on Migrate Mate as of November 2026. At this level, hiring tends to come from residential treatment centers, integrated health systems, and behavioral health organizations that need experienced clinicians who can carry a caseload while guiding junior staff.

Are there remote senior level primary counselor jobs?

Yes, though telehealth eligibility varies by state licensure and employer type. About 0% of senior level primary counselor openings are remote or hybrid as of November 2026, with fully remote roles most common in outpatient and digital health settings where licensure compact membership allows cross-state practice.

What makes a primary counselor role senior level?

Senior level primary counselor roles go beyond direct client care. They carry broader caseload ownership, require independent clinical decision-making, and typically include responsibility for supervising associate or junior counselors. Senior roles also involve contributing to treatment protocols, participating in quality assurance, and often serving as the clinical point of contact for interdisciplinary teams or external partners.

Which industries hire the most senior level primary counselors?

Senior Level primary counselor roles concentrate in Education, Healthcare & Medical Services, and Investment & Asset Management, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at this level because they operate programs complex enough to require clinicians who can supervise others, manage regulatory compliance, and sustain quality of care across large or multi-site caseloads.