Remote Primary Counselor Jobs
Remote Primary Counselor jobs are open across the U.S. at remote-first behavioral health organizations, distributed nonprofit networks, and telehealth platforms hiring primary counselors to deliver care through digital channels. Employers hiring remotely right now include One Medical, Baylor Scott & White Health, and MaineHealth. See the openings below and apply to the ones that match your experience.
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Supervision Received: Reports to Clinical Supervisor; Manager; Director of Operations.
Typical Working Conditions:
About the role
- Answer incoming patient calls and assess symptoms and concerns to determine appropriate level of care.
- Schedule office visits and follow up appointments as they pertain to the incoming calls and determine appropriate appointment urgency based on clinical protocols and provider direction.
- Provide clinical guidance and education within the nursing scope of practice and established protocols.
- Identify urgent and emergent symptoms and facilitate appropriate escalation to providers or emergency services.
- Communicate patient concerns, test results, and clinical messages to providers.
- Document telephone encounters accurately and timely in the electronic health record.
- Coordinate prescription requests, referrals, and follow-up clinical needs as appropriate.
- Maintains patient confidentiality and comply with HIPAA regulations.
- Keep management informed of high-risk situations.
- Maintain professional and compassionate communication with patients and coworkers.
- Demonstrate strong organizational skills and the ability to manage multiple priorities independently.
- Utilize the electronic health record and scheduling system efficiently.
- Maintains licensure in accordance with the North Carolina Board of Nursing.
- Practice infection control, following OSHA guidelines and office policy.
- Maintain CPR certification.
- Attend fire safety classes, clinical meetings, compliance, and other continuing education classes as offered by Physicians East.
- Adheres to department and office policies.
Candidate requirements
- Graduate of an accredited nursing program. Licensure: Must be registered with NCBON and in good standing.
- Experience in electronic medical records (EMR/HER) software required.
- Professional demeanor and recognition of privacy considerations for patients and families.
- Strong written and verbal communication skills and the ability to communicate and interact professionally with others.
- Ability to actively listen.
- Ability to observe and to draft a narrative account of events accurately and cogently, in grammatically correct English.
- Ability to spell, proofread, and edit written text.
Affirmative Action/EEO statement
Disclaimer
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Find Remote Primary Counselor JobsRemote Primary Counselor Job Market
Who's Hiring
- One Medical13

- Baylor Scott & White Health9

- MaineHealth8

- Optum7

- Specialty Care6

Top Industries Hiring
- Healthcare & Medical Services
- Technology & Software
- Insurance
- Consulting & Professional Services
What Employers Look For
The qualifications that appear most often in remote primary counselor jobs.
- Bachelor's or master's degree in counseling, social work, or a related human services field
- State licensure or certification such as CADC, LPC, LCSW, or equivalent credential
- Experience conducting individual and group counseling sessions in a clinical or community setting
- Proficiency with electronic health record systems for session documentation and treatment planning
- Knowledge of evidence-based practices including motivational interviewing and trauma-informed care
- Ability to complete required documentation within mandated timeframes per regulatory and agency standards
Tips for Your Remote Primary Counselor Job Search
Apply early to remote roles that fit
Migrate Mate lists remote primary counselor openings from across the U.S. in one place, so you can find roles that match your license, population specialty, and schedule, then apply directly without sorting through unrelated postings.
Show telehealth hours on your resume
Remote employers want proof you've already delivered care through a screen. List telehealth-specific hours separately from in-person hours in your experience section, and name the platforms you've used, such as Zoom for Healthcare or SimplePractice, so hiring managers can see your remote clinical fluency immediately.
Demonstrate async communication before the interview
Remote primary counselor teams rely on written handoffs, digital case notes, and asynchronous updates. Write your cover letter and email correspondence with the same precision you'd bring to clinical documentation, because remote hiring managers read those materials as a direct sample of how you'll communicate with the team daily.
Prepare for remote clinical scenario questions
Remote interviews for primary counselors often include scenario-based questions about managing a client crisis through video, maintaining therapeutic boundaries without a physical office, or coordinating care across a distributed team. Prepare two or three concrete examples from your telehealth or remote practicum experience before you get on the call.
Remote Primary Counselor Jobs: Frequently Asked Questions
How do I get a remote primary counselor job?
Target employers that have built remote clinical infrastructure, such as telehealth platforms, digital-first treatment programs, and distributed behavioral health networks, because they already have the systems to support a remote primary counselor. Remote hiring managers screen for async written communication skills, self-directed caseload management, and comfort with EHR platforms used outside a physical office. Candidates who document telehealth hours, show familiarity with HIPAA-compliant video tools, and demonstrate they can maintain therapeutic rapport through a screen consistently stand out.
Which companies hire remote primary counselors?
Companies hiring remote primary counselors right now include One Medical, Baylor Scott & White Health, and MaineHealth, based on current remote listings on Migrate Mate as of November 2026. These tend to be remote-first telehealth providers, digital behavioral health startups, and distributed nonprofit treatment organizations operating across multiple states.
Can you get a remote primary counselor job with no experience?
Yes, but remote entry-level primary counselor roles are harder to land because employers expect you to manage a caseload independently from day one without in-person supervision. Telehealth platforms and digital-first programs are more likely to hire newer counselors if you can show supervised telehealth hours from a practicum, strong written case-note skills, and comfort with remote clinical tools. A strong clinical supervisor reference and documented async communication habits help close the gap.
Do you need a degree for remote primary counselor jobs?
Usually, yes. Most remote primary counselor roles require at least a master's degree in counseling, social work, or a related field, plus a state licensure credential, because clinical work carries regulatory and liability requirements that credentials formalize. Remote employers may weigh demonstrated telehealth competency, a clean supervision record, and specialized population experience alongside your degree when evaluating candidates.
Which industries hire the most remote primary counselors?
The sectors hiring the most remote primary counselors are Healthcare & Medical Services, Technology & Software, and Insurance, based on current remote listings on Migrate Mate as of November 2026. These sectors have invested heavily in distributed care delivery models that allow primary counselors to serve clients across geographic boundaries without a fixed clinical office.
See All 92 Remote Primary Counselor Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Primary Counselor Jobs