Therapist Jobs in Hawaii
Therapist jobs in Hawaii are concentrated in behavioral health, community mental health, and school-based services, with consistent demand across entry-level counselor roles through licensed independent practitioners. Honolulu, Hilo, and Kailua-Kona are the primary hiring markets, anchored by large employers such as Kaiser Permanente Hawaii, Hawaii Pacific Health, and the Queen's Health Systems. Substance use counseling, trauma-informed care, and child and adolescent therapy are the specialties seeing the steadiest demand across the islands. Find a role that fits below and apply directly.
Find Therapist JobsOverview
Showing 5 of 33+ Therapist jobs
Clinical Manager – SLP / OT / PT
Maui Speech and Swallow and Neurological Rehabilitation, LLC
Full-Time | 25–75% Clinical Productivity
About Us
Maui Speech and Swallow and Neurological Rehabilitation, LLC is a private outpatient practice serving pediatric and adult clients across Maui. We provide speech-language pathology, occupational therapy, and (expanding) physical therapy services, with specialized programs in FEES, feeding/swallow, dysphagia, neurorehab, ergonomics/work rehab, and low vision rehab. We're looking to add on physical therapy services to offer orthopedic and manual therapy and geriatric PT and fall prevention.
Position Summary
The Clinical Manager provides both direct patient care and clinical leadership across our multidisciplinary team (SLP, OT, and PT). This role carries an active caseload at 50–75% productivity, with the remaining time dedicated to supervising clinical staff, overseeing quality and compliance, and supporting day-to-day clinical operations. It's a strong fit for a clinician who wants to stay hands-on with patients while helping shape and grow the practice. There is a strong potential for the Clinical Manager position to carry an active caseload at 25% in the next year to accommodate the growth of clinicians.
Key Responsibilities
Clinical Care
- Maintain a direct patient caseload (pediatric or adult) within your discipline, consistent with the position's productivity target
- Deliver high-quality, evidence-based care in accordance with ASHA/AOTA/APTA standards and the ICF framework
- Complete timely, accurate clinical documentation, including evaluations, progress notes, and materials supporting prior authorizations and medical necessity
Clinical Leadership & Operations
- Supervise, mentor, and support clinical staff across SLP, OT, and PT disciplines
- Coordinate multidisciplinary care and communication across the treatment team
- Monitor clinical productivity, caseload distribution, and scheduling across the team
- Support onboarding and training of new clinicians, including competency development in specialty areas
- Participate in quality assurance, chart audits, and documentation compliance reviews
- Assist with performance reviews and staff development planning
- Partner with the Owner/Clinical Director on practice growth initiatives, including new service lines and locations
- Serve as a clinical point of contact for complex cases and payer/insurance documentation needs
Qualifications
- Active Hawaii license in Speech-Language Pathology, Occupational Therapy, or Physical Therapy (or eligible for licensure)
- Minimum 3+ years of clinical experience; prior supervisory, mentorship, or leadership experience preferred
- Strong clinical documentation skills and familiarity with insurance authorization and medical necessity requirements
- Comfortable working with both pediatric and adult populations
- Current CPR certification (or willingness to obtain)
- Excellent communication and organizational skills; able to balance direct patient care with administrative responsibilities
Preferred
- Experience with Hawaii payers (HMSA, AlohaCare, UHA, Kaiser, 'Ohana, Med-QUEST)
- Experience in a private practice or multidisciplinary clinical setting
Compensation & Benefits
Competitive salary, commensurate with experience
Pay: $92,107.02 - $110,920.00 per year
Benefits:
- 401(k) matching
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Relocation assistance
- Retirement plan
- Vision insurance
Work Location: In person
See All 33 Therapist Jobs in Hawaii
Find roles in Hawaii that match your experience and apply in just a few clicks.
Find Therapist JobsTherapist Jobs by City in Hawaii
Where Hawaii roles are concentrated, by current openings.
Therapist Job Market in Hawaii
A snapshot from current Hawaii openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Hawaii Employers Look For
The qualifications that appear most often in therapist jobs across Hawaii.
- Active Hawaii therapist license issued by the Hawaii Department of Commerce and Consumer Affairs
- Master's degree in counseling, social work, marriage and family therapy, or a related field
- Completed supervised clinical hours required for Hawaii licensure in the relevant discipline
- Experience conducting individual, group, or family therapy in a clinical or community setting
- Familiarity with evidence-based modalities such as CBT, DBT, or trauma-focused approaches
- Ability to maintain timely clinical documentation within an electronic health records system
Therapist Jobs in Hawaii: Frequently Asked Questions
How do you become a therapist in Hawaii?
Becoming a therapist in Hawaii requires completing a master's degree in counseling, marriage and family therapy, social work, or a closely related field, followed by supervised post-graduate clinical hours. Licensure is issued by the Hawaii Department of Commerce and Consumer Affairs, which oversees the Licensed Mental Health Counselor, Licensed Marriage and Family Therapist, and Licensed Clinical Social Worker credentials. Candidates must also pass the relevant national board examination for their discipline before applying.
Which companies hire therapists in Hawaii?
Employers hiring therapists in Hawaii right now include Pediatric Developmental Services, Voyage Health, and BAYADA Home Health Care, based on current listings on Migrate Mate as of August 2026. Hawaii's integrated health systems and community mental health centers are among the most active and consistent sources of therapist openings across the islands.
Which Hawaii cities have the most therapist jobs?
The most therapist openings in Hawaii are concentrated in Hilo, Kealakekua, and Honolulu. Honolulu drives the largest share of demand as the home of Hawaii's major health systems and community behavioral health organizations, while Hilo and Kailua-Kona reflect growing investment in mental health services on the neighbor islands.
Are there remote therapist jobs in Hawaii?
Yes, and telehealth has made remote work more available for therapists than for most clinical roles. About 17% of therapist openings tied to Hawaii are remote or hybrid as of August 2026, reflecting ongoing telehealth expansion following pandemic-era policy changes. Individual therapy and outpatient counseling are the sub-areas most likely to offer fully remote or hybrid arrangements.
How can I get hired as a therapist in Hawaii with little or no experience?
The most realistic entry path is applying for associate or unlicensed counselor roles that provide supervised hours toward licensure, which large Hawaii employers such as Aloha United Way-affiliated community centers and Hawaii Pacific Health's behavioral health programs regularly offer. Case manager and mental health technician positions at state-contracted facilities are common lateral moves that lead into therapist tracks. Having your master's degree in hand and an application started with the Hawaii Department of Commerce and Consumer Affairs gives candidates a clear edge over those still completing hours.
Where can I find and apply to therapist jobs in Hawaii?
You can find and apply to therapist jobs in Hawaii on Migrate Mate, which lists current openings across the islands. Search the available roles to find ones that match your license type, specialty, and preferred location, then apply directly to the employers that fit.
See All 33 Therapist Jobs in Hawaii
Find roles in Hawaii that match your experience and apply in just a few clicks.
Find Therapist Jobs