Licensed Clinician (1099)

About the role

RLC provides mental health outpatient therapy in a private practice setting, utilizing in-office and telehealth services. We work with a combination of Medicaid-funded insurances, private insurances, and private pay. Real Life Counseling offers executive and administrative services to our team of Independent Clinicians, allowing counselors to focus on counseling without the distractions of running a business, such as insurance billing or administrative procedures.

As an Incident to Billing (ITB) provider, you work under the supervision of a fully licensed and credentialed clinician. RLC currently contracts providers who can offer in-person or a mix of in-person and telehealth sessions.

Compensation structure

• 40% fee — start right away (ITB team): RLC charges a 40% fee on all collected revenue from billable sessions for clinicians seeking to start immediately on our Incident to Billing team. This fee includes business formation support and all credentialing costs. Contractors sign a 1-year contract to remain in this fee structure. After the first year and full credentialing, this role moves into the capped-amount tiers below. The standard office fee is waived for this tier.
• 40% fee, capped at $4,300: For independent contractors who prefer to wait for credentialing before seeing clients and desire to use RLC office space. This tier does not cover initial credentialing or business formation costs.
• 35% fee, capped at $3,800: For independent contractors who prefer to wait for credentialing and provide telehealth-only services without using RLC office space. This tier does not cover initial credentialing or business formation costs. The rate can be adjusted to 40% if the clinician later uses office space.

Average reimbursement rates depend on clinician private pay rates and insurance allowable rates, typically ranging between $107–$175 per completed and billable session.

Benefits

• Referrals: RLC coordinates and provides a consistent flow of referrals to maintain your preferred caseload size. We also support and coordinate outside referral sources (e.g., Psychology Today) and facilitate the intake process.
• Scheduling: RLC schedules all intakes and initiates intake documentation via our client portal, while you control your preferred demographics, availability, and intake frequency.
• Billing: RLC completes the billing process for all sessions, including navigating unexpected billing barriers on your behalf.
• Practice location & services: Access to furnished offices (with an expectation of using the space for at least 75% of sessions), RLC’s Google Workspace platform, Google Meet for virtual sessions, and a counselor-designed EHR system for scheduling, billing, client portal, and documentation.
• Business email: Provided at no additional cost, including access to HIPAA-compliant Google Workspace.
• CEUs: Optional access to Relias Education & CEU platform with nearly 1,000 trainings and 100 CEUs (additional $30/month with a 1-year commitment).
• Business phone line: Optional setup via Google Voice (additional $25/month with no annual commitment).
• Flexibility and independence: Set your own schedule with no minimum or maximum thresholds. This role can serve as your primary or supplemental practice location.
• Financial flexibility: Design a workload that meets your financial, business, and personal goals.
• Established pay routine: Twice-monthly direct deposits with transparent revenue tracking via our EHR and HRIS platforms.
• Intern supervision opportunities: Apply to contract as an intern supervisor for additional income and career growth.
• Support: Access to peer clinicians, clinical supervisors, and a supportive admin team available Monday–Friday during business hours.
• Financial transparency: Track generated revenue, check billing status 24/7, and receive support from front desk, billing, and bookkeeping departments.
• Dependable billing: RLC maintains a 99.7% billing efficiency rate and navigates insurance barriers in real time.
• EHR system: Built specifically for clinicians to meet RCW/WAC and insurance expectations, minimizing take-backs and simplifying documentation.
• Career pathways: Opportunities for growth, including transitioning to clinical supervision or the Incident to Billing team.

Requirements

• Qualifying Master’s degree in Social Work (MSW) or Counseling (MA/MAC) that allows licensure in Washington State (LMHC, LICSW, or LMFT).
• Active and in-good-standing qualifying practice license (LMFT, LICSW, or LMHC) from Washington State, with no history of documented and verified complaints.
• Active Washington State business license, Federal Employment Identification Number (EIN), and Unified Business Identifier (UBI), or capacity to obtain them.
• Active practice liability insurance or capacity to obtain it.
• At least two practice references verifying an integral and ethical approach to providing mental health services.
• Reliable transportation.
• Ability to work professionally in both office and telehealth settings.
• Successful completion of a background check prior to contract offer.
• Not listed on the Federal Excluded Providers List (LEIE).
• Alignment with RLC’s values and culture, with the ability to interact successfully with admin departments, systems, and platforms.
• Ability to provide in-person or hybrid in-person and telehealth sessions.

Responsibilities

• Provide integral, legal, and ethical mental health services to clients.
• Abide by Washington State laws and regulations (WAC/RCW) in providing therapy, including maintaining up-to-date documentation.
• Adhere to ethical standards outlined by your degree/license association (ACA, NASW, AAMFT).
• Interact with other clinicians and administrative staff in alignment with RLC’s culture and values.
• Maintain contracted agreements and conduct all clinical work within RLC’s EHR system to ensure documentation standards align with state and insurance requirements.

Schedule

RLC’s clinical spaces are staffed by the administrative team Monday–Friday, 9 AM–5 PM. Independent contractors set their own schedules, which can include evenings and weekends. Offices are located throughout Clark County, with availability based on preference and space.