About NOCDNOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment.At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We’re changing the world and need other like-minded individuals to accelerate and expand our efforts.
Job DescriptionWe are seeking a highly skilled clinician with advanced expertise in ERP and ACT to provide intensive, evidence-based virtual care for individuals with high-acuity OCD. A strong therapist candidate for a virtual OCD Intensive Treatment Service is a clinician with advanced training in CBT, ERP, ACT, HRT, and PE. This role requires exceptional clinical judgment, strong crisis-management skills, and the ability to deliver structured individual and group therapy in a fast-paced higher level of care setting. The ideal candidate demonstrates steady clinical presence, clear directive intervention, excellent documentation, and the capacity to support complex presentations. Reliability, strong boundaries, and effective collaboration across a multidisciplinary, virtual team are essential.This clinician is skilled in delivering clear, directive interventions while maintaining warmth, transparency, and collaborative communication with both members and their families. They excel in virtual care delivery, adapt seamlessly across time zones, and can confidently hold boundaries, manage crises appropriately, and document to a high standard. Ideal candidates bring experience treating complex presentations (including co-occurring PTSD and body-focused repetitive behaviors) even if formal program tracks for those conditions are not yet active. Above all, they show strong clinical presence, reliability, and the ability to motivate members through intensive, evidence-based work while contributing to a cohesive, high-functioning clinical team.Key Responsibilities:Conduct evaluations virtually for internal and external candidates for IntensiveTreat high-acuity OCD as the primary presentation, including common co-occurring conditions (depression, anxiety, trauma, body-focused repetitive behaviors), using CBT, ERP, ACT, HRT, Motivational interviewing and PE.Demonstrates knowledge of the variety of ways clients express stress reactions both behaviorally (e.g., avoidance, aggression, passivity) and psychologically/emotionally (e.g., hyperarousal, avoidance, intrusive memories)Provide individual and group therapy in a virtual setting with a team approach to clinical and administrative functions.Provide ongoing case management, ensuring continuity between members, clinicians, external providers, community agencies, and support systems.Ongoing assessment of safety concerns and risk, escalating per protocolSupport Members’ engagement and treatment adherence through check-ins, motivational strategies, and consistent communication.Session-level clinical adjustments and exposure hierarchy changesGroup redirection and in-the-moment management of treatment-interfering behaviorInitial risk assessment and safety planning within protocolRoutine coordination with outside providers and community agenciesAftercare and discharge planning within program guidelinesMaintaining assigned caseload for members individual and family therapy while members are in programDevelop treatment plans, assist in aftercare and discharge planning.Maintain strategic relationships with community therapists and local agencies to support referral pathways and program partnerships..Collaborate cross-departmentally (clinical, operations, leadership) to maintain clinical excellence, communicate program needs, and support workflow efficiency.Maintain accurate documentation and track program outcomes, including EHR records, metrics, KPIs, workflow updates, and improvement feedback.Maintain Member records and ensure compliance with ethical and legal standards.Develop and implement individualized treatment plans using evidence-based practices.Provide individual, group, multi-family groups, and family therapy sessions.Collaborate with other clinicians to provide comprehensive care.Full Time Providers:40 hour work weekComplete 25 hours of direct clinical work per weekAttend a world-class training program developed by industry leadersAttend 2 hours of weekly group clinical consultationWill participate in and complete cross-license application as needed for program expansionApproximately 15 hours per week facilitating Intensive groups and Intensive admission assessments, individual sessions, supported ERP, pre-screening calls, and family sessions. The ratio is set by program census and reviewed monthly. The other 12 expected clinical hours are in the outpatient network.Clinicians move between both functions within the same day.Organized, quick and enthusiastic learner, excellent communicator, good with time managementHave a confidential, private location to work remotely from with reliable internet accessComfortable and efficient with using technology to communicateAmbitious and ready to keep up with a goal-driven, start-up environmentQualifications:Full and unrestricted license in good standing to practice in your state.Masters Degree RequiredNew York: Licensed Psychologist, Licensed Marriage and Family Therapist, Licensed Mental Health Counselor, Licensed Clinical Social Worker\*Must have diagnostic privilege credential.If you do not currently have Diagnostic Privilege, please review ourMental Health Therapist Diagnostic Privilege Pathway — LMHC / LMFT – New Yorkfor an alternative opportunity:view the job posting.Highly organized and flexible professional who is a quick and enthusiastic learner, equipped with excellent communication, strong interpersonal skills, and effective time-management capabilities.Navigate complex cases in a group settingRaises disagreement with the person involved, close to when it happens, with a specific proposal rather than letting concerns accumulate or escalating first.Takes clinical feedback in group consultation and applies it to program skillsNavigation of group dynamics and works collaboratively with team to pivot the milieuHave a confidential, private location to work remotely from with reliable internet accessComfortable and efficient with using technology to communicateAmbitious and ready to keep up with a goal-driven, start-up environmentProficiency in various treatment modalities like CBT, ERP, and ACT. MI is a plus.2 year+ experience Group curriculum, facilitation and therapeutic milieu skills preferred2 year+ experience in higher level of care models (IOP, PHP, RES, IP) preferred3 year + Experience with a wide range of evidenced based interventions preferredStrong problem-solving and decision-making abilities.Empathy and a genuine desire to help patients with high levels of avoidance and resistance.Ability to handle high-stress situations with members in group settings, including risk assessments, variable use of interventions and strategies, and needed follow-up.Flexibility to work in shifts, including evenings.A positive attitude and a commitment to delivering exceptional customer experiences and team support.Ability to work independently and as part of a virtual teamEffective with shifting roles, responsibilities, and expectations in an unpredictable environment.Benefits include:Health insurance, including dental and visionLife insurance401(k)Employee discountPaid time offParental leaveSalary Range:$70,000-$105,000 with eligibility for performance bonus
