Licensed Therapist (Remote, Must Live in TN)

GuideLine was created to make mental health care easier and more accessible for older adults. Many seniors want emotional support but feel overwhelmed by technology, video platforms, or complicated systems.
We believe care should meet people where they are.

That’s why GuideLine focuses on telephone-based therapy, delivered by licensed mental health professionals, in a format that feels comfortable, private, and personal.

We are currently hiring for licensed clinicians to work on our telehealth team. No onsite work is required, but qualified candidates must live in, and be fully licensed in, the state of Tennessee.

Position Summary

Licensed Therapists provide psychotherapy and counseling services for older adults in assisted living, independent living, and community-based settings. Therapists are responsible for providing compassionate care while ensuring documentation, billing, and clinical practices comply with Medicare, Medicaid, HIPAA, and Tennessee licensing board requirements.

Essential Duties & Responsibilities

• Conduct clinical intakes, diagnostic evaluations, and psychotherapy sessions.
• Provide individual, family, and/or group psychotherapy as clinically indicated.
• Complete therapy notes daily to ensure compliance with CMS and payer guidelines.
• Maintain HIPAA-compliant records in EHR/EMR (e.g., IntakeQ, Bitrix).
• Collaborate with facility staff, families, and physicians to ensure coordinated care.
• Provide crisis intervention and follow mandated reporting procedures for abuse, neglect, or exploitation.
• Differentiate between dementia, delirium, and medical causes of behavioral symptoms (e.g., dehydration, UTI, thyroid, medication side effects).
• Participate in chart audits and quality reviews; correct documentation deficiencies as directed by VP Clinical Services.
• Engage in facility outreach programs (e.g., Joy Club, dementia in-services) as directed.
• Adhere strictly to CMS billing guidelines, ensuring services provided are billable under the therapist’s license type.
• Communicate with VP Clinical Services and Patient Care Coordinators regarding referral status, caseload capacity, and client engagement.
• Support ongoing compliance through training and participation in supervision/consultation.
• Perform other related duties within scope of licensure as assigned by management.

Qualifications

• Active Tennessee license: LPC-MHSP, LCSW, LMFT, PsyD, or PhD in Psychology.
• Multi-state licensure or willingness to obtain additional licenses strongly preferred.
• 2+ years of experience in geriatric or adult psychotherapy strongly preferred.
• Familiarity with Medicare Part A & B billing and CMS psychotherapy definitions.
• Strong documentation, organizational, and communication skills.
• Ability to handle sensitive clinical information with confidentiality and professionalism.