Hiring for Spring 2026

Associate Licensed Telehealth Therapists in Washington State

Part-time & Full-time

Why Work With Us

Trans and queer people deserve more than acceptance. We deserve care that affirms and celebrates our full humanity, recognizing identity as a source of strength rather than a pathology. Femme & Them is a queer- and trans-led practice where affirming therapy means more than words: it means practicing intersectional, trauma-informed care that addresses the realities of race, culture, gender, sexuality, and neurodiversity.

We’re building more than a practice — we’re building a movement toward sustainable, affirming mental health care led by queer and trans clinicians. Our intention is to grow a team of therapists who see themselves not only as providers, but as long-term leadership members helping shape the future of affirming therapy in Washington State. While we can’t promise where every path will lead, our goal is to invest in your growth, create opportunities for leadership, and cultivate a community where both clients and clinicians can thrive together.

What We’re Looking For

We’re looking for a clinician who is not only passionate about providing affirming care, but also excited to grow with a practice that invests deeply in its team. Femme & Them is building a long-term, queer- and trans-led organization — and we’re seeking someone who envisions becoming part of that journey, potentially as a long-term leadership member helping shape the future of affirming mental health care in Washington State.

While there are no promises of advancement, our intention is to nurture leadership, creativity, and sustainability for every clinician who joins us.

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The Communities You’ll Support

Our practice centers communities who are often underserved. You’ll make a meaningful impact with:

  • The full spectrum of LGBTQIA+ individuals, couples, and families

  • Neurodivergent clients who deserve to be understood, not “fixed”

  • Trauma survivors reclaiming their narratives

  • Polyamorous, ethically non-monogamous, and kink communities

  • Perinatal Mental Health (PMH) clients navigating pregnancy, postpartum, loss, and parenting transitions

  • Transgender teens and adults across the lifespan

  • Medicaid and commercial insurance clients who may otherwise struggle to find affirming care in-network

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Position
Requirements:

  • Master’s degree in a mental health discipline

  • Current Washington State associate license (LMHCA, LMFTA, or LSWAIC)

  • Washington State residency (required for credentialing
    and client care)

  • Knowledge of and experience with LGBTQIA+
    communities

  • Passion for community-centered, affirming work

  • Excitement for continuous professional growth and learning across modalities (e.g., ACT, Somatic, Brainspotting, IFS)

  • Availability to see clients for a minimum of:

    • Part-time: 15+ clients per week

    • Full-time: 25+ clients per week

  • Access to a private, confidential space for telehealth sessions

  • Reliable high-speed internet connection

  • Computer with camera for telehealth

  • Cell phone capable of installing the iPlum
    app

  • Comfort with technology

    • This position is fully remote and requires moderate tech proficiency

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Compensation &
Benefits:

  • Clinical (billable): $43/hour (increase after 6 months)

  • Administrative (non-billable): $22/hour (increase after 6 months)

  • Billing and insurance support provided by the practice

  • Fully remote position available anywhere within Washington State

  • Flexible scheduling — set your own hours

  • Comprehensive telehealth platform (Sessions Health)

  • Sick time: 1 hour per 40 hours worked

  • Monthly tech stipend (internet/phone)

  • Paid supervision toward licensure (LMHC, LICSW, PMH-C)

  • Copywriting, SEO, and marketing mentorship for private practice skill-building

  • Long-term leadership development opportunities as the practice grows

  • Health and dental benefits launching in 2026 as part of our continued investment in clinician wellbeing

To apply, please submit your resume and a note explaining your interest in working for our group using the form provided below.

Accommodations are available for applicants with disabilities during the hiring process upon request. To request, please email hello@femmeandthem.co

Femme and Them PLLC

Queer & Trans-Affirming Associate Therapist