Mental Health Therapist, 1099 - California, Sacramento Area

Company: Octave
Location: San Francisco
Posted on: January 12, 2026

Job Description:

Job Description About the Company: Octave is a modern behavioral health practice creating a new standard for care delivery that’s both high-quality and accessible. With in-person and virtual clinics in multiple states, the company offers evidence-based individual, couples, and family therapy, while pioneering relationships with payers to make care more affordable through insurance. By raising the bar on how care is delivered and how providers are supported, we are building a sustainable system that values equity, affordability, and effectiveness. About the Role: Octave is hiring Licensed Clinicians to work within an organizational structure to provide high quality behavioral health care to our clients. Octave Clinicians will join a diverse clinical team in providing therapy in a collaborative, client-centered, evolving environment. Octave Clinicians demonstrate strong clinical service thinking, informed by evidence-informed therapies. It is our effort to drive quality access and customize mental health treatment plans and service delivery for our clients. You will treat adult clients with stress, depression, anxiety, or other mental health concerns via video, using short-term, evidence-based therapies. Candidates must be licensed in California at the masters or doctoral level, well-versed in evidence-based therapies, like CBT or DBT, and expert in the delivery of culturally responsive care. We are seeking out Licensed Clinicians who are willing to work both in-person and remotely. As a Clinician with Octave, you will be able to build out a caseload that gives your clients the option to see you virtually or in-person. It is ideal that you already have a commercial clinical space that you can operate from to see clients in person through Octave. At this time, we are not providing an office space. You are able to see virtual clients from your home office, but we do require that you see in-person clients from a commercial office setting. You are a good fit if you are: Passionate about expanding access to high-quality mental health care. Skilled at providing short-term, evidence-based therapies to a diverse range of adult clients. Adept at building and maintaining a strong therapeutic alliance. Willing to deliver feedback-informed care using standardized measures. Expert at providing culturally responsive and culturally competent care. Open to learning from your colleagues and clients. Someone who thrives in a culture of thoughtful feedback and transparency. Qualifications: LMFT, LPCC, LCSW, PsyD Current License in California. Master’s Degree or higher from an accredited school of Social Work, Psychology, Counseling or Marriage, or Family and Child Counseling. Must be licensed and in good standing with your governing licensing board. At least 1 year of related post-license clinical experience required. At least 2 years of experience preferred in one or more of the following areas: CBT for depression or anxiety DBT for emotion dysregulation Unified Protocol for emotional distress CPT or PE for trauma Preferred if you have your own office space and are willing to provide in-person services in the Sacramento, Roseville or Folsom area. Octave's Company Values: The below values drive our day-to-day operations. We’re human beings first. We operate with empathy and kindness – with our clients, with our collaborators, and with ourselves. People deserve better than status quo. We’re willing to tackle the intractable problems, no matter how big, because someone should. We ask big questions, we craft big solutions, and we challenge ourselves and others to make it happen. No bystanders. No stars. No tourists. Each person has been selected to be here, and with that comes a responsibility to bring your expertise, share your ideas, and help make this company better. Partnership paves the path ahead. We don’t operate in a silo, internally or externally. To transform the system, we believe in working with others to create something bigger, better, and stronger. Quality is crucial at scale. Quality is core to our business, and we refuse to sacrifice it as we grow. Progress is a process. In the pursuit of progress, we iterate, reflect, learn, adjust – and always leave things better than we found them. There are people behind every data point. We recognize that numbers tell only one part of the story, and we also do the work to understand impacts at the individual level. Physical Requirements: Prolonged periods sitting at a desk and working on a computer. Must be able to frequently communicate with others through virtual meeting applications such as Zoom and Google Meet. Must be able to observe and communicate information on laptop. Move up to 10 pounds on occasion. Must be eligible to work in the United States without sponsorship now or in the future. System Requirements: Octave IT supports these minimum system requirements for the most optimized experience using Octave telehealth tools: Computers that are Mac OS (Ventura or later) and Windows OS (10/11) Computers kept up with the most recent security updates An unmanaged device (a device not provided to you by another company/organization) Additionally, Octave IT does not support using iOS, Android, or ChromeOS as your primary device. Compensation: Starting pay for qualified applicants will depend on a combination of job-related factors, which may include education, training, experience, location, business needs, or market demands. The expected salary range for this role is set forth below and this range may be modified in the future. The hourly compensation range for this role is listed below dependent on licensure: In-Person Rates: $122-$135/hour for master's level license. $122-$145/hour for doctoral level license. Virtual Rates: $117-$130 for master's level license. $117-$140 for doctoral level license. Application Instructions: Please complete the following application. Please note that the U.S. Equal Opportunity Employment Information questions below are used for the purposes of EEOC reporting and are optional to complete. Octave is unable to change these questions and we acknowledge that many of the U.S. Equal Opportunity Employment Information questions are not inclusive or affirming of all aspects of cultural identity. Octave is committed to an inclusive workplace environment, and this information will not inform how we approach hiring or employment.

Keywords: Octave, Watsonville , Mental Health Therapist, 1099 - California, Sacramento Area, Healthcare , San Francisco, California