territory manager

outreach manager

mental health therapist

senior graphic designer

account director

Charlie Health

What is the best part of working at the company?
The best part about working for Charlie Health is the opportunity for accelerated clinical growth. The high acuity client population, combined with a large volume of sessions, allows therapists to quickly build strong skills in crisis management, assessment, and intervention. The use of measurement based care (MBC) also supports a more data informed approach, helping track client progress and refine treatment strategies. Additionally, working within a multidisciplinary team provides exposure to different perspectives and enhances overall clinical understanding.

Overall, Charlie Health can be a highly valuable environment for developing as a clinician, especially for those who actively engage in learning, seek feedback, and use the experience to continuously improve their skills.

What is the most stressful part about working at the company?
Working at Charlie Health can be stressful due to the high acuity of clients, including managing risk related to suicidality, self harm, and trauma, as well as the responsibility of making ongoing clinical decisions in uncertain situations. The pace of sessions, documentation demands, and coordination with a multidisciplinary team can also add to the pressure.

However, with strong work boundaries, effective clinical skills, and the ability to regulate emotionally, this stress does not always feel overwhelming. It is possible to stay engaged and present with clients during sessions while also maintaining separation outside of work, allowing the role to feel manageable rather than distressing.

What is the work environment and culture like at the company?
The work environment at Charlie Health is fast paced and continuously evolving, with ongoing changes in processes, expectations, and workflows. While this can require flexibility and adaptability, it also reflects a company that is growing and refining its approach to care.

Despite the constant changes, the team culture is supportive, and colleagues are consistently willing to help, collaborate, and problem solve together. This creates an environment where clinicians can seek guidance, share ideas, and feel supported while navigating both clinical work and organizational shifts.

What is a typical day like for you at the company?
A typical day at Charlie Health is structured but can vary depending on your schedule and client needs. Most days involve a mix of individual sessions, group therapy, and occasional family sessions, often back to back. You are actively engaging with clients throughout the day, particularly those with higher acuity needs, which requires staying present, focused, and clinically sharp.

Outside of sessions, time is spent completing documentation, updating treatment plans, reviewing MBC data, and coordinating care with the broader team, including psychiatrists, UR, and other providers. There may also be team meetings, supervision, or check ins to support clinical decision making and collaboration.

While the schedule can feel full, there is a consistent rhythm to the day. It requires balancing direct client care with administrative responsibilities, along with the ability to adapt if unexpected clinical needs arise.

I feel like I’m echoing most peoples’ reviews. I wanted this to work so much. I had a feeling something was off from the beginning. Recruiter found  me on LinkedIn. They were very friendly but oddly pushy. I went through a bizarre and lengthy onboarding process, which was stressful/tedious. It felt like jumping through hoops for what seemed like an eternity. They have a good idea here, but they absolutely exploit the mission they preach, making them laughably counterproductive at treating the  highly vulnerable population that they serve. I’m not sure if they were greedy from the get-go, but whatever they originally stood for seems diluted by a money hungry tech company. They are expanding faster than they are catching up. It all seems very money driven with a laser focus on numbers and rapid growth. It is truly rewarding to work with the clients. If it wasn’t for them I would have left long ago. But that being said, there are a lot of clients that are an ill-fit for the program.  Nice to see that more tech companies are exploiting mental-illness. A typical day at work often feels like you’re on a runaway train. Managing their inflating organization becomes your problem. And the price you pay is sacrificing your personal life. If you work strictly within your agreed on business hours, then you will not get your job done. If you are flexible to work outside your schedule, you’re the team-player they’re happy to have in their cult. I just wish they stuck to what they lured me in with… that they’re all about work-life-balance. But, ironically for a mental health organization, that is not the case!  My team was great. Very friendly and professional. But oddly, it does seem toxic and very cult-like.  The staff looks just as unenthusiastic as the clients do. I have good managers that really try to support me, but it’s just not enough for me to stay. You have to be ready to give it your all too. But you’ll have a hard time taking lunch or going to the bathroom because this job strives for robotic-level efficiency. Also, don’t expect to use your PTO. I mean, I guess you CAN but it’s an unsaid thing that you shouldn’t. You can’t even catch your breath, let alone take a day off. Like I said, I really wanted it to work. It all sounded good, but something was off from the start. And I really wish I would have saved myself the hassle and gone with my gut. 

 There’s something to be said about reviews for Charlie Health being paragraphs long. Should have been a red flag I paid attention to, but now I’m writing one because there is a lot to say. But if you’re going to take the time to give this job a try, then do yourself the favor of reading these reviews! You can decide if you want to save yourself the disappointment you may face. 

Also, I think it’s funny they are having their higher-ups leave stellar reviews to boost the score. Red flag number..? I don’t know. There are too many to count. See it for what it is. The top-heavy staff trying to save face. 

As a Group Facilitator, a typical day involved leading virtual intensive outpatient therapy groups for adolescents and adults, completing documentation, monitoring client engagement, and adapting to ongoing operational changes. I gained valuable experience in telehealth, group facilitation, crisis intervention, and evidence-based modalities including CBT, DBT, ACT, and trauma-informed care.

The most rewarding part of the role was working directly with clients and witnessing meaningful growth, increased insight, and improved coping skills. The remote format also allowed access to care for individuals who may not otherwise have received treatment.

One of the most challenging aspects of the position was the lack of consistent support and professional growth opportunities. Much of the role is performed independently, and facilitators often have limited access to direct support from leadership. Advancement opportunities and pay increases for Group Facilitators are minimal. While occasional paid training incentives are offered, they are infrequent and can be easy to miss if you are not continuously monitoring company communications throughout the day.

The company environment is highly metrics-driven, and expectations frequently change. Protocols, policies, and performance standards are regularly updated, which can make it difficult to stay current. Facilitators are held accountable for factors that are not always within their control, such as client camera use, participation levels, and group engagement. If groups are closed or reassigned, facilitators may lose scheduled hours without being provided a replacement group. Employees are often expected to fill those hours through newly available "bunch groups," which may not align with their approved availability.

Job security can be challenging due to the number of performance metrics tied to contract retention. Falling outside established thresholds in certain areas can result in contract reviews or termination. Because of this, long-term stability can feel uncertain despite strong clinical skills and dedication to client care.

Overall, Charlie Health provides valuable experience in telehealth behavioral health services and serves an important mission, but prospective employees should understand that the role requires significant independence, adaptability, and the ability to navigate a fast-changing, performance-driven environment.

Charlie Health love bombs you from the moment you apply or are recruited, the pulls the rug right out from underneath you. The training process seems very thorough until you realize that it's going to mean nothing two weeks later. Yes, with a start-up, things are going to be constantly changing, but a lot of the changes happened due to negligence and not proactivity, specifically when it comes to the compliance team's inability to keep up with the requirements for each state. 
 
It's a cult-like environment where you have to "drink the kool-aid," for lack of a better term, in order to be appreciated and not targeted by upper management. There is no room for independent thought or suggestion. Any time you voice concern, you're gaslit into believing you're the problem, you just have to work harder. And it's all worth it because we're SAVING LIVES (specifically those with commercial insurance). CH is the best and that's that. I've waiting almost half a year from leaving to write my review, because I've been genuinely nervous that they could figure out who I am and come after me for leaving a negative review. 

Regardless of how much you love the mission, you are reduced to numbers in VARIOUS graphs and leaderboards. Staff in multiple departments are pitted against each other as if we're kids selling magazines for a pizza party. The pizza they serve is cold, soggy, and flavorless.

Take notice of the people leaving good reviews. They have higher positions and are either so far into the culture that they are blind to any flaws, or they are too afraid for their jobs to speak their minds. Many people walk on eggshells because it's hard to know who to trust at first. I was warned by many coworkers that they think employees are monitored through the webcams. Not sure if it's true, but enough people are scared about it that it is extremely concerning.

Because the company is national, Slack is going off at all hours. They tell you that they respect your non-working hours, then penalize you for not responding the slacks immediately. 

They say they care about company culture, but have done nothing to address the most common concerns of employees. Plus, they don't address when somebody leaves. I still have coworkers texting me almost 5 months later saying, "OMG I just realized you don't work here anymore!" Turnover is ignored more than the middle child of a middle-class family.

The pay, benefits, and most coworkers were the best part of this company. Overall, it was a learning experience on exactly what I DON'T want in a job. In fact, I thank CH for helping me realize I want to go back to school so that I can be my own boss and never have to deal with the micromanaging, pettiness, and at times unprofessionalism from a higher-up ever again. It helped me realize my worth by treating me and my coworkers like the scum of the earth.  

My time at Charlie Health left me feeling dissatisfied and unfulfilled. While there were some positive aspects, the significant cons overshadowed them, ultimately affecting my overall perception of the organization.

One of the primary concerns was the upper management's relentless focus on numbers and growth. It became evident that financial targets and achieving rapid expansion took precedence over other critical aspects, including employee well-being and work-life balance. The pressure to meet quotas often resulted in an overwhelming workload that left little room for personal time or self-care. This lack of balance had a detrimental effect on employee morale and contributed to high levels of burnout.

Furthermore, the company's culture gradually shifted towards a more corporate environment, which deviated from the innovative and entrepreneurial spirit initially expressed by the founders. It made me question whether this shift was the true intention all along or a result of external pressures. The emphasis on numbers stifled creativity and limited opportunities for employees to think outside the box and contribute innovative ideas.

A major drawback was the company's practice of hiring newly licensed therapists and immediately assigning them to high acuity clients without providing adequate support or training. This approach put inexperienced therapists in challenging situations without the necessary skills or guidance to handle them effectively. Instead of fostering a nurturing environment that gradually increased caseloads to help therapists grow their abilities, the company seemed more concerned with immediate results. This disregard for therapist development and well-being contributed to a high turnover rate, as burnout became a prevalent issue among employees.

My overall experience with Charlie Health was disappointing due to the upper management's laser-like focus on numbers and growth, a lack of work-life balance, a lack of support for the unique needs of therapists, and a corporate culture that veered away from the founders' original vision. I believe that the organization needs to reassess its priorities and invest in a more holistic approach that values both employee well-being and innovation to create a healthier and more fulfilling work environment. This company has lost its way. 








My experience at CharlieHealth has been deeply disappointing and disheartening. As part of the clinical administration team, I have felt consistently undervalued and unimportant within the company.

Despite dedicating years of service to CharlieHealth out of a genuine love for mental health care, our efforts have gone largely unrecognized. Colleagues from other departments seem to receive promotions and acknowledgment, while we are left with minimal appreciation.

There are no opportunities for growth, pay raises, or promotions within our team, leaving us feeling like mere degreed secretaries. It's disheartening to see group facilitators and therapists receiving incentives and bonuses for their efforts, while we are left overlooked.

Our direct supervisor discourages open and honest dialogue, making it challenging to voice our concerns. Even during emergencies when we are already understaffed, we are made to feel guilty for needing time off.

To make matters worse, the work environment is rife with rude and insensitive comments from our manager and team members. The favoritism displayed within the team has created an unfair and disruptive atmosphere.Speaking up about these issues has resulted in unjust retaliation. Our supervisor intentionally embarrasses us for minor mistakes and communicates with a complete lack of respect, making us feel targeted and unsupported. Learning about her disparaging remarks about "cleaning house" further eroded our morale and commitment to the company.

The constant turnover rate within our team speaks volumes about the unhealthy work environment. Despite dedicating long hours to our roles, we haven't been offered even basic benefits or yearly raises, leaving us feeling unappreciated.

Our passion for the work we do is overshadowed by the lack of respect and recognition compared to other departments. Without significant changes, I fear the high turnover rate will continue to plague CharlieHealth.

I urge others to think twice before joining CharlieHealth. The treatment of the clinical administration team and the overall work environment are far from satisfactory. I sincerely hope the HR team will address these issues and create a more respectful and supportive environment for all employees.

Title: Disorganized, misleading expectations and high burnout environment

Pros:

- None

Cons:

- No clear expectations, KPIs, or documented processes
- Constantly shifting goals with no accountability or consistency
- Lack of transparency from leadership
- Recruiters misrepresent the role during hiring
- Reported metrics and data are unreliable or inconsistently communicated
- High pressure to perform without adequate support
- Burnout is common and not addressed

Review:
My experience at Charlie Health was defined by a lack of structure, transparency, and accountability. There were no clearly documented expectations or consistent KPIs, making it difficult to understand how performance was evaluated or how to succeed in the role.

The data and metrics provided to staff were often inconsistent or unreliable, which created confusion and made it difficult to trust performance tracking. At the same time, expectations remained high and frequently changed without clear communication.

The hiring process did not accurately reflect the reality of the position. What was presented by recruiters differed significantly from day-to-day operations, contributing to early frustration and misalignment.

Communication from leadership was limited, and attempts to get clarification were often not met with clear answers. This resulted in an environment where employees were expected to operate without sufficient guidance or support.

The workload and pressure to perform, combined with the lack of structure, can lead to significant burnout. For a company operating in the mental health space, there is a concerning disconnect between its mission and the internal employee experience.

I strongly recommend that prospective employees ask detailed, written questions about expectations, performance metrics, and support systems before accepting a role.

While initially drawn to the company for its mission to help others, it quickly became clear that financial motives were prioritized over meaningful work. The leadership, particularly those in first-time managerial roles, made decisions that undermined the virtual mental health services they claimed to support, often motivated by profit-driven objectives. It became evident that the company was more focused on impressing stakeholders with seemingly inflated numbers rather than actually making a positive impact. The emphasis on metrics was overwhelming, and it often felt like the only thing that truly mattered were the numbers, not the people or the quality of service provided.

The work environment was incredibly stressful, with management frequently providing inconsistent guidance and then misrepresenting feedback during performance reviews. This lack of transparency was demoralizing, and it often felt as though the primary goal was to maintain the status quo rather than genuinely improve processes or employee satisfaction.

Team morale was low, and many employees appeared to be going through the motions, creating a tense atmosphere. Micromanagement was rampant, and there was a clear sense of competition among colleagues as everyone struggled to protect their position. It was difficult to trust leadership or peers, as the culture seemed to foster insecurity rather than support.

Early in my experience, I also heard rumors about the company posting fake reviews on job sites to hide the truth and attract new employees. This only further reinforced the idea that the company was more focused on its outward image and inflating its reputation rather than addressing the internal issues. The overall experience left much to be desired; unfortunately, the company’s values seemed to conflict with its day-to-day operations.

I worked at Charlie Health for almost 2 years and I can honestly say it's one of the worst jobs I've ever had. I ended up leaving because of the level of micromanagement from upper leadership completely destroying my team's productivity and culture. For a mental health provider, they do not seem to apply the same practices or approach to their employees, especially those based out of an office. Favoritism runs rampant, with promotions & work/life balance clearly made easier for those who are in favor of the cofounders. There's incredibly limited flexibility on the in-office policy, and it's nearly impossible to implement structure to do things the right way because when you try to push back, you'll be told that you're contributing to the adolescent mental health crisis. The minimum expected workweek at CH was close to 45 hours, with an expectation to stay in the office past 6 for the illusion of productivity. You're forced to make do with as little staff as possible and fill in the gaps yourself, which results in working even later hours. During the worst times, I was covering 80 hours per week and never had opportunities to disconnect on nights or weekends (since there were other teams working that my team had to be available to support), while also needing to be in the office 4 days a week. There isn't a clear sense of urgency or prioritization, and goalposts constantly shift. The lack of structure and focus on the illusion of productivity ultimately results in teams working against each other just to look like they're doing a good job, when the reality is that going above and beyond isn't enough for recognition of your efforts, as the same core group is celebrated time and time again. 

My experience at Charlie Health was disappointing overall. A typical day involved managing admissions-related responsibilities in an environment that often felt disorganized and constantly changing. Processes, expectations, metrics, and workflows were frequently updated without clear communication, making it difficult for employees to understand priorities and consistently meet expectations.
While I learned valuable skills in behavioral health admissions, client communication, and working in a fast-paced environment, those opportunities were often overshadowed by a lack of structure and accountability. Training was inconsistent, and there was often confusion regarding procedures and performance expectations.
Management and leadership frequently communicated a commitment to inclusivity and mental health advocacy; however, my experience did not always reflect those values in practice. Workplace culture sometimes felt cliquish and unprofessional, which created challenges for collaboration and employee morale. I also observed instances where clients were spoken about in ways that I felt were inconsistent with the compassion and respect expected within a mental healthcare organization.
The hardest part of the job was navigating unclear expectations and ongoing operational changes without sufficient guidance or support. The most enjoyable part was working directly with individuals and families seeking help and being able to support them during a difficult time in their lives.
Based on my experience, I would not recommend this organization to those seeking a structured, supportive, and consistently professional work environment.

Top Job Titles	Average Salary
Territory manager 461 salaries reported	$77,920 per year
Outreach manager 7 salaries reported	$72,143 per year
Mental health therapist 53 salaries reported	$60.66 per hour
Senior graphic designer 101 salaries reported	$67.50 per hour
Account director 22 salaries reported	$93,182 per year

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