mental health therapist

outpatient therapist

mental health technician

case manager

therapist

Chrysalis Health

This is a fee for service structure so basically if you do not see a client then you do not get paid.  They only give a work laptop and no work phone.  The hourly rate that you are set at is compensation for gas, travel, benefits, staffing, and training. So for example, if your hourly rate is $28, that is your compensation and what you are getting for that hour you see your client all together.  You do not get paid for calling your clients unless it is a therapy session. I think this rate is honestly low for everything that they are trying to compensate your on. When you are first hired, they give you a $400 a week stipend while your are building your case load.  They have pay incentives. For the initial 3 pay periods, there is a $50 bonus for new therapists who bill 30 hours or more of billable hours over a 2 week payroll period. For the next 3 pay periods, there is a $50 bonus for new therapists who bill 40 hours or more of therapy and/or billable paperwork over a 2 week payroll period. There is a $50 bonus for therapists who bill 51-57 hours of billable hours over a 2 week payroll period, $100 bonus for therapists who bill 57.25-62 hours of billable hours over a 2 week pay period, $150 bonus for therapists who bill 62.25+ hours of billable hours in a 2 week payroll period.   You can earn up to $500 for a new hire referral or $50 for a school partnership. There is an eight hour PTO bonus for therapist who bill a 100 hours in a  4 week span. There are not many benefits, no sick time, not much PTO unless you do a 100 hours a month, and you are eligible for a 401k after one year of services. The PTO is .0165 per billable hour. They offer free supervision for licensing after 90 days of employment and good performance. But if you do not work for 25 hours the week of supervision, then you have to pay that rate to your supervisor directly.  You get paid at $15 an hour when you are taken of the field for trainings and staffings. If you are a therapist wanting to be licensed and get a full experience, understand that you will not being doing the intakes or initial treatment plans. You only do therapy and modifications to the treatment plan.  Only those that are licensed clinicians are able to do intakes and treatment plans. They also get paid more. I believe people are missing out in not being able to do that.  You see the clients 1 x a week. 

You'll assess a lot of clients for whom they bill medicaid for the evaluation, but then the client is waiting months for services because they don't have enough therapists (high turnover). If the client is Spanish speaking only, many never receive services because there are no Spanish speaking therapist in their area. Then 6 months later you're sent to re-evaluate the same client who never received services in the first place, and again, their insurance is billed, knowing there's likely no therapy service in sight. This happened with many of my clients, especially my Spanish-only speaking clients, including one of my trauma clients, for whom my emails to management fell on deaf ears. By the time I left the agency, she'd received no services, supposedly because family was unreachable--not true...the therapist assigned did not speak Spanish and the family spoke no English. She left a few messages. Mother did not understand and much less could return the call! The therapist was assigned simply to appear on paper  as if a good faith attempt by agency was made. This happened time and time again, and I often emailed management about it. 
Management was awful. Mine was not the sharpest knife in the drawer and made rules up as things came up. She was very unethical when it came to diagnosing in order to get insurance reimbursement, and was not shy about emailing about it. I often had to let her know that I would not make up mental health symptoms, as she often pushed in meetings (and written emails, ) to vaguely meet a DSM criteria for the sake of billing. 
IF YOUR VALUE YOUR LICENSE, DO NOT WORK FOR CHRYSALIS

Inconsistent direction given by "upper" management.  Verbal conversations are denied and innate hypocrisy exists amongst "management team".  Poor verbal communication and minimal responsibility taken for mistakes, over-sites, miscommunications, etc. by various department; they have the "blame game" down to a science, espcially for people new.  Leadership is alien so there's clique amongst managers and established areas.  Policies and procedures change frequently, without written notice.  Encourage you to have professional/personal life balance but expect you to work everyday!  Salaried employees are expected to work 50-60 hours per week or  "until job is done".  Therapists and front line staff expected to perform (i.e. billable hours) but not reimbursed for exorbitant mileage, paperwork or missed client appointments.  No mileage - "gas allowance".  See extremely high turnover (50-60% in first 3 months) as "normal".  No responsibility taken for serious infrastructure issues. Chasing manged health care dollars at clients and taxpayers expense.  Immediate colleagues worked as team without support from management.  I would NOT encourage anyone to work for this company for anything other than part-time work, supplemental income or initial experience.

I started working for this company a few years back in the Miami office when they were still located by the new Marlins stadium. I loved my job when I started working here. The staff was amazing, loved the program coordinator at that time & it was just an awesome atmosphere. Felt like a second family. Things took a turn for the worst when we moved to our new location. I guess greed took over the higher ups in the company. They started firing people for anything. It all started with our program coordinator which was an amazing person to me and I will hold her dearly for giving me the opportunity to work there with her. After that it started going down hill and it just wasn't a happy environment to work in anymore. New people that would start wouldn't even make it 3 months and they would quit. I went through 3 program coordinators while working there. Saw a lot of people get fired and quit. Finally, when I was fired all I heard was terrible things after me. Yes, they offer good benefits and good pay. Yes, they are doing a good thing for the patients that need this program. But honestly they care more about the money in their pockets. I also believe that working here doesn't offer stability because you constantly have to be looking over your shoulder. Employees in the corporate office in Ft. Lauderdale don't know what they are doing half the time and blame everyone else but themselves when things go wrong.

This company is a complete mess. From the high turnover rate to the lack of support, to the heavy case load and high level of unpaid work, it is amazing how this company is still in business. If you choose to work here, be prepared for absolutely no work to personal life balance. You will be expected to be available nearly 24/7 while only being paid for billable hours (seeing clients, treatment plan reviews). Your gas is not compensated and you will be expected to drive hours each day to make way less than what you're worth. You will be zoned for one area and be expected to see clients who live 30 min to 1 hour or more away. There is no consistency, no room for advancement, and no support. The turnover rate is so high and clients are constantly being transferred to new therapists due to how many resign. Low pay, no sick days, hardly any benefits, barely anyone has worked here past 3 years. 

Additionally, this company preaches self care, yet there is no time to engage in self care with how much they expect you to work. One of my colleagues passed away from a heart attack due to the stress of this job. I have been in a serious car accident because of how much I was on the road due to this job. This job has caused me depression and PTSD and I am finally caring for myself and getting out of this chaos.

A typical day includes home visits and school visits providing individual and family therapy to kids on probation with DJJ. They can often be evasive due to the therapy being court-ordered. If fee for service you are only paid for a one hour session and not for doing notes, monthly reports, emails to the probation officer or discharge documents which can be cumbersome and very time-consuming. I spent a lot of time chasing people and making multiple trips to homes and schools in order to get paid.  Salary is low and rarely is mileage reimbursed even when covering several counties. Company does offer small bonuses but again you are expected to see the client and family weekly. Expect to work alone with little interactions from the director or co-workers so not much professional support.  Training is inefficient and you will need to learn a lot on your own. 

I’ll start by saying the Managment is approachable, humble, and helpful. They seem to care for the employee. There is a wealth of education opportunities in specialized areas such as trauma that are offered free, and are compensated for somewhat. They are mandatory though and it can be overwhelming to get them all done and keep up with your case load. The staff offers support and free supervision for internship for state license. However, the pay is awful. It seems like the 28.50 per billable hour is good but you drive about 50% of your job with no mileage compensation. This plus all the extras you do with no compensation means you bring home around 28k annually. And the stress is high. You’ll deal with cancellation from clients and reschedules then be questioned as to why you don’t have your hours in. It’s a never ending battle. The “benefits” offered are not affordable. I would’ve been working just to pay for them so I couldn’t have them. You will have the luxury of creating your own schedule as an outpatient therapist which is nice. But unfortunately if you need this job for income and not just to gain experience, it’s not worth it.

The current system crashes frequently (often every other day) resulting in lost documentation and the need to re-enter notes. This not only wastes time but also adds unnecessary stress to an already demanding unpaid workload. You will only get paid as long as clients show up for your session. Supervisors and statewide clinical directors consistently prioritize productivity metrics and revenue over clinician wellbeing and client care. There is little evidence of genuine support for staff, and concerns raised by clinicians often go unaddressed. When clients do not show up for sessions, clinicians do not get paid. This places an unfair financial burden on clinicians for circumstances outside of their control. Additionally, existing incentives are minimal and do not reflect the level of work required. Clinicians are expected to meet high demands while being underpaid compared to industry standards. Meanwhile, higher-level management appears to benefit from bonuses that are not extended to the clinicians generating the revenue.



I will say that Chrysalis does put an effort in simplifying the paper workload for the Clinicians to get their documentations done in time.  Going to the office, there would often be staff and colleagues doing their work and often having a short gathering to follow up with each other's experience in the company.  The environment was great when i was there and it can be nice to speak with them to possibly gain new insight.  The most difficult part of this job is often logistics when given a case load and some of the Clients are spread out.  I was unlucky to not have a school (worked with 9 different schools) refer Clients to me when they already have other female therapists to refer to.  As a male clinician, i did feel discriminated but didn't change my determination to make a myself noticeable in being able to handle difficult cases with defiant clients.  The other difficult aspect of this job when i was employed here is the computer malfunctioning.  I was unfortunate to experience this frequently.

Chrysalis is a pretty decent overall place to work. There are opportunities for telehealth and in-person work and the ability to create your own schedule. However, you are not compensated when clients do not show for appointments, which happens somewhat frequently with the population served. If you are a hustler with an open and flexible schedule, you can make decent money here as it is a fee for service pay structure. If you don't wish to work nights or weekends, you may have a more difficult time making consistent money. There are some good trainings for various treatment modalities and many staff meetings offered for helping build clinical skills and meeting specific client demographic needs. If you are an unlicensed clinician or new to the field, the hourly rate is good if you're willing to work and your clients show. However, if you are licensed clinician, it seems like you'd have more consistent client caseload and better pay elsewhere. 

Top Job Titles	Average Salary
Mental health therapist 25 salaries reported	$56,870 per year
Outpatient therapist 4 salaries reported	$31.75 per hour
Mental health technician 92 salaries reported	$60,681 per year
Case manager 3 salaries reported	$40,173 per year
Therapist 12 salaries reported	$47,000 per year

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