mental health therapist

psychiatric nurse practitioner

therapist

psychiatric nurse

operations coordinator

Foresight Mental Health

Typical work day involves signing onto your computer (company issued, which is nice) and checking email, looking at your appointments for the day.  Pretty typical, I guess.  Though I am relatively still new to FS (only two months in) the company appears to be experiencing a lot of changes such as discontinuing the company wide Slack channel that was very convenient and adopting a new system for documentation which oddly seems very geared toward medical practices rather than psychotherapy.  Not sure what I think of it yet since it hasn't yet been fully implemented, though the numerous announcements and emails about the training have been chaotic and overwhelming.  Some of the expectations I had going in haven't been met.  For example, the company stupidly doesn't require new members signing up for services to submit payment information, which naturally results in a significant number of members racking up copays or fees and then the therapist is expected to hound members about taking care of their financial obligations.  Which to a certain extent is understandable but during the recruitment process I feel like I was told all of that was going to be taken care of for me, but apparently that's not entirely true.  Pay is hourly and probably mostly in line with other huge group practices, which is essentially what FS is, though after taxes it seems mediocre for the skill and educational level required for the job.  Seems like mental health wages still get short changed though even though the demand is higher than ever.  And I have yet to hear anything about periodic raises or bonuses or anything like that so I'm assuming this isn't in my future at FS either.  One major irritation I have encountered during my short time at FS is building my caseload and repeatedly being assigned members who are at times inappropriately high risk for telehealth, have issues that are out of my scope of competence and not on my provider profile (we fill one out) or outside of my stated age ranges.  I have had to refer a significant number of prospective clients to other providers due to ineffective matching.  I have also learned that prospective Members are not screened by a clinically trained staff who is better able to suss out Members who may not be suitable for telehealth or would not be an appropriate match for a particular provider based on their stated experience.  While I understand that mismatches happen occasionally, unfortunately it has happened more than occasionally and has become a regular problem.  What needs to happen is that a staff of therapists takes over the screening to better assess for appropriateness and safety and ask more clinically detailed questions, not a call center staff focused on the numbers game.  Consultation  meetings are weekly and mandatory (Paid) but seems odd for an all-licensed staff.  Seems more appropriate to allow for it to be as needed and feels a little micro-manage-y but not a huge deal.  Pay is twice a month and has been late being deposited on two occasions, one of which was a panicky debacle that was clumsily handled and a bit reflective of the somewhat lackadaisical Millennial management style.  Members (clients) can be a mixed bag anywhere but was told majority would be "high functioning."  Not necessarily, but as in any practice some clients are great to work with and enjoyable and others not so much.  Members at times can be picky and appear to have an "ordering pizza" mentality to picking a therapist and display a lack of commitment, but to be fair I don't think this is unique to FS.  Overall, not a bad place to work and I don't dislike the job, but definitely could be improved upon.   

At first, I enjoyed working with this company. When I started, they were only 1-2 years old with little experience on how to start up a company and constant change of systems. Everybody was very helpful and willing to learn. I wont bash my coworkers because they were very nice people I worked with. Upcoming to my 1st year working here, I noticed they were expanding VERY, VERY quickly. But I also had reservations going into this company knowing this company just started. Things were changing rapidly and quickly. We started to become overworked, they gave us numbers that we had to reach each day when it comes to verifying insurance which was (15+), had to finish up our cases que (15+) a day, then we also had to pay attention to our messaging system where we had to stop what we were doing, and answer OPS, MSE, MST, BILLERS, ETC with verifying insurance, calling the patient to obtain certain things like auths, ID cards, updating insurance, etc. It became overwhelimg. I'm not a person to complain at all and I adapt to ANY environment but this company had no type of real structure and over worked you. If we didnt reach a certain number in our matrix, we would get scolded, watched over and that information would be kept in our records. We were basically doing everybody elses work. There was no overtime, nothing. I got punished for trying to complete my work with them and going overtime so I wouldnt get scolded for my numbers. We only had 4 verifiers!!! for over 60+ offices they have been opening up and refused to hire more people. I already deal with anxiety and depression. Some mornings, I would wake up not feeling motivated and depressed because of all of the pressure they put on us. Not to mention, they had multiple systems we had to input data in for just verifying a members insurance. Over 3 meeting per day as well which was a headache because we barely finished up work. One day, I came into work, a random meeting popped up on my calendar, when I joined, it was over 80+ people and we were all muted! They then told us that we were getting let go that day (4/20/2022)  the reason was because they had to do budget cuts to pay their therapists, and psychiatrist  more. It was so heart breaking seeing people that has started from the beginning, get let go with reasonable notice. Luckily, I got hired with another company, verifying benefits, making more money, better system, helpful, laid back workers and work closely to the CEO and also work from home as well A WEEK AFTER I GOT LET GO FROM FORESIGHT. If foresight ever asked me to come back, I would GLADLY decline. Be careful going into this company, being overworked and not feeling appreciated. Seemed very lovely at first but go in at your own risk!!!!

If you’re considering a role with this company, I recommend doing thorough research. Many of the recent critical reviews reflect ongoing concerns that I also experienced firsthand.

The core issue lies in the company’s operational structure—specifically, its challenges with client acquisition, retention, and provider support. Despite being a mental health organization, there are persistent struggles in coordinating care and ensuring therapists have access to clients. Leadership often responds to concerns with standard messaging such as “we’re working on it” or “we care,” but unfortunately, these statements rarely translate into tangible improvements.

When onboarding, you’re told you can build a caseload based on your availability. In practice, many therapists—myself included—waited weeks or months for consistent clients, even with wide-open availability. The platform is highly saturated, and client distribution appears to be uneven. The company emphasizes late afternoon to evening hours (typically 3pm–8pm) as peak times, but even during those hours, securing clients can be unreliable.

Support from supervisors or therapy leads is minimal. While outreach is encouraged, the responses are often vague and repetitive—phrases like “hang in there,” “we’re working on it,” or “be hopeful” are common, but don’t lead to actionable solutions. This can leave therapists feeling unsupported and isolated, especially when income remains inconsistent and low.

Compensation and benefits are also a concern. Pay is unpredictable, and there’s little to no paid time off, sick leave, or other benefits that reflect the demands of clinical work. Many providers report working long hours or maintaining open availability without receiving enough clients to earn a sustainable income.

What’s most discouraging is the gap between the company’s messaging and the day-to-day experience of its providers. While the company frequently promotes its values and commitment to support, many therapists find the experience to be misaligned with those statements.

In summary, this role may work for individuals seeking very part-time work with low expectations for stability or growth. However, for those looking to build a reliable caseload, receive consistent support, and be fairly compensated for their time and training, it may be worthwhile to explore other options.


Trying to keep up with the constant changes is like trying to shovel your way out of quick sand. Everything promised at the job offer has left. The EHR is difficult and not therapist friendly. Meetings with Clinical lead (one hour a month) are paid but extremely difficult to schedule: the leads will tell you they need to prioritize their own client caseload and so you are forced to scramble to get an open spot before it closes OR forced to cancel your own client session in order to meet with clinical lead - definitely goes against ‘prioritizing’ client care and only further highlights how therapist time is not valued. This is not to fault the leads, rather it is meant to highlight how the agency no longer places value on supporting growth of clinicians through mutual collaboration, consultation, and both supporting and nurturing therapist strengths. The agency has simply set a model that to heavily taxes it’s foundation systems, and then refuses to re-evaluate some of its approaches to fix the cracks in its foundation. This agency will likely collapse from the inside as it stumbles to correct itself by creating an isolating and harsh environment for therapists. Noteworthy, this agency is desperately seeking new therapists as both old and new are quickly realizing the sales pitch of value-oriented-client-care simply doesn’t line up once you’re in the system, and the therapists are leaving very quickly. The plus is you’ll have clients at the ready - as long as the agency’s tanking professional reputation doesn’t crossover to their public image . You’ll also have a lot of autonomy in the form of isolation - which can be a disastrous combination. If that works for you, then apply cause they’re in desperate need. However, if you have any other opportunities or offers, this should be a last choice. Nothing here is steady and so far they simply are not following through with promises of ‘things will get better’ —- typically followed by ‘if the agency just makes more money.’ Of course, that’s at the expense of the therapists (again, cracks in the foundation). They are also constantly pushing back dates on when supportive measures will be put in place - not to mention that once they are put in place, they offer little support.

Hired during the huge mid-pandemic growth in 2020, I was initially impressed with the training, company values, direct supervisors and co-workers (clinical providers and operations staff included). Unfortunately, the company seemed to grow way too fast as it pushed to new states across the country without proper infrastructure, research, transparency, or accountability throughout the process. Money ran out, tension rose, and management was pressured to make huge cuts and mass layoffs ensued. According to my conversations with co-workers who stayed, the "corporate restructuring" continued with changes to executive leadership including a new (and widely unpopular) CEO, increased demands on providers, gutted operational support and work-life balance priorities (skyrocketing burnout risks), and additional rounds of layoffs (after the first was improperly handled on many accounts, due to short-sightedness, lack of empathy, and questionable ethical/legal decisions at best).

Overall the company that let me go paled in comparison to the company who hired me, which I see as the result of too many quality employees being ignored or pushed out due to favoritism/personal relationships, lack of clinical expertise and ethical oversight in executive leadership, growing too big, too fast in desperation for profits, and creating unsustainable workloads for operations staff due to ever-increasing productivity expectations and statistical benchmarks, on top of implicit expectations of taking on extra work, extra hours, and side projects for little to no reward or even recognition. A hopeful, mission-driven, future-oriented, tech-driven company quickly devolved into everything that is wrong with mental health tech and start-up culture in general.

The talented, hard-working, kind, and generous people that I had the pleasure of working with across clinical, operations, and other departments, and the clients they do their best to support, deserved so much better. I sadly can't recommend anyone working here unless they make monumental changes to regain the company culture that rightfully earned them so much praise prior to late 2021/2022.

The company promised 8-12 week caseload build up. That’s false, and so far I only have a few clients, emphasis on a few!!! After speaking to many other AMFTs they also do not have a full caseload. And it’s questionable how to actually stay motivated to do this job. The PESI CEUS are only for LMFTs and you need approval for other projects or support. The company is currently using Zocdoc to help fill caseloads but realistically you have to be familiar with Foresight to schedule an appointment. Whatever the real operation to schedule clients is just does not work at all. The company is struggling and they don’t know how to find solutions. How do other companies handle caseload buildup? What is the company actually doing to help us? AMFTs struggle because we get paid the bare minimum and we will not get clients, so how do we support ourselves? Regarding supervision SOME supervisors I have met have been great but wow, since the company struggles their leadership struggles just as much because the supervision of some are okay. It could be much better. You’ll need multiple jobs while you build your caseload. You get no sick pay. PTO is easy to be approved of and there are not frequent meetings you have to attend. But if you want support from a team lead or visit them during their scheduled office hour for help you are not paid! Admin hours are monitored and you have to work diligently to keep track of everything and the company keeps tabs of your progress and monitors how fast you complete notes, how many no shows/reschedules and much more. The company overall is okay and truly nothing great. They need substantial support to get their scheduling in order because AMFTs are struggling! Coworkers are ok, nothing great just people doing their thing. Overall no I wouldn’t recommend to a friend to work here, it’s probably better to open your private practice under an LMFT or something else. 

The company just laid off over 100 hard-working, passionate, and dedicated employees during brief and abrupt group calls. Within five minutes, everyone’s accounts were deactivated and all communication cut off. In my meeting, the only explanation that was given was “this was a business decision”. The company’s leadership is inexperienced and has dug the operations into a financial hole with their poor judgement and business decisions. The company is constantly flooded with positive and hopeful propaganda that encourages employees to look forward to success and growth, without ever providing the opportunities. There is an extreme lack of diversity, especially on the leadership team, and they are not accepting of any criticism or outside advice. While they will say they value our opinions, it will be ignored or belittled if it does not align with theirs. They claim their mission is to empower those with mental health issues, but the poor business decisions made by leadership contradicts these claims. Members are not properly cared for due to the unorganized operations of the company. The absence of a clear, operational plans has created inefficient, inconsistent, and ineffective procedures for the employees and all of the members. The leadership team is not authentic or true to their words, and this has resulted in a vast amount of disappointment and mental strain for everyone below them. Foresight’s ‘mission’ to improve mental health care is admirable, but inconsistent with the leader’s actions.

A year ago, this would have been a completely different response.  The management and staff were on the same page.  The management was positive and supportive of the clinicians and operations staff.  Then in June 2022, it was revealed that the founders of the company had expanded to fast and the company was bleeding $3 million a month.  A new CEO was brought in as well as an influx of money.  This allowed the company to stay in business, but it was not business as usual.  There have now been 3 rounds of layoffs, mostly support staff.  Now its like trying to run your own private practice but you have to follow the company rules.  The pay is low and about to get lower as they switch to a salary based system.  The regional managers are only concerned about the therapists numbers.  If you don't meet their set requirement each month, you get written up and it doesn't matter the reason you were low.  The CEO has no idea how mental health programs work.  He has said on multiple occasions that therapists should be happy to have a job and that the main benefit is the sense of pride we get for a job well done.  One of the regional leads was recently let go, and the one that is left has very poor leadership skills.  She does not teach and if you have a problem, she will tell you to ask your peers how to do it.  Stay away from this company.  You can find better pay and a more supportive environment elsewhere. 

When I first started at Foresight, the culture was amazing. Management actually cared about their employees and ensured that the workload was manageable.

Quickly the company started to shift all of their focus towards expansion rather than improving current processes which was a major mistake. The 'transparency' that was once a core value quickly became obsolete along with the support with upper management. Ultimately, Foresight was unable to sustain the growth that they were so focused on. They cut provider stipends, shifted all expansion state providers to part time without benefits, started a hiring freeze, then proceeded to lay off over 100 operations employees on a Wednesday morning with absolutely no warning. Lower level leadership was not even aware that this was occurring until after the team was gone. These lay offs occurred in group zoom calls where we were put on mute, told that our positions were being eliminated and simultaneously watching all of our accounts be deactivated. On top of all of that, we received 2 weeks severance pay and 10 days of insurance coverage. 

Do not get lost in all of the 5 star reviews. During weekly all-hands meetings management encourages employees to leave them positive reviews. Now the truth is coming out.

This is a company that shifted their vision too quickly and entirely lost focus of their core values. I could not possibly recommend for anyone to work at Foresight Mental Health. 

Recent changes and poor financial decisions made by the company means they are going back on many of the benefits offered when first employed. The new EHR system requires therapists to be their own (or each other's) tech support, billing support and operations support. Mass staff layoffs means therapists are doing a lot of work they were promised they wouldn't have to. It has also made getting any support from other departments impossible with waiting many days for requests to be completed. Many members are reporting very long (30 min to an hour) wait times when calling and are frustrated with EHR changes. Many of us are looking for new employment and routinely have job offers by other recruiters that now seem very lucrative. It feels like they may be transitioning to a full NP practice and moving away from collaboration with providers. Insurance companies and cash clients pay a much higher rate than the provider recieves and its very difficult to see where the rest of that revenue is going. 

Top Job Titles	Average Salary
Mental health therapist 12 salaries reported	$49.42 per hour
Psychiatric nurse practitioner 49 salaries reported	$148,980 per year
Therapist 20 salaries reported	$53.03 per hour
Psychiatric nurse 25 salaries reported	$148,500 per year
Operations coordinator 6 salaries reported	$21.33 per hour

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