Lead Therapist

About the role

This role is about building the foundation of therapy and behavioral health at Nabi. You'll support patient care while helping build and lead our initial therapy and behavioral health team. Early on, your work is mostly clinical - carrying a caseload, modeling the standard of care, and getting deep in how Nabi delivers coordinated, multidisciplinary outpatient eating disorder care alongside our team of registered dietitians and medical providers. As the service line grows - more patients, more therapists, more structure - your leadership scope grows with it: onboarding and mentoring the therapists who come after you, shaping our therapy training and clinical protocols, and owning clinical quality across behavioral health. Throughout, you'll keep a clinical caseload and stay close to patient care even as your leadership responsibilities grow. This is a ground-floor opportunity to shape our therapy program - not just fill a caseload. If you've ever wanted to build a therapy program the way you'd actually design it, instead of inheriting someone else's, this is that seat.

Responsibilities

• Patient Care
• Provide individual telehealth therapy to patients with eating disorders and co-occurring conditions across the spectrum - AN, BN, BED, ARFID, OSFED, disordered eating, and body image concerns.
• Collaborate directly with Registered Dietitians and medical providers on shared patients - coordinated treatment planning, warm handoffs, and biweekly case review. No single discipline owns the care plan here.
• Conduct first-session risk assessments and administer validated outcome measures (EDE-QS, PHQ-9, GAD-7, C-SSRS) to assess risk and track progress.
• Work with pediatric and adult patients and their families, flexing your approach to each patient's phase of care (Stabilization, Skill Building, Maintenance).
• Address co-occurring conditions including anxiety, depression, trauma, and body image disturbance.
• Complete clinical documentation in our EMR within 48 hours of each session, and navigate mature minor consent for adolescent patients as applicable under Washington State law.
• Escalate clinical-safety, medical-instability, and scope concerns immediately per Nabi's clinical policies.
• Clinical Leadership
• Set the clinical bar for therapy at Nabi - what excellent eating disorder therapy looks like, how it's documented, and how it's measured.
• Help design our therapy and behavioral health service line as it scales: care pathways, treatment protocols, and group programming.
• Onboard, train, and mentor therapists as the team grows - building our therapy onboarding, modality training, and case-based learning.
• Own clinical quality for behavioral health: chart review, co-sign workflows for new hires, and ongoing case consultation.
• Serve as the therapy voice in cross-functional work - informing the tools, workflows, and products we build to deliver care.
• Partner with the Chief Clinical Officer on expanding care, growing your team, and other priorities as they emerge.
• What You Bring
• Required:
• Active, independent Washington State license - LICSW, LMHC, LMFT, or Licensed Psychologist. You do not need to live in Washington, but active, unrestricted WA licensure is required. No associate-level or pre-licensure candidates.
• Trained and experienced in both Family-Based Treatment (FBT) and CBT / CBT-E for eating disorders. This is a hard requirement, not a nice-to-have.
• Minimum 3 years of post-licensure clinical experience working directly with eating disorder populations.
• Leadership instincts: you mentor naturally, you coach with candor and warmth, and you want to build something, not just maintain it.
• Experience administering and interpreting validated outcome measures.
• Comfortable providing therapy via telehealth and completing documentation in cloud-based EMR systems.
• Reliable internet connection and a private, HIPAA-compliant workspace for telehealth sessions.
• Preferred:
• Additional state licenses beyon

Benefits

Additional Information

About Nabi At Nabi we provide weight-inclusive, trauma-informed care for people navigating eating disorders, disordered eating, and body distress. Our model blends human-first relationships with tech-enabled access and support, helping patients experience care that is relational, collaborative, and never shame-based. We center autonomy, equity, and trust in every interaction. Our app, Callie, extends that experience between sessions - the days between visits are where recovery actually happens, and Callie helps patients stay connected, informed, and empowered in their care. Every feature reflects our belief that technology should serve agency, not override it. We're building the outpatient clinical home for the long arc of recovery: a coordinated team of dietitians, therapists, and medical providers who stay with patients over the whole journey, not a program you graduate from in eight weeks. We're expanding that model to include behavioral health, and we're looking for the therapist who will help build it.

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