Lead Therapist

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.

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 into how Nabi delivers coordinated, multidisciplinary outpatient eating disorder care alongside our team of registered dietitians and medical providers.

As the service line grows, 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.

WHAT YOU'LL DO

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 with 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 for 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.

• 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 beyond Washington.

• CEDS or CEDS-C certification from iaedp, or working toward it.

• Additional training in DBT, ACT, IFS, or Motivational Interviewing.

• Adolescent therapy experience and familiarity with Washington State mature minor consent laws.

• Experience building clinical programs, workflows, or training — or supervising and mentoring other clinicians.

• Comfortable working in a tech-enabled practice and quick to pick up new clinical and collaboration tools.

WHAT WE'RE LOOKING FOR

• Strong clinical skills with a compassionate, non-pathologizing approach to eating disorder care.

• Deep respect for client autonomy, body wisdom, and lived experience.

• A clear, timely communicator and thoughtful collaborator.

• Committed to unlearning bias and practicing inclusive, affirming care.

• Comfortable with ambiguity and the pace of an early-stage startup. You think from first principles, take high ownership, and move like a go-getter.

• Eager to build something meaningful, and to lead others in building it.

WHAT WE OFFER

• Competitive salary: $80,000–$120,000, commensurate with experience.

• Eligible for performance-based leadership bonuses tied to the growth and quality of the therapy program.

• The opportunity to shape and lead our therapy program from the ground up.

• A built-in referral pipeline from our existing RD patient base, not building a caseload from scratch.

• A collaborative, mission-driven team that understands clinician burnout.

Benefits:

• PTO plus holidays

• Health, dental, and vision insurance

• $300 annual education stipend, plus CEU support and licensure reimbursement

• $800 annual home office and tech stipend

• SIMPLE IRA with 3% employer match

• Paid parental leave

Reports to: Chief Clinical Officer