Milieu Therapist - PRN

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TX-Round Rock

Posted Apr 28, 2026

Internship
Milieu Coordinator

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Job description

Who We Are

At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same.

As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery.

Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.

Why Join Us

When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always.

Here, your work matters. Your ideas matter. You matter.

If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.

Come build hope. Come save lives. Come grow with us.

Program Details: Pathlight - Mood and Anxiety Program - Partial Hospitalization Level of Care working with adolescents

Schedule: PRN/ AS Needed; 10‐hour shifts on Tuesdays Wednesdays and /or Thursdays

What you’ll be doing:

The Milieu Therapist facilitates groups based on core curriculum, provides meal monitoring and meal support., and offers milieu support, de-escalation and behavior coaching to patients in IP/Res and PHP programs. The Milieu Therapist may be required to work on-call shifts based on business needs, in accordance with applicable federal, state, and local labor laws.

Essential duties and responsibilities:

Facilitates curriculum-based groups.
Provides meal monitoring and support.
Documentation of groups, meals and patient check-ins and observations
Provides support to Milieu including the following:
- De-escalation and crisis management
- Bathroom monitoring
- Monitoring outside breaks
- Conducts self-harm and suicide assessment
- Support morning routine in IP/Res programs
- Collect weights, vitals and urine in some settings
Implements individual behavior management plans for some patients and serves as clinical lead for the program in standalone programs in evenings and weekends. Will lead more advanced groups.
Coverage for Primary Therapists with support from Clinical Manager or Clinical Director

Must haves:

Bachelor’s degree in mental health or related degree program (required)
Master’s degree in mental health or related degree program (required)
Intern or associate license from appropriate state licensing board (required)
Minimum 18 months of experience in a behavioral health or related field (requirement waived with relevant master's degree)

Bonus qualities:

1+ year facilitating groups (preferred)

#MATR

What We Offer

At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life.

We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career.

We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home.

When you thrive, you can do your best work. And your best work changes lives.