Therapeutic Companion, Aging Services

Intent Clinical
Barnstable, MA

Position: Therapeutic Companion/Live-In Coach

Department: Aging Services

Status:  PRN, part-time  (Non-exempt)

Compensation: $25 - $35 per hour, daily compensation ranges from $600 - $800 per day depending on client needs. Cases will typically be no less than 1-month engagements.

Who we are:

Intent Clinical is a national behavioral health concierge firm dedicated to helping families and individuals create sustainable solutions to improved well-being. With over 400 clinical and operational employees located across the country with a vast spectrum of specialties, we can provide clinical support to clients in their homes and virtually in the form of therapeutic coaching, family coaching, care management for aging adults, care management, therapeutic companions, interventions, mental health transports, and behavioral health navigation. Our team consists of (but is not limited to) licensed social workers, drug and alcohol counselors, consultants, clinical psychologists, RNs, and care managers. The clients we are serve are amongst all ages, all spectrums of mental and behavioral health, and are typically within the high-net-worth and ultra-high-net-worth space.  

Who you are:

You are professional, dependable, and able to tailor your therapeutic approach according to each client’s specific needs. You are dedicated to the client’s well-being, understand the importance of confidentiality and discretion, and are adept at managing crises while remaining calm and focused. You are comfortable working short-term engagements within a long-term rotation of other professionals. You have experience working with older adults and are comfortable supporting individuals with a range of diagnoses. The ideal companion candidate is adept at working independently while also thriving with supervision and guidance. 

What you’ll do:

  • Coaching and crisis management for individuals in mental health and/or substance use recovery.
  • Providing exposure to positive activities in the community.
  • Modeling healthy and therapeutic boundaries.
  • Modeling healthy coping and daily living skills.
  • Providing psychoeducation related to the client’s diagnoses, substance use, and medication management.
  • Observation of the client’s behaviors (i.e. dietary, sleep, leisure, etc.)
  • Facilitating efficient, courteous, and respectful communication between treatment team, client, client’s family, companion supervisor, and family coach.
  • Creating short and long-term client goal plans; daily documentation of progress.
  • Providing connections to community resources, treatment options, peer counselors, and AA/self-help meetings.
  • Input detailed case notes, time, and expenses in a timely manner.

What you’ll bring:

  • One year or more of experience working as a therapeutic companion, home health aid, or mental health clinician.
  • Experience with older adults.
  • Experience with dementia and neurocognitive disorders.
  • Experience and knowledge in behavioral health diagnoses. 
  • Ability to calmly, flexibly, and efficiently manage client crises as they arise.
  • Valid driver’s license with a safe driving record.
  • Ability to work collaboratively as well as independently.
  • Knowledge of mental health diagnoses and behavioral health treatments.
  • Comfort and quick learning curve with technology on day-to-day tasks (i.e. Microsoft Office, Salesforce).

Nice to have (but not required):

  • Knowledge of Healthcare systems, especially in Massachusetts and New England. 
  • Experience working with high-net-worth families.
  • Associate’s or college degree.
  • Professional licensure (i.e. RN, LMSW, LMHC, LMFT).

What we'll bring:

  • Collaborative and supportive culture focused on your personal and professional growth.
  • Weekly supervision with your supervisor.
  • 24/7 access to clinical support while on a case.
  • Regular paid professional development meetings covering a variety of professionally relevant topics.
This position is part-time and PRN only, and hours are not guaranteed per week. This position is for live-in or transport assignments. Therapeutic Companions/Live-In Coaches on our staff list are contacted on an as-needed basis for cases as they arise.

Commitment to Diversity, Equity, Inclusion, and Belonging

We encourage applications from people of color, women, those with disabilities, LGBTQIA+ individuals, immigrants, veterans and anyone else who has faced discrimination or oppression as a result of their identities. We are committed to promoting an environment that celebrates diversity, equity, inclusion and belonging in all areas of our organization. We strive to foster an inclusive workplace where everyone feels welcomed, respected, and valued. We embrace differences of all kinds, such as age, race, ethnicity, gender, sexual orientation, gender identity or expression, physical ability, religion, veteran status, national origin, and socioeconomic background, among others.


We understand that diversity goes beyond visible differences and encompasses a vast array of characteristics, experiences and beliefs. We actively seek individuals with diverse backgrounds to join our team because we believe this enriches our company culture and enhances the services to our clients. Studies have shown that folks of historically marginalized groups will often only apply to a job if they meet or exceed the listed qualifications. If you believe that you could be a good fit for our company, but don’t quite hit every requirement, please do still apply, we would love to hear from you!

These statements are intended to confirm our commitment to creating an inclusive workplace—they are not intended to exclude any individual. We are an equal opportunity employer; we do not discriminate in hiring or any other employment decisions based on any protected category.

Posted 2026-05-14

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