A note from the founder
Most private practices compete on a split—while the actual drivers of income and stability are left to chance. Most roles are unclear in two ways: how much work you’ll actually get, and how much work you’ll be expected to do.
But those are the answers that determine what really matters:
- Is there a real start, or will I be waiting months?
- What do people here actually earn in year one—and year five?
- Does income actually grow with tenure and performance?
- How much of this is on me vs. the clinic?
- Will clients stay long enough to do meaningful work—or will I be stuck on an intake treadmill, or an empty calendar?
When I started Nightingale in 2019, counselling sat between two extremes: secure roles with limited upside, and private practice models driven largely by uncertainty.
We built the clinic around a different idea:
If you support clinicians properly, they do better therapy for their clients—and that creates real economic advantages.
If you’re not worrying about finding clients, managing admin, or stabilizing your income, your attention stays where it should be—on the person in front of you. At Nightingale, that created a virtuous cycle: strong clinical work led to continuity and demand, supporting stronger rates and steady intake, and more resources to reinvest back into the team.
As that system has proven out, we’ve steadily raised the standard of the role—improving compensation, stability, and long-term career value year over year, pursuing our mission to raise the standard for counselling firms in BC.
The role in practice
Across our current team, full-time clinicians maintain near-full caseloads year-round with minimal variability.
When a strong clinician joins, their caseload is established in under 60 days, retention is supported clinic-wide, and non-clinical work is handled centrally so intake, scheduling, billing, and coordination are not part of your workload.
When those pieces are in place, the outcome is reliable:
Our expectation is that full-time clinicians reach and maintain $90K—$100K+ income, with benefits, working ~4 days/week—without taking on additional work outside of sessions.
What the role provides
Stability you can quantify
Roughly $15–20K/year in real employment value—professional development funding, health & dental, paid vacation, paid sick leave, pension contributions, liability coverage, and protection if you get sick or take leave.
Support that protects your earnings
~$40K/year invested per clinician in admin, intake, marketing, and clinical infrastructure—so your time stays billable.
A system you can see before you join
We walk you through real intake flow, retention, and ramp timelines—so you’re not guessing.
Real earnings, not projections
You’ll see what clinicians actually earn here at different stages, not hypothetical ranges.
Progression that compounds
Annual increases, pricing power across the practice, and tenure-based upside—so income grows without resetting.
A full clinic behind you
You’re working inside a functioning system—not building one from scratch.
Compensation is structured around total income, long-term career growth, and the ability to focus fully on the quality and depth of what happens in the room.
The clinical environment
We practice non-manualized therapy.
Instead of optimizing for a single model, we focus on work that is aligned with the clinician—because that’s where therapy is most effective. You’re encouraged to train, build, and refine the approach you do best.
We’re not trying to “fix people” in a few sessions. Meaningful change takes time, which means you need to be able to engage clients, hold their attention, and make the work worth continuing.
The tone here is direct, engaged, and not overly precious. The work matters, but we don’t turn it into something heavy or fragile.
The role
This is a clinical role built around depth, consistency, and long-term clinical work.
What this does NOT work for
- You are looking for a ‘low-commitment’ side-hustle: This is a clinical career-track role. If you only want to see 5–10 clients a week while focusing on other projects, our infrastructure will feel like overkill.
- You are primarily optimizing for the highest percentage split: We prioritize total take-home earnings, a 4-day work week, and $15K+ in employment benefits. If your main metric is the raw split percentage—regardless of the unpaid admin time or income instability that comes with it—we won’t be a fit.
- You want ‘total independence’ with zero accountability: We don’t just rent you a room or a digital profile. We operate as a functioning system with shared clinical standards. If you want to “walk in and walk out” you will find our model intrusive.
- You are ‘trying out’ private practice before starting your own: We invest ~$40K per year in your individual success. We are looking for partners to build a legacy with, not clinicians trying to bridge the gap until they launch a solo practice.
- You prefer a ‘Supportive/Psychoeducational’ or manualized approach: The work here is deep, relational, and long-term. If your clinical style is primarily “fixing” symptoms through worksheets or short-term modules, our focus on non-manualized, transformative work will feel misaligned.
If this does resonate
You’ll likely recognize yourself in a different way:
- You want to do serious, ongoing clinical work
- You’re looking for a setting where clients stay and the work can deepen
- You want your effort to compound into real income, stability, and skill over time
- You’re ready to work inside a system that supports you—and expects something in return
This role is designed for that.
How and Where to apply:
- Full-time caseload (~19–22+ sessions/week)
- In-person (Vancouver) with some virtual
- Ongoing clinical development and case discussion
- RCC or RSW
Send your CV and a short note on why you’re looking for a long-term clinical role rather than another contract position to [email protected]
https://www.nightingalecounselling.com/careers-counselling/
Closing Date:
Who are we? Nightingale Counselling
Contact Information:
Colleen McCrann
(236) 259-3499
https://www.nightingalecounselling.com/
