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Rimrock Foundation
Billings, Montana

Mental Health/Addiction Counselor

CounselorFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago · Verified live

Job Description

Provides counseling services under the Mental Health License as required. Assures adherence to state statutes and rules, CARF standards, and federal regulations including HIPAA and 42 CFR Part 2. Positively represents the organization and promotes Rimrock’s Mission to the community.

Essential Functions

Therapeutic Service Responsibilities

  • Conduct family and individual counseling.
  • Conduct and observe ancillary groups as assigned.
  • Provide relief counseling as needed throughout the organization.
  • Conduct inpatient and outpatient assessments as assigned.

Prepare timely and accurate records on patients and maintain substantial compliance on medical records audits. Assures all records meet state and CARF standards.

  • Attend all scheduled staff meetings.
  • Develops and implements the patients’ Individualized Treatment plans.
  • Must participate in the multidisciplinary team approach to provide patients with quality care.
  • Other duties as assigned.

Quality Improvement Responsibilities

Assures that information is collected, organized, reported and used to improve the quality of systems and services.

Obtains feedback from patients regarding their perceptions of the service provided to them and utilizes this information to improve service delivery.

Assures that resources are allocated in accordance with the priorities and plans established by the Strategic Plan.

Recognizes and appropriately reports to supervisor areas within scope of responsibility that fall outside the quality parameters.

Performs self-quality monitoring in order to develop and execute plans to meet established goals.

Customer Service Responsibilities

Supports organization’s customer service initiative; strives for service excellence by seeking challenges and turning them into opportunities.

  • Models professionalism by addressing others with appropriate actions, appearance and communication.
  • Works in a spirit of teamwork and trust and maintains professional boundaries in working with others; accepts responsibility for own behavior.
  • Provides timely and thorough follow-up with internal and external customers.
  • Serves on committees or process improvement teams to assist in improving quality/customer satisfaction, as assigned.
  • Models and promotes effective communication.

EDUCATION/TRAINING: BS degree in Behavioral or Human Services field. Master’s degree in counseling field required. Minimum of 5 years clinical experience in a recognized healthcare facility. Specialized training in addiction treatment.

Certificate or License

Must be licensed in the State of Montana as a LCPC or LCSW.

Skills

Clinical supervision, therapeutic skills, individual and group therapy, scheduling and coordination. Demonstrate proficiency in Microsoft products including Word, Excel and Outlook.

Physical Demands

Work is indoors in an office environment with moderate noise. Intermittent physical effort involving lifting of up to 25 pounds, walking and stooping is required. A typical workday involves sitting, frequent use of a keyboard, reaching with hands and arms, and talking and hearing, approximately 70% of the time. Approximately 30% or less of the time is spent standing. Normal vision abilities required, including close vision and ability to adjust focus.

Work Environment/Job Locations

Involves everyday risk or discomfort requiring normal safety precautions in an office setting, meeting room and patient care areas. Work may involve mental and emotional stress. Some driving/traveling required. Will work primarily in main facility.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of responsibilities, duties and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.

Key Responsibilities

The counselor provides individual and family therapy, conducts assessments, and develops individualized treatment plans for patients. They are also responsible for maintaining accurate medical records in compliance with state, federal, and CARF standards.

Requirements

Candidates must hold a Master's degree in a counseling field and possess a valid LCPC or LCSW license in the State of Montana. A minimum of 5 years of clinical experience in a healthcare facility and specialized training in addiction treatment are required.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
5+ years of experience

Key Skills

Individual therapyClinical assessmentTreatment planningMedical records managementHIPAA complianceMicrosoft WordMicrosoft ExcelMicrosoft OutlookMultidisciplinary teamworkCrisis interventionPatient assessment

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 42% are remote, 42% have no call, 66% require no weekends.

The cost-of-living index for Montana is 94.6 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of Montana clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Counselor Jobs

40 matches · ranked by pay

Salary Distribution33 jobs · 30 employers

12
<$70k
10
$70k-90k
2
$90k-110k
9
$110k-130k

Annual compensation range

Benefits & Perks33 jobs · 30 employers

401k / retirement match
100%
CME allowance
39%
Sign-on bonus
27%
PSLF eligible
9%
Loan repayment
3%

Share of similar jobs offering each benefit

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$103k-$128k
#2

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

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#3

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
#4

Mental Health Counselor Masters

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+ 38 more · ranked by pay

Work-life snapshot

median 6.1this job 1.5
Below most Substance Use / Addiction Counselor listings for work-life

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

Living in Billings

Typical 3-bedroom home value
$387k
Typical market rent
$1,426/mo
Residents’ average commute
17 min
Metro price indexU.S. average = 100
93.5
State income tax
Up to 6.8%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Billings, MT metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Rimrock Foundation logo

About Rimrock Foundation

Mental Health Care
11-50 employees