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Sanford Health
Harrisburg, South Dakota

Integrated Health Therapist | Harrisburg Clinic

CounselorNo nightsFull-Time

Listed compensation

$31-$46.5/hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago

Job Description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift

Day (United States of America)

Scheduled Weekly Hours

40

Compensation

Salary Range: $31.00 - $46.50 Sign On Bonus Available!

Union Position

No

Department Details

Work within a small community and close knit team to provide therapy for patients of all ages.

Summary

The Integrated Health Therapist (IHT) serves patients as an integral member of a Patient-Centered Medical Home (PCMH) or Primary Care Clinic (PCC) and is dedicated to helping patients get well and stay well within an inter-professional environment. The IHT is an important resource for patients and team members for issues related to mental and behavioral health, chemical health, and psychosocial aspects of health and disease, and lifestyle management to support optimal patient functioning.

Job Description

The IHT has a solid understanding of human behavior; will be familiar with legal issues, ethical issues, insurance regulations and protocols for proper referral or application for various programs related to behavioral health.

The incumbent must also be knowledgeable in medical care and emergency services and typical operations of ambulatory care centers. Must be comfortable providing coverage across all potential age populations and patients with co-morbid medical conditions.

Commitment to an inter-professional environment and recognition of a bio-psychosocial conceptualization of patient health concerns is necessary. Must also possess skills that promote excellence in communication, flexibility, team-based care and decision making.

The IHT conducts behavioral health services in a primary care clinic setting by providing diagnostic assessment, onsite crisis assessment and intervention, determining need for ongoing care according to level of clinical ability, medical and psychosocial complexity.

The IHT is competent in multiple counseling modalities (ranging from very brief to long-term), making appropriate referrals, and providing educational services across the continuum of care.

The IHT follows up with referrals to specialty care and ensures those patients are receiving appropriate behavioral health management.

Serves as the primary team consultant to promote understanding of the relationship between health and psychological/behavioral factors and promote this understanding to patients, families, other team members and the community.

Takes active leadership in universal health screening for behavioral and chemical health conditions that negatively impact overall health and wellness and works collaboratively with other team members to ensure quality delivery of care.

Provides education and training to staff regarding management of behavioral emergency situations and current behavioral health information and how this interacts with overall health.

Delivers empirically validated, short-term behavioral health care services (assessment, consultation, diagnosis, and treatment) to ambulatory primary care patients via both traditional face-to-face visits and innovative care delivery models such as telehealth when necessary.

Works closely with other PCMH or PCC team members to address psychosocial and cultural elements of health and disease pertinent to the patient's ability to manage their acute and chronic conditions and appreciate other factors that influence health care (developmental, economic, familial, religious, etc.) and wellness.

Assists the team in effectively managing populations of patients, tracking costs and quality associated with innovative integrated care models, and implementing the highest standards of behavioral health care.

Systemically evaluates the quality and effectiveness of behavioral health care and actively participates in quality improvement activities. Documents in a responsible, accountable and ethical manner to promote safe, reliable patient centered care.

Participates in a population health management approach to health care by thinking broadly and innovatively and leveraging multiple resources to assist with direct care of patients with both medical and co-morbid behavioral conditions.

Credentialing through the Allied Health Staff of the organization where you will be working will be required.

Qualifications

Master's degree in Counseling, Social Work, Psychology, or related Behavioral Health Sciences required; graduation from an accredited school preferred

License must be in good standing in state(s) of practice.

  • In South Dakota, must have one of the following:
  • Licensed Professional Counselor - Mental Health (LPC-MH)
  • Certified Social Worker - Private or Independent Practice (CSW-PIP)
  • Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Key Responsibilities

The Integrated Health Therapist provides diagnostic assessment, crisis intervention, and behavioral health services within a primary care clinic setting. They act as a consultant to the medical team to address the psychosocial and behavioral factors impacting patient health and wellness.

Qualifications

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

Key Skills

Psychosocial assessmentInter-professional collaborationTreatment planningCase managementDocumentationClinical decision making

Counselor Career Context

Of the 49 active Mental Health Therapy listings this role was benchmarked against, 86% are remote, 31% have no call, 76% require no weekends.

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$81k midpoint carries the purchasing power of roughly $91k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$81k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Counselor Jobs

38 matches · ranked by pay

Salary Distribution38 jobs · 11 employers

14
<$95k
4
$95k-105k
8
$105k-115k
10
$115k-125k
2
$125k+

Annual compensation range

Benefits & Perks37 jobs · 11 employers

401k / retirement match
100% this job
Sign-on bonus
51% this job
CME allowance
11%
Loan repayment
5%
PSLF eligible
3%

Share of similar jobs offering each benefit

#1

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

LifeStance Health · Saint Louis Park, Minnesota

$74k-$126k
#2

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

LifeStance Health · Milwaukee, Wisconsin

$92k-$125k
#3

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

$115k-$120k
#4

Licensed Marriage and Family Therapist (LMFT)

$115k-$120k
+ 36 more · ranked by pay

Work-life snapshot

median 6.1this job 5.1
Better work-life than 40% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 8,035 comparable listings. Shaded area = the share scoring below this one.

  • No nights

Living in Harrisburg

Typical 3-bedroom home value
$344k
Typical market rent
$1,261/mo
Residents’ average commute
22 min
State income tax
None
Sources & methodology

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

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

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About Sanford Health

Hospitals and Health Care
Sioux Falls, SD
10,000+ employees

Benefits & Perks

Sign-On Bonus Available
Health Insurance
Dental
Vision
Retirement Plan