Licensed Marriage and Family Therapist

Disclosures

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria necessary to perform the job successfully. Job responsibilities may be modified or expanded over time, and the company will inform the contractor of any such changes.

About the Company

Freedom Health Systems, LLC (FHS) is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence.

While we do not provide direct healthcare services, we support providers through program development, accreditation, compliance, and the implementation of clinical and operational best practices, strengthening organizational infrastructure and enabling sustainable service expansion.

Our expertise includes revenue cycle management, prior authorization, virtual front office support, medical billing and coding, human resources, and compliance consulting.

FHS is deeply committed to breaking down barriers in behavioral health, with a strong focus on serving marginalized and underserved communities, and we foster a collaborative, forward-thinking environment rooted in innovation, integrity, and community impact.

COMPANY WEBSITE: freedomhs.org

COMPANY PHONE NUMBER: (667) 239-9572

HR DEPARTMENT PHONE NUMBER: (667) 400-6206 EXT 10

HR DEPARTMENT EMAIL ADDRESS: hr@freedomhs.org

Position Title

Fee-for-Service Licensed Marriage and Family Therapist

ALTERNATE TITLE(S): Licensed Marriage and Family Therapist

COMPANY: Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center

Department: N/A

DIVISION: Operations

Unit: N/A

ACCOUNTABLE TO: Operations Manager 2

Accountable For

Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center is seeking a Licensed Marriage and Family Therapist to provide outpatient mental health services on a fee-for-service basis.

• CLASSIFICATION: Fee-for-Service (FFS), with the following classification options available:
• Fee-for-Service W-2
• Fee-for-Service 1099

Work Schedule

This position offers flexible scheduling based on provider availability, client needs, referral volume, and agency requirements. The therapist may work evenings, weekends, weekdays, or a set recurring schedule depending on mutual agreement and client demand.

The provider may maintain a part-time or ongoing caseload and is expected to manage scheduling, attendance, documentation, and communication in accordance with agency procedures.

Compensation Structure

This is a fee-for-service role. Compensation is based on completed, documented, and approved services.

Fee-for-service Compensation May Apply To

• Initial assessments.
• Individual therapy sessions.
• Couples therapy sessions.
• Family therapy sessions.
• Group therapy sessions.
• Treatment planning services.
• Treatment plan reviews.
• Crisis intervention services, if approved and billable.
• Care coordination or consultation, if approved under agency policy.
• Other approved clinical services within the provider’s scope of practice.

Specific rates, payment schedule, documentation requirements, and contractor versus part-time employee classification will be determined during onboarding or agreement completion.

Benefits Package

W-2 Fee-for-Service Employees

• Eligible for company-sponsored benefits in accordance with agency policy and plan availability.
• 1099 Fee-for-Service Employees:
• Not eligible for company-sponsored benefits and are responsible for their own taxes, insurance, and benefits.

Anticipated Travel: N/A

Summary of Position Responsibilities

Freedom Healthcare LLC dba Community Wellness Outpatient Mental Health Center is seeking a Licensed Marriage and Family Therapist to provide outpatient mental health services on a fee-for-service basis. The therapist will provide individual, couples, family, and group therapy services to children, adolescents, adults, couples, and families experiencing emotional, behavioral, relational, and mental health concerns.

The Licensed Marriage and Family Therapist will be responsible for completing clinical assessments, treatment plans, therapy sessions, progress notes, family-based interventions, crisis support within outpatient scope, and care coordination. The role may include maintaining an ongoing caseload and supporting clients through evidence-based and family-systems-informed treatment.

This position is ideal for a clinician who is comfortable working independently, managing a flexible caseload, and delivering high-quality outpatient therapy services in a community mental health setting.

Scheduled Duties and Responsibilities

• Clinical Assessment and Intake Services
• The Licensed Marriage and Family Therapist may be responsible for:

• Conducting initial clinical assessments and biopsychosocial evaluations.
• Gathering client, family, relationship, behavioral, trauma, developmental, and mental health history.
• Identifying presenting problems, family dynamics, relationship stressors, symptoms, strengths, risks, and treatment needs.
• Completing diagnostic impressions within scope of practice.

Assessing for safety concerns, including suicidal ideation, homicidal ideation, abuse, neglect, domestic violence, substance use concerns, and other risk factors.

Making appropriate recommendations for therapy, psychiatric evaluation, case management, higher level of care, community resources, or additional clinical services.

Updating assessments as clinically needed.

Individual Therapy

The therapist may provide individual therapy to clients presenting with concerns such as:

• Depression.
• Anxiety.
• Trauma-related symptoms.
• Grief and loss.
• Behavioral concerns.
• Stress management.
• Adjustment difficulties.
• Mood instability.
• Relationship problems.
• Self-esteem issues.
• Parenting stress.
• Family conflict.
• School, work, or social difficulties.
• Emotional regulation concerns.
• Life transitions.
• Anger management.
• Co-occurring family and relational stressors.

Couples and Relationship Therapy

The Licensed Marriage and Family Therapist may provide therapy services for couples and partners, including support with:

• Communication difficulties.
• Conflict resolution.
• Trust and intimacy concerns.
• Relationship transitions.
• Separation, divorce, or co-parenting issues.
• Parenting disagreements.
• Blended family concerns.
• Family-of-origin stressors.
• Emotional disconnection.
• Relational patterns impacting mental health.
• Premarital or commitment-related concerns, when appropriate.
• Relationship repair and stabilization.

Family Therapy

The therapist will use family-systems-informed approaches to help families address:

• Parent-child conflict.
• Sibling conflict.
• Behavioral problems in children or adolescents.
• Communication breakdowns.
• Family transitions.
• Co-parenting concerns.
• Blended family adjustment.
• Trauma impact on family functioning.
• Caregiver stress.
• School and home behavioral issues.
• Family roles, boundaries, and patterns.
• Support for families managing mental health diagnoses.
• Reunification or family stabilization goals, when clinically appropriate.

Group Therapy, If Applicable

The therapist may facilitate or co-facilitate groups based on agency needs, including:

• Parenting groups.
• Anger management groups.
• Coping skills groups.
• Family support groups.
• Relationship skills groups.
• Trauma-informed groups.
• Emotional regulation groups.
• Adolescent or adult therapy groups.
• Psychoeducation groups.

Treatment Planning

The therapist will be responsible for:

• Developing individualized treatment plans.
• Establishing measurable goals and objectives.
• Reviewing and updating treatment plans according to agency and payor requirements.
• Ensuring treatment plans reflect client needs, diagnosis, strengths, barriers, and clinical interventions.
• Incorporating family, caregiver, or partner involvement when appropriate and authorized.
• Documenting progress toward treatment goals.

Clinical Documentation

The therapist must complete accurate, timely, and compliant documentation, including:

• Intake assessments.
• Diagnostic assessments.
• Treatment plans.
• Progress notes.
• Family therapy notes.
• Couples therapy notes.
• Group therapy notes, if applicable.
• Risk assessments.
• Crisis intervention documentation.
• Discharge summaries.
• Coordination of care notes.
• Authorization-related documentation, if required.

Any other required documentation under agency, licensing, Medicaid, commercial insurance, or regulatory standards.

Crisis Support Within Outpatient Scope

The therapist may provide appropriate outpatient-level crisis support, including:

• Assessing client safety during sessions.
• Creating and updating safety plans.
• Consulting with clinical leadership when risk concerns arise.
• Making mandated reports when required.
• Referring to emergency services, crisis response, mobile crisis, inpatient care, or higher levels of care when clinically necessary.
• Documenting all risk-related interventions and referrals.

Care Coordination and Collaboration

The therapist may coordinate with:

• Clients and families.
• Parents, guardians, spouses, or partners when authorized.
• Psychiatrists and psychiatric nurse practitioners.
• Primary care providers.
• Schools.
• Case managers.
• Social workers.
• Hospitals or crisis teams.
• Child welfare or court-related systems when authorized or legally required.
• Internal administrative and clinical leadership.
• Other outpatient mental health providers.

Services the Licensed Marriage and Family Therapist May Provide

The therapist may provide services within their license, training, and scope of practice, including but not limited to:

• Individual therapy.
• Couples therapy.
• Family therapy.
• Group therapy.
• Diagnostic assessments.
• Biopsychosocial assessments.
• Treatment planning.
• Treatment plan reviews.
• Crisis intervention within outpatient scope.
• Safety planning.
• Parenting support.
• Psychoeducation.
• Relationship counseling.
• Family systems interventions.
• Trauma-informed therapy.
• Behavioral intervention