Mental Health Cooperative logo
Mental Health Cooperative
Nashville, Tennessee

PRN Triage Counselor

LPC / LMHCPer Diem

Compensation

Pay not listed

The week · per this posting

Schedule not stated in this posting — no days, weekends, call or nights given.

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

Posted 1h ago · Verified live

Job Description

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals.

Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee.

Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis.

If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you!

Answer incoming calls to the Crisis Department, determine the nature and necessary response to the calls, and route the calls to the appropriate team.

Position Summary

Answer incoming calls to the Crisis Department, determine the nature and necessary response to the calls, and route the calls to the appropriate team.

Position Responsibilities

Provide telephone counseling to consumers, their families and other concerned persons involving a psychiatric emergency.

  • Assess for a response to the scene by the Crisis Counselor.
  • Maintain accurate records and adhere to confidentiality requirements.
  • Link client to appropriate community resources.
  • Enter information into computer systems.
  • Assist community agencies with information and/or disposition.

In consultation with Crisis Counselors, triage cases in order to determine priority of each call that will require a face-to-face encounter.

Provide assistance to callers on the Statewide Line and ensure that callers get routed to appropriate team for assistance.

  • Provide follow-up calls to consumers seen in crisis as set for in Title 33.
  • Maintain appropriate customer service skills at all times.
  • Assist in gathering information and providing assistance on walk-in cares in the Crisis department.
  • Assist teammates as needed.
  • Attend staff meetings.
  • Assist in training new staff as appropriate.

Other Responsibilities

  • Responsible for attending all mandatory in-services, continuing education and annual health requirements
  • Comply with all Corporate Compliance policies, practices and procedures

Report all unethical activities to supervisor, Corporate Compliance Office, Values Hotline number or Human Resource Director

  • Comply with all OSHA and safety policies, practices, and procedures. Report all unsafe practices or accidents to supervisor, Safety Supervisor and/or OSHA Coordinator
  • Will be compliant with the relevant regulations concerning the privacy and security of consumer’s protected health information (PHI) as established by the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
  • Participate in proactive team efforts to achieve departmental and company goals
  • Perform other duties as assigned
  • Provide leadership to others through example and sharing of knowledge/skill

Follow all policies and procedures set by the Agency

Essential Skills and Experience

A mental health professional with specialized training in crisis intervention and a minimum of a bachelor’s degree in a related field (counseling, psychology, social work) and one-year mental health experience.

Essential Requirements for the Position

  • Valid Tennessee Driver’s License
  • Acceptable Motor Vehicle Report (MVR)
  • Acceptable Criminal Background Investigation
  • Personal Automobile Insurance

Core Competencies

Interpersonal Skills

Demonstrates the ability to work independently to make critical decisions and to work collaboratively as an integral part of a team (crisis team and agency wide team)

Assists Teammates When Needed

Has the ability to initiate, develop and maintain effective working relationships with Consumers, families, law enforcement and other referral sources.

Understands and is able to use conflict resolution and negotiation skills in order to defuse difficult situations

  • Demonstrates professionalism and empathy with Consumers and referral sources
  • Assessment and Intervention Skills
  • Ability to evaluate risk factors and potential risk factors during triage assessments
  • Ability to thoroughly and accurately explain and document triage assessment and plan of action for each triaged call
  • Demonstrates comprehensive knowledge of community resources and utilizes knowledge to assist Callers
  • Customer Service
  • Internal and external customer service indicative of mutual respect & trust

Joint Commission Competencies

Consumer Engagement – establishes and maintains a therapeutic relationship via effective, appropriate communication and behaviors with consumers.

  • Suicide Specific Triage Assessments – use of C-SSRS and suicide specific assessment.
  • Appropriate use of Therapeutic Options De-escalation and Restraint.
  • Appropriate Triage Disposition for supported by clinically based rationale.
  • Professional and complete communication and coordination of care.
  • Appropriate use of Therapeutic Options De-escalation.
  • Actively participates in consultation process.
  • Maintain timely availability for calls through appropriate logging in and logging out.
  • Establish further care by scheduling and completing follow up calls.
  • Complete all clinical documentation in specified time periods.
  • Complete all Crisis Management System documentation in a timely manner.
  • Demonstrates ability to work independently to make critical decisions and to work collaboratively as an integral part of a team.
  • Demonstrates appropriate infection prevention and control through proper hand hygiene.
  • Demonstrates evidenced informed practice related to substance use disorders.
  • Demonstrates evidenced informed practice related to clinical care of children and youth.

Physical Demands and Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical demands: While performing duties of job, employee is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; talk and hear. Employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Work Environment

The noise level in the work environment is usually moderate.

Mental Health Cooperative embraces inclusion, diversity and equal opportunity. We're committed to building a team that represents a variety of backgrounds, perspectives, and skills. Mental Health Cooperative is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Key Responsibilities

The Triage Counselor answers incoming crisis calls to determine the nature of the emergency and routes them to the appropriate team. They also provide telephone counseling, assess for face-to-face intervention needs, and maintain accurate clinical documentation.

Requirements

Candidates must hold at least a bachelor's degree in a related field such as counseling, psychology, or social work. Additionally, one year of mental health experience and a valid Tennessee driver's license are required.

Qualifications

Education
Bachelor degree

Key Skills

Psychiatric emergency assessmentRisk evaluationClinical assessmentCollaborationRecord keepingCommunity resource linking

Counselor Career Context

Of the 50 active Mental Health Counseling listings this role was benchmarked against, 52% are remote, 28% have no call, 64% require no weekends.

The cost-of-living index for Tennessee is 91.9 (US average = 100; BEA Regional Price Parities (2024)). 58.6% of Tennessee clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Mental Health Counseling jobs are remote?
MeasureThis jobMarket
Cost of livingTennessee index 91.9US average = 100BEA Regional Price Parities (2024)
Mental Health Counseling listings in Tennessee16 active833 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 52% remote · 28% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedTennessee Counselor listings: 12% state a sign-on bonus (median $5k) · 11% offer loan repayment293 active listings, Oct 2026
Mental Health Counseling pay trend+16.3% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Tennessee has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top contract/1099 Counselor Jobs

42 matches · ranked by pay

Salary Distribution

41 jobs · 34 employers
14
<$80k
11
$80k-105k
9
$105k-130k
3
$130k-155k
4
$155k+

Annual compensation range

Benefits & Perks

34 jobs
401k / retirement match
91%
CME allowance
41% this job
Sign-on bonus
21%
Loan repayment
12%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Mental Health Therapist, Contractor - WI / (Remote)Contract

Cartwheel · Remote - Nationwide

$65-$75/hr
#2

Trauma Focused Cognitive Behavioral TherapistContract

GANG Alternative · Lauderdale Lakes, Florida

$75/hr
#3

Mental Health Therapist, Contractor - IN / (Remote)

$65-$75/hr
#4

Dental Therapist

From $155k
+ 40 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Better work-life than 20% of Mental Health Counseling listings

Listing-based score, 0–10, across 815 comparable listings. Shaded area = the share scoring below this one.

Living in Nashville

Typical 3-bedroom home value
$409k
Typical market rent
$1,820/mo
Metro price indexU.S. average = 100
96.3
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026).

BEA 2024 · Nashville-Davidson--Murfreesboro--Franklin, TN metro prices. Housing figures are city-level.

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