Washington Licensed Therapist - 100% Remote (LMFT, LICSW, LMHC)
Listed compensation
Up to $90,000
The week · per this posting · weekdays assumed
Ask the employer about call expectations, weekend coverage and nights and shift pattern.
Job Description
Mindoula Health is hiring licensed therapists (LMHC, LICSW, LMFT) to join our fully remote Substance Use Disorder Program, supporting substance-exposed individuals in Washington State.
As a Therapist, Substance Use Disorder & Pregnancy (SUD/P), you will work in collaborative settings to provide biopsychosocial assessments, individual and group therapy, and work with your team to coordinate care across a range of treatment settings.
You will have the ability to manage a caseload and make decisions with appropriate autonomy.
Candidates must hold an active Washington State independent clinical license.
Compensation
Up to $90,000 a year for WA residents. For candidates located outside of Washington, the salary is $75,000 per year.
Comprehensive Benefits Package Includes
- Medical, Dental and Vision Insurance
- Supplemental Life Insurance
- Short Term and Long Term Insurance paid by Mindoula
- 401k, with a company match
- 3 weeks paid vacation each year, 4 mental wellness days and 11 holidays
- Parental Leave: 8 weeks of paid parental leave
- Personal Development Program: $500 credit reimbursement per calendar year
How You'll Contribute
Deliver Evidence-Based SUD & Co-Occurring Psychotherapy: Provide high-quality virtual and in-person individual, family, and group therapy to members with substance use disorders and co-occurring mental health conditions, utilizing evidence-based practices like Motivational Interviewing, CBT, relapse prevention, and harm reduction frameworks.
Conduct Measurement-Based Care & Risk Stratification: Administer validated clinical assessments at monthly review periods to track recovery metrics, measure clinical acuity, and dynamically adjust treatment intensity and engagement frequency based on member readiness and capacity.
Partner in an Integrated Clinical & Peer Pod: Lead the clinical treatment strategy in direct collaboration with a Certified Peer Specialist (CPS) / Behavioral Health Support Specialist (BHSS), coordinating recovery coaching, clinical interventions, and social determinants of health (SDoH) support while maintaining clear role boundaries.
Execute Crisis Intervention & Escalation Management: Serve as the licensed clinician for acute escalations, providing real-time risk mitigation, overdose prevention planning, and rapid clinical triage.
Maintain Compliant Whole-Person Documentation: Complete detailed, timely clinical documentation (DAP format) capturing behavioral health interventions, medical coordination, and recovery progress to support program quality standards under both bundled PMPM and encounter-based models.
Drive Multimodal Recovery Engagement: Utilize multi-platform technology (video, secure messaging, digital recovery content, and mobile tools) to maintain persistent, high-frequency outreach and re-engage members experiencing ambivalence or relapse risks.
Manage Panel Registry & Infrastructure: Actively participate in interdisciplinary clinical huddles, maintain registry data integrity, and track clinical touchpoints (up to 24 structured encounters) to optimize panel outcomes and ensure seamless care coordination.
Coordinate Medical & Community Wrap-Around Supports: Partner with external MAT/MOUD providers, medical teams, and community recovery organizations to address members' holistic medical, physical health, and health-related social needs.
Collaborate with the member, family, and healthcare providers to develop an individualized plan of care.
Document all member assessments, care plans, and referrals provided. Prepare and maintain all required records, reports, paperwork, and member’s diagnostic records, maintaining confidentiality of members at all times.
Provide support to other clinical programs and members as needed
Required Qualifications
Master’s degree in psychology, social work, or other applicable behavioral health discipline from an accredited college or university.
- LCSW, LMFT, LMHC in Washington.
- Two or more years of direct experience working with adolescents and adults in the behavioral health field required.
- Experience with substance Use Disorders.
- Crisis intervention training and experience.
- Background in maternal; substance abuse preferred.
- Knowledge of local resources, social determinants of health, mental health, substance use disorders, interpersonal violence and social issues.
- Familiarity with Medicare and Medicaid procedures.
- Remote Work Experience.
- Come be part of the solution!
Key Responsibilities
The therapist will provide evidence-based individual, family, and group therapy for individuals with substance use disorders and co-occurring mental health conditions. They will also collaborate with an interdisciplinary team to coordinate care, conduct clinical assessments, and manage crisis interventions.
Requirements
Candidates must hold a Master's degree in a behavioral health discipline and an active independent clinical license (LCSW, LMFT, or LMHC) in Washington State. At least two years of direct experience in behavioral health, specifically with substance use disorders, is required.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Marriage & Family Therapy — Counselor Career Context
Of the 46 active Marriage & Family Therapy listings this role was benchmarked against, 80% are remote, 15% have no call, 83% require no weekends — this position is remote.
Marriage & Family Therapy pay on WeekdayDoc is down 1.5% vs. the prior quarter (through Sep 2026).
| Measure | This job | Market |
|---|---|---|
| Listed pay | $90k | Marriage & Family Therapy median $102k (middle half $83k–$118k)39 comparable listings, Oct 2026 |
| Work setting | remote | peers: 80% remote · 15% no call · 83% no weekends46 benchmarked listings |
| Sign-on & loan repayment | not stated | US Counselor listings: 13% state a sign-on bonus (median $5k) · 15% offer loan repayment13,668 active listings, Oct 2026 |
| Marriage & Family Therapy pay trend | −1.5% vs prior quarter | —through Sep 2026 |
Location & Logistics
Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$90k midpoint, that is roughly $4k–$6k a year versus a typical 4–7% state rate.
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