Clinica Sierra Vista logo
Clinica Sierra Vista
Fresno, California

Licensed Therapist-IBH - West Fresno CHC

Counselor / TherapistFull-Time

Listed compensation

$104k-$123k

The week · per this posting · weekdays assumed

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

Posted 31m ago · Verified live

Job Description

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields.

We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why Work for Us?

  • Competitive pay which matches your abilities and experience
  • Health coverage for you and your family
  • Generous number of vacation days per year
  • A robust wellness plan and health club discounts
  • Continuing education assistance to grow and further your talents
  • 403(B) plan with company matching

Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”

We're looking for someone to join our team as a Licensed Therapist IBH who:

The Licensed Therapist works in the integrated or collaborative care model within a Community Health Center and is an advanced psychotherapy position. The therapist in this setting provides care to patients with Mild to Moderate behavioral health, substance use disorder and co-occurring treatment needs.

This person provides warm hand-off consultations with primary care providers (PCP) and health center patients; develops treatment plans with the patient and medical team; delivers brief psychotherapy and psychoeducation interventions; provides assessments to appropriately identify and coordinate client’s care; coordinates psychiatric and medical services with the patient’s overall treatment plan; and meets minimum productivity standards of the agency.

Essential Functions

  • Must hold a valid license as a Licensed Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), or a Licensed Clinical Psychologist.
  • Four years or more of psychotherapy experience, working with adults and families.
  • Must be familiar with brief therapy models and demonstrate a basic understanding of the relationship between physical and mental wellbeing, including the risks and effects of substance use.
  • Must be able to work independently and manage time and cases effectively as well as turn in paperwork by deadlines.
  • Candidates must be culturally competent and demonstrate ability to engage with patients of the community health center.
  • This position is required to learn and comply with Agency policies, procedures and ethical standards, HIPAA laws and guidelines, and the Professional Code of Ethics of the BBS of the State of California.
  • Must be able to collaborate with Agency staff, other organizations or contacts; attend regular meetings and to articulate brief psychotherapy concepts for the cross learning benefit of the integrated team.
  • Candidates must be computer literate and have excellent verbal and written clinical skills.
  • Must have a current California Driver’s License and reliable access to an automobile with liability insurance.
  • Prior to employment clearance by the Department of Justice and a TB test will be required.

Other Experience and Skills Required

  • Ability to work effectively in an interdisciplinary team approach with both paraprofessionals and professionals.
  • Ability to maintain client dignity and confidentiality.
  • Bilingual (Spanish-English) may be required for some positions.
  • Reasonable and predictable in person attendance.
  • Familiarity with community resources desirable.
  • Good writing and verbal skills are essential.
  • Familiar with and able to practice consistent with Recovery principles in mental health care.
  • Familiar with and able to practice consistent with the treatment of Co-Occurring Disorders
  • Performs other job-related duties as required.

You'll Be Successful with the Following Qualifications

Valid Board of Behavioral Sciences (BBS) Licensure as a Clinical Social Worker (LCSW), Licensed Marriage & Family Therapist (LMFT), or Licensed with the California Board of Psychology

AND

3-4 years of working in community mental health or in an integrated behavioral health program is preferred

Possess and maintain current Basic Life Support (BLS) card, American Heart Association accredited required.

Must adhere to Clinica Sierra Vista’s employee health/immunization requirements or provide a valid exemption request for subsequent approval.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions.

As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values.

We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive.

Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law.

We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!

Key Responsibilities

The therapist provides integrated behavioral health services, including brief psychotherapy, treatment planning, and clinical assessments within a primary care setting. They collaborate with medical teams to coordinate patient care and ensure adherence to agency productivity and ethical standards.

Requirements

Candidates must hold a valid California license as an LCSW, LMFT, or Clinical Psychologist and possess at least 3-4 years of experience in community mental health. A current BLS certification and a valid California driver's license are also required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Integrated careSubstance use disorder treatmentClinical assessmentCase managementCrisis interventionHIPAA complianceInterdisciplinary collaborationDocumentationCultural competenceClinical social work

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 48% are remote, 18% have no call, 68% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.9% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$104k–$123kMental Health Therapy median $87k (middle half $77k–$105k)34 comparable listings, Nov 2026
Cost-of-living adjusted pay~$103k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in California582 active7,893 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 48% remote · 18% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Counselor listings: 11% state a sign-on bonus (median $3k) · 9% offer loan repayment1,000 active listings, Nov 2026
New Mental Health Therapy listings2,509 in the last 30 days1,511 the 30 days before (+66%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.9% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

50 matches · ranked by pay

Salary Distribution

50 jobs · 40 employers
13
<$90k
17
$90k-110k
11
$110k-130k
6
$130k-150k
3
$150k+

Annual compensation range

Benefits & Perks

35 jobs
401k / retirement match
91% this job
Sign-on bonus
46%
CME allowance
43% this job
Loan repayment
14%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

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Psychotherapist | Integrated Behavioral Health | OB & Women's Health Clinic

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+ 48 more · ranked by pay

Work-life snapshot

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

Listing-based score, 0–10, across 7,891 comparable listings. Shaded area = the share scoring below this one.

Clinica Sierra Vista logo

About Clinica Sierra Vista

Hospitals and Health Care
Bakersfield, CA
501-1,000 employees

Benefits & Perks

Health Insurance
Dental
Vision
403(b) with company match
Continuing Education Assistance
Generous Vacation
Wellness Plan
Health Club Discounts

Living in Fresno

Typical 3-bedroom home value
$376k≈ 3.6× annual pay
Typical market rent
$1,945/mo≈ 22% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.