Excelsior Wellness logo
Excelsior Wellness
Spokane, Washington

Mental Health Therapist-Rural Healthcare

Counselor / TherapistFull-Time

Listed compensation

$32.88-$46.8/hr

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

$5,000 Sign-On Bonus | Clinical Supervision Provided | Licensed & Associate-Level Therapists Welcome

Make a Difference. Expand Access to Care. Grow Your Clinical Career.

At Excelsior Wellness, we believe everyone deserves access to quality behavioral healthcare, regardless of where they live.

We are seeking compassionate and motivated Mental Health Therapists to support our rural healthcare initiatives, helping individuals and families access meaningful behavioral health services in communities where care may be difficult to obtain.

Whether you are an experienced clinician or an associate-level therapist working toward independent licensure, Excelsior offers an opportunity to grow professionally while helping expand access to integrated, community-based healthcare.

Why Choose Excelsior Wellness?

  • We recognize that providing exceptional care starts with supporting the professionals who deliver it.
  • $5,000 Sign-On Bonus: Available to eligible new hires.
  • Affordable Health Coverage: Medical, dental, and vision coverage with employee premiums ranging from $0 to $75 per month.
  • Low Medical Deductibles: Annual medical deductibles ranging from $250 to $500, depending on the plan.
  • Retirement Benefits: Employer retirement contributions to support your long-term financial goals.
  • Paid Time Off: Generous PTO and 11 paid holidays.

Clinical Supervision Provided: Qualifying supervision for associate-level therapists pursuing independent licensure. When supervision cannot be provided internally, Excelsior will coordinate an alternative qualified supervisor.

  • Licensing Support: Employer-paid professional licensing fees applicable to your role.
  • Professional Development: Continuing education opportunities, professional learning resources, and ongoing clinical development.
  • Employer-Paid Life Insurance: Additional financial protection for you and your loved ones.

Position Summary

The Mental Health Therapist provides individualized behavioral health assessment, treatment, and therapeutic services as part of Excelsior Wellness's rural healthcare initiatives, including services associated with the Certified Community Behavioral Health Clinic (CCBHC) model.

This position supports individuals and families experiencing mental health challenges through evidence-informed, person-centered, and trauma-informed care.

Working collaboratively with healthcare providers and community partners, the Mental Health Therapist helps strengthen access to behavioral healthcare, improve coordination between services, and support positive clinical outcomes for individuals in rural and underserved communities.

Core Responsibilities

Clinical Assessment: Conduct comprehensive behavioral health assessments to identify individual needs, establish clinical diagnoses within professional scope, and develop appropriate treatment recommendations.

Therapeutic Services: Provide individual, family, and group therapy as clinically appropriate, using evidence-informed and trauma-informed approaches.

Treatment Planning: Develop, implement, and evaluate individualized treatment plans that reflect each person's needs, strengths, and recovery goals.

Integrated Care Coordination: Collaborate with medical providers, behavioral health professionals, care coordinators, and community partners to support coordinated healthcare services.

Access to Care: Support efforts to improve the availability and accessibility of behavioral health services for individuals and families in rural and underserved communities.

Referral Coordination: Assist individuals in accessing additional healthcare services, specialty treatment, and community-based resources when appropriate.

Crisis Support: Assess and respond to behavioral health crises within professional scope and established organizational protocols.

Clinical Documentation: Maintain timely, accurate, and complete clinical records in accordance with applicable regulatory, contractual, and organizational requirements.

Quality Improvement: Participate in clinical consultation, multidisciplinary meetings, professional development, and initiatives supporting program effectiveness and improved patient outcomes.

Required Qualifications

Master's degree in psychology, counseling, social work, marriage and family therapy, or a related behavioral health field.

  • Current Washington State Department of Health licensure as an LMHC, LMHCA, LICSW, LICSWA, LMFT, or LMFTA.
  • Strong clinical assessment, therapeutic engagement, and treatment planning skills.
  • Ability to work collaboratively with individuals, families, healthcare professionals, and community partners.
  • Strong interpersonal, communication, organizational, and documentation skills.
  • Ability to provide culturally responsive, person-centered, and trauma-informed services.
  • Ability to meet applicable background screening requirements.

Preferred Qualifications

  • Experience providing outpatient or community-based behavioral health services.
  • Familiarity with integrated healthcare models, including Certified Community Behavioral Health Clinics (CCBHCs).
  • Experience working with individuals or families in rural or underserved communities.
  • Familiarity with evidence-based therapeutic approaches, crisis intervention, and coordinated care practices.
  • Experience working in multidisciplinary healthcare environments.

Associate-level therapists are encouraged to apply. We welcome clinicians building their professional experience and pursuing independent licensure.

Your Work Matters Here

At Excelsior Wellness, we believe access to quality behavioral healthcare should not be determined by geography.

Through our rural healthcare initiatives, we are working to strengthen connections between behavioral health, primary care, and community resources so individuals and families can receive the support they need.

As a Mental Health Therapist, you will have the opportunity to make a meaningful difference in communities where your skills, compassion, and commitment can have a lasting impact.

Join Excelsior Wellness and help us bring quality behavioral healthcare closer to the communities that need it. Apply today!

Key Responsibilities

The Mental Health Therapist conducts comprehensive behavioral health assessments and provides evidence-informed, trauma-informed therapeutic services to individuals and families. They also collaborate with medical providers and community partners to coordinate care and improve access to behavioral health services in rural communities.

Requirements

Candidates must hold a Master's degree in a behavioral health field and possess current Washington State licensure as an LMHC, LMHCA, LICSW, LICSWA, LMFT, or LMFTA. Strong skills in clinical assessment, treatment planning, and interpersonal communication are required.

Qualifications

Education
Master's degree (postgraduate degree)

Key Skills

Individual therapyPerson-centered careCulturally responsive careCase managementMultidisciplinary collaboration

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 62% are remote, 26% have no call, 58% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 2.1% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Cost-of-living adjusted pay~$77k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Washington192 active7,934 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 62% remote · 26% no call · 58% no weekends50 benchmarked listings
Sign-on & loan repayment$5k sign-onWashington Counselor listings: 18% state a sign-on bonus (median $5k) · 14% offer loan repayment299 active listings, Nov 2026
New Mental Health Therapy listings2,572 in the last 30 days1,558 the 30 days before (+65%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.1% 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.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$83k midpoint, that is roughly $3k–$6k a year versus a typical 4–7% state rate.

Top Counselor Jobs

42 matches · ranked by pay

Salary Distribution

42 jobs · 34 employers
24
<$90k
7
$90k-105k
3
$105k-120k
5
$120k-135k
3
$135k+

Annual compensation range

Benefits & Perks

33 jobs
401k / retirement match
91% this job
Sign-on bonus
52% this job
CME allowance
36% this job
Loan repayment
18%
PSLF eligible
9%

Share of similar jobs offering each benefit

#1

Employee Assistance Program - Clinical Counselor (must reside in California)

CVS Health · California

$67k-$143k
#2

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#3

Licensed Marriage and Family Therapist (LMFT)

$123k-$141k
#4

Telehealth Mental Health Therapist

from $82,368
+ 40 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 7,896 comparable listings. Shaded area = the share scoring below this one.

Excelsior Wellness logo

About Excelsior Wellness

Hospitals and Health Care
Spokane, Washington
51-200 employees

Benefits & Perks

$5,000 sign-on bonus
Medical, dental, and vision coverage
Employer retirement contributions
Generous PTO and 11 paid holidays
Clinical supervision provided
Employer-paid licensing fees
Continuing education opportunities
Employer-paid life insurance

Living in Spokane

Typical 3-bedroom home value
$394k
Typical market rent
$1,483/mo
Residents’ average commute
21 min
Metro price indexU.S. average = 100
100.3
State income tax
None
Sources & methodology

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

BEA 2024 · Spokane-Spokane Valley, WA metro prices. Housing figures are city-level.

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