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MultiCare Health System
Puyallup, Washington

Collaborative Care Integrated Mental Health Therapist: Primary Care, Pediatrics

Counselor 8.0 Work-LifeNo weekendsNo nightsFull-Time

Listed compensation

$89K–$128K

The week · per this posting · Monday – FridayWeekdays only

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

Posted 1mo ago · Verified live

Job Description

Join a Team That Shares Your Calling

At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

The Integrated Mental Health Therapist (IMHT) works within a multidisciplinary team embedded in the primary care clinic and utilizes the Collaborative Care model of care. This team includes the IMHT, Psychiatric Consultant, & Primary Care Provider to provide comprehensive behavioral health services within the primary care setting. IMHT will provide evidence-based interventions, in partnership with the treatment team, to promote symptom reduction and optimal patient outcomes.

Responsibilities

Assesses patient’s symptoms and create customized treatment plan based on individual patient needs

Screens patients for common behavioral health disorders using PHQ9, GAD7, Columbia Suicide Risk Assessment, or other tools as required.

Monitors patients for changes in clinical symptoms and treatment side effects/complications, with a goal of reduction in symptoms.

Supports psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and treatment effectiveness.

Tracks patient follow-up and clinical outcomes using a registry, and uses the system to identify and re-engage patients

Facilitates care plan changes for patients who are not improving, including changes in medications or psychosocial treatments or appropriate referrals for additional services.

  • Manages behavioral health crisis as they arise in a primary care setting.
  • Provides flexible behavioral health services to patients on and off current caseload, both through scheduled appointments and immediate interventions via warm handoffs during medical visits with primary care providers.
  • FTE: 1.0, Shift: 8:00AM - 5:00PM, Schedule: Monday - Friday
  • Potentially up to $5,000 sign on bonus!
  • Potentially up to $10.000 relocation bonus!

Position Summary

The Licensed Integrated Mental Health Therapist-BHN is responsible for independently providing assessments, treatment/care planning and psychosocial therapy within a primary care clinic setting for a diverse population of preventative, acute care and chronic disease management patients. The incumbent uses a variety of theoretical treatment models and interventions and excellent communication skills to work within a primary care/chronic disease management team setting with limited supervision; documents treatment/communication in keeping with department standards and keeps current on community resources to effectively provide linkage and advocacy to fulfill client’s needs.

Requirements

Master’s degree from an accredited institution in Social Work, Counseling, Marriage & Family Therapy, or related field

A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Licensed Marriage & Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), SW Independent Clinical Lic (LICSW)

Minimum two (2) years of experience in a behavioral health setting

Why MultiCare?

Rooted in the Local Community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.

Growth and Education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.

Well-being and Support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.

Living Our Values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Belonging for All

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.

Pacific Northwest Lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $42.64 - $61.37 USD.

However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education.

If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Behavioral health assessmentTreatment planningCrisis managementMedication management supportClinical documentationPatient screeningSymptom monitoringMultidisciplinary collaborationCase management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Collaborative Care Integrated Mental Health Therapist: Primary Care, Pediatrics at MultiCare Health System a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 10% in Mental Health Therapy (Counseling) — ranked against 8,062 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no weekend requirements, no night shifts.

Counselor Career Context

Of the 47 active Mental Health Therapy listings this role was benchmarked against, 72% are remote, 23% have no call, 87% require no weekends.

Mental Health Therapy pay on WeekdayDoc is up 2.3% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$108k midpoint carries the purchasing power of roughly $101k in an average-cost state. 59.8% of Washington clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$108k midpoint, that is roughly $4k–$8k a year versus a typical 4–7% state rate.

Top Counselor Jobs

34 matches · ranked by pay

Salary Distribution34 jobs · 12 employers

8
<$90k
8
$90k-105k
7
$105k-120k
9
$120k-135k
2
$135k+

Annual compensation range

Benefits & Perks31 jobs · 12 employers

401k / retirement match
90% this job
Sign-on bonus
52% this job
CME allowance
35%
Loan repayment
6% this job
Relocation assistance
3% this job

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Clinical Director (LICSW, LMHC, LMFT) - Community-Based Mental Health 267

Telecare · SeaTac, Washington

$96k-$142k
#3

Licensed Marriage and Family Therapist (LMFT, LPC, LCSW)

$92k-$125k
#4

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

$115k-$120k
+ 32 more · ranked by pay

Work-life snapshot

median 6.2this job 8.0
Among the best 10% of Mental Health Therapy (Counseling) listings for work-life

Listing-based score, 0–10, across 8,062 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • No nights

Living in Puyallup

Typical 3-bedroom home value
$531k
Typical market rent
$2,286/mo
Residents’ average commute
31 min
Metro price indexU.S. average = 100
111.1
State income tax
None
Sources & methodology

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

BEA 2024 · Seattle-Tacoma-Bellevue, WA metro prices. Housing figures are city-level.

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

MultiCare Health System logo

About MultiCare Health System

Hospitals and Health Care
Tacoma, WA
10,000+ employees

Benefits & Perks

Sign-on bonus up to $5,000
Relocation bonus up to $10,000
Generous PTO
Medical, dental, and retirement benefits
Tuition assistance
Employee Assistance Program