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Monument Health
Rapid City, South Dakota

Mental Health Counselor or Mental Health Therapist | Behavioral Health

CounselorIncludes callFull-Time

Listed compensation

$60K–$82K /yr

The week · per this posting

Ask the employer about weekend coverage, nights and shift pattern and time off.

Posted 3mo ago

Job Description

Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.

Primary Location Rapid City, SD USA Department RCH Behavioral Health Scheduled Weekly Hours 40 Starting Pay Rate Range $28.74 - $39.53 Mental Health Counselor - SD $28.74-$35.92, Mental Health Therapist - SD $31.62-$39.53 (Determined by the knowledge, skills, and experience of the applicant.)

Job Summary The Mental Health Counselor or Mental Health Therapist coordinates, plans and delivers the best psychotherapeutic approach for each patient.

Provides clinical (only) supervision for day-to-day implementation of therapeutic strategies or milieu programming that carries out the treatment plan for each patient by a variety of staff including psychiatric technicians, LPNs, RNs, mental health counselors and discharge planners across the Center's continuum of care.

Services are provided with the recognized standards of practice and the patient’s Plan of Care. The Plan of Care is based on the initial and comprehensive assessments of patient/caregiver.

Job Description Essential Functions: Provides individual, marital, family and group therapy within the scope of the inpatient unit Develops and implements an individualized treatment approach. Communicates with family to further the effectiveness of treatment plan.

Collaborates with patient/family, multidisciplinary team, and physician to formulate a realistic plan that identifies goals, specific interventions, and resources to meet the patient's needs. Assesses patient’s progress and modifies treatment plan accordingly.

Develops and maintains positive partnerships with providers of mental health and social services in the community as appropriate to the needs and requirements of the patient on an ongoing basis. Maintains good communication and collaborative relationships with referring providers and other staff.

Recommends additional referrals for patient as needed. Functions as a positive resource, communication coordinator, and role model for departmental staff. Maintains accessibility and visibility within the department. Assists patients to maintain their sense of competence, identity and autonomy.

Demonstrates effective collaboration with community/regional services and hospital personnel while maintaining patient and family rights. Assists in discharge plan development, giving direction to discharge planner as needed. Completes discharge planning note/assessment within predetermined guidelines.

Upon completion of assessment, recommendations are integrated into the treatment plan 95% of the time. All other duties as assigned. Additional

Requirements

Required: Education - Masters degree in Counseling, Social Work, Marriage and Family Therapy or related field Preferred: Certifications - Licensed Professional Counselor License – South Dakota Department of Social Services Certifications OR Certified Social Work Case Manager (CSWCM) - Accredited University or accredited training professionals OR Licensed Family and Therapist Experience - 3+ years healthcare experience Physical Requirements: Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.

If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work.

Job Category Rehabilitation Job Family Mental Health Shift Requires the ability to work assigned schedules and hours as determined by the department Employee Type Regular 10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day. Monument Health is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Learn more about a rewarding career at Monument Health. Click the "Get Started" button below to tell us more about yourself.

Key Responsibilities

Coordinates and delivers psychotherapeutic approaches for patients through individual, family, and group therapy. Collaborates with multidisciplinary teams to develop, implement, and modify individualized treatment and discharge plans.

Requirements

Requires a Master's degree in Counseling, Social Work, or a related field. Preference is given to candidates with 3+ years of healthcare experience and relevant state licensure (LPC, LCSW, or LMFT).

Qualifications

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

Key Skills

PsychotherapyIndividual TherapyMarital TherapyTreatment PlanningClinical SupervisionPatient AssessmentCrisis InterventionMultidisciplinary CollaborationCase Management

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 50% are remote, 30% have no call, 88% require no weekends.

Mental Health Therapy pay on WeekdayDoc is up 4.1% vs. the prior quarter (through Sep 2026).

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$71k midpoint carries the purchasing power of roughly $80k in an average-cost state. 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$71k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Top Counselor Jobs

26 matches · ranked by pay

Salary Distribution26 jobs · 15 employers

6
<$85k
5
$85k-100k
5
$100k-115k
10
$115k-130k

Annual compensation range

Benefits & Perks23 jobs · 15 employers

401k / retirement match
100%
Sign-on bonus
22%
Loan repayment
13%
CME allowance
13%
PSLF eligible
13%

Share of similar jobs offering each benefit

#1

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

LifeStance Health · Madison, Wisconsin

$92k-$125k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Rome, New York

$115k-$120k
#3

Licensed Marriage & Family Therapist (LMFT)

$115k-$120k
#4

Licensed Mental Health Therapist (LMFT, LPC, LCSW)

$115k-$120k
+ 24 more · ranked by pay

Work-life snapshot

median 6.2this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,911 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call

Living in Rapid City

Typical 3-bedroom home value
$347k
Typical market rent
$1,484/mo
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

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

BEA 2024 · Rapid City, SD metro prices. Housing figures are city-level.

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

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About Monument Health

Hospitals and Health Care
Rapid City, South Dakota
1,001-5,000 employees

Benefits & Perks

Comprehensive benefits