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Sycuan
El Cajon, California

Licensed Marriage Family Therapist- Sycuan Health Center

CounselorFull-Time

Compensation

Pay not disclosed

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Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 1h ago · Verified live

Job Description

The ancestors of the Sycuan Band of the Kumeyaay Nation existed many centuries ago as a community of people…a Tribe living together, farming, hunting and fishing to survive.

Much has changed since that time. Today the Sycuan Tribe governs its Reservation, owns and operates a Casino and a Golf Resort, and owns a number of other business ventures in the San Diego Region.

One attribute that remains unchanged, however, is Sycuan's sense of community. Sycuan is more than just a business. Sycuan is a community of people working together toward a common goal. Whether you work in our state-of-the-art Casino, our beautiful Resort, or become a staff member in our Tribal Government division, you will be part of the Sycuan family.

Licensed Marriage & Family Therapist (LMFT)

Sycuan Health Center – El Cajon, CA

Full-Time | Onsite |

Sycuan Health Center is growing, and we’re excited to welcome a compassionate, skilled Licensed Marriage & Family Therapist (LMFT) to our Behavioral Health team. In this role, you’ll provide high-quality mental health services within a collaborative, brand-new, state-of-the-art Health Center, designed to enhance patient experience and support a high-quality, integrated care model.

Job Purpose

The Licensed Marriage and Family Therapist (LMFT) provides mental health services to individuals, couples, families, and groups using systemic, relational, and evidence-based therapeutic approaches. The LMFT assesses, diagnoses, and treats emotional, behavioral, and relational concerns while supporting clients’ overall mental health, resilience, and well-being.

The Licensed Marriage and Family Therapist (LMFT) provides behavioral health services within a medical clinic using an integrated, whole-person care model.

The LMFT delivers assessment, diagnosis, and evidence-based psychotherapy to patients experiencing mental health, emotional, behavioral, and psychosocial concerns that impact medical conditions, treatment adherence, and overall functioning.

Services are provided in collaboration with medical providers and interdisciplinary care teams.

Job Duties and Responsibilities

(Note: Duties and responsibilities may be added, deleted, or changed at the sole discretion of Sycuan Management at any time)

  • Provide individual, couple, family, and group psychotherapy
  • Conduct biopsychosocial assessments and develop treatment plans
  • Diagnose mental health conditions in accordance with DSM-5-TR criteria
  • Implement evidence-based therapeutic interventions
  • Maintain accurate, timely, and compliant clinical documentation
  • Monitor client progress and adjust treatment plans as needed
  • Collaborate with interdisciplinary teams, schools, physicians, or community providers
  • Provide crisis intervention and safety planning when indicated
  • Maintain client confidentiality and adhere to ethical and legal standards (HIPAA)
  • Participate in supervision, consultation, and continuing education
  • Provide referrals and coordinate care with external resources

Job Specifications

Education and Experience:

Essential

  • Master’s degree in Marriage and Family Therapy or a related mental health field from an accredited institution
  • Current, active, and unrestricted California LMFT license issued by the California Board of Behavioral Sciences
  • Eligibility to bill Medi-Cal and commercial insurance plans (or willingness to obtain)
  • Familiarity with DSM-5-TR diagnostic criteria
  • Strong clinical assessment, documentation, and time-management skills
  • Experience working with child/adolescents population and across the lifespan.

Desirable

  • Experience in medical, primary care, hospital, FQHC, or outpatient clinic settings
  • Training or experience in trauma-informed care
  • Experience working with chronic illness, pain management, grief, or serious medical diagnoses
  • Experience with EHR systems and integrated care documentation

Skills and Knowledge

  • Essential:
  • Ability to work effectively with culturally, linguistically, and socioeconomically diverse population
  • Knowledge of integrated behavioral health and medical-mental health comorbidity
  • Prolonged periods of sitting, computer use, and focused clinical engagement
  • Emotional resilience and clinical judgment when working with medically complex or high-acuity patients
  • Ability to manage competing priorities in a medical setting

Desirable

Bilingual Skills and Multicultural Competency

Familiarity with evidence-based modalities such as CBT, DBT, ACT, EMDR, or health psychology interventions

Supervisory/Managerial Accountability

  • Direct: None
  • Indirect: None

If you enjoy being part of a community dedicated to creating a memorable guest experience, we invite you to explore career opportunities with Sycuan and join our winning team!

Key Responsibilities

The Licensed Marriage and Family Therapist provides mental health services, including assessment, diagnosis, and psychotherapy, to individuals, couples, and families. They collaborate with interdisciplinary medical teams to deliver integrated, whole-person care within a clinical setting.

Requirements

Candidates must hold a Master’s degree in Marriage and Family Therapy or a related field and possess an active, unrestricted California LMFT license. Strong clinical assessment skills and experience working with diverse populations across the lifespan are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Treatment planningEvidence-based practiceHIPAA complianceCase managementInterdisciplinary collaborationPatient care

Marriage & Family Therapy — Counselor Career Context

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)). 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Marriage & Family Therapist (LMFT) Jobs

8 matches · ranked by pay

Salary Distribution6 jobs

2
$120k
1
$133k
3
$140k-150k

Annual compensation range

Work-Life Balance Distribution8 jobs · 7 employers

0
1-2
0
3-4
2
5-6
5
7-8
1
9-10

Higher = better work-life balance

#1

Licensed Marriage & Family Therapist

Heredia Therapy Group · Downey, California

$72/hr
#2

Licensed Marriage & Family TherapistContract

BetterHelp · California

$43-$70/hr
#3

Licensed Marriage and Family Therapist (LMFT)

$123k-$141k
#4

Licensed Marriage and Family Therapist

$62-$64/hr
+ 6 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score

Living in El Cajon

Typical 3-bedroom home value
$786k
Typical market rent
$2,275/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
111.9
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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

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About Sycuan

Gambling Facilities and Casinos
El Cajon, California
1,001-5,000 employees