Licensed Marriage and Family Therapist

LMFTFull-Time

Listed compensation

$72K–$98K /yr

The week · per this posting · weekdays assumed

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

Posted 6mo ago · Verified live

Job Description

Join Our ʻOhana at HawaiʻI Island Community Health Center

Licensed Marriage & Family Therapist (LMFT)

Behavioral Health Department | Exempt Position

Make a Meaningful Impact in Our Community

At Hawaiʻi Island Community Health Center (HICHC), we are dedicated to promoting lifelong health and wellness through compassionate, culturally responsive, and accessible care for all.

We are looking for a Licensed Marriage & Family Therapist (LMFT) who is passionate about strengthening individuals, families, and communities. If you are driven by purpose and want to make a lasting difference in Hawaiʻi, we invite you to join our growing behavioral health team.

Position Summary

Under the direction of the Behavioral Health Director, the LMFT provides high-quality counseling and mental health services to individuals, couples, and families. You will play a key role in helping patients navigate life challenges, improve relationships, and achieve emotional wellbeing.

Why You’LL Love Working Here

  • Supportive, mission-driven team environment
  • Collaborative, multidisciplinary care model
  • Opportunities for professional growth and development
  • Meaningful work serving diverse and underserved communities
  • Culture rooted in Aloha, respect, and compassion

What You’LL Do

You will:

  • Provide marital, family, and individual counseling (including relationship, premarital, separation, and child counseling)
  • Conduct assessments using interviews, observations, and standardized tools
  • Diagnose and treat mental health and behavioral conditions
  • Identify and address communication and relationship patterns
  • Help patients develop healthier coping strategies and behaviors
  • Create and implement individualized treatment plans
  • Collaborate with patients on post-treatment and wellness goals
  • Coordinate care with internal teams and external resources
  • Maintain accurate documentation in compliance with clinical and billing standards
  • Participate in interdisciplinary team care and case coordination

What We’RE Looking For

Education & Experience

  • Master’s or Doctoral degree in Marriage & Family Therapy or related mental health field
  • Minimum 3 years of post-degree clinical experience (preferred)

Licensure

  • Current Hawaiʻi LMFT license (required)

Key Skills & Strengths

We’re Looking for Someone Who

  • Demonstrates compassion, empathy, and cultural sensitivity
  • Communicates clearly and works well within a team
  • Uses strong clinical judgment and problem-solving skills
  • Maintains professionalism, integrity, and confidentiality
  • Can manage a dynamic caseload in a fast-paced environment
  • Values diversity and promotes an inclusive workplace

Work Environment & Physical Requirements

  • Primarily office/clinic-based setting
  • Extended periods sitting, computer use, and patient interaction
  • Occasional lifting up to 15 lbs
  • Exposure to clinical environments and patient conditions
  • Requires strong emotional resilience and ability to work with sensitive situations

Confidentiality & Professional Responsibility

This role requires strict adherence to confidentiality standards. You will handle sensitive patient information and are expected to maintain the highest level of ethical and professional conduct.

Ready to Make a Difference?

At HICHC, your work will directly impact the health and wellbeing of individuals and families across Hawaiʻi Island.

Apply today and become part of a team that truly cares.

Key Responsibilities

Provide high-quality counseling and mental health services to individuals, couples, and families to improve emotional wellbeing. Responsibilities include conducting assessments, diagnosing behavioral conditions, and collaborating with interdisciplinary teams for coordinated care.

Requirements

Requires a Master's or Doctoral degree in Marriage & Family Therapy or a related field and a current Hawaiʻi LMFT license. A minimum of 3 years of post-degree clinical experience is preferred.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Marital CounselingFamily CounselingClinical AssessmentMental Health DiagnosisTreatment PlanningClinical DocumentationCrisis ManagementInterdisciplinary Collaboration

Marriage & Family Therapy — Counselor Career Context

The cost-of-living index for Hawaii is 110.0 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$85k midpoint carries the purchasing power of roughly $77k in an average-cost state. 64.8% of Hawaii clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Marriage & Family Therapist (LMFT) listings this role was benchmarked against, 60% are remote, 28% have no call, 62% require no weekends.

What does the Marriage & Family Therapist (LMFT) market look like in Hawaii?
MeasureThis jobMarket
Work-life score7.2 / 10 · above average in marriage & family therapist (lmft)ranked against 883 Marriage & Family Therapist (LMFT) listingslisting-based score, 0–10
Cost-of-living adjusted pay~$77k in purchasing powerHawaii index 110.0 (US = 100)BEA Regional Price Parities (2024)
Marriage & Family Therapy listings in Hawaii7 active—live on WeekdayDoc, Nov 2026
All marriage & family therapist (lmft) listings in Hawaii39 active12,905 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 60% remote · 28% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedUS counselor listings (all specialties): 13% state a sign-on bonus (median $3k) · 11% offer loan repayment1,000 active listings, Nov 2026
New Marriage & Family Therapy listings186 in the last 30 days89 the 30 days before (+109%)U.S., first seen on WeekdayDoc, Nov 2026
Hawai'i Island Community Health Centersilver tier, 71/100Top Employers work-life index4 active listings
Sources: WeekdayDoc live listing index (883 Marriage & Family Therapist (LMFT) listings), Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Hawaii figures use all marriage & family therapist (lmft)s: too few Hawaii Marriage & Family Therapy postings state pay.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Licensed Marriage and Family Therapist at Hawai'i Island Community Health Center a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the Above average in Marriage & Family Therapist (LMFT) — ranked against 883 active Marriage & Family Therapist (LMFT) listings on WeekdayDoc.

Top Counselor Jobs

34 matches · ranked by pay

Salary Distribution

34 jobs · 14 employers
8
<$85k
3
$85k-105k
17
$105k-125k
5
$125k-145k
1
$155k

Annual compensation range

Benefits & Perks

31 jobs · 14 employers
401k / retirement match
100%
Sign-on bonus
39%
Loan repayment
16%
CME allowance
13%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#3

Licensed Marriage and Family Therapist (LMFT)

$123k-$141k
#4

Mental Health Therapist

$131k
+ 32 more · ranked by pay

Work-life snapshot

median 6.9this job 7.2
Better work-life than 60% of Marriage & Family Therapist (LMFT) listings

Listing-based score, 0–10, across 883 comparable listings. Shaded area = the share scoring below this one.

Hawai'i Island Community Health Center logo

About Hawai'i Island Community Health Center

Hospitals and Health Care
Kailua Kona, HI
51-200 employees

Benefits & Perks

Supportive, mission-driven team environment
Collaborative, multidisciplinary care model
Opportunities for professional growth and development
Meaningful work serving diverse and underserved communities
Culture rooted in Aloha, respect, and compassion