Associate Therapist / Licensed Therapist (Outpatient)

Sierra Meadows & Ascend Behavioral Health•Fresno, CA
•$72,000 - $100,000

About The Position

This outpatient therapist role provides clinical care within a behavioral health organization offering a continuum of services, including PHP, IOP, residential, dual diagnosis, eating disorder, and adolescent programs. The role is intended for a developing clinician seeking mentorship, supervision, clinical training, and experience with complex, high-acuity presentations. The therapist works with clients, families, and a multidisciplinary team to provide compassionate, culturally responsive, evidence-based care and support progress across levels of care. The position includes individual, group, couples, and family therapy; assessment and treatment planning; crisis support; progress monitoring; clinical documentation; care coordination; and participation in supervision, training, team consultation, and quality improvement. The schedule is Monday through Friday, 10:00 AM to 6:30 PM. Occasional workday travel and occasional overnight stays may be required; mileage, food, and lodging are compensated.

Requirements

  • Master’s degree in Psychology, Social Work, Counseling, or a related field.
  • Current state mental health therapist license as an ACSW, AMFT, or APCC, with an active first associate number in accordance with the Board of Behavioral Services (BBS).
  • Strong leadership, communication, and organizational skills.
  • Ability to work independently and as part of a team.
  • Experience working with culturally diverse individuals and communities, or demonstrated commitment and skill in engaging and communicating with diverse populations.
  • Familiarity with equity and/or diversity initiatives within an organization.
  • Written and oral communication skills sufficient to perform essential functions.
  • Ability to make independent decisions and use initiative on complex assignments with general guidance.
  • Ability to exercise judgment and integrity, including confidentiality, tact, and diplomacy.
  • Ability to organize time and resources to perform multiple tasks.
  • Ability to complete work accurately and promptly, with attention to detail.
  • Ability to work well with others and provide effective team leadership.
  • Proficiency in word processing and database and/or spreadsheet applications.
  • Physical and mental attributes sufficient to perform the essential functions.
  • Ability to recognize merit, excellence, and intelligence in staff and potential employees.
  • Valid driver’s license and clean driving record.
  • Ability to pass a Department of Justice (DOJ) background clearance.

Nice To Haves

  • At least one year of experience in the mental health or substance abuse treatment field is preferred.
  • Proficiency in English.
  • Strong communication skills.

Responsibilities

  • Provide individual, group, couples, and family therapy.
  • Support clients navigating mental health and co-occurring challenges.
  • Provide crisis intervention and stabilization when needed.
  • Monitor client progress and adjust treatment approaches accordingly.
  • Deliver care using evidence-based practices, including DBT, CBT, CPT, IFS, Interpersonal Neurobiology (IPNB), and trauma-informed care.
  • Conduct comprehensive biopsychosocial assessments.
  • Develop individualized, clinically appropriate treatment plans.
  • Evaluate level-of-care needs based on medical necessity.
  • Support discharge planning to promote long-term success.
  • Complete progress notes, treatment plans, and discharge summaries in a timely manner.
  • Ensure documentation meets regulatory, ethical, and insurance standards and maintain accurate, clear, clinically justified records.
  • Collaborate with case managers, medical staff, leadership, admissions, administrative teams, and other partners.
  • Participate in case consultations and team meetings.
  • Engage in supervision, in-house training, and ongoing clinical development.
  • Participate in quality improvement initiatives and implementation of best practices.
  • Follow and support organizational policies and procedures and represent the organization’s mission, vision, and values.
  • Travel occasionally during the workday and occasionally stay overnight.
  • Maintain regular attendance and punctuality, update job knowledge through learning, and perform other duties as assigned.

Benefits

  • Up to $5,000 in new-hire sign-on bonuses.
  • Structured supervision.
  • In-house training.
  • Compensation for mileage, food, and lodging for required travel.
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