Lead Licensed Clinician – Clinical Assessor (LMFT, LCSW, LPCC)

Guillaume Marriage and Family Counseling of California • Sacramento, CA

1d • Hybrid

About The Position

Guillaume Marriage and Family Counseling of California, P.C. is seeking an experienced, independently licensed mental health clinician for its Sacramento team. This hybrid, hourly W-2 position focuses on comprehensive mental health assessments, diagnostic evaluations, determining medical necessity, and developing initial treatment plans for clients entering outpatient behavioral health services. It is assessment-focused rather than a position centered on ongoing psychotherapy or clinical supervision; after assessment and treatment planning, clients are generally transferred to an assigned treating clinician.

The role serves children, adolescents, adults, and older adults and requires culturally responsive clinical practice and regular in-person work at the Sacramento office. Approved remote administrative work is also available. Applicants must live within approximately 30–45 minutes' driving distance of the office. The projected start date is 2027. Work begins part-time, approximately 20–29 hours weekly during the first 90 days, with an anticipated move to 30–40 hours per week after onboarding depending on organizational needs. Full-time hours and projected earnings are not guaranteed. Candidates need weekday business-hours flexibility for meetings, training, consultation, and other assigned activities. All required work time is compensated.

Compensation is $52–$64 per hour, including a $2-per-hour lead responsibility differential. Applicable rates vary by qualifications and verified regular, culturally specific, or bilingual credentials. Estimated earnings depend on hours worked, referral volume, and organizational needs.

The position includes comprehensive assessment and documentation work, clinical coordination, and collaboration with treating clinicians, intake personnel, and leadership. The assessor supports continuity of care, accurate diagnoses, appropriate service matching, and quality improvement while maintaining clear boundaries between assessment and ongoing treatment responsibilities.

Requirements

• Master's degree or higher in Marriage and Family Therapy, Clinical Social Work, Professional Clinical Counseling, or a related behavioral health discipline.
• Active, unrestricted California license as an LMFT, LCSW, or LPCC.
• Strong clinical experience conducting comprehensive mental health assessments and diagnostic evaluations.
• Clinical experience working with children, adolescents, adults, and older adults.
• Ability to assess mental health symptoms, functional impairment, risk factors, and treatment needs.
• Knowledge of DSM-5-TR diagnostic criteria and evidence-based assessment practices.
• Ability to establish accurate diagnoses and determine medical necessity for outpatient behavioral health services.
• Experience developing individualized, measurable, clinically appropriate treatment plans.
• Strong clinical interviewing, diagnostic reasoning, and written documentation skills.
• Demonstrated ability to work effectively with individuals from diverse socioeconomic, cultural, racial, ethnic, religious, and nonreligious backgrounds, including major religious traditions.
• Ability to establish respectful and effective clinical relationships with clients whose backgrounds, beliefs, and values may differ from the clinician's.
• Strong understanding of trauma-informed and culturally responsive clinical practices.
• Ability to recognize presentations requiring specialized assessment, psychiatric evaluation, crisis intervention, or a higher level of care.
• Strong organizational skills, attention to detail, and ability to manage assessment deadlines.
• Commitment to ethical practice, accountability, flexibility, and continuous professional development.
• Ability to work in person as required and reside within approximately 30–45 minutes' driving distance of the Sacramento office.
• Flexibility to attend scheduled meetings, training, consultation, and other assigned activities during weekday business hours.

Nice To Haves

• Approximately 2–5 years or more of post-licensure clinical experience.
• Experience completing diagnostic assessments in outpatient behavioral health or community mental health settings.
• Experience with Medi-Cal and commercial insurance documentation and medical necessity requirements.
• Experience conducting assessments across the lifespan.
• Familiarity with TherapyNotes or comparable electronic health record systems.
• Experience with clinical quality assurance, assessment review, or diagnostic consultation.
• Bilingual abilities, particularly Spanish, Haitian Creole, Hindi, or Punjabi.
• Experience providing culturally specific behavioral health services to African American individuals and families.

Responsibilities

• Conduct comprehensive biopsychosocial and diagnostic assessments for new clients, evaluating presenting concerns, psychiatric history, psychosocial functioning, family dynamics, trauma history, and relevant medical and behavioral health factors.
• Assess symptoms, severity, duration, functional impairment, clinical risk, and relevant cultural, developmental, family, environmental, and social factors across the lifespan.
• Complete suicide risk assessments, safety assessments, and other clinically indicated screening procedures, and identify clients who may need additional evaluation, specialized services, crisis intervention, psychiatric evaluation, or a higher level of care.
• Establish and document diagnoses consistent with DSM-5-TR criteria, determine medical necessity and appropriateness for outpatient services, and identify diagnostic uncertainty requiring further assessment or consultation.
• Develop individualized initial treatment plans with measurable goals and appropriate interventions, incorporating client strengths, preferences, cultural considerations, barriers, service recommendations, and possible supportive services.
• Coordinate with intake coordinators and clinical leadership on clinician assignments; communicate relevant findings and recommendations to assigned treating clinicians through approved systems.
• Support continuity of care during transitions, identify urgent concerns requiring timely intervention or leadership consultation, and help determine whether clients are appropriate for the organization's outpatient services.
• Complete assessments, diagnoses, and treatment plans accurately and within organizational documentation timelines; maintain complete electronic health records and address documentation deficiencies.
• Follow California laws, Medi-Cal and applicable payer requirements, HIPAA, professional ethical standards, and organizational policies, including confidentiality and appropriate handling of protected health information.
• Participate in clinical consultation, documentation reviews, quality improvement, scheduled meetings, training, and organizational activities.
• Collaborate with treating clinicians, supervisors, intake personnel, and administrative leadership; provide assessment-related clinical input when requested and follow through on assigned responsibilities.
• Support improvements in assessment quality, diagnostic accuracy, client access, and continuity of care, and potentially contribute to assessment quality initiatives, diagnostic consultation, and clinical workflow development.

Benefits

• Medical, dental, and vision insurance for eligible full-time employees.
• Paid sick leave in accordance with California requirements.
• Retirement savings through applicable organizational retirement programs, subject to eligibility.
• Professional liability insurance coverage.
• Structured onboarding and paid training.
• Ongoing clinical consultation and professional support.
• Administrative assistance with client scheduling, intake coordination, billing, and credentialing.
• Access to electronic health records and AI-assisted clinical documentation tools.
• Opportunities for professional growth and advancement.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior