Washington Licensed Therapist - 100% Remote (LMFT, LICSW, LMHC)

Mindoula Health • Seattle, WA

14d • Remote

About The Position

Mindoula Health is hiring Washington-licensed therapists to join its fully remote Substance Use Disorder Program, supporting substance-exposed individuals in Washington State. The Therapist, Substance Use Disorder & Pregnancy (SUD/P) provides biopsychosocial assessments, individual and group therapy, and care coordination across treatment settings, with autonomy to manage a caseload and make appropriate clinical decisions.

The role delivers evidence-based virtual and in-person therapy to members with substance use disorders and co-occurring mental health conditions. It uses measurement-based care to monitor recovery and clinical acuity, adjusts treatment intensity and engagement, and collaborates with a Certified Peer Specialist or Behavioral Health Support Specialist. The therapist also handles acute clinical escalations, coordinates medical and community supports, maintains compliant documentation and registry data, and uses technology to support continued engagement and recovery.

Requirements

• Master's degree in psychology, social work, or another applicable behavioral health discipline from an accredited college or university.
• Active independent clinical license in Washington; listed eligible licenses include LCSW, LMFT, and LMHC.
• Two or more years of direct behavioral health experience working with adolescents and adults.
• Experience with substance use disorders.
• Crisis intervention training and experience.
• Knowledge of local resources, social determinants of health, mental health, substance use disorders, interpersonal violence, and social issues.
• Familiarity with Medicare and Medicaid procedures.
• Remote work experience.

Nice To Haves

• Background in maternal health and substance abuse.

Responsibilities

• Provide individual, family, and group therapy to members with substance use disorders and co-occurring mental health conditions using evidence-based practices, including Motivational Interviewing, CBT, relapse prevention, and harm reduction.
• Administer validated clinical assessments at monthly review periods to track recovery metrics and clinical acuity, and adjust treatment intensity and engagement frequency.
• Collaborate with a Certified Peer Specialist or Behavioral Health Support Specialist on clinical treatment strategy, recovery coaching, clinical interventions, and social determinants of health support while maintaining clear role boundaries.
• Provide crisis intervention and acute escalation management, including real-time risk mitigation, overdose prevention planning, and rapid clinical triage.
• Complete detailed and timely clinical documentation in DAP format, capturing interventions, medical coordination, and recovery progress.
• Use video, secure messaging, digital recovery content, and mobile tools for outreach and to re-engage members experiencing ambivalence or relapse risks.
• Participate in interdisciplinary clinical huddles, maintain registry data integrity, and track clinical touchpoints to optimize panel outcomes and care coordination.
• Coordinate with external MAT/MOUD providers, medical teams, and community recovery organizations to address members' medical, physical health, and health-related social needs.
• Collaborate with members, families, and healthcare providers to develop individualized plans of care.
• Document member assessments, care plans, and referrals.
• Prepare and maintain required records, reports, paperwork, and diagnostic records while maintaining member confidentiality.
• Provide support to other clinical programs and members as needed.

Benefits

• Medical, dental, and vision insurance.
• Supplemental life insurance.
• Short-term and long-term insurance paid by Mindoula.
• 401(k) with company match.
• Three weeks of paid vacation each year, four mental wellness days, and 11 holidays.
• Eight weeks of paid parental leave.
• Personal Development Program with $500 credit reimbursement per calendar year.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level