Behavioral Health Specialist Jobs in Washington
Behavioral health specialist jobs in Washington are among the most active in the Pacific Northwest, with strong demand across community mental health centers, tribal health programs, state-contracted agencies, and integrated care settings, at levels from entry-level case aide through senior clinician. Seattle, Spokane, and Tacoma generate the highest volume of openings, anchored by employers like Kaiser Permanente, MultiCare Health System, and the Washington State Department of Social and Health Services. Crisis intervention, substance use disorder counseling, and co-occurring disorders treatment are the most in-demand specialties across the state. Find a role that fits below and apply directly.
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Your Role:
- Evening Hours: The position requires evenings.
- In-Person, Monday to Friday from 11:00 am - 8:00 pm.
The Company You’ll Join
OCD Anxiety Centers has a true passion for bringing help and hope to some of the most underserved clinical populations. We strive to change the lives of individuals and their families who have been suffering from unrelenting anxiety, disturbing and terrifying thoughts, uncontrollable worry, exhausting behaviors and rituals, and avoidance that keeps them from living their lives. We are an evidence-based practice, which means we do what works, we stay up to date with scientific research, and we regularly attend international training to keep us at our very best.
Our Investment in You
- A competitive base salary based on experience
- 401k match
- Core benefits: medical/dental/vision, with the company contribution to medical benefit for employee
- Company-paid employee life insurance
- Voluntary benefits
- Paid time off includes 15 days (120 hours) of “Paid Time Off”, 5 days (40 hours) of “Sick Time”, and 9 days (72 hours) “Company holiday” pay
- Paid specialized ongoing training, strengthening your skills, experiences, and connections that will help advance your career
The Purpose of Your Role
The Behavioral Health Technician I focuses on learning, creating a positive culture, and productively engaging with the team. They support and ensure clients function safely, effectively, and efficiently while promoting the best quality and output standards. The Behavioral Health Technician I collaborates with their team and Behavioral Health Technician Supervisor to ensure the maintenance or treatment fidelity, company policy, procedures, and client satisfaction is met to standards.
Key Performance Indicators (KPIs)
- Zero documentation errors on a weekly basis
- Average Facility Audit Score 90%
- 5-7 hours per day of active facilitation/support on treatment floor (as evidenced by staff evaluation audit)
- Master of BHT competencies within 30-60 days of employment (as evidenced by staff evaluation audit)
- Live the OAC values by being an example of positivity, optimism, growth and change within your community of peers (as evidenced by staff evaluation audit).
- Reduce early discharges by a minimum of 10% and ALOS of a minimum of 52 days by ensuring treatment satisfaction
Please note: When you achieve any of the above key indicators your supervisor will counsel with you to set a new goal.
Competencies
- Demonstrate understanding of the client level system, disorder modules (OCD, BDD, GAD, SAD, Panic, Trauma, and Modules outlined in the Facilitator's guide for DBT and Specialty Skills)
- Demonstrate understanding of the EMR system, how to chart, create notes, outcome measures, upload documents etc.
- Demonstrate understanding of youth clients core concepts, youth safety, parent and family participation, development etc.
- Demonstrate understanding on how to implement, support, and document a behavioral contingency plan and be able to identify if a plan has been discontinued
- Demonstrate ability to effectively facilitate Exposure Groups, DBT Groups, and Specialty Skills Groups, by passing off on each Competency Evaluation Form
- Demonstrate understanding of systematic issues that may be arising that could impact the flow of the floor
- Demonstrate understanding on what a Crisis Response Plan (CRP) is, how it is measured, and how to respond effectively when a client answers YES to ANY of the Safety Questions
- Demonstrate proper techniques for de-escalation, crisis intervention and behavior management
- Demonstrate understanding of the guidelines, and responsibilities of a controlled use key holder, and be able properly manage the red cart items on and off the floor
- Demonstrate understanding of how to use kindles when facilitating a group, and how to properly manage the inventory of kindles on and off the floor
- Demonstrate understanding of the IOP policies for clients outlined in the new client paperwork and the ability to properly address concerns regarding the attendance policy
- Demonstrate how we provide telehealth through Google Meet, when it is appropriate for a client to use telehealth, and how to properly run exposures through telehealth
- Demonstrate understanding when to access a client's general note and when to appropriately write in a client's general note
- Demonstrate ability to promptly notify the therapist of any behavioral, safety, or attendance issues
- Demonstrate how and when to use a coping script to support clients with exposures
- Demonstrate the appropriate time to run exposures in the community and the process the client must follow
- Demonstrate how to access, administer and encourage clients to take the weekly survey
- Demonstrate ability to store, audit, and dispose of food exposure items properly
Responsibilities:
- Actively engages clients through clinical interactions, including assisting clients with developing skills and clinical interventions
- Provides high standards of helpful, professional, and caring treatment to all clients by maintaining consistently effective client interactions
- Providers validation in a warm, safe environment and keep clients motivated to work through distress and eliminate neutralizing behaviors
- Facilitates groups within the IOP and helps maintain a professional environment for clients, including collecting homework, clinical documentation, and providing feedback to primary therapists
- Monitors the clients’ daily activities, including implementing the treatment plan
- Effectively manages business resources to maximize benefits for our clients, employees, and the organization
- Plans, organizes, and implements lesson plans for group settings
- Maintains all written documentation such as progress notes, group therapy notes, etc.
- Masters de-escalation techniques and crisis management
- Encourages team engagement and loyalty by effective employee interactions that promote cooperation trust, and respect
- Expands knowledge and skills through supervision and oversight provided by appropriate licensed clinical staff
- Maintains clients satisfaction by developing and practicing OCD Anxiety Centers values and associated behaviors
- Integrates OCD Anxiety Centers mission in all activities, interactions, and decision-making processes
- Adheres to all company policies and procedures
- Presents self in a professional manner
- Maintains a safe and clean environment
- Other duties as assigned
The Skills and Expertise You Have:
- Some college or experience in a related field
- Ability to think critically
- Willingness to work as a team to meet the needs of the business
- Proficient knowledge of computers, including google doc, sheets and other computer software
- Accurate and efficient electronic data entry
- Must be punctual and maintain excellent attendance
- Organized, detail-oriented, takes initiative, and completes job responsibilities independently
- Multitask, problem-solve, interpersonal skills, and strong written and verbal communication skills
- Thrives in a changing work environment including inside, outside, and a noise level
- Physical demands of the job will include sitting at desk or table for extended periods, bending, lifting, and walking
Preferred Qualifications:
- Bachelor’s degree or equivalent experience in a related field
- OCD, anxiety, trauma experience
Disclaimer
OCD Anxiety Centers has not designed this job description to contain a comprehensive list of activities, duties, or responsibilities required of the employee. Furthermore, OCD Anxiety Centers reserves the right to change or assign new duties, responsibilities, and activities at any time, with or without notice.
Equal Employment Opportunity Commission (EEOC) statement
OCD Anxiety Centers is committed to providing equal opportunity for all employees and applicants without regard to race, color, religion, sex, national origin, age, marital status, sexual orientation, genetics, disability, political affiliation, personal appearance, family responsibilities, or any other legally protected class under federal, state, or local law. This applies to all aspects of employment, including recruitment, hiring, job assignments, promotions, working conditions, scheduling, benefits, wage and salary administration, disciplinary action, termination, social, educational, and recreational programs.
Learn More
https://www.ocdanxietycenters.com/about-us/
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Find JobsBehavioral Health Specialist Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Behavioral Health Specialist Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
- Sea Mar Community Health Centers10

- Hotel California by the Sea8

- Transformations Care Network5

- Clarvida4

- Providence4

Top Industries Hiring
- Healthcare & Medical Services
What Washington Employers Look For
The qualifications that appear most often in behavioral health specialist jobs across Washington.
- Active Washington State Agency Affiliated Counselor or LMHCA registration with the Department of Health
- Bachelor's or master's degree in social work, psychology, counseling, or a related behavioral health field
- Experience conducting mental health assessments, crisis screening, and safety planning with clients
- Familiarity with evidence-based practices such as CBT, DBT, or Motivational Interviewing
- Ability to document in electronic health record systems and meet Washington Medicaid billing standards
- Valid Washington State driver's license and ability to travel to community or field-based sites
Behavioral Health Specialist Jobs in Washington: Frequently Asked Questions
How do you become a behavioral health specialist in Washington?
Most behavioral health specialist roles in Washington require at minimum a bachelor's degree in psychology, social work, human services, or a closely related field, with many employers expecting a master's for clinical work. Entry-level positions typically require registration as an Agency Affiliated Counselor through the Washington State Department of Health, which involves a background check and application rather than a formal exam. Candidates pursuing independent clinical practice work toward licensure as an LMHCA or LMHC through the same department.
Which companies hire behavioral health specialists in Washington?
Employers hiring behavioral health specialists in Washington right now include Sea Mar Community Health Centers, Hotel California by the Sea, and Transformations Care Network, based on current listings on Migrate Mate as of August 2026. Washington's strong community mental health infrastructure and state-funded behavioral health programs mean openings are distributed across both large health systems and independent nonprofits contracted through regional behavioral health organizations.
Which Washington cities have the most behavioral health specialist jobs?
Seattle, Bothell, and Everett have the most behavioral health specialist openings in Washington. Seattle dominates by volume because of its concentration of large health systems, county-funded crisis services, and integrated care networks, while Spokane and Tacoma reflect substantial state agency, tribal health, and community mental health center activity in their respective regions.
Are there remote behavioral health specialist jobs in Washington?
Yes, but they are less common than in purely desk-based fields because many behavioral health specialist roles involve in-person assessment, case management visits, or crisis response. About 18% of behavioral health specialist openings tied to Washington are remote or hybrid as of August 2026, with telehealth counseling and care coordination roles being the segments most likely to offer fully remote or hybrid schedules.
How can I get hired as a behavioral health specialist in Washington with little or no experience?
The most realistic entry path is registering as an Agency Affiliated Counselor with the Washington State Department of Health, which has no exam requirement, and then applying to entry-level roles such as case aide, crisis line counselor, or residential support specialist at community mental health agencies or state-contracted providers. Organizations like Navos, Sea Mar Community Health Centers, and county-run behavioral health divisions in King, Pierce, and Spokane counties regularly hire candidates without clinical experience for these roles. A completed practicum or internship, even unpaid, gives a meaningful edge over applicants with no direct client contact.
Where can I find and apply to behavioral health specialist jobs in Washington?
You can find and apply to behavioral health specialist jobs in Washington on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that fit your experience and location, and apply directly to the employers posting them.
See All 99 Behavioral Health Specialist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
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