Behavioral Health Therapist Jobs in Washington
Behavioral Health Therapist jobs in Washington are among the most active in the country, with strong demand concentrated in community mental health centers, integrated care systems, and state-funded behavioral health organizations serving adults, youth, and underserved populations, at every level from associate-licensed clinicians through senior clinical supervisors. The largest hiring markets are Seattle, Spokane, and Tacoma, where established employers such as Swedish Health Services, MultiCare Health System, and Sea Mar Community Health Centers maintain ongoing openings. The most in-demand specialties include substance use disorder counseling, trauma-focused therapy, and child and adolescent behavioral health. Find a role that fits below and apply directly.
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Showing 5 of 99+ Behavioral Health Therapist jobs
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/
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/
See All 99 Behavioral Health Therapist Jobs in Washington
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Find JobsBehavioral Health Therapist Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Behavioral Health Therapist 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 therapist jobs across Washington.
- Active Washington State licensed mental health counselor, social worker, or marriage and family therapist credential
- Master's degree in counseling, social work, psychology, or a closely related clinical field
- Experience delivering individual and group therapy using evidence-based modalities such as CBT or DBT
- Ability to complete clinical documentation and maintain accurate records in an electronic health record system
- Experience working with adults, youth, or families experiencing mental health or co-occurring substance use conditions
- Strong communication skills and ability to collaborate within multidisciplinary care teams
Behavioral Health Therapist Jobs in Washington: Frequently Asked Questions
How do you become a behavioral health therapist in Washington?
To become a behavioral health therapist in Washington, you need a master's degree in a clinical field such as counseling, social work, or marriage and family therapy, then obtain licensure through the Washington State Department of Health. The most common credentials are Licensed Mental Health Counselor, Licensed Clinical Social Worker, or Licensed Marriage and Family Therapist, each requiring supervised postgraduate hours and a passing score on a board-approved clinical examination.
Which companies hire behavioral health therapists in Washington?
Employers hiring behavioral health therapists 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 combination of large integrated health systems, federally qualified health centers, and state-contracted community behavioral health agencies creates a broad and consistent range of employer types across the state.
Which Washington cities have the most behavioral health therapist jobs?
The cities with the most behavioral health therapist openings in Washington are Seattle, Bothell, and Everett. Seattle anchors the market because of its concentration of major health systems, nonprofit behavioral health organizations, and county-funded mental health programs, while Spokane and Tacoma reflect large regional hospital networks and state-contracted community mental health providers serving Eastern Washington and the South Sound corridor.
Are there remote behavioral health therapist jobs in Washington?
Yes, and more than many clinical roles, because telehealth has become a standard delivery model for outpatient therapy in Washington. About 18% of behavioral health therapist openings tied to Washington are remote or hybrid as of August 2026, reflecting sustained demand for virtual counseling. Individual and group therapy sessions in outpatient and community mental health settings are the most common functions conducted remotely, while crisis services and intensive outpatient programs typically remain on-site.
How can I get hired as a behavioral health therapist in Washington with little or no experience?
The most realistic entry path is applying for associate-licensed or registered intern positions, which Washington State allows under the Licensed Mental Health Counselor Associate or Licensed Clinical Social Worker Associate credentials issued by the Department of Health. Large Washington employers such as MultiCare, Sea Mar Community Health Centers, and county behavioral health authorities regularly hire associate-licensed clinicians into supervised roles designed for candidates building their postgraduate hours. Lateral entry from case management, crisis line work, or mental health technician roles is also common, and having your associate credential in hand before applying gives you a clear edge over unlicensed applicants.
Where can I find and apply to behavioral health therapist jobs in Washington?
You can find and apply to behavioral health therapist jobs in Washington on Migrate Mate, which lists current openings across the state. Find roles that fit your license level, specialty, and preferred location, then apply directly to each employer through the listing.
See All 99 Behavioral Health Therapist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
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