Counselor Jobs in Iowa
Counselor jobs in Iowa are concentrated in Des Moines, Cedar Rapids, and Iowa City, where community mental health centers, the University of Iowa Health Care system, and UnityPoint Health consistently post openings across school, substance use, and clinical mental health specialties. Demand is steady at every level, from entry-level case managers to licensed clinical supervisors, driven by ongoing investment in behavioral health services statewide. Employers range from large integrated health networks to county-funded agencies and K-12 districts. Scan the live roles below and apply to whichever ones fit.
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The Mental Health Support Specialist (MHSS) works with adult clients 18 years and older who live with chronic mental illness, supporting and empowering clients to live more independently. The MHSS works in 1 of 3 departments: Housing, Outreach, or Day Habilitation. Each department provides a unique service, and the MHSS will have additional duties assigned depending on what department they are assigned to work in. This is an hourly position with no expected overtime. Scheduled hours may vary and can include some nights and weekends.
This job search is intended to fill 3 full-time openings in our Outreach Department. Outreach staff work Monday through Friday, from 9am to 5pm.
DEPARTMENTS:
HOUSING
- The MHSS supports 4-5 clients living in an agency-owned home. The service is intended to promote independent living skills so clients may secure their own independent housing.
OUTREACH
- The MHSS supports clients 1 on 1 in their home or community. The service is intended to further promote independent livings skills so clients living independently can maintain their housing.
DAY HABIILITATION
- The MHSS supports multiple clients in a group setting. The service is intended to promote social skills through activities and community outings.
CORE DUTIES:
CLIENT INTERACTION
- Facilitate progress toward client goals
- Provide coaching and counseling
Identify triggers and develop symptom management strategies and coping skills
Develop natural supports and encourage community integration
Mitigate barriers and work toward independence
- Enhance quality of life
Encourage activities of daily living
Support organizing and adherence to schedules and routines
Monitor physical health and encourage healthy practices
- Advocate for and assist clients in accessing community resources
- Transport clients according to program expectations or as included in their service plan
- Administer medications in compliance with the Medication Management Program (Housing and Outreach)
- Contact clients as needed in cases of agency closures, unexpected absences, and/or as assigned
SERVICE DOCUMENTATION
- In compliance with Chapter 24, state, federal, agency and other required guidelines:
Timely completion case notes, assessments, and social histories
Timely submission of collateral notes, quarterly updates, and Incident Reports
- Participate in ISP and Addendum meetings as needed
TEAM AND AGENCY PARTICIPATION
- Attend all staff meetings as required
- Participate in additional training as assigned
- Collaborate with other staff and programs as needed
OTHER DUTIES AS REQUIRED AND/OR ASSIGNED
PROFESSIONAL RESPONSIBILITIES:
- Communicate in a timely manner with team of care providers
- Follow through with a consistent schedule and adherence to deadlines
- Achieve expected billable weekly client contact hours
- Complete all paperwork as assigned by supervisor
- Meet with supervisor weekly
- Establish and maintain a consistent schedule with clients and negotiate needed adjustments
- Treat all clients and colleagues with dignity and respect
- Prompt, professional, and responsive communication with clients, fellow staff, supervisor, collateral agencies – in-person, telephonic, electronic, written missive
- Follow all agency policies and procedures
- Maintain an Outlook calendar, reflecting all appointments and availability
- Dress, personal appearance, and manner of behavior must reflect a professional image
- Maintain confidentiality and HIPAA guidelines
DIRECT SUPERVISOR:
The supervisory structure of each department is unique. The MHSS will be assigned a direct supervisor by the department’s Program Manager, or they will report to the first existing position within their assigned department in the order below.
1. Senior Mental Health Support Specialist
2. Program Assistant Manager
3. Program Manager
KEY SKILLS:
- Ability to work and engage with a wide variety of people
- Problem solving
- Active listening
- Ability to work independently and collaboratively
- Adaptability
- Ability to meet deadlines
- Writing
- Basic Microsoft Office, SharePoint, OneDrive competencies
QUALIFICATIONS:
REQUIRED
- High school diploma or equivalent
- 1+ years of human service experience
- Pass multiple background checks, including but not limited to dependent adult/child abuse and criminal background check and driving records check
- Maintain valid driver’s license and reliable, privately insured car, as well as insurability with agency insurance requirements
- Must be available to work a minimum of 4 hours at a time and 12 hours a week
PREFERRED
- Bachelor’s degree in a human service field (Social Work, Counseling, Psychology, Sociology)
BENEFITS:
Successful Living offers bonuses and a competitive benefits package to all staff members.
- $200 Sign-on Bonus (paid after successful completion of probationary period)
- $500-$750 Referral Bonus (paid after successful completion of referred staff’s probation period)
- Competitive Benefits Package including, but not limited to:
Insurance*
Health, Dental, Vision
PTO*
Vacation, Sick Time, Personal Day
Holiday Pay
Employee Assistance Program (EAP)
IRA
Mileage Reimbursement
Staff Development & Training
- Full-time benefit
See All 37 Counselor Jobs in Iowa
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Find Counselor JobsCounselor Jobs by City in Iowa
Where Iowa roles are concentrated, by current openings.
Counselor Job Market in Iowa
A snapshot from current Iowa openings, updated as new roles post.
Who's Hiring


What Iowa Employers Look For
The qualifications that appear most often in counselor jobs across Iowa.
- Active Iowa counselor license issued by the Iowa Board of Behavioral Science or equivalent
- Master's degree in counseling, social work, or a closely related clinical field
- Experience in mental health, substance use, or school counseling settings
- Proficiency with electronic health records or student information systems
- Strong assessment and documentation skills meeting Iowa Medicaid or accreditation standards
- Valid Iowa driver's license for community-based or outreach counselor positions
Counselor Jobs in Iowa: Frequently Asked Questions
How do you become a counselor in Iowa?
Becoming a licensed counselor in Iowa requires a master's degree in counseling or a related field and licensure through the Iowa Board of Behavioral Science. Most clinical roles require either a Licensed Mental Health Counselor or Licensed Independent Social Worker credential, both of which involve supervised hours and a national board exam. School counselors must hold an Iowa Department of Education endorsement. Starting early on supervised hours during graduate school is the most reliable path.
Which companies hire counselors in Iowa?
Iowa counselor roles are posted by State of Iowa, MercyOne, and Foundation 2 and others right now, based on current listings on Migrate Mate as of October 2026. Community mental health centers, integrated health networks like UnityPoint Health, and Iowa's public school districts are among the most consistent sources of counselor openings across the state.
Which Iowa cities have the most counselor jobs?
Des Moines, Cedar Rapids, and Sioux City have the most counselor openings in Iowa. Des Moines drives volume through its concentration of hospital systems, county behavioral health agencies, and large school districts, while Iowa City's market is anchored by the University of Iowa and its affiliated health and counseling services, making both cities strong targets for clinical and school counselors alike.
Are there remote counselor jobs in Iowa?
Yes, but they're less common than in purely desk-based fields, since many counselor roles involve in-person sessions or school site work. About 42% of counselor openings tied to Iowa are remote or hybrid as of October 2026, reflecting growth in telehealth platforms. Substance use counseling and career counseling tend to have the most remote availability among Iowa postings.
How can I get hired as a counselor in Iowa with little or no experience?
The most realistic entry path is applying for case manager or behavioral health technician roles at community mental health centers, which Iowa employers like Eyerly Ball Community Mental Health Services and Four Oaks use as a pipeline for future licensed counselors. Iowa's graduate counseling programs at the University of Northern Iowa and Drake University often have practicum and internship agreements with local agencies that lead directly to post-graduation hires. Completing your Iowa Board of Behavioral Science supervised hours in a high-need setting, such as a school district or substance use clinic, strengthens your candidacy before full licensure.
Where can I find and apply to counselor jobs in Iowa?
You can find and apply to counselor jobs in Iowa on Migrate Mate, which lists current Iowa openings. Search the roles available, find the ones that match your license level, specialty, and preferred location, and apply directly to the positions that fit.
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