Green Card Child and Family Therapist Jobs
Child and Family Therapist roles qualify for EB-2 or EB-3 green card sponsorship through the PERM labor certification process, which requires employers to demonstrate no qualified U.S. workers are available. State licensure, clinical supervision hours, and your graduate degree all factor into how employers structure the sponsorship and which category fits your credentials.
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Join a team that shares your calling
At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
FTE: 1.0 (40 hrs/wk)
Shift: Day
Schedule: Monday - Friday
- Sign-On Bonus: Potentially up to $5,000 (for qualifying external candidates meeting experience requirements)
- Relocation Bonus: Potentially up to $10,000 (depending on distance of move; available to eligible external candidates meeting experience requirements)
Position Summary
The Mental Health Professional is an exciting clinical opportunity responsible for counseling and case management service. In this role, you will maintain a patient caseload, providing intervention within established treatment guidelines, policies and procedures. The position offers you the ability to actively advocate on behalf of your patients.
Responsibilities:
- You will provide person-centered counseling, advocacy and case management for patients
- You will develop treatment plans which clearly identify the patient’s voice, treatment strategies, and specific outcome measures
- You will meet agency documentation standards and authorization requirements of contracts
- You will strategically tailor effective clinical/case management services to meeting diverse patient needs
- You will contribute to the success of MultiCare expectations and core values, continuously learning, and performing other duties as needed or assigned
Requirements
- Masters degree in a related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Counselor Agency Affiliated Licensed, Marriage & Family Therap Assoc (LMFTA), Mental Health Counselor Assoc (LMHCA), SW Associate Advanced License (LSWAA), SW Advanced Lic (LASW), SW Assoc Independent Clinical Lic (LSWAIC)
- Previous experience providing mental health counseling services preferred
- Drivers License/Abstract
About Greater Lakes Mental Health
Greater Lakes Mental Health is part of MultiCare’s Behavioral Health Network, serving more than 10,000 individuals across Pierce County each year. Providing mental health and substance use disorder treatment for adults, children and families with Medicaid coverage, Greater Lakes operates six convenient locations, including a 16-bed inpatient facility for voluntary and involuntary care. With experienced teams and robust training, caregivers help deliver recovery-oriented, trauma-informed care.
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
Living our values
Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
Belonging for all
Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $34.80 - $50.10 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Associated benefit information can be viewed here.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Child and Family Therapist
Verify your degree meets EB-2 requirements
EB-2 requires a master's degree or higher in counseling, social work, or a related clinical field, or a bachelor's degree plus five years of progressive experience. Gather official transcripts and document supervision hours before you approach employers, since PERM filings depend on your stated qualifications.
Get your state clinical license early
Most therapy employers won't start PERM until you hold a full clinical license, not just an associate or provisional one. Each state sets different supervised-hours requirements, so confirm your home state's licensure timeline against typical PERM processing periods before accepting a role.
Target agencies with existing PERM filing history
Community mental health centers, children's hospitals, and school-based therapy programs sponsor green cards more consistently than private practices, which rarely have HR infrastructure for PERM. Use Migrate Mate to identify employers with verified green card sponsorship history filtered by role and location.
Understand how prevailing wage affects your offer
DOL requires your offered wage to meet the prevailing wage for your SOC code and work location before certifying PERM. Use the OFLC Wage Search to look up the Level II or Level III wage for your county so you can evaluate whether an offer will clear this threshold.
Ask employers about their PERM recruitment timeline
PERM requires employers to run a formal recruitment test, including job postings, before filing with DOL. This takes months and must happen after you're hired, not before. Ask prospective employers whether they've completed PERM before and who manages the process, since inexperienced sponsors cause delays.
Preserve your priority date if you change employers
Once your original I-140 is approved, your priority date can carry over to a new employer's I-140. If your I-485 has been pending 180 days or more, AC21 portability lets you move to a substantially similar therapy role without restarting the green card process from the beginning.
Green Card Child and Family Therapist: Frequently Asked Questions
Do Child and Family Therapist roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply depending on your credentials. EB-2 fits candidates with a master's degree or higher in a clinical field, or a bachelor's plus five years of progressive experience. EB-3 covers professionals with a bachelor's degree and skilled workers with at least two years of experience. Your employer and immigration attorney determine which category to file based on how they define the role's minimum requirements in the PERM application.
How does green card sponsorship differ from H-1B sponsorship for therapists?
H-1B visa is a temporary nonimmigrant status requiring renewal and tied to a specific employer. Green card sponsorship through EB-2 or EB-3 leads to permanent residence, but it involves a multi-step process: a prevailing wage determination, the PERM labor certification filed with DOL, an I-140 immigrant petition filed with USCIS, and then either adjustment of status or consular processing. Priority date backlogs mean nationals from high-demand countries like India and China may wait years even after PERM is certified.
How do I find employers who sponsor green cards for Child and Family Therapist positions?
Search Migrate Mate to identify employers with verified green card sponsorship history for therapy roles. Community mental health organizations, pediatric behavioral health clinics, and school districts are the most consistent sponsors because they have HR teams experienced with PERM. Private practices and solo clinicians rarely sponsor because PERM requires legal and administrative resources most small practices don't maintain.
Does my clinical license affect the PERM filing for a therapy role?
Yes, and it's one of the most common delays. Most employers won't initiate PERM until you hold a full independent clinical license in the state where you'll work. If you're working toward licensure under supervision, confirm whether the employer is willing to begin PERM during your supervised hours period or whether they'll wait until you're fully licensed before starting the recruitment test.
Can I change employers after my green card process is started?
Yes, under two distinct rules. If your original I-140 was approved, a new employer can file a new I-140 and you can carry over your priority date, avoiding a restart. Separately, if your I-485 adjustment of status application has been pending for 180 days or more, AC21 portability allows you to move to a new employer in a substantially similar occupational category without jeopardizing your pending application.