Green Card Primary Therapist Jobs
Primary Therapist green card sponsorship follows the EB-2 or EB-3 employment-based path, requiring your employer to complete PERM labor certification with the DOL before filing an I-140 petition. Behavioral health organizations, community mental health centers, and inpatient facilities regularly sponsor licensed clinicians for permanent residence.
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Get Access To All JobsWho We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.
Come build hope. Come save lives. Come grow with us.
M-F 9-5pm; some weekday evenings from 3-8pm.
* This role entails working at both Pathlight and ERC floating between Bellevue and Seattle, WA sites.
What You’ll Be Doing
The Primary Therapist conducts individual and group therapy (adults, children and adolescents) on topics such as mood, anxiety, stress and eating disorders; conducts family therapy and/or family education sessions; develops each patient’s individualized treatment plan; and works with interdisciplinary treatment team to implement the plan.
Essential Duties And Responsibilities
- Conducts psychotherapy including individual, group and family therapy
- For each patient on case load, completes clinical paperwork including:
- Treatment plans
- Individual and Family Therapy progress notes and group notes
- Wellness plan
- Aftercare plan
- Discharge summary
- Conducts comprehensive assessments and treatment planning for each patient on case load:
- Completes biopsychosocial, self-harm and suicide assessments
- Creates individualized treatment plan with specific and measurable goals in collaboration with treatment team members
- Creates treatment agreements, support plans or behavior plans as needed
- Attends treatment team meetings and treatment team rounds, to coordinate patient’s care with interdisciplinary team
- May provide training and guidance to less experienced teammates (Primary Therapist I and II)
Primary Therapist I Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Fully licensed with appropriate state licensing board or in an associate/intern phase of licensure or what is required by the state to practice individual therapy (required)
- Collaborative nature and strong communication within multi-disciplinary team (required)
Primary Therapist II Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains an independent mental health license as required by state to practice individual therapy (required)
- Has carried significant individual and/or family caseload for at least 2 years with documented success in treating patients with common diagnoses and expected comorbidities; demonstrated ability to work independently; developing specialty within line of service and broadening expertise with other populations (required)
Primary Therapist III Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains a full mental health license as required by state (required)
- At least 3 years post licensure experience working with mood, anxiety, ED and/or trauma related disorders; some experience supervising other clinicians; has carried a significant individual and/or family caseload, with success in treating more complex cases (required)
- Experience with individual and/or family therapy (required)
The compensation range for this position is based upon candidate experience and market expectations. Washington Pay Range $81,000 - $108,000 USD
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. When you thrive, you can do your best work. And your best work changes lives.
Who We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.
Come build hope. Come save lives. Come grow with us.
M-F 9-5pm; some weekday evenings from 3-8pm.
* This role entails working at both Pathlight and ERC floating between Bellevue and Seattle, WA sites.
What You’ll Be Doing
The Primary Therapist conducts individual and group therapy (adults, children and adolescents) on topics such as mood, anxiety, stress and eating disorders; conducts family therapy and/or family education sessions; develops each patient’s individualized treatment plan; and works with interdisciplinary treatment team to implement the plan.
Essential Duties And Responsibilities
- Conducts psychotherapy including individual, group and family therapy
- For each patient on case load, completes clinical paperwork including:
- Treatment plans
- Individual and Family Therapy progress notes and group notes
- Wellness plan
- Aftercare plan
- Discharge summary
- Conducts comprehensive assessments and treatment planning for each patient on case load:
- Completes biopsychosocial, self-harm and suicide assessments
- Creates individualized treatment plan with specific and measurable goals in collaboration with treatment team members
- Creates treatment agreements, support plans or behavior plans as needed
- Attends treatment team meetings and treatment team rounds, to coordinate patient’s care with interdisciplinary team
- May provide training and guidance to less experienced teammates (Primary Therapist I and II)
Primary Therapist I Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Fully licensed with appropriate state licensing board or in an associate/intern phase of licensure or what is required by the state to practice individual therapy (required)
- Collaborative nature and strong communication within multi-disciplinary team (required)
Primary Therapist II Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains an independent mental health license as required by state to practice individual therapy (required)
- Has carried significant individual and/or family caseload for at least 2 years with documented success in treating patients with common diagnoses and expected comorbidities; demonstrated ability to work independently; developing specialty within line of service and broadening expertise with other populations (required)
Primary Therapist III Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains a full mental health license as required by state (required)
- At least 3 years post licensure experience working with mood, anxiety, ED and/or trauma related disorders; some experience supervising other clinicians; has carried a significant individual and/or family caseload, with success in treating more complex cases (required)
- Experience with individual and/or family therapy (required)
The compensation range for this position is based upon candidate experience and market expectations. Washington Pay Range $81,000 - $108,000 USD
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. When you thrive, you can do your best work. And your best work changes lives.
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Get Access To All JobsTips for Finding Green Card Sponsorship in Primary Therapist
Verify your license transfers across states
PERM requires the employer to define minimum job requirements before recruiting. If your foreign clinical training or licensure doesn't map cleanly to the posted state license requirements, your employer's PERM application can stall. Confirm reciprocity or endorsement pathways with your target state's licensing board before job applications go out.
Target employers with behavioral health affiliations
Federally Qualified Health Centers, hospital systems with integrated behavioral health, and VA-affiliated outpatient programs file PERM petitions far more routinely than private group practices. These employers have HR infrastructure and legal counsel already familiar with the DOL recruitment and prevailing wage requirements specific to therapy roles.
Search verified green card sponsors on Migrate Mate
Identifying which employers have actually filed I-140 petitions for Primary Therapists saves months of outreach to organizations that won't sponsor. Migrate Mate lists employers with verified employment-based green card filing history, searchable by role and location, so you can focus applications where sponsorship is already established.
Align your credentials to EB-2 or EB-3 early
A master's degree in counseling or social work typically supports EB-2 classification, while a bachelor's degree plus documented supervised clinical hours may qualify under EB-3. Ask your sponsoring employer to confirm which category they intend to file under before PERM recruitment begins, since the job requirements posted during recruitment lock in your classification.
Understand how priority dates affect your timeline
Employment-based green cards have per-country annual limits, and nationals of countries with high demand can face multi-year backlogs even after PERM and I-140 approval. Check the monthly USCIS Visa Bulletin to see the current cutoff dates for your birth country before accepting a role where the sponsorship timeline matters to your planning.
Negotiate I-140 filing timing into your offer
PERM recruitment typically takes six to twelve months before DOL certifies the application, and I-140 premium processing is available through USCIS. Getting your employer to commit in writing to filing I-140 promptly after PERM approval, and to premium processing if available, protects your place in the priority date queue and reduces gap risk during status transitions.
Green Card Primary Therapist: Frequently Asked Questions
What green card categories cover Primary Therapist roles?
Most Primary Therapist positions qualify under EB-2 if the role requires a master's degree in counseling, social work, or a related clinical field, or under EB-3 for professional positions requiring a bachelor's degree. Your employer documents the minimum requirements during PERM labor certification, and the category they select determines which priority date cutoff applies to your case.
How is green card sponsorship different from H-1B sponsorship for therapists?
H-1B visa sponsorship is temporary and subject to an annual lottery, while employment-based green card sponsorship leads to permanent residence. The PERM process requires your employer to test the U.S. labor market through DOL-mandated recruitment steps and obtain a prevailing wage determination before filing an I-140 immigrant petition with USCIS. There is no lottery for employment-based green cards, but per-country annual limits create priority date backlogs for some nationalities.
How do I find employers who sponsor green cards for Primary Therapists?
Migrate Mate lists U.S. employers with verified employment-based green card filing history, searchable by role and city. This lets you identify behavioral health organizations, hospital systems, and community mental health centers that have already sponsored clinicians in similar positions, rather than relying on employers to disclose sponsorship willingness during the application process.
Can I change employers after my green card case is filed?
AC21 job portability allows you to change to a same or similar occupation once your I-485 adjustment of status application has been pending for 180 days or more, without abandoning your priority date. Separately, if your original employer's I-140 was approved, a new employer can file a new I-140 and retain your original priority date even if the first employer withdraws their petition.
What does the PERM process involve for a Primary Therapist role?
PERM requires your sponsoring employer to obtain a prevailing wage determination from DOL, conduct mandatory recruitment steps to demonstrate no qualified U.S. workers are available for the role, and then file a labor certification application with DOL. The job requirements posted during recruitment, including the degree level and licensure, become the baseline USCIS uses to evaluate your I-140 petition. Processing times at DOL vary and can run several months to over a year.