H-1B Visa Clinical Therapist Jobs
Clinical Therapist roles qualify as H-1B visa specialty occupations because they require at minimum a master's degree in social work, counseling, or a related clinical field. Healthcare systems, community mental health centers, and private group practices all file H-1B petitions for licensed therapists. The annual cap applies, so timing your job search around the April lottery window matters.
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INTRODUCTION
Harbor is seeking a Clinical Therapist to join our Bowling Green Team! This position enthusiastically creates meaningful group exercises that foster connection and change while promoting client growth and recovery. This role ensures services provided are medically necessary, utilize theories and interventions appropriate for identified diagnoses, and result in improved functioning or symptom management.
Position is full time, 40 hours per week.
REQUIREMENTS
Education:
- Master’s degree in counseling, social work, psychology or a related behavioral/mental health field from an accredited college or university.
Experience:
- Possesses clinically sound documentation, treatment and assessment skills.
- Proficiency in computer use, including MS Office 365 (Outlook, Word, Excel), electronic health records, and virtual meeting platforms.
Licensure and Certifications:
- Requires license to practice as a Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) in Ohio.
- Must maintain active licensure in good standing.
- CPR/First Aid and NCI/CPI Certifications required within 90 days of employment.
PREFERRED QUALIFICATIONS
- Prefer licensure in chemical dependency or proven experience and training in treating substance use disorders in addition to MH licensure.
Responsibilities
Essential Functions and Primary Responsibilities:
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Maintains clinical responsibility for individual, family and/or group counseling for assigned mental health and/or substance abuse disorder clients including diagnostic and ongoing assessments, treatment planning, and discharge planning.
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When providing telehealth services to clients in their homes, complies with Harbor’s telehealth policies, procedures, and utilizes Harbor authorized or provided telehealth equipment and software platforms.
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Completes clinical documentation in the format appropriate and acceptable to Harbor and submits all documentation according to Harbor policy.
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Meets or exceeds billable direct service expectations established by Harbor.
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Provides crisis intervention services and is available for consultation.
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Provides effective and efficient management of caseload including facilitating internal and external referrals where indicated. The number of open inactive cases must not exceed 10% of the total caseload.
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Participates in individual and group supervision as indicated by supervisor and ensures all documentation requiring co-signature for licensure is provided to supervisor.
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Timely and accurate completion of Peer/Clinical Records Reviews for other staff and demonstrates satisfactory performance on Peer/Clinical Record Reviews.
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Participates in agency-wide and departmental clinical research, as needed.
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Participates in program development as requested and where possible.
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Keeps current with trends and developments related to essential job competencies and demonstrates continued growth.
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Must be willing to work flexible hours, including at least one evening per week.
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Provides timely response to all client and agency communications via email, phone, or other department identified modes of communication (e.g., Teams).
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Completes all agency assigned trainings in a timely manner.
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May float to other locations to accommodate client or agency need.
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Keeps current with trends and developments related to essential job competencies including evidence-based practices for day treatment curricula and other services.
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Knowledgeable of mental health and substance use disorder symptoms and treatment to assist clients with co-occurring disorders.
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Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR Part 2, and applicable state and local laws.
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Participates in meetings, committees, and agency initiatives as appropriate and approved by supervisor.
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Provides individual and group community psychiatric supportive treatment (CPST) and therapeutic behavioral services (TBS), which could include Day Treatment groups, according to accreditation and certification standards including:
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Coordination of individualized treatment planning with client, family/supports, and other providers.
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Identification of strategies or treatment options.
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Developing and providing solution focused interventions and emotional and behavioral management drawn from evidence-based psychotherapeutic treatments.
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Restoration of social skills.
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Restoration of daily functioning.
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Crisis prevention and amelioration.
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Collaboration with internal and external providers to assist clients in gaining access to essential community resources and increasing social supports and networks.
General Competencies/Performance Expectations:
- Utilizes information technology systems and software applications effectively and in accordance with organizational standards and security protocols.
- Demonstrates sound judgment by analyzing information thoroughly, reaching timely conclusions, and taking appropriate, decisive action.
- Plans, prioritizes, and organizes work to ensure maximum efficiency, productivity, and quality outcomes.
- Actively seeks and utilizes supervision and feedback appropriately to support professional growth and effective job performance.
- Manages time and utilizes leave in accordance with organizational policies and procedures.
- Performs additional duties and responsibilities as assigned to support departmental and organizational needs.
WORKING CONDITIONS
- Office based position. Some services may be provided from the office virtually to clients in their homes.
- Exposure to confidential information.
- Potential exposure to behavioral, crisis, environmental situations.
- This position is union. Union eligibility applies only to full-time or part-time hires; contingent or temporary appointments are not covered by the union, even if the position is otherwise unionized.
ABOUT HARBOR
- A leading provider of mental health and substance use treatment for over 100 years.
- 350+ clinical staff serving over 24,000 clients annually across multiple locations and within the community.
- Services include counseling, medication management, primary care, psychological testing, case management, substance use treatment, residential services, vocational programs, and more!
WHY WORK FOR HARBOR?
Harbor is a fast-paced environment, but it’s also a place where you can genuinely enjoy what you do. You’ll work alongside a supportive, motivated team that cares about making a difference. We’re committed to investing in our employees and giving you the tools and opportunities to grow.
- Medical, dental, and vision coverage
- Retirement plan with company match
- Generous paid time off, sick time, and paid holidays
- Tuition and professional license reimbursement programs
- Clinical supervision hours offered
- Opportunity to make a difference in your community
Licenses & Certifications
Required LPC
LSW
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Clinical Therapist
Verify your licensure transfers across states
Your H-1B petition is tied to a specific employer and work location. If your clinical license is state-specific, confirm reciprocity or endorsement eligibility before accepting an offer, since USCIS requires you to be legally authorized to practice in that state.
Target employers with cap-exempt filing history
Hospitals affiliated with universities, federally qualified health centers, and nonprofit research institutions can file H-1B petitions outside the annual lottery cap. Focusing your search on these employer types removes the random selection risk entirely.
Pull LCA filings to assess real sponsorship patterns
Use Migrate Mate to search verified DOL Labor Condition Application data filtered by clinical therapist roles. You'll see which employers have actively sponsored therapists, not just which ones say they're open to it.
Confirm your role meets specialty occupation criteria
Check the O*NET profile for Clinical, Counseling, and School Psychologists or Mental Health Counselors to document that your specific position requires a directly related master's or doctoral degree. USCIS scrutinizes therapist petitions where job duties could be interpreted as requiring only a general bachelor's.
Negotiate an offer before the April registration window
H-1B cap registrations open in March and close within days. Secure your offer letter and have your employer retain an immigration attorney or filing service by late February so the I-129 petition and supporting documentation are ready the moment registration opens.
Request a prevailing wage determination before your offer is finalized
Your employer must pay at least the DOL prevailing wage for your occupation and work location, verified through the OFLC Wage Search. Ask for the wage level used in the LCA before signing, since Level I wages can be significantly below market for licensed clinicians.
H-1B Visa Clinical Therapist: Frequently Asked Questions
Does a Clinical Therapist role qualify as an H-1B specialty occupation?
Yes, provided the position requires at minimum a master's degree in a directly related field such as clinical social work, marriage and family therapy, or professional counseling. USCIS has issued requests for evidence on therapist petitions where job postings accepted any bachelor's degree, so the offer letter and job description must explicitly require a specific graduate-level credential tied to the clinical duties.
Which types of employers are most likely to sponsor H-1B visas for therapists?
Large hospital systems, university-affiliated behavioral health programs, federally qualified health centers, and nonprofit community mental health organizations file the highest volume of H-1B petitions for clinical roles. These employers often have established immigration processes and legal counsel in place. You can browse verified sponsoring employers filtered by clinical therapist LCA filings on Migrate Mate.
Can a private therapy practice or small group practice sponsor an H-1B?
Yes, but most small and solo practices lack the infrastructure to navigate the process independently. The employer must file a certified Labor Condition Application with DOL before submitting the I-129 petition to USCIS, post the LCA at the worksite, and pay prevailing wages. Small practices that do sponsor typically work with an outside immigration attorney to handle compliance requirements.
How does state licensure affect my H-1B petition as a therapist?
Your H-1B approval does not grant you clinical licensure. Each state licenses independently, and USCIS expects you to hold or be eligible for the license required to practice in your work location. If you're relocating from another state, confirm that your credential qualifies for endorsement or reciprocity before your employer files, since a licensure gap can complicate the petition or delay your start date.
What happens to my H-1B status if my employer changes billing structure or contract terms after I start?
Material changes to the terms of your employment, such as a shift from salaried to contract billing, a significant reduction in hours, or a change in work location, may require your employer to file an amended H-1B petition with USCIS. The prevailing wage obligation and LCA must reflect actual working conditions throughout your authorized period, not just at the time of the original filing.