Mental Health Jobs in Sacramento, CA
Mental Health jobs in Sacramento are in strong demand, concentrated in Midtown, the River District, and Oak Park across community clinics, county behavioral health agencies, and hospital systems. Employers actively hiring include Kaiser Permanente, CHE Behavioral Health Services, and Sutter Health. Scan the live roles below and apply to whichever ones fit.
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Position Overview
We are seeking clinicians who are fluent in both Spanish and English and passionate about expanding access to quality mental health services for Spanish-speaking individuals and families.
Our practice provides outpatient behavioral health services to children, adolescents, adults, couples, and families experiencing mild to moderate mental health conditions, including individuals receiving Medi-Cal services.
This is an hourly W-2 position offering flexible scheduling and hybrid, in-person, and remote work opportunities. Clinicians begin part-time, with opportunities to transition to full-time employment. Those seeking full-time hours should anticipate approximately 6–9 months to build their caseload, depending on referrals and service demand.
Schedule and Work Arrangement:
- Minimum availability: 20 hours per week.
- Part-Time: 20–29 hours per week, approximately 15–24 client sessions.
- Full-Time: 30–40 hours per week, approximately 25–33 client sessions.
- Monday–Friday appointments: 9:00 a.m.–8:00 p.m.
- Saturday appointments: 9:00 a.m.–3:00 p.m.
- Work arrangements: Hybrid, in-person, and remote opportunities.
Additional paid time is allocated for documentation, supervision, meetings, and assigned administrative responsibilities.
Daytime Availability: Clinicians must have the flexibility to attend scheduled individual or group supervision, consultation, team meetings, and training as needed between 8:00 a.m. and 2:00 p.m., Monday–Friday. Attendance is required only for scheduled activities, and all required time is compensated.
Compensation and Earning Potential
Board-Registered Associate Therapists
- Annual equivalent: $43,680 (20 hrs/week) – $87,360 (40 hrs/week).
Licensed Mental Health Therapists
- Annual equivalent: $56,160–$64,480 (20 hrs/week) to $112,320–$128,960 (40 hrs/week).
Licensed clinician rates are determined by years of independent licensure and applicable qualifications.
All hours worked are paid, including clinical services, documentation, supervision, meetings, and assigned administrative duties.
Annual equivalents are estimates based on 52 weeks at the stated hourly rates. Actual earnings depend on hours worked, caseload development, and service demand. Full-time hours and projected earnings are not guaranteed.
Benefits and Professional Support:
- W-2 employment with competitive hourly compensation.
- Medical, dental, and vision insurance for eligible full-time employees.
- Paid sick leave in accordance with California requirements.
- Retirement savings through CalSavers.
- Professional liability insurance coverage.
- Flexible scheduling and opportunities for professional advancement.
- Structured onboarding and paid training.
- Weekly individual and group clinical supervision for board-registered associates.
- Administrative support for billing and credentialing.
- AI-assisted tools to support clinical documentation.
Minimum Qualifications:
- Applicants must qualify under either Option 1 or Option 2 below.
Option 1: Board-Registered Associate Therapist:
- Master's degree in Counseling, Marriage and Family Therapy, Social Work, or a related behavioral health field.
- Current California Board of Behavioral Sciences (BBS) registration as an Associate Marriage and Family Therapist (AMFT), Associate Clinical Social Worker (ACSW), or Associate Professional Clinical Counselor (APCC).
- Eligibility to provide clinical services under appropriate supervision and applicable California requirements.
OR
- Master's degree or higher in an appropriate behavioral health discipline.
- Active, unrestricted California license as an LMFT, LCSW, or LPCC.
- Ability to independently assess, diagnose, and provide outpatient psychotherapy.
Bilingual Language Requirement:
- Fluency in both Spanish and English is required.
- Ability to provide mental health assessments, psychotherapy, treatment planning, and clinical communication in both languages, as appropriate.
Additional Requirements for All Applicants:
- Experience serving Medi-Cal or other publicly insured populations.
- Experience providing mental health services to children, adolescents, adults, couples, or families.
- Experience or training in trauma-informed care and evidence-based treatment approaches.
- Strong documentation, communication, and organizational skills.
- Experience with electronic health records and telehealth platforms.
Key Responsibilities:
- Provide culturally responsive, trauma-informed individual, couples, and family therapy within professional scope.
- Conduct clinical assessments, establish diagnoses, and develop individualized treatment plans.
- Provide appropriate case management, care coordination, and community referrals.
- Complete accurate, timely clinical documentation.
- Participate in required supervision, consultation, training, and team meetings.
- Collaborate with clinical and administrative teams while maintaining compliance with California regulations, HIPAA, and organizational policies.
Apply Today
To apply, please submit both a resume and a cover letter outlining your qualifications, relevant clinical experience, and interest in joining our team.
Guillaume Marriage and Family Counseling of California, P.C. is an equal opportunity employer. All qualified applicants will receive consideration in accordance with applicable employment laws.
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Who's Hiring
- Kaiser Permanente59
- CHE Behavioral Health Services59
- Sutter Health29
- Daybreak Health29
- Mindpath Health29
Mental Health Jobs in Sacramento: Frequently Asked Questions
How do I get a mental health job in Sacramento?
Focus your search on Sacramento County's Behavioral Health Services division, federally qualified health centers like WellSpace Health, and nonprofit providers clustered in Midtown and Oak Park. Candidates with experience in Medi-Cal documentation, crisis intervention, or co-occurring disorders stand out in this market. Bilingual skills, particularly in Spanish or Hmong, give applicants a meaningful edge with Sacramento's diverse client populations.
Which companies hire mental healths in Sacramento?
Employers hiring mental healths in Sacramento right now include Kaiser Permanente, CHE Behavioral Health Services, and Sutter Health, based on current listings on Migrate Mate as of October 2026. Sacramento's hiring mix leans heavily toward county agencies, nonprofit community health organizations, and integrated care systems tied to the region's large Medi-Cal population.
Are there remote mental health jobs in Sacramento?
Yes, though remote availability is limited for hands-on clinical roles and more common for care coordination, utilization review, and telehealth counseling positions. About 43% of mental health openings tied to Sacramento are remote or hybrid as of October 2026, reflecting the growth of telehealth platforms serving Sacramento's extended Central Valley catchment area. Telehealth therapy and case management roles are the most consistently remote options locally.
How can I get a mental health job in Sacramento with little or no experience?
The most realistic entry path in Sacramento is a mental health worker or peer support specialist role with Sacramento County or a nonprofit like Turning Point Community Programs, which regularly hire candidates without clinical licensure. Volunteering with crisis hotlines or completing internships through Sacramento State or UC Davis Health opens doors to paid positions. Certification as a peer support specialist through California programs is a practical credential that local employers recognize.
Related Jobs in California
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