Mental Health Jobs in Montana
Mental Health jobs in Montana are concentrated in community health centers, tribal health programs, and state-run facilities, with steady demand across rural outreach, inpatient care, and school-based services. Billings, Missoula, and Great Falls are the largest hiring markets, home to established employers such as RiverStone Health, Providence St. Patrick Hospital, and the Montana Department of Public Health and Human Services. The most in-demand specialties are substance use counseling, crisis intervention, and children and family behavioral health. Find a role that fits below and apply directly.
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- Salary: The starting salary for this position is $35.00-$45.00/hour, DOE
- Full-Time, Non-Exempt
- Days, Monday-Friday – rotating on-call with other team members.
- Orientation: Alternatives provides thorough orientation and training for all new staff. You can expect a one-week orientation, where you will learn all about Alternatives and be prepared for your role. This first week is scheduled from 9 AM to 5 PM at our Alternatives Training Center.
- Master’s degree in a program of study that is primarily counseling in nature.
- Montana State Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW).
- Good writing and verbal skills and the ability to type 40 words per minute.
- Must have experience and demonstrated ability in records management.
- Ability to pass background checks.
- Ability to pass federal drug testing requirements.
- A current, valid Driver License.
- Basic computer skills and knowledge of MS Office programs.
- Oversee and supervise the Mental Health Support Specialists team.
- Review client files to assess mental health needs.
- Complete all necessary mental health assessments to assist in the development of an accurate diagnosis.
- Develop the resident’s mental health treatment plan.
- Identify potential suicide risks and assist in prevention strategies.
- Conduct one-on-one counseling sessions regarding mental health issues with clients.
- Provide treatment in group settings.
- Make referrals to a variety of social services and medical resources.
- Document all contacts, significant issues, and general progress in the resident case file.
- Complete discharge summaries and reports in a timely manner.
- Complete specialized requests for client support including Special Needs Requests, Stipends, and Medication Assistance as needed.
- Monitor, assist, and ensure that medical accommodations are met while working with medical staff.
- Assist residents in scheduling medical and mental health related appointments in the community.
- Ensure that client transportation needs are scheduled and met. May include transporting the residents if needed.
- Assist residents as needed to ensure the completion of monthly budgets, biweekly expense requests, reconciling monthly budgets, and any other financial documentation. Explain the process, and help the resident make informed decisions about their finances.
- Ensure that proper communication between departments occur regarding the special needs, restrictions and limitations, and other pertinent information relating to special needs residents to ensure that the safety and security of the facility and the community is upheld. Ensure proper accommodations are made for the residents as needed.
- Facilitate psychoeducational groups.
- Participate in the mental-health on-call rotation.
- Attend all meetings as assigned.
- Medical: Employer pays $532.23 toward employee coverage. Additional plans for children and family are available at employee cost.
- Dental: Employer pays 100% of employee-only coverage. Affordable coverage for children and families is available at employee cost.
- Vision: Affordable plans are available for employees, children, and families at a low cost.
- Life Insurance: The agency provides a $25,000 coverage plan for all benefit-eligible employees. Additional employee-paid supplemental plans available.
- Short-and-Long-term Disability: 100% employer-paid coverage for employees.
- 401k/Retirement Plan: Employees are eligible for 401k contributions after one year of employment and 1,000 hours worked. Employer profit sharing is eligible annually, based on board approval.
- AFLAC: Supplemental plans are available to employees and their families at employee cost.
- Accrual: Start accruing PTO from your first paycheck. Full-time (40-hour) employees with 0-2 years of employment accrue 4.65 hours per pay period, totaling 15 days a year.
- Increased Accrual with Tenure: Accrual rates increase at 3 years, 5 years, and every subsequent 5-year mark, up to 25+ years.
- Pro Rata Basis: Accrual rates for employees working 20-30 hours per week are on a pro rata basis.
- Full-Time Employees: Enjoy 11 paid holidays.
- Part-Time Employees: Employees working 20-30 hours per week also receive paid holidays on a pro rata basis.
- Student Loan Forgiveness: Alternatives is a Public Service Loan Forgiveness (PSLF)-eligible employer, giving qualifying employees the opportunity to have their federal student loans forgiven while working for a nonprofit organization.
- Scholarship Program: We invest in our employees' growth through scholarship opportunities, subject to eligibility requirements, program availability, and funding.
- Career Growth: We believe in promoting from within! Many of our team members have advanced into new roles throughout their careers at Alternatives. Our CEO has been with the organization for over 40 years, and many employees have celebrated 10+ years of service.
- Sunshine Teams: Each building has a Sunshine Team dedicated to boosting morale, planning fun activities, organizing food days, celebrating employee birthdays, and other special occasions throughout the year.
See All 17 Mental Health Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health JobsMental Health Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Mental Health Job Market in Montana
A snapshot from current Montana openings, updated as new roles post.
Who's Hiring


What Montana Employers Look For
The qualifications that appear most often in mental health jobs across Montana.
- Active Montana licensure such as LCSW, LPC, LMFT, or LCPC issued by the Montana Board of Behavioral Health
- Master's degree in social work, counseling, marriage and family therapy, or a closely related field
- Experience providing direct clinical services in community mental health or inpatient settings
- Proficiency in documentation and electronic health record platforms such as Epic or Credible
- Ability to complete a criminal background check and maintain CPR and first aid certification
- Strong skills in evidence-based practices including CBT, motivational interviewing, or trauma-informed care
Mental Health Jobs in Montana: Frequently Asked Questions
How do you become a mental health professional in Montana?
Becoming a licensed mental health professional in Montana requires completing a qualifying graduate degree and then applying to the Montana Board of Behavioral Health, which oversees credentials including the LCSW, LPC, LMFT, and LCPC. Each license has specific supervised hours requirements you must complete post-graduation before sitting for the relevant national exam. The board's licensing portal outlines the application steps, supervision documentation, and continuing education requirements for each credential type.
Which companies hire mental health professionals in Montana?
Companies currently hiring mental healths in Montana include Youth Dynamics of Montana, Yellowstone Boys and Girls Ranch, and Alternatives, per current listings on Migrate Mate as of October 2026. Montana's mix of tribal health systems, community mental health centers, and state behavioral health facilities means openings are distributed across both urban centers and rural service areas throughout the state.
Which Montana cities have the most mental health jobs?
Billings, Boulder, and Helena have the most mental health openings in Montana. Billings leads as the state's largest city and regional medical hub, with major health systems anchoring demand, while Missoula's university presence and Great Falls' concentration of Veterans Affairs and state agency offices sustain consistent hiring in those markets.
Are there remote mental health jobs in Montana?
Yes, and more than most clinical fields, because telehealth has become a primary delivery model for reaching patients in Montana's vast rural areas. About 75% of mental health openings tied to Montana are remote or hybrid as of October 2026, reflecting the state's strong telehealth infrastructure. Outpatient therapy, psychiatric evaluation, and case management roles are the most commonly offered in remote or hybrid formats.
How can I get hired as a mental health professional in Montana with little or no experience?
The most realistic entry path is applying for a pre-licensed or associate-level clinician role while completing your supervised hours toward full licensure. Community mental health centers such as Rimrock Foundation and Western Montana Mental Health Center regularly hire pre-licensed counselors and case managers who work under clinical supervision. Roles like mental health technician, case aide, or crisis line specialist at organizations serving Montana's tribal communities or state correctional facilities also provide a direct entry point without requiring an independent license.
Where can I find and apply to mental health jobs in Montana?
You can find and apply to mental health jobs in Montana on Migrate Mate, which lists current openings from employers across the state. Search the listings, find roles that match your license level and preferred setting, and apply directly to the ones that fit.
See All 17 Mental Health Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health Jobs