Mental Health Jobs in Cleveland, OH
Mental health jobs in Cleveland are in strong demand, concentrated in University Circle, the Health-Tech Corridor, and Midtown, with significant hiring in community behavioral health, hospital systems, and nonprofits. Employers actively hiring include Main Account - OhioGuidestone, The Centers, and GRO Community. See the openings below and apply to the ones that match your experience.
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Position Title: Integrated Mental Health and Substance Use Therapist
Reports to: Director of Behavioral Health
Position Status: Exempt
Grade:
Core Competencies:
Clinical Excellence in Integrated Mental Health and Substance Use Disorder Treatment, Assessment and Diagnosis, Treatment Planning, Psychoeducation, Cultural Competence and Cultural Humility, Boundaries and Ethics, Collaboration and Referral, Crisis Intervention, Documentation, Advocacy and Empowerment. Have familiarity of adopted treatment modalities;
· Thought-focused: CBT, ACT, MBCT
· Emotion-focused: DBT, Humanistic Therapy
· Trauma-focused: EMDR, Exposure Therapy, trauma-focused CBT
Position Overview:
The Integrated Mental Health and Substance Use Therapist is responsible for mental health and substance use assessment, diagnosis, treatment planning, and individual and group therapy. This role involves increasing access to mental health and substance use services, collaboration and referral, advocating for and empowering clients in meeting their needs, maintaining accurate and up-to-date documentation and adherence to regulatory requirements and accreditation standards.
Position Responsibilities:
Assessment and Diagnosis: Conduct integrated assessments to assess risk, diagnose mental health disorders and substance use disorders, and determine appropriate level of care. Establish and maintain professional boundaries and ethics throughout the clinical pathway.
Treatment Planning: Engage clients in developing individualized treatment plans that incorporate evidence-based practices to address mental health and substance use concerns, including integrated treatment for clients with co-occurring disorders.
Individual and Group Therapy: Utilize clinically indicated therapeutic modalities, cultural competence and cultural humility, and psychoeducation to engage clients and address both mental health and substance use issues effectively in individual and group sessions.
Collaboration and Referral: Coordinate with internal and external providers, including peer supporters, case workers, psychiatrists, physicians, and community resources, to ensure comprehensive care.
Make referrals as necessary for specialized services.
Crisis Intervention: Proactively create safety plans and respond promptly and effectively to mental health or substance use crisis situations, providing appropriate support, de-escalation techniques, and linkage to emergency services when necessary. Collaborate with identified professionals and other relevant parties to best ensure the safety and well-being of clients, including timely aftercare.
Documentation: Maintain accurate and timely documentation of assessments, treatment plans, progress notes, referrals, care coordination, incident reports, and discharge summaries in compliance with regulations, accreditation standards, and organizational policies.
Advocacy and Empowerment: Serve as an advocate for clients and support clients in advocating for themselves. Collaborate with other service providers, community organizations, and stakeholders
to work toward improved access and quality of services and support systems. Empower clients to actively participate in their treatment and recovery process.
Work Characteristics:
· Clinical experience with mental health and substance use treatment.
· Proficiency in use of Electronic Health Records.
· Proficiency in Microsoft Office Suite.
· Strong understanding of Medicaid, Ohio MHAS, Fair Housing, HIPAA, CARF and applicable regulations, standards, and guidelines
· Cultural competence and cultural humility with diverse populations, including individuals who are homeless.
· Consistent, accurate, and timely documentation of services.
· Excellent organizational and time management skills.
· Excellent communication and interpersonal skills.
· Resilience in the face of challenges.
Working Conditions:
· Work schedule: M-F daytime schedule. Some evening and weekend hours as needed.
· Work environment: Primarily on-site with flexibility for remote work as appropriate.
· While performing the duties of this job, the employee is occasionally required to stand, climb stairs, balance, sit, walk, type, kneel, and crouch.
· The employee must occasionally lift and/or move up to 25 pounds.
Minimum Qualifications:
· Bachelor or Master’s degree in social work, counseling, or marriage and family therapy.
· Required: Current clinical licensure through the Ohio Counselor, Social Worker and Marriage and Family Therapist Board (LSW, LISW, LISW-S, LPC, LPCC, LPCC-S, MFT, IMFT, IMFT-S).
· Required: Demonstrated experience with SUD treatment.
· Preferred: Additional certification or licensure through the Ohio Chemical Dependency Professionals Board (CDCA, LCDC II, LCDC III, LICDC, LICDC-CS).
· Must have own vehicle and a valid driver’s license and automotive insurance. Must provide the agency with proof of valid automotive insurance yearly. Must not have more than 6 points on their license.
Pay: $50,000.00 - $55,000.00 per year
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Vision insurance
Work Location: In person
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Who's Hiring


Top Industries Hiring
- Education
Mental Health Jobs in Cleveland: Frequently Asked Questions
How do I get a mental health job in Cleveland?
Cleveland's strongest hiring comes from its large hospital systems, federally qualified health centers, and community mental health agencies concentrated in University Circle, Midtown, and the near west side. Candidates with experience in trauma-informed care, substance use treatment, or crisis intervention stand out in this market. Familiarity with Medicaid-funded service environments and bilingual skills are meaningful advantages given Cleveland's diverse patient population.
Which companies hire mental healths in Cleveland?
Companies currently hiring mental healths in Cleveland include Main Account - OhioGuidestone, The Centers, and GRO Community, per current listings on Migrate Mate as of July 2026. Cleveland's hiring is driven largely by integrated health systems, county-contracted behavioral health agencies, and mission-driven nonprofits serving the greater Cuyahoga County area.
Are there remote mental health jobs in Cleveland?
Yes, though remote availability in mental health depends heavily on role type: telehealth clinician and care coordination positions are commonly remote, while direct crisis, residential, and case management roles are almost always on-site. About 40% of mental health openings tied to Cleveland are remote or hybrid as of July 2026. Telehealth-focused positions within hospital-affiliated outpatient programs are the most consistently remote in this market.
How can I get a mental health job in Cleveland with little or no experience?
The most realistic entry path in Cleveland is through community mental health centers and nonprofit agencies, which regularly hire community health workers, case management aides, and peer support specialists for candidates without clinical licensure. Organizations serving Cuyahoga County's Medicaid population often offer paid training and supervision toward licensure. Volunteering with Cleveland-area crisis hotlines or harm reduction programs also builds a concrete local record that Cleveland employers recognize.
Which industries hire the most mental healths in Cleveland?
Cleveland mental health roles concentrate in Education, based on current listings on Migrate Mate as of July 2026. Cleveland's deep concentration of academic medical centers, county-funded behavioral health contracts, and social services infrastructure makes these sectors the consistent engines of local mental health hiring.
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