Mental Health Technician Jobs in Montana
Mental Health Technician jobs in Montana are concentrated in Billings, Missoula, and Great Falls, where behavioral health demand runs from entry-level direct care positions through senior psychiatric technician roles. Large, established employers such as Billings Clinic, St. Patrick Hospital, and Montana State Hospital in Warm Springs maintain consistent hiring across inpatient psychiatric units, residential treatment, and crisis stabilization. The most in-demand specialties in the state are adolescent behavioral health, substance use disorder support, and forensic psychiatric care. See the openings below and apply to the ones that match your experience.
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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 Technician Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health Technician JobsMental Health Technician Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Mental Health Technician 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 technician jobs across Montana.
- High school diploma or GED recognized by the Montana Office of Public Instruction
- Current CPR and first aid certification from an accredited Montana provider
- Experience working in a psychiatric, residential, or behavioral health setting
- Ability to complete Montana-approved crisis intervention training such as CPI or Mandt
- Clean background check meeting Montana DPHHS requirements for direct care workers
- Strong documentation skills and familiarity with electronic health record systems
Mental Health Technician Jobs in Montana: Frequently Asked Questions
How do you become a mental health technician in Montana?
Most Montana employers require a high school diploma or equivalent plus completed on-the-job orientation, though an associate degree in human services, psychology, or a related field strengthens your candidacy. Montana does not issue a standalone state license for mental health technicians, but direct care workers in licensed facilities must meet Montana Department of Public Health and Human Services background clearance standards. Completing an approved crisis intervention training program before or shortly after hire is expected at most inpatient and residential settings.
Which companies hire mental health technicians in Montana?
Employers hiring mental health technicians in Montana right now include Youth Dynamics of Montana, Yellowstone Boys and Girls Ranch, and Alternatives, based on current listings on Migrate Mate as of October 2026. Montana's behavioral health workforce is anchored by large regional hospital systems and state-operated psychiatric facilities, which tend to post openings year-round rather than seasonally.
Which Montana cities have the most mental health technician jobs?
Billings, Boulder, and Helena have the most mental health technician openings in Montana. Billings drives the largest share of listings as the state's most populous city and the home of major health systems, while Missoula's concentration of university-affiliated clinics and Great Falls' proximity to Montana State Hospital in nearby Warm Springs bring consistent demand to those markets as well.
Are there remote mental health technician jobs in Montana?
Yes, but they're rare. Mental health technician work is primarily hands-on and facility-based, requiring direct patient observation and physical de-escalation support. About 75% of mental health technician openings tied to Montana are remote or hybrid as of October 2026, and those positions typically involve telephone crisis line support or documentation-focused coordination roles rather than direct care.
How can I get hired as a mental health technician in Montana with little or no experience?
The most realistic entry path is applying to a psychiatric technician aide or direct support professional opening at a Montana hospital system or residential facility, which typically provide structured on-the-job orientation. Billings Clinic and St. Patrick Hospital in Missoula both hire candidates without prior behavioral health experience into entry-level support roles. Earning a Certified Nursing Assistant credential through a Montana-approved program signals readiness for hands-on patient care and frequently opens the door to a mental health technician promotion within the same organization.
Where can I find and apply to mental health technician jobs in Montana?
You can find and apply to mental health technician jobs in Montana on Migrate Mate, which lists current Montana openings across hospitals, residential facilities, and crisis centers. Search the listings to find roles that match your experience and credentials, then apply directly to the ones that fit.
See All 17 Mental Health Technician Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health Technician Jobs