Mental Health Technician Jobs in Washington
Mental Health Technician jobs in Washington are among the most active in the Pacific Northwest, concentrated in inpatient psychiatric units, community behavioral health centers, and residential treatment programs serving adults and adolescents. The heaviest hiring is in Seattle, Tacoma, and Spokane, where large employers like UW Medicine, MultiCare Health System, and Providence Health are consistent presences in the market. The most in-demand specialties are crisis stabilization, substance use disorder support, and youth behavioral health. Scan the live roles below and apply to whichever ones fit.
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POSITION TITLE: Mental Health Therapist
DEPARTMENT: HHS – Behavioral Health
LOCATION: DuPont, Washington
REPORTS TO: Clinical Supervisor
STATUS: Hourly; Full-Time
WAGE RANGE: $45.45 - $54.50 per hour (Dual-Credentialed falls higher within the range)
CLOSING DATE: Open Until Filled
***If you are an American Indian/Alaska Native and/or a Veteran and would like this to be considered a preference in hiring, please upload documentation with your resume and cover letter. Acceptable documentation includes a Tribal Enrollment card, a letter from your Tribe stating your enrollment, or BIA 4432 and/or DD214.***
Position Summary:
Provides client-centered, strengths-based, and culturally responsive therapeutic services to individuals, families, and groups in a clinical setting. Conducts evaluations, diagnostics, therapy, and crisis intervention using evidence-based practices, with a focus on co-occurring psychiatric and substance use disorders, including addiction, mental illness, and trauma-informed care. Supports clients in their recovery journey by facilitating engagement in behavioral health services. Adheres to HIPAA and confidentiality requirements. Honors and represents the mission, vision, and values of the Cowlitz Indian Tribe and the HHS department.
This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive.
Essential Duties & Responsibilities:
- Provides comprehensive assessment of clients using a variety of instruments to determine the diagnosis, treatment motivation, relapse potential, physical health, mental health, environment, and vocational situation; determines level of care, intervention strategies, and an individualized treatment plan.
- Collaborates with a diverse team of professionals integrating care in assessment, treatment, and medical care to people in our Behavioral Health program.
- Adheres to established DSM guidelines and ASAM protocols.
- Works with other community services and resources in obtaining and providing continuous care in an individualized recovery plan for clients.
- Discovers and discusses the underlying causes of addiction for each client and assesses co-existing health issues and concerns.
- Counsels clients in a group or individual setting on the effects of drugs and alcohol and special health considerations such as pregnancy, mental health conditions, or chronic health issues like diabetes or high blood pressure and the emotional/cognitive complications that may arise.
- Engages clients through outreach and building rapport.
- Develops appropriate individualized treatment plans to address the client’s mental health and substance use issues, coping strategies, and recovery needs; educates families, friends, or other caregivers on how to help addicts stay on track.
- Evaluates the effectiveness of treatment programs; monitors client progress; remains aware of the signs of recidivism; conducts urinalysis as needed.
- Participates as a member of a clinical team that meets weekly to discuss cases regarding progress updates, hurdles, feedback, recommendations, and other regular clinic topics.
- Manages client caseload ethically in accordance with established procedures
- Incorporates traditional cultural approaches as needed to aid in therapy and recovery.
- Completes all required documentation in accordance with established policies and procedures.
- Prepares current client progress reports and completion notices and provides them to courts, probation departments, DCFS, and referral sources as appropriate.
- Participates in professional development and maintains required certifications and licenses.
- Adapts to changes in safety protocols and procedures.
- Works collaboratively in a team environment to achieve shared goals.
- Performs other duties as assigned.
Knowledge, Skills, and Abilities:
- Knowledge of traditional forms of government and tribal customs and traditions.
- Knowledge of client evaluation and plan of care procedures.
- Knowledge of client outreach services and activities.
- Knowledge and understanding of clinical counseling principles, substance and chemical abuse, programs, and methodology.
- Knowledge and familiarity with the use of DSM-V in the development of treatment plans for the client with substance abuse issues.
- Skills in interviewing and psychological/developmental evaluation.
- Skill in preparing and maintaining client records.
- Ability to apply mental health counseling methods and techniques.
- Ability to conceptualize client and family experiences through a culturally and historically informed lens.
- Ability to evaluate the progress of therapeutic programs and to make individual modifications.
- Ability to develop and present educational programs and workshops.
- Ability to plan, implement, and evaluate individual patient care programs.
- Ability to communicate effectively both verbally and in writing.
- Ability to build rapport quickly and effectively with clients and their families.
- Ability to integrate training, experience, and common sense sufficiently to identify potentially dangerous situations and resolve the situation with minimum injury to self or other persons.
- Ability to establish and maintain professional relationships with individuals of varying social and cultural backgrounds and with co-workers at all levels.
- Ability to gather data, compile information, and prepare reports.
- Ability to handle multiple tasks and meet deadlines.
Minimum Qualifications:
- Master's Degree in Counseling, Psychology, Social Work, Marriage and Family Therapy, or closely related field, required.
- Licensed to provide mental health services (LCSW, LMHC, LMFT, PsyD) in Washington state, required.
- Three years of experience serving as a mental health counselor, required.
- Two years of experience providing behavioral health services to youth, preferred.
- Certified as a substance use disorder professional (SUDP) in Washington state, with two years of experience, preferred.
- Candidates with an Associate or trainee-level credential, or no current credential, may be considered for the role.
- Experience working within American Indian and/or Alaska Native communities preferred.
- A valid driver’s license is required when driving vehicles for work-related purposes.
- Must be able to successfully pass a background screening/investigation according to the established requirements below.
Tribal preference in accordance with the Cowlitz Indian Tribe Code and CIT Employee Policies and Procedures Handbook shall apply to all positions. All positions are required to adhere to CIT’s established safety policies regarding vaccine requirements and personal protective equipment (PPE).
Background Investigation Requirements:
- Pre-employment drug screen.
- Reference checks, education, and employment verification.
- Federal, state, and/or tribal criminal history and sanction checks including fingerprint verification.
- Has not been found guilty of, charged with, received a deferred sentence, received a conditional discharge of, or entered a plea of not contest to, or entered a plea of guilty to any one felony or misdemeanor crimes of violence, sexual assault, molestation, exploitation or sexual contact; prostitution; or crimes committed against person(s) or children.
Physical Demands:
While performing the duties of this job, the employee regularly is required to sit, stand, use hands and fingers for a variety of tasks, talk, and hear. The employee occasionally is required to walk and reach with hands and arms. The employee is occasionally required to lift up to 20 lbs. Specific vision abilities required by this job include close vision and clarity of vision at long distances.
Work Environment:
Work is generally performed in an office/clinical setting with a moderate noise level. Employees may be exposed to bodily fluids, bloodborne pathogens, and infectious diseases. Situations may occur where PPE (personal protective equipment) is needed. Evening and/or weekend work may be required. Tight time constraints and multiple demands are common.
See All 122+ Mental Health Technician Jobs in Washington
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Find Mental Health Technician JobsMental Health Technician Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Mental Health Technician Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring
- Telecare Corporation14

- MultiCare Health System11

- LifeStance Health10

- Frontier Behavioral Health6

- Sunrise Services4

Top Industries Hiring
- Healthcare & Medical Services
- Education
What Washington Employers Look For
The qualifications that appear most often in mental health technician jobs across Washington.
- Active Washington State certification as a Mental Health Technician or equivalent recognized credential
- High school diploma or GED required, associate or bachelor's degree in psychology preferred
- Experience supporting patients with mental illness in a clinical or residential setting
- Proficiency with electronic health record systems such as Epic or Cerner
- Current CPR and first aid certification, with de-escalation training such as CPI
- Ability to work rotating shifts including nights, weekends, and holidays as needed
Mental Health Technician Jobs in Washington: Frequently Asked Questions
How do you become a mental health technician in Washington?
Washington does not require a single statewide license specifically titled mental health technician, but most employers require candidates to meet the state's Behavioral Health Agency staff qualifications under the Washington Department of Health and the Health Care Authority. In practice, that means holding at minimum a high school diploma, completing required training hours in mental health first aid or de-escalation, and often obtaining a background check clearance through the Washington State Patrol. Many positions at hospital systems also expect candidates to earn a recognized certification such as the Registered Psychiatric Technician credential within a set timeframe after hire.
Which companies hire mental health technicians in Washington?
Companies currently hiring mental health technicians in Washington include Telecare Corporation, MultiCare Health System, and LifeStance Health, per current listings on Migrate Mate as of August 2026. Washington's strong network of integrated health systems and community behavioral health organizations means openings appear consistently across both large hospital campuses and smaller outpatient and residential providers throughout the state.
Which Washington cities have the most mental health technician jobs?
Seattle, Spokane, and Washington State have the most mental health technician openings in Washington. Seattle dominates because of its concentration of major health systems and psychiatric hospitals, while Tacoma and Spokane generate steady demand through regional medical centers, community mental health agencies, and state-contracted residential facilities that serve their surrounding counties.
Are there remote mental health technician jobs in Washington?
Yes, but they're rare. Mental health technician work is primarily hands-on and on-site, involving direct patient monitoring, crisis intervention, and therapeutic support that require physical presence. About 48% of mental health technician openings tied to Washington are remote or hybrid as of August 2026, and those positions are almost exclusively limited to telehealth intake coordination or administrative support roles rather than direct care.
How can I get hired as a mental health technician in Washington with little or no experience?
The most realistic entry path is applying to part-time or per-diem psychiatric technician aide roles at Washington's larger hospital systems, which regularly hire candidates without prior clinical experience and provide structured on-the-job training. MultiCare, UW Medicine, and Providence Health all operate new employee orientation programs that include supervised hours on inpatient behavioral health units. Candidates coming from adjacent roles such as direct support professional, residential counselor, or crisis line volunteer are especially competitive. Completing a mental health first aid certification and securing a clean background check clearance through the Washington State Patrol before applying gives candidates a measurable edge.
Where can I find and apply to mental health technician jobs in Washington?
You can find and apply to mental health technician jobs in Washington on Migrate Mate, which lists current Washington openings updated regularly. Search the roles available, find the ones that match your experience and preferred location, and apply directly to the employers posting them.
See All 122+ Mental Health Technician Jobs in Washington
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