Mental Health Worker Jobs in Montana
Mental health worker jobs in Montana are concentrated in Billings, Missoula, and Great Falls, where community mental health centers, tribal health programs, and integrated care systems drive steady hiring from entry-level technician roles to licensed clinical positions. Major employers with an established presence in the state include RiverStone Health, Benefis Health System, and the Indian Health Service. The most in-demand specialties are substance use counseling, crisis intervention, and case management for rural and underserved populations. See the openings below and apply to the ones that match your experience.
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You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting.
COMMUNITY CRISIS CENTER (Billings Clinic Main Campus)
req12297
Shift: Day, Evenings, Nights, Weekends
Employment Status: Per Diem
Hours per Pay Period: 0.01 = per diem (as needed) (Non-Exempt)
Starting Wage DOE: $17.00 - 21.25
The Mental Health Worker is responsible for following established policies and procedures, performs a variety of therapeutic activities as specified by the treatment program and the individual client treatment plan.
Essential Job Functions
- Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
- Utilizing a holistic approach performs basic nursing care and activities within scope and practice as directed by the licensed nurse to include the goal directed plan of care for the patient. This may include the use of the CCC van to transport a client to the hospital for non-emergent reasons as directed by the RN.
- Performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include, but not limited to, activities of daily living (ADLs), providing clients with food and shower supplies, may be asked to assist with vital signs, inventory client belongings and patient observation as assigned.
- Ensures complete, accurate and timely entry into client medical record as indicated by client need and documentation guidelines, consistent with departmental policies and procedures.
- Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues and initiates appropriate action.
- Utilizes performance improvement principles to assess and improve the quality of client care. Supports the Magnet Model of quality nursing care.
- Maintains confidentiality within the treatment team and helps clients to understand confidentiality for themselves and others. Mental Health Workers may teach life skills and other evidence based groups as supervised by CC Counselors or the CCC Supervisor.
- Assists in managing crisis situations requiring de-escalation of clients. Utilizes crisis intervention techniques and judgment that demonstrates the ability to intervene in potentially explosive situations with patient in a manner that maintains patient dignity and patient and staff safety.
- Demonstrates collaborative, supportive, and caring behaviors in communication with patients, families, visitors, and interdisciplinary care team.
- Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. The Mental Health Worker my be cross-trained as a case manager/discharge coordinator and may assist with case management duties.
- Performs clerical duties to maintain unit flow which may include paperwork coordination, working with the other team players to ensure timely client care and assisting the RN with 30 minute checks.
- Utilizes electronic applications to support daily staff and client workflow, which includes, but is not limited to intake paperwork, setting up client files, documenting significant client incidents. Ability to effectively utilize phone systems. Answers telephone calls and an occasional crisis call, responds to routine inquiries and relays other calls and messages promptly. Notifies appropriate personnel of requests.
- Occasionally transports clients during non emergent situations to appointments or to other service providers. And drives the CCC van to pick up food that is donated by other non profit agencies.
- Mental Health Workers ensure that the CCC environment is clean and free from obstacles and debris. The main areas of focus are the observation and recovery bays, lobby and conference room, restrooms and showers and the front walk and garbage.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Minimum Qualifications
Education
- High school diploma or equivalent
Experience
- Preferred training or direct experience of at least two years in the mental health field with demonstrated ability and skills to work therapeutically with patients
- Must be able to lift, push, pull 50 pounds unassisted.
Certifications and Licenses
- Aegis Certification within 60 days of hire At hire
- Healthcare provider CPR Certification At hire
- Must have a valid Montana driver's license and a good driving record.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.
And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting.
COMMUNITY CRISIS CENTER (Billings Clinic Main Campus)
req12297
Shift: Day, Evenings, Nights, Weekends
Employment Status: Per Diem
Hours per Pay Period: 0.01 = per diem (as needed) (Non-Exempt)
Starting Wage DOE: $17.00 - 21.25
The Mental Health Worker is responsible for following established policies and procedures, performs a variety of therapeutic activities as specified by the treatment program and the individual client treatment plan.
Essential Job Functions
- Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
- Utilizing a holistic approach performs basic nursing care and activities within scope and practice as directed by the licensed nurse to include the goal directed plan of care for the patient. This may include the use of the CCC van to transport a client to the hospital for non-emergent reasons as directed by the RN.
- Performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include, but not limited to, activities of daily living (ADLs), providing clients with food and shower supplies, may be asked to assist with vital signs, inventory client belongings and patient observation as assigned.
- Ensures complete, accurate and timely entry into client medical record as indicated by client need and documentation guidelines, consistent with departmental policies and procedures.
- Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues and initiates appropriate action.
- Utilizes performance improvement principles to assess and improve the quality of client care. Supports the Magnet Model of quality nursing care.
- Maintains confidentiality within the treatment team and helps clients to understand confidentiality for themselves and others. Mental Health Workers may teach life skills and other evidence based groups as supervised by CC Counselors or the CCC Supervisor.
- Assists in managing crisis situations requiring de-escalation of clients. Utilizes crisis intervention techniques and judgment that demonstrates the ability to intervene in potentially explosive situations with patient in a manner that maintains patient dignity and patient and staff safety.
- Demonstrates collaborative, supportive, and caring behaviors in communication with patients, families, visitors, and interdisciplinary care team.
- Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. The Mental Health Worker my be cross-trained as a case manager/discharge coordinator and may assist with case management duties.
- Performs clerical duties to maintain unit flow which may include paperwork coordination, working with the other team players to ensure timely client care and assisting the RN with 30 minute checks.
- Utilizes electronic applications to support daily staff and client workflow, which includes, but is not limited to intake paperwork, setting up client files, documenting significant client incidents. Ability to effectively utilize phone systems. Answers telephone calls and an occasional crisis call, responds to routine inquiries and relays other calls and messages promptly. Notifies appropriate personnel of requests.
- Occasionally transports clients during non emergent situations to appointments or to other service providers. And drives the CCC van to pick up food that is donated by other non profit agencies.
- Mental Health Workers ensure that the CCC environment is clean and free from obstacles and debris. The main areas of focus are the observation and recovery bays, lobby and conference room, restrooms and showers and the front walk and garbage.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Minimum Qualifications
Education
- High school diploma or equivalent
Experience
- Preferred training or direct experience of at least two years in the mental health field with demonstrated ability and skills to work therapeutically with patients
- Must be able to lift, push, pull 50 pounds unassisted.
Certifications and Licenses
- Aegis Certification within 60 days of hire At hire
- Healthcare provider CPR Certification At hire
- Must have a valid Montana driver's license and a good driving record.
Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
See All 9 Mental Health Worker Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health Worker JobsMental Health Worker Jobs by City in Montana
Where Montana roles are concentrated, by current openings.
Mental Health Worker 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 worker jobs across Montana.
- Active Montana Mental Health Professional license or eligibility for state registration required
- Bachelor's or master's degree in psychology, social work, or a related behavioral health field
- Experience delivering direct client care in a community mental health or residential setting
- Proficiency with electronic health records and clinical documentation standards
- Valid Montana driver's license for community outreach and home-based service positions
- CPR and first aid certification required for most residential and crisis stabilization roles
Mental Health Worker Jobs in Montana: Frequently Asked Questions
How do you become a mental health worker in Montana?
Most mental health worker roles in Montana require at minimum a bachelor's degree in psychology, social work, counseling, or a related field. Those pursuing clinical or licensed positions must register with the Montana Board of Behavioral Health, which oversees licensure for licensed clinical social workers, licensed professional counselors, and licensed addiction counselors. Entry-level direct support roles often require only a high school diploma, relevant coursework, and completion of state-mandated training hours.
Which companies hire mental health workers in Montana?
Montana mental health worker roles are posted by Youth Dynamics of Montana and Billings Clinic and others right now, based on current listings on Migrate Mate as of July 2026. Many of the most active employers are community mental health centers, tribal health organizations, and integrated hospital systems distributed across Montana's larger cities and rural service areas.
Which Montana cities have the most mental health worker jobs?
Billings, Boulder, and Great Falls have the most mental health worker openings in Montana. Billings leads as the state's largest city and regional medical hub, while Missoula's concentration of university health services and nonprofit behavioral health agencies drives strong demand, and Great Falls supports hiring through its hospital system and the surrounding rural catchment area it serves.
How can I get hired as a mental health worker in Montana with little or no experience?
The most realistic entry path is applying for direct support professional or behavioral health technician roles at community mental health centers like RiverStone Health or residential programs operated through tribal health systems, which routinely hire candidates with a relevant degree and no prior clinical experience. Volunteering or completing a practicum at a Montana crisis center or outpatient clinic strengthens your application considerably. Obtaining a Qualified Mental Health Paraprofessional designation through the Montana Board of Behavioral Health is a credential that gives entry-level candidates a measurable edge over unregistered applicants.
Where can I find and apply to mental health worker jobs in Montana?
You can find and apply to mental health worker jobs in Montana on Migrate Mate, which lists current openings tied to Montana employers. Search the listings to find roles that match your experience level and specialty, then apply directly to the positions that fit.
See All 9 Mental Health Worker Jobs in Montana
Find roles in Montana that match your experience and apply in just a few clicks.
Find Mental Health Worker Jobs