Therapist Jobs in Washington
Therapist jobs in Washington are concentrated in behavioral health, community mental health, and substance use treatment, with demand at every level from associate-licensed clinicians to seasoned licensed independent practitioners. Seattle, Spokane, and Tacoma account for the largest share of openings, anchored by employers such as MultiCare Health System, Providence Health and Services, and Comprehensive Life Resources. The most consistently sought specialties are trauma-focused therapy, child and adolescent mental health, and co-occurring disorder treatment. See the openings below and apply to the ones that match your experience.
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PRN opportunity!:
The Certified Occupational Therapist Assistant assumes clinical responsibility in an assigned facility. This is a professional position with the primary responsibility of direct patient care under the supervision of the Occupational Therapist. Additional duties of an administrative nature are to be performed as assigned.:
You will:
- Under the supervision of a Occupational Therapist, is at all times responsible to follow all state specific laws governing the provision of occupational therapy in home care
- Follow the treatment set only as defined by the Occupational Therapist; to perform only those procedures that the COTA is qualified and trained to perform
- Make all recommendations for changes in the plan of care to the supervising Occupational Therapist.
- Aligned Mission and Values - Shared company values of Integrity, Respect, Commitment to Excellence, Accountability, and Teamwork. Foster a culture of excellence and collaboration between departments - focusing on individualized care for the residents.
- Enhanced Quality of Care - Deliver consistent, personalized care through dedicated in-house teams, ensuring resident needs are met by tailored programs and a collaborative Rehab Care Model approach.
- Perks - Offer robust benefits, including continuing education funding (up to $750 annually with up to 2 days paid time off for CE course/training), license renewal, EPA program, in-house training, generous PTO including double-time holiday pay if worked for 8 recognized holidays, and leadership development through NARA and Management initiatives.
- Possess a degree in Occupational Therapy Assistant from an accredited program.
- Possess, prior to, onboarding and maintain a current, unrestricted license to practice as a Certified Occupational Therapy Assistant in assigned state.
- Adaptability, compassion, detail oriented, friendly courteous.
- A moderate degree of physical strength is needed because of the exertion required to assist patients.
- Ability to kneel, stoop and stand for long periods of time with or without accommodation.
- Medical / Dental / Vision Insurance
- Prescription Drug Coverage
- Vacation/Sick/Paid Time Off (PTO) - Based on State
- Paid Life Insurance
- Employee Assistance Program (EAP)
- Employee Discounts (movies, restaurants, gifts, more)
- 401-K
See All 76 Therapist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
Find Therapist JobsTherapist Jobs by City in Washington
Where Washington roles are concentrated, by current openings.
Therapist Job Market in Washington
A snapshot from current Washington openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Insurance
What Washington Employers Look For
The qualifications that appear most often in therapist jobs across Washington.
- Active Washington State licensed mental health counselor, social worker, or marriage and family therapist credential
- Master's degree in counseling, social work, psychology, or a closely related clinical field
- Experience delivering evidence-based modalities such as CBT, DBT, or trauma-focused therapy
- Ability to complete clinical documentation accurately within electronic health record systems
- Demonstrated experience conducting mental health assessments and developing individualized treatment plans
- Strong verbal communication skills for collaboration with multidisciplinary care teams and clients
Therapist Jobs in Washington: Frequently Asked Questions
How do you become a therapist in Washington?
Becoming a therapist in Washington requires a graduate degree in counseling, social work, or marriage and family therapy followed by supervised post-degree hours and passage of a board examination. Licensure is issued through the Washington State Department of Health, which oversees the Licensed Mental Health Counselor, Licensed Clinical Social Worker, and Licensed Marriage and Family Therapist credentials. Completing supervised hours under an approved supervisor and passing the relevant national clinical exam are the core steps before independent practice.
Which companies hire therapists in Washington?
Companies currently hiring therapists in Washington include American Traveler, Healthforce, and MultiCare Health System, per current listings on Migrate Mate as of October 2026. Washington's robust community mental health infrastructure means a significant share of openings also comes from county-funded behavioral health agencies and federally qualified health centers serving rural and underserved communities.
Which Washington cities have the most therapist jobs?
Seattle, Tacoma, and Lakewood lead Washington for therapist openings. Seattle dominates because of its dense concentration of hospital systems, outpatient behavioral health clinics, and large tech-sector employee assistance programs, while Spokane and Tacoma draw significant volume from regional medical centers and community mental health agencies that serve surrounding counties.
Are there remote therapist jobs in Washington?
Yes, and more than most clinical fields. About 21% of therapist openings tied to Washington are remote or hybrid as of October 2026, reflecting the widespread adoption of telehealth platforms since the expansion of audio-video practice standards. Outpatient individual therapy and some case management roles are the most likely to be fully remote, while group therapy, intensive outpatient programs, and crisis services typically require an on-site presence.
How can I get hired as a therapist in Washington with little or no experience?
The most realistic entry path is an associate license under supervision, which Washington allows through the Licensed Mental Health Counselor Associate credential issued by the Department of Health. Large employers such as MultiCare Health System and Sea Mar Community Health Centers regularly bring on associate-licensed clinicians for supervised roles in community mental health and integrated care settings. Internship placements at federally qualified health centers or county behavioral health agencies during graduate training are the strongest door-openers, and completing a trauma-informed care certificate before applying gives candidates a measurable edge.
Where can I find and apply to therapist jobs in Washington?
You can find and apply to therapist jobs in Washington on Migrate Mate, which lists current openings tied to Washington employers. Search the listings to find roles that match your license level, specialty, and preferred setting, then apply directly to the ones that fit.
See All 76 Therapist Jobs in Washington
Find roles in Washington that match your experience and apply in just a few clicks.
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