TN Visa Clinical Counselor Jobs
Clinical Counselor is a listed TN visa occupation, making it one of the more direct paths for Canadian and Mexican professionals to secure U.S. sponsorship without lottery exposure. Employers file at the port of entry for Canadians or consular post for Mexican nationals, and the role must qualify as a specialty occupation under USMCA criteria.
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INTRODUCTION
UVA Pediatrics Culpeper is seeking a Behavioral Health Consultant (Licensed Professional Counselor or Licensed Clinical Social Worker) for their practice in Culpeper, VA. 2-3 years of experience is required.
Practice Hours:
Monday - Thursday 8 am - 8 pm, Friday 8 am - 5 pm, Saturday 8:30 am - 1 pm
Schedule is 4, 10 hour days Monday - Friday with some Saturday hours
Outpatient only
Public Service Loan Forgiveness eligible organization
JOB PROFILE SUMMARY
The Behavioral Health Consultant will work as a member of the primary care team, providing consultation-based behavioral health services to patients in collaboration with their primary care providers in a Clinical Practice Group office. These duties include 1) operating in a consultative role within a primary care team utilizing an integrated behavioral health model of care; 2) providing recommendations regarding behavioral interventions to the referring primary care provider; and 3) conducting focused interventions with referred patients on behalf of the referring primary care provider.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Provides access to focused assessment and appropriate collaborative care and treatment in the primary care setting:
- Maintains visibility to primary care providers during clinic operating hours.
- Is available for same-day consultation visits with patients (i.e. “warm handoffs”).
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Conducts risk assessments as indicated to support primary care providers managing crisis situations.
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Delivers evidence-based interventions to patients experiencing mental health symptoms, behavioral health issues, chronic disease management, as well as for the promotion of general health.
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Practices collaborative, stepped and measurement-based care, including appropriate follow-up, that reflects a population health-influenced approach for the primary care population.
- Provides targeted follow-up visits for selected patients.
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Triages patients with severe or high-risk behavioral problems to other community resources for specialty MH services.
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Collaborates with primary care team members to develop clinical pathways for select priority populations.
- Assists in development of psychoeducational classes (e.g. behavioral parenting classes for families of patients with ADHD) and group medical visits as appropriate.
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Contributes to patient education materials used by practice for commonly seen behavioral health conditions and problems.
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Contributes to the optimal functioning of primary care teams through collaborative decision support and interdisciplinary consultation that is mindful of other team members’ roles and workflows.
- Is available for “curbside” consultation to primary care providers (a brief interaction provider-to-provider that involves recommendations).
- Educates primary care team in the basic principles of brief behavioral and cognitive behavioral interventions and reinforce their use in the medical visit.
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Supports collaboration of primary care providers and psychiatric providers concerning medication protocols.
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Assists with care coordination and access to outside resources for patients as appropriate.
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Facilitates and oversees referrals to specialty MH/substance use disorder services, and when appropriate, support a smooth transition from specialty MH/SUD services to primary care.
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Participates in any relevant clinical training, quality improvement activities, and staff meetings.
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Provides assistance in capturing program evaluation and fidelity measures.
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Maintains clinical records and other necessary paperwork in a timely manner to comply with all administrative regulations.
- Prepares brief consultant notes for the medical chart that explain assessment findings, interventions delivered, and recommendations made to the PCC.
COMPENSATION
The base salary range for this role is $56,763.20 - 90,812.80 annually. Individual compensation will be determined by the selected candidate’s qualifications, previous work experience and/or education.
BASIC QUALIFICATIONS
Education:
- Master’s degree in Social Work from a CSWE accredited social work program or a Master’s degree in Counseling from a CACREP or CORE accredited counseling program required.
- Licensed to practice as a Licensed Clinical Social Worker or Licensed Professional Counselor in the Commonwealth of Virginia (LCSW, LPC) or applicants with an active license from another state must obtain Virginia licensure within 18 months of hire date.
- BLS Certification within 90 days of hire
Experience:
- Experience with providing clinical interventions around broad range of behavioral health conditions
- Exposure to medically-related issues
- Experience with pediatric populations, including working with families. (pediatric practices-only)
Knowledge and Skills:
- Interest in working in a fast-paced primary care setting and as part of an interdisciplinary team.
- Experience utilizing a personal computer and computerized scheduling.
SUCCESS FACTORS
- Willingness to maintain flexibility in the clinic schedule to adapt to the needs of the primary care team.
- Effective interpersonally, both with patients and with primary care team.
- Ability to take a learning and growth mindset towards new topics and challenges.
- Passion for working in primary care and as part of a team.
The University of Virginia is an equal opportunity employer. All interested persons are encouraged to apply, including veterans and individuals with disabilities. Learn more about UVA’s commitment to non-discrimination and equal opportunity employment.
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Get Access To All JobsTips for Finding TN Visa Sponsorship as a Clinical Counselor
Verify your credentials meet state licensure requirements
TN visa approval for Clinical Counselor roles depends partly on your ability to obtain state licensure. Research the specific state's LPC or LCSW requirements before applying, as some states require additional supervised hours for foreign-trained applicants.
Target employers with behavioral health infrastructure
Hospital systems, community mental health centers, and federally qualified health centers are accustomed to sponsoring TN professionals. Outpatient private practices often lack HR capacity to navigate the filing, so focus your search on larger institutional employers.
Use Migrate Mate to find sponsorship-ready Clinical Counselor roles
Search Migrate Mate to identify employers actively hiring Clinical Counselors under TN visa sponsorship. The platform surfaces roles by visa type, so you're not cold-applying to employers who haven't sponsored before.
Prepare a detailed support letter before your first offer
The TN support letter from your employer must describe your duties in specialty occupation terms, your qualifying degree, and the USMCA professional category. Draft a template early so the employer's HR team can adapt it accurately and quickly.
Distinguish your role from social work at the border or consulate
CBP officers sometimes conflate Clinical Counselor with Social Worker, which is a separate TN category with different credential requirements. Bring documentation showing your counseling degree and licensure track to preempt any classification dispute at entry.
Understand Mexican nationals face a separate filing process
Mexican TN applicants apply at a U.S. consulate in Mexico and receive a visa stamp rather than requesting admission at the border. Processing times vary by consulate, so schedule your appointment well before your intended start date.
Clinical Counselor TN Visa: Frequently Asked Questions
Does Clinical Counselor qualify for the TN visa?
Yes. Clinical Counselor is an explicitly listed occupation under the USMCA TN category. To qualify, you need a baccalaureate or licenciatura degree in counseling or a closely related field, and the job duties must align with professional counseling practice rather than general social services or case management work.
How does the TN visa compare to H-1B for Clinical Counselor roles?
The TN visa has no annual lottery and no cap for Canadian citizens, which means you can start the process as soon as you have a job offer. H-1B visa selection is random and limited to 85,000 slots per year. TN approval is typically granted at the port of entry for Canadians, making timelines far shorter than H-1B adjudication through USCIS.
What documents does a Clinical Counselor need for TN admission?
You need a valid passport, a support letter from your U.S. employer on company letterhead describing your role and TN classification, proof of your qualifying degree, and evidence of any relevant licensure. Canadian citizens present these at the port of entry. Mexican nationals also need a valid TN visa stamp obtained through a U.S. consulate in Mexico.
Where can I find Clinical Counselor jobs that offer TN visa sponsorship?
Migrate Mate is built specifically for TN visa job seekers and surfaces Clinical Counselor roles from employers with active sponsorship history. Searching through general job boards rarely tells you whether an employer has TN experience, which creates friction late in the process when you're negotiating your start date.
Can I switch Clinical Counselor employers on a TN visa?
Yes, but you cannot begin work with the new employer under your existing TN status. You need a new TN approval tied to the new employer before your first day. Canadian citizens can get this at a port of entry, while Mexican nationals must obtain a new visa stamp at a U.S. consulate. Plan for a gap of at least several weeks when timing your transition.