TN Visa Psychotherapist Jobs
Psychotherapist roles qualify for TN visa sponsorship under USMCA for Canadian and Mexican professionals holding the required degree and licensure. Canadians present an employer support letter at the U.S. port of entry to receive TN status, while Mexicans apply through a U.S. consulate—no government labor filing required, making the path to U.S. practice faster than most expect.
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Location:
Altru Behavioral Health Center
860 S. Columbia Rd.
Grand Forks, ND 58201
Pay Range: $60,715.20 - $91,083.20
Summary
$7,500 Sign-on Bonus Available
The Psychotherapist (LCSW/LPCC) completes diagnostic evaluations and assessments. This position develops treatment plans and provides short and long-term therapy and referrals. The Psychotherapist maintains knowledge of psychiatric medications and identifies significant changes or high risk situations.
Essential Job Functions:
- Develops treatment plan and reviews assessment information with each patient. Assesses the patient to identify needs, issues, care goals, termination and continuing care options.
- Completes psychosocial assessments, diagnostic impression, counseling and referrals for individuals, couples, families, or groups using a variety of therapeutic approaches. Identifies significant changes or high risk situations. Processes progress notes. Completes all billing procedures.
- Makes contact with referral sources, providers and other caregivers and assures communication and coordination exists regarding patient care. Collaborates with community resources to deliver services that promote quality outcomes and continuity of care.
- Monitors program effectiveness by evaluating, initiating and participating in restructuring of current and new programs.
- Performs utilization review when required.
- Collaborates with Primary Care Provider (PCP) regarding the patient's progress and changing needs.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification:
- Licensed Clinical Social Worker (LCSW) | North Dakota Board of Social Work Examiners | Prior to Start Date | HR Primary Sources
- Licensed Independent Clinical Social Worker | Minnesota Board of Social Work | Within 12 Months of Start Date | HR Primary Sources
- Licensed Professional Clinical Counselor (LPCC) | North Dakota Board of Counselor Examiners | Prior to Start Date | HR Primary Sources
Licensed Professional Clinical Counselor (LPCC) | Minnesota Board of Behavioral Health and Therapy | Within 12 Months of Start Date | HR Primary Sources - Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 Days of Start Date | Learning Management System
Notes:
- Can be licensed as LCSW or LPCC
- Position will be credentialed through Altru Health System’s credentialing process
Language Requirements:
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands:
- Sit: Frequently (34-66%)
- Stand: Occasionally (5-33%)
- Walk: Occasionally (5-33%)
- Stoop/Bend: Occasionally (5-33%)
- Reach: Frequently (34-66%)
- Crawl: Not Applicable
- Squat/Crouch/Kneel: Occasionally (5-33%)
- Twist: Occasionally (5-33%)
- Handle/Finger/Feel: Continuously (67-100%)
- See: Continuously (67-100%)
- Hear: Continuously (67-100%)
Weight Demands:
- Lift -Floor to Waist Level: Sedentary (<10 pounds)
- Carry: Sedentary (<10 pounds)
- Push/Pull: Sedentary (<10 pounds)
- Slide/Transfer: Sedentary (<10 pounds)
Working Conditions:
- Indoor: Continuously (67-100%)
- Outdoor: Not Applicable
- Extreme Temperature: Not Applicable
Driving Requirement Definitions:
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position:
Infrequent Driver
Reference ID: R4920
Making a real difference. For one another.
To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO).
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Get Access To All JobsTips for Finding TN Visa Sponsorship in Psychotherapist
Verify your credentials meet specialty occupation standards
TN visa status for Psychotherapists requires a master's or doctoral degree in psychology or a related clinical field. Confirm your Canadian or Mexican transcripts and any provincial licensure translate clearly to the U.S. specialty occupation definition before you apply.
Target employers with established behavioral health billing
Hospitals, federally qualified health centers, and large group practices have experience with visa sponsorship for clinical staff and understand the visa petition process. These employers are far less likely to confuse TN requirements with other visa categories like H-1B visa.
Clarify independent contractor status early in negotiations
TN status requires a genuine employer-employee relationship. If a clinic offers a 1099 arrangement, that arrangement disqualifies you from TN classification regardless of job title. Confirm W-2 employment before the offer letter is drafted.
Use Migrate Mate to find employers actively filing TN petitions
Migrate Mate surfaces psychotherapy employers with documented TN sponsorship activity, so you spend your search on practices already familiar with the visa category rather than educating hiring managers from scratch.
Prepare a role-specific support letter before your port of entry
Canadian applicants presenting at a port of entry need a detailed employer support letter naming your clinical duties, qualifying degree, and TN classification. CBP officers adjudicate on the spot, so gaps in that letter create delays or denials.
Understand how state licensure affects your TN start date
You can enter on TN before your U.S. state license clears, but many clinical employers cannot let you see patients until licensure is confirmed. Negotiate a start date that accounts for the state board's processing timeline so your TN and practice eligibility align.
Psychotherapist TN Visa: Frequently Asked Questions
Does a Psychotherapist role qualify for TN visa sponsorship under USMCA?
Yes, provided the position requires at least a master's degree in psychology, social work, or a related clinical field and the duties align with the specialty occupation definition. Roles that accept a bachelor's degree alone, or that blend administrative duties with minimal clinical work, may not meet the threshold CBP applies at adjudication.
How does TN visa sponsorship compare to H-1B for Psychotherapists?
TN has no annual lottery, no cap for Canadians, and no lengthy USCIS petition queue. H-1B requires your employer to file a petition, pay USCIS fees, and hope for lottery selection, which delays the start date by months or over a year. TN lets Canadian professionals receive status at the port of entry the same day, and Mexican professionals receive a visa stamp typically within weeks of the consular appointment.
What documents does my employer need to prepare for TN sponsorship?
The employer must draft a detailed support letter describing your clinical duties, your qualifying credentials, the employment terms, and the TN visa classification being requested. For Canadian citizens, you'll present this letter at the U.S. border or port of entry. For Mexican citizens, your employer will submit the letter to the U.S. consulate as part of your visa application. This support letter is the key document required to establish your TN eligibility.
How can I find Psychotherapist employers who are already familiar with TN sponsorship?
Migrate Mate lets you search for psychotherapy roles filtered by employers with recent visa filings, so you can identify practices and health systems experienced with work visa sponsorship. Targeting employers who have sponsored visas before cuts the time you spend explaining the TN category to HR teams who mistake it for an H-1B or assume sponsorship requires an immigration attorney on retainer.
Can Mexican psychotherapists access TN sponsorship on the same terms as Canadians?
Mexican nationals qualify for TN under USMCA but must apply at a U.S. consulate in Mexico rather than at the port of entry. The occupational and degree requirements are identical, and there is no lottery, but Mexico does have a TN allocation cap. In practice that cap has not historically been exhausted, so Mexican psychotherapists have generally been able to obtain TN status without cap-related delays.