Mental Health Counseling Visa Sponsorship Jobs in Washington
Washington state has strong demand for mental health counselors, with major employers including Kaiser Permanente, Swedish Health Services, Virginia Mason Franciscan Health, and the University of Washington health system hiring across Seattle, Bellevue, Spokane, and Tacoma. Federally qualified health centers and community mental health agencies in Washington regularly file for H-1B visa sponsorship to fill licensed counselor shortages.
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Get Access To All JobsJoin a team that shares your calling
At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
The Integrated Mental Health Therapist (IMHT) works within a multidisciplinary team embedded in the primary care clinic and utilizes the Collaborative Care model of care. This team includes the IMHT, Psychiatric Consultant, & Primary Care Provider to provide comprehensive behavioral health services within the primary care setting. IMHT will provide evidence-based interventions, in partnership with the treatment team, to promote symptom reduction and optimal patient outcomes.
Responsibilities:
- Assesses patient’s symptoms and create customized treatment plan based on individual patient needs
- Screens patients for common behavioral health disorders using PHQ9, GAD7, Columbia Suicide Risk Assessment, or other tools as required
- Monitors patients for changes in clinical symptoms and treatment side effects/complications, with a goal of reduction in symptoms
- Supports psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and treatment effectiveness
- Tracks patient follow-up and clinical outcomes using a registry, and uses the system to identify and re-engage patients
- Facilitates care plan changes for patients who are not improving, including changes in medications or psychosocial treatments or appropriate referrals for additional services
- Manages behavioral health crisis as they arise in a primary care setting
- Provides flexible behavioral health services to patients on and off current caseload, both through scheduled appointments and immediate interventions via warm handoffs during medical visits with primary care providers
FTE: 1.0 (full time)
Shift: Day
Schedule: Monday - Friday 8:00 AM - 5:00 PM
Potentially up to $5,000 sign on bonus!
Potentially up to $10,000 relocation bonus!
Position Summary
The Licensed Integrated Mental Health Therapist-BHN is responsible for independently providing assessments, treatment/care planning and psychosocial therapy within a primary care clinic setting for a diverse population of preventative, acute care and chronic disease management patients. The incumbent uses a variety of theoretical treatment models and interventions and excellent communication skills to work within a primary care/chronic disease management team setting with limited supervision; documents treatment/communication in keeping with department standards and keeps current on community resources to effectively provide linkage and advocacy to fulfill client’s needs.
Requirements
- Master’s degree from an accredited institution in Social Work, Counseling, Marriage & Family Therapy, or related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Licensed Marriage & Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), SW Independent Clinical Lic (LICSW)
- Minimum two (2) years of experience in a behavioral health setting
About Rockwood Clinic
MultiCare Rockwood Clinic is one of the region’s largest outpatient diagnostic and treatment centers, serving communities across eastern Washington, northern Idaho and western Montana. With more than 350 physicians and providers across 50 specialties and multiple primary and urgent care locations, Rockwood delivers more than 160,000 patient visits annually. This diverse and growing outpatient network offers a wide range of meaningful career opportunities.
About the Spokane Community
Spokane, in eastern Washington along the Spokane River and near the Selkirk Mountains, offers a vibrant city experience with endless access to outdoor adventure. Residents enjoy lakes, rivers, ski resorts, golf courses, wineries, and nearby national parks, combined with a thriving arts and culture scene. Spokane delivers the perfect balance of city living and Pacific Northwest recreation year-round.
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
Living our values
Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
Belonging for all
Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $38.38 - $55.23 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Join a team that shares your calling
At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
The Integrated Mental Health Therapist (IMHT) works within a multidisciplinary team embedded in the primary care clinic and utilizes the Collaborative Care model of care. This team includes the IMHT, Psychiatric Consultant, & Primary Care Provider to provide comprehensive behavioral health services within the primary care setting. IMHT will provide evidence-based interventions, in partnership with the treatment team, to promote symptom reduction and optimal patient outcomes.
Responsibilities:
- Assesses patient’s symptoms and create customized treatment plan based on individual patient needs
- Screens patients for common behavioral health disorders using PHQ9, GAD7, Columbia Suicide Risk Assessment, or other tools as required
- Monitors patients for changes in clinical symptoms and treatment side effects/complications, with a goal of reduction in symptoms
- Supports psychotropic medication management prescribed by PCPs, focusing on treatment adherence, side effects and other complications, and treatment effectiveness
- Tracks patient follow-up and clinical outcomes using a registry, and uses the system to identify and re-engage patients
- Facilitates care plan changes for patients who are not improving, including changes in medications or psychosocial treatments or appropriate referrals for additional services
- Manages behavioral health crisis as they arise in a primary care setting
- Provides flexible behavioral health services to patients on and off current caseload, both through scheduled appointments and immediate interventions via warm handoffs during medical visits with primary care providers
FTE: 1.0 (full time)
Shift: Day
Schedule: Monday - Friday 8:00 AM - 5:00 PM
Potentially up to $5,000 sign on bonus!
Potentially up to $10,000 relocation bonus!
Position Summary
The Licensed Integrated Mental Health Therapist-BHN is responsible for independently providing assessments, treatment/care planning and psychosocial therapy within a primary care clinic setting for a diverse population of preventative, acute care and chronic disease management patients. The incumbent uses a variety of theoretical treatment models and interventions and excellent communication skills to work within a primary care/chronic disease management team setting with limited supervision; documents treatment/communication in keeping with department standards and keeps current on community resources to effectively provide linkage and advocacy to fulfill client’s needs.
Requirements
- Master’s degree from an accredited institution in Social Work, Counseling, Marriage & Family Therapy, or related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Licensed Marriage & Family Therapist (LMFT), Licensed Mental Health Counselor (LMHC), SW Independent Clinical Lic (LICSW)
- Minimum two (2) years of experience in a behavioral health setting
About Rockwood Clinic
MultiCare Rockwood Clinic is one of the region’s largest outpatient diagnostic and treatment centers, serving communities across eastern Washington, northern Idaho and western Montana. With more than 350 physicians and providers across 50 specialties and multiple primary and urgent care locations, Rockwood delivers more than 160,000 patient visits annually. This diverse and growing outpatient network offers a wide range of meaningful career opportunities.
About the Spokane Community
Spokane, in eastern Washington along the Spokane River and near the Selkirk Mountains, offers a vibrant city experience with endless access to outdoor adventure. Residents enjoy lakes, rivers, ski resorts, golf courses, wineries, and nearby national parks, combined with a thriving arts and culture scene. Spokane delivers the perfect balance of city living and Pacific Northwest recreation year-round.
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
Living our values
Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
Belonging for all
Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
Pacific Northwest lifestyle
Work and live where natural beauty, adventure and strong community connections are part of everyday life.
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $38.38 - $55.23 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.
Mental Health Counseling Job Roles in Washington
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Search Mental Health Counseling Jobs in WashingtonMental Health Counseling Jobs in Washington: Frequently Asked Questions
Which companies sponsor visas for mental health counselors in Washington?
In Washington, employers with documented H-1B sponsorship histories for mental health counseling roles include Kaiser Permanente, UW Medicine, Swedish Health Services, Virginia Mason Franciscan Health, and MultiCare Health System. Community mental health organizations such as Navos and Pioneer Human Services also sponsor international counselors, particularly for roles serving underserved populations across King, Pierce, and Spokane counties.
Which visa types are most common for mental health counseling roles in Washington?
The H-1B is the most common visa for licensed mental health counselors in Washington, as the role typically qualifies as a specialty occupation requiring at least a master's degree in counseling, psychology, or a related field. Some positions at nonprofit community health centers may qualify for H-1B cap exemption, allowing employers to file year-round outside the annual lottery.
Which cities in Washington have the most mental health counseling sponsorship jobs?
Seattle and its surrounding metro area, including Bellevue and Redmond, account for the largest concentration of sponsored mental health counseling positions in Washington, driven by major health systems and a large insured population. Spokane is a secondary hub, supported by Providence Health and Washington State University's health programs. Tacoma and Olympia also see consistent hiring through MultiCare and state-contracted behavioral health providers.
How to find mental health counseling visa sponsorship jobs in Washington?
Migrate Mate is the most direct way to find mental health counseling visa sponsorship jobs in Washington. The platform filters job listings specifically to roles where employers have a history of sponsoring international workers, saving you the time of vetting each posting manually. You can filter by state and role type to surface Washington-specific openings at health systems, community agencies, and private group practices.
Are there state-specific licensing requirements in Washington that affect visa sponsorship for mental health counselors?
Yes. Washington requires mental health counselors to hold a Licensed Mental Health Counselor credential issued by the Washington State Department of Health, which typically requires a master's degree, supervised clinical hours, and passing the National Counselor Examination. Employers sponsoring H-1B petitions must demonstrate the role meets these state licensure standards. International candidates should factor Washington's licensure timeline into their overall work authorization planning, as state license approval and visa processing run on separate tracks.
What is the prevailing wage for sponsored mental health counseling jobs in Washington?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.