Primary Therapist Visa Sponsorship Jobs in Washington
Primary therapist visa sponsorship jobs in Washington draw international candidates to treatment centers, behavioral health systems, and integrated care networks across Seattle, Spokane, and Tacoma. Employers including Compass Health, Neighborcare Health, and MultiCare Health System have sponsored clinical roles, with demand concentrated in community mental health and substance use disorder programs throughout the state.
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Who We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here.
Come build hope. Come save lives. Come grow with us.
M-F 9-5pm; some weekday evenings from 3-8pm.
* This role entails working at both Pathlight and ERC floating between Bellevue and Seattle, WA sites.
What You’ll Be Doing
The Primary Therapist conducts individual and group therapy (adults, children and adolescents) on topics such as mood, anxiety, stress and eating disorders; conducts family therapy and/or family education sessions; develops each patient’s individualized treatment plan; and works with interdisciplinary treatment team to implement the plan.
Essential Duties And Responsibilities
- Conducts psychotherapy including individual, group and family therapy
- For each patient on case load, completes clinical paperwork including:
- Treatment plans
- Individual and Family Therapy progress notes and group notes
- Wellness plan
- Aftercare plan
- Discharge summary
- Conducts comprehensive assessments and treatment planning for each patient on case load:
- Completes biopsychosocial, self-harm and suicide assessments
- Creates individualized treatment plan with specific and measurable goals in collaboration with treatment team members
- Creates treatment agreements, support plans or behavior plans as needed
- Attends treatment team meetings and treatment team rounds, to coordinate patient’s care with interdisciplinary team
- May provide training and guidance to less experienced teammates (Primary Therapist I and II)
Primary Therapist I Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Fully licensed with appropriate state licensing board or in an associate/intern phase of licensure or what is required by the state to practice individual therapy (required)
- Collaborative nature and strong communication within multi-disciplinary team (required)
Primary Therapist II Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains an independent mental health license as required by state to practice individual therapy (required)
- Has carried significant individual and/or family caseload for at least 2 years with documented success in treating patients with common diagnoses and expected comorbidities; demonstrated ability to work independently; developing specialty within line of service and broadening expertise with other populations (required)
Primary Therapist III Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains a full mental health license as required by state (required)
- At least 3 years post licensure experience working with mood, anxiety, ED and/or trauma related disorders; some experience supervising other clinicians; has carried a significant individual and/or family caseload, with success in treating more complex cases (required)
- Experience with individual and/or family therapy (required)
The compensation range for this position is based upon candidate experience and market expectations. Washington Pay Range $81,000 - $108,000 USD
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. When you thrive, you can do your best work. And your best work changes lives.
Primary Therapist Job Roles in Washington
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Search Primary Therapist Jobs in WashingtonPrimary Therapist Jobs in Washington: Frequently Asked Questions
Which companies sponsor visas for primary therapists in Washington?
Washington employers with documented sponsorship activity for clinical therapist roles include Compass Health, MultiCare Health System, Neighborcare Health, Sound Behavioral Health, and Pioneer Human Services. Federally qualified health centers and nonprofit behavioral health organizations in the state tend to be more active sponsors than private practices, as larger organizations have established HR infrastructure to manage petition filings and prevailing wage compliance.
Which visa types realistically fit primary therapist roles in Washington?
Primary therapist roles typically qualify as specialty occupations under the H-1B visa, requiring a bachelor's degree or higher in a directly related field such as counseling, social work, or psychology. The H-1B is subject to an annual cap and selection process. EB-2 and EB-3 employment-based green cards are also viable pathways, with PERM labor certification required. F-1 OPT is available to recent graduates for up to 12 months. TN visa does not cover primary therapist roles under USMCA.
Which cities in Washington have the most primary therapist sponsorship jobs?
Seattle and its broader King County metro account for the highest concentration of primary therapist sponsorship opportunities in Washington, driven by large health systems, community mental health centers, and federally qualified health centers. Spokane is a secondary hub with strong behavioral health infrastructure tied to Providence Health and community agencies. Tacoma, Bellevue, and Olympia also show consistent hiring activity, particularly within integrated care and substance use disorder programs.
How to find primary therapist visa sponsorship jobs in Washington?
Migrate Mate lists primary therapist roles in Washington filtered to employers with verified visa sponsorship history, making it straightforward to identify which health systems and behavioral health organizations have actively filed for clinical positions. Searching by city within Washington helps narrow results to Seattle, Spokane, or Tacoma depending on your preference. Migrate Mate is the most direct way to focus your job search on Washington employers already set up to sponsor international therapists.
Are there state-specific factors that affect visa sponsorship for primary therapists in Washington?
Washington's behavioral health system is shaped by significant public investment in integrated care and Medicaid-funded treatment programs, which means many sponsoring employers are nonprofits or community health organizations rather than private clinics. Washington state licensure as an Licensed Mental Health Counselor or Licensed Independent Clinical Social Worker is typically required before or shortly after hire. Candidates should confirm that their graduate degree and supervised hours satisfy Washington's specific licensure requirements, as these affect an employer's ability to file a petition.
What is the prevailing wage for sponsored primary therapist 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.