Child and Family Therapist Jobs in USA with Visa Sponsorship
Child and Family Therapist roles qualify as specialty occupations under the H-1B visa, requiring a master's degree in counseling, social work, or a related clinical field. Many community mental health centers, hospital systems, and school districts sponsor H-1B petitions, and some nonprofit agencies qualify as cap-exempt employers, bypassing the annual lottery entirely.
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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.
FTE: 1.0 (40 hrs/wk)
Shift: Day
Schedule: Monday - Friday
- Sign-On Bonus: Potentially up to $5,000 (for qualifying external candidates meeting experience requirements)
- Relocation Bonus: Potentially up to $10,000 (depending on distance of move; available to eligible external candidates meeting experience requirements)
Position Summary
The Mental Health Professional is an exciting clinical opportunity responsible for counseling and case management service. In this role, you will maintain a patient caseload, providing intervention within established treatment guidelines, policies and procedures. The position offers you the ability to actively advocate on behalf of your patients.
Responsibilities:
- You will provide person-centered counseling, advocacy and case management for patients
- You will develop treatment plans which clearly identify the patient’s voice, treatment strategies, and specific outcome measures
- You will meet agency documentation standards and authorization requirements of contracts
- You will strategically tailor effective clinical/case management services to meeting diverse patient needs
- You will contribute to the success of MultiCare expectations and core values, continuously learning, and performing other duties as needed or assigned
Requirements
- Masters degree in a related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Counselor Agency Affiliated Licensed, Marriage & Family Therap Assoc (LMFTA), Mental Health Counselor Assoc (LMHCA), SW Associate Advanced License (LSWAA), SW Advanced Lic (LASW), SW Assoc Independent Clinical Lic (LSWAIC)
- Previous experience providing mental health counseling services preferred
- Drivers License/Abstract
About Greater Lakes Mental Health
Greater Lakes Mental Health is part of MultiCare’s Behavioral Health Network, serving more than 10,000 individuals across Pierce County each year. Providing mental health and substance use disorder treatment for adults, children and families with Medicaid coverage, Greater Lakes operates six convenient locations, including a 16-bed inpatient facility for voluntary and involuntary care. With experienced teams and robust training, caregivers help deliver recovery-oriented, trauma-informed care.
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 $34.80 - $50.10 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.
Associated benefit information can be viewed here.
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.
FTE: 1.0 (40 hrs/wk)
Shift: Day
Schedule: Monday - Friday
- Sign-On Bonus: Potentially up to $5,000 (for qualifying external candidates meeting experience requirements)
- Relocation Bonus: Potentially up to $10,000 (depending on distance of move; available to eligible external candidates meeting experience requirements)
Position Summary
The Mental Health Professional is an exciting clinical opportunity responsible for counseling and case management service. In this role, you will maintain a patient caseload, providing intervention within established treatment guidelines, policies and procedures. The position offers you the ability to actively advocate on behalf of your patients.
Responsibilities:
- You will provide person-centered counseling, advocacy and case management for patients
- You will develop treatment plans which clearly identify the patient’s voice, treatment strategies, and specific outcome measures
- You will meet agency documentation standards and authorization requirements of contracts
- You will strategically tailor effective clinical/case management services to meeting diverse patient needs
- You will contribute to the success of MultiCare expectations and core values, continuously learning, and performing other duties as needed or assigned
Requirements
- Masters degree in a related field
- A Mental Health Professional as defined within HB 1724 one of these higher credentials are held: Counselor Agency Affiliated Licensed, Marriage & Family Therap Assoc (LMFTA), Mental Health Counselor Assoc (LMHCA), SW Associate Advanced License (LSWAA), SW Advanced Lic (LASW), SW Assoc Independent Clinical Lic (LSWAIC)
- Previous experience providing mental health counseling services preferred
- Drivers License/Abstract
About Greater Lakes Mental Health
Greater Lakes Mental Health is part of MultiCare’s Behavioral Health Network, serving more than 10,000 individuals across Pierce County each year. Providing mental health and substance use disorder treatment for adults, children and families with Medicaid coverage, Greater Lakes operates six convenient locations, including a 16-bed inpatient facility for voluntary and involuntary care. With experienced teams and robust training, caregivers help deliver recovery-oriented, trauma-informed care.
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 $34.80 - $50.10 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.
Associated benefit information can be viewed here.
See all 40+ Child and Family Therapist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Child and Family Therapist roles.
Get Access To All JobsTips for Finding Child and Family Therapist Jobs
Verify your license transfers across states
Licensure for clinical therapists is state-specific, and many employers won't sponsor an H-1B until you hold the license for their state. Confirm whether your home-country credentials qualify for provisional licensure before you apply.
Target cap-exempt employers first
Hospitals affiliated with universities, nonprofit community mental health centers, and government-funded agencies often qualify as cap-exempt H-1B employers. You can start work immediately after USCIS approves the petition, skipping the October 1 start date that cap-subject roles require.
Use Migrate Mate to find verified sponsors
Search Migrate Mate for Child and Family Therapist roles at employers with confirmed LCA filing history. Focusing on employers who've already filed for this occupation removes guesswork about whether they understand the clinical licensure and specialty occupation requirements.
Document supervision hours before the PERM stage
If your employer pursues a green card through PERM labor certification, DOL will scrutinize your post-degree supervised clinical hours. Collect signed letters from supervisors now, specifying hours, modalities, and populations served, so you're not scrambling during recruitment advertising.
Confirm the job description meets specialty occupation standards
USCIS requires that a Child and Family Therapist role normally requires at least a bachelor's degree in a directly related field. Push your prospective employer to list a master's in counseling, social work, or marriage and family therapy as a minimum requirement, not just preferred.
Check prevailing wage before negotiating your offer
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your role and location. Run the OFLC Wage Search for the clinical social worker or marriage and family therapist occupation in your metro area before salary discussions begin.
Frequently Asked Questions
Does a Child and Family Therapist role qualify as a specialty occupation for the H-1B?
Yes, provided the employer's job description requires at least a bachelor's degree in a directly related field such as counseling, social work, psychology, or marriage and family therapy. USCIS looks at whether the degree requirement is standard for the position in the industry, not just at your individual credentials. Roles that list a master's as the minimum are easiest to defend.
Which visa types are realistic for international child and family therapists?
The H-1B is the most common path, and cap-exempt employers like nonprofit mental health centers and university-affiliated hospitals offer the fastest access. The TN visa covers social workers under the USMCA list for Canadian and Mexican nationals. J-1 visa trainee or exchange visitor status is also used in some clinical training programs, though the two-year home residency requirement can complicate long-term plans.
Do I need a U.S. clinical license before my employer can sponsor me?
Most employers require at least provisional or associate licensure before filing an H-1B petition, because the role itself demands it to practice legally. Requirements vary by state: some states issue provisional licenses to candidates who've passed the NCE or NCMHCE but haven't yet completed supervised hours, while others require full licensure. Confirm the specific state's requirements before accepting an offer.
How can I find employers that actively sponsor H-1B visas for therapist roles?
Migrate Mate lists employers with verified LCA filing history for clinical and therapy occupations, so you can identify who has actually sponsored roles like this rather than guessing. Prioritizing employers with a track record in this occupation category saves time and reduces the risk of an employer withdrawing sponsorship mid-process because they're unfamiliar with the requirements.
Is it harder to get H-1B sponsorship at a private practice versus a hospital system?
Yes, in practice. Small private practices rarely have the HR infrastructure or legal budget to file an H-1B petition, and they're almost never cap-exempt. Hospital systems, university counseling centers, and large nonprofit behavioral health organizations are far more likely to have established sponsorship processes, existing relationships with immigration attorneys, and familiarity with the LCA filing requirements specific to clinical roles.
What is the prevailing wage requirement for sponsored Child and Family Therapist jobs?
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.