Clinical Counselor Jobs in USA with Visa Sponsorship
Clinical Counselor roles can be sponsored under the H-1B visa, which requires a master's degree in counseling, social work, or a related field. Employers in healthcare systems, community mental health centers, and school districts are among the most active sponsors. For detailed occupation requirements, see the O*NET profile.
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Scheduled Hours
40
Position Summary
This is a Pediatric Genetic Counselor position that functions as part of the WUSM healthcare team, providing genetic counseling and education for patients and families.
Responsibilities include identifying, ordering and coordinating genetic laboratory tests and results disclosure as appropriate for the genetic assessment. The genetic counselor integrates genetic laboratory test results and other diagnostic studies with personal and family medical history to assess and communicate genetic risk factors and clinical implications. The individual in this role is able to work independently and collaboratively with other providers such as medical geneticists.
Job Description
Primary Duties & Responsibilities:
- Elicits individual and family histories and information regarding the psychological and socioeconomic status of the family.
- Reviews with the family and clinical geneticist the diagnosis, prognosis and treatment planned.
- Transmits pertinent information about genetic risks and mechanism.
- Assists the family in assimilating the genetic information and adjusting to its implications.
- Implements the treatment plan and makes appropriate referrals to medical, nursing, social work and psychological services.
- Provides follow-up support to patients and their families.
- Summarizes findings for patients and referring physicians.
- Participates in the education of parents, community groups, physicians, medical professionals, agencies, staff and students regarding human genetics.
- Facilitates provision of services, including intake and clinic organization.
- Assists in the development and implementation of ongoing clinical investigations in genetics.
Working Conditions:
Job Location/Working Conditions:
- Normal office environment.
Physical Effort:
- Typically sitting at desk or table
- Repetitive wrist, hand or finger movement
Equipment:
- Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.
Required Qualifications
Education:
Master's degree - Genetic Counseling
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.
- Basic Life Support - American Heart Association
- Basic Life Support - American Red Cross
- Certified Genetic Counselor - American Board of Genetic Counseling (ABGC)
- Certified Genetic Counselor - American Board of Medical Genetics and Genomics (ABMG)
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.
More About This Job
Required Qualifications:
- Master’s degree from an accredited genetic counseling program.
- Must be board certified in genetic counseling by the either the American Board of Medical Genetics (ABMG) or the American Board of Genetic Counseling (ABGC) or eligible to obtain certification within a year of graduation.
- Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements).
Preferred Qualifications:
- Competent in interviewing and counseling techniques to elicit from patients or family the information necessary to reach appropriate conclusion.
- Knowledge of genetic and mathematics principles to understand the limitations, interpretations and significance of specialized laboratory and genetic procedures.
- Ability to anticipate areas of difficulty and conflict, to help families and individuals recognize and cope with their emotional and psychological needs and to recognize situations requiring referral and to transmit pertinent information effectively.
Education:
No additional education unless stated elsewhere in the job posting.
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Clinical Investigations, Effective Written Communication, Family Support, Genetic Counseling, Genetic Studies, Human Genetics, Interpersonal Communication, Interview Techniques, Laboratory Processes, Mathematics, Oral Communications, Patient Education, Treatment Plans
Grade
C12
Salary Range
$62,000.00 - $96,100.00 / Annually
The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.
Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.
Benefits Statement
Personal
- Up to 22 days of vacation, 10 recognized holidays, and sick time.
- Competitive health insurance packages with priority appointments and lower copays/coinsurance.
- Take advantage of our free Metro transit U-Pass for eligible employees.
- WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
- Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
- We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
- WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/
EEO Statement
Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.
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Get Access To All JobsTips for Finding Visa Sponsorship as a Clinical Counselor
Target employers with existing H-1B filing history
Large healthcare networks, hospital systems, and federally qualified health centers file H-1B petitions regularly. Focusing on organizations with a documented sponsorship track record significantly reduces the risk of rejection at the employer conversation stage.
Confirm your licensure pathway before applying
Most clinical counselor roles require state licensure, such as LPC or LMHC, which can take one to three years post-graduation. Clarify upfront whether the employer will sponsor you before you achieve full licensure, as many require it at hire.
Prioritize roles in underserved or high-need areas
Community mental health centers serving Medicaid populations and rural healthcare providers face persistent staffing shortages. These employers are often more willing to navigate visa sponsorship because qualified candidates are genuinely difficult to recruit through other channels.
Verify your degree meets specialty occupation standards
H-1B approval for clinical counselors requires the role to qualify as a specialty occupation. A master's degree in counseling, psychology, or social work from an accredited program is generally required. USCIS scrutinizes degrees that do not directly align with the clinical role.
Ask about cap-exempt employer options
Nonprofit mental health organizations affiliated with universities or government entities may qualify as cap-exempt H-1B employers. This means you can start at any time of year without waiting for the annual lottery, which is a meaningful advantage for this role.
Prepare for credential evaluation if you trained outside the U.S.
If your counseling degree was completed abroad, a credential evaluation from a NACES-approved evaluator is typically required. Employers and state licensing boards will both want confirmation that your foreign degree is equivalent to a U.S. master's-level program.
Frequently Asked Questions
Can a Clinical Counselor role qualify for H-1B sponsorship?
Yes, clinical counselor positions generally qualify as specialty occupations under the H-1B visa because they typically require at least a master's degree in counseling, psychology, or social work. USCIS has approved H-1B petitions for licensed professional counselors, licensed mental health counselors, and similar titles. The employer must demonstrate the role requires a specific degree, not just any bachelor's-level field.
Do I need to be licensed before an employer will sponsor my visa?
It depends on the employer and the state. Some organizations, particularly large hospital systems and community mental health centers, will sponsor H-1B petitions for counselors working toward licensure under supervision. Others require full licensure at the time of hire. This is one of the most important questions to ask early in the hiring process, before submitting your application.
What visa types are available for clinical counselors beyond the H-1B?
Clinical counselors with exceptional recognition in their field may qualify for the O-1A visa. Those working for qualifying nonprofit or government mental health organizations may access cap-exempt H-1B pathways. TN visa status is available to Canadian and Mexican citizens with qualifying counseling credentials under USMCA. Each pathway has different requirements, timelines, and employer obligations.
How do I find employers actively sponsoring clinical counselors?
Migrate Mate is the best starting point. Its job board is specifically built for international candidates who need visa sponsorship and filters roles by sponsorship willingness, so you're not wasting time on employers who won't sponsor. Focus your search on healthcare systems, federally qualified health centers, VA facilities, and nonprofit behavioral health organizations, which are among the most consistent sponsors in this field.
Does it matter if my counseling degree is from outside the United States?
It matters for both USCIS and state licensing boards. For the H-1B, your foreign degree must be evaluated as equivalent to a U.S. master's degree in a relevant field by a recognized credential evaluation service. For licensure, each state has its own rules on foreign-trained counselors, and some require additional coursework or supervised hours before granting a license. Starting both processes early is advisable.
What is the prevailing wage requirement for sponsored Clinical Counselor 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.