Clinical Therapist (LCSW/LCPC) - Montana Residents

About Frontier Psychiatry

Frontier Psychiatry is a physician-led, tech-enabled telehealth organization improving mental wellbeing in rural communities. We deliver psychiatry, therapy, and addiction medicine through virtual care built specifically for places where care is hardest to reach.

We are a training site for the Yale Child Study Center, and our published research in JAMA Network Open found 38% lower hospitalization rates among the Montana Medicaid patients we serve.

We are guided by healthcare's Quintuple Aim: excellent patient care, a supported team, lower total cost of care, better population health, and greater health equity.

This is a fully remote position. While you'll enjoy the flexibility of working from home, applicants must reside within the state of Montana to be considered for this opportunity.

The Short Version

• Fully remote from anywhere in Montana. You live in the state you serve.
• Full-time, with a minimum of 27 patient-facing hours per week on a schedule you set.
• $54,500 base salary plus a monthly bonus based on total wRVUs billed. The bonus is uncapped. Expected total annual compensation is $70,000 to $80,000 once your caseload is established. Therapists who see patients 27 hours a week year-round typically earn about $74,000.
• Provide evidence-based individual, family, and group therapy across a broad range of mental health needs. Frontier cares for patients of all ages, from children to older adults.
• Work as part of a multidisciplinary team that includes psychiatrists, nurse practitioners, physician assistants, and a clinical pharmacist.
• Weekly supervision, rounding, or case consultation as directed by the Director of Psychotherapy and Care Management.
• We support the judicious use of clinical AI tools that have been vetted for efficacy and safety, always with a human in the loop.

Why This Role Exists

Montana is home to many rural and underserved communities where access to behavioral health services can be limited. Frontier Psychiatry exists to help close that gap by bringing high-quality psychiatric and therapeutic care directly to patients through secure telehealth.

As a Clinical Therapist, you will provide evidence-based therapy to patients while working as part of a multidisciplinary team that includes psychiatrists, nurse practitioners, physician assistants, and a clinical pharmacist. You will have the opportunity to build meaningful therapeutic relationships, support patients in achieving their goals, and help expand access to care without sacrificing clinical quality.

We are hiring a Montana-based therapist on purpose. Telehealth allows us to reach patients throughout the state, including communities where traditional access to behavioral health services may be limited. Living in Montana gives you an understanding of the communities and realities your patients experience.

This is direct clinical work with a clear purpose behind it.

Schedule & Commitment

This is a full-time role with a minimum of 27 patient-facing hours per week. You set your own schedule. The rest of your week goes to documentation, supervision, and team consultation.

What You'll Do

Clinical care

• Conduct comprehensive mental health evaluations, including diagnostic formulation and clear diagnostic justification.
• Utilize evidence-based assessment tools to support clinical decision-making.
• Provide short-term, targeted therapy using evidence-based modalities.
• Deliver individual, family, or group therapy as clinically appropriate.
• Tailor interventions to patient goals while maintaining a clear therapeutic strategy.
• Provide psychoeducation related to coping skills, communication, stress management, and emotional regulation.

Treatment planning

• Develop and maintain individualized treatment plans aligned with patient needs, clinical guidelines, and SMART goal setting.
• Regularly reassess patient progress and adjust treatment plans accordingly.
• Monitor treatment response and modify interventions when clinically appropriate.

Crisis intervention

• Conduct structured risk assessments for patients experiencing acute distress.
• Develop appropriate safety plans.
• Collaborate with the multidisciplinary care team to support safe follow-up and continuity of care.

Collaboration and care coordination

• Work closely with psychiatric providers, medical teams, and behavioral health colleagues to support integrated care.
• Participate in multidisciplinary treatment planning and case consultation.
• Assist patients with referrals and navigation of community resources when appropriate.

Documentation and compliance

• Complete accurate, clinically sound documentation within organizational timeline standards.
• Ensure documentation meets billing, regulatory, and organizational requirements.
• Maintain confidentiality and comply with informed consent and mandatory reporting requirements.
• Maintain all required continuing education and regulatory requirements.

Professional growth

• Stay current with evidence-based therapeutic approaches and developments in behavioral health.
• Participate in supervision, rounding, and clinical consultation.
• Be willing to obtain licensure in additional states as needed to meet clinical demand.

What Success Looks Like

In your first 30 days: You are onboarded, familiar with Frontier's clinical workflows and documentation expectations, and comfortable using our telehealth and electronic documentation systems.

By 90 days: You are providing consistent, high-quality therapy, maintaining timely documentation, and confidently collaborating with psychiatric providers and the broader behavioral health team.

Over your first year: Your patients are making meaningful progress toward their treatment goals. You are practicing evidence-based therapy, collaborating effectively with colleagues, and helping expand access to behavioral health care for patients throughout Alaska.

What We're Looking For

Required

• Master’s degree from a CSWE- or CACREP-accredited institution.
• Independently licensed as an LCSW or LCPC in Montana at the time of hire.
• For LCPC applicants: completion of the NCE or NCMHCE. Candidates who have not yet taken the NCMHCE must be eligible and willing to complete it if required for licensure in additional states.
• Demonstrated understanding of evidence-based therapeutic modalities, including short-term and targeted approaches.
• Proficiency in remote care delivery, including secure telehealth platforms and electronic documentation systems.
• Strong written and verbal communication skills.
• Ability to work effectively as part of a multidisciplinary behavioral health team.
• A private, reliable home environment that supports confidential telehealth care.

Helpful, not required

• Experience providing behavioral health services to rural or underserved populations.
• Experience providing telehealth services.
• Experience providing therapy to children and adolescents (strongly preferred).
• Experience with individual, family, or group therapy.
• Additional state licenses.
• Experience working in an integrated behavioral health or collaborative care environment.

If you meet most of this and not all of it, apply anyway. We would rather read your application than guess.

What We Offer

Expanding access to behavioral health care depends on supporting the clinicians who deliver it. That means real support, not a mission statement.

• $54,500 base salary plus a monthly uncapped bonus based on total wRVUs (work relative value units) billed
• 100% remote
• 3 weeks of paid vacation (120 hours), plus 40 hours of sick time
• Your birthday off, paid
• 9.5 paid holidays
• 401(k) with company match
• 100% employer-paid premiums for employee-only medical, dental, vision, and accident coverage
• HSA option
• Stock options
• Company-provided equipment
• $500 per year toward continuing education
• Malpractice insurance fully covered
• Licensure costs covered in every state where you provide care

Frontier Psychiatry is an equal opportunity employer. We consider all qualified applicants without regard to any characteristic protected by law.

Originally posted on Himalayas