Mobile Crisis Response Therapist - Nights, 0.9 FTE

Schedule: Full‑time (Potential night or dayshift options)

Location: Community‑based, serving Lewis & Clark, Jefferson, and Broadwater Counties

Reports To: Clinical Supervisor, Mobile Crisis

FLSA Status: Non‑Exempt

About the Mobile Crisis Response Team (MCRT)

St. Peter’s Health is growing and evolving our Mobile Crisis Response Team (MCRT). As we re-envision and expand our crisis response model, we’re building a dynamic, multidisciplinary team dedicated to meeting people where they are and transforming how our community responds to behavioral health needs.

We’re looking for compassionate, motivated therapists to join our team in a full-time Mobile Crisis Responder role. Whether you bring direct crisis experience or are eager to grow into this work, we welcome applicants who are excited to learn—our team is committed to mentorship, support, and helping you build confidence in crisis care.

MCRT responders work in collaborative pairs—one therapist and one allied professional (such as a Peer Support Specialist or Community Health Worker)—partnering together to provide thoughtful, person-centered care in the community. This team-based approach creates a supportive work environment while delivering more comprehensive care to those we serve.

If you’re energized by meaningful work, value collaboration, and want to be part of a program that is actively growing, changing, and making a real impact—we’d love for you to join us.

The Mobile Crisis Response Team provides 24/7, community‑based, in‑person behavioral health crisis response across homes, public spaces, schools, shelters, healthcare settings, and other community locations. MCRT pairs a licensed clinician or licensure‑candidate clinician with an allied responder to deliver trauma‑informed crisis intervention, safety assessment, stabilization, and rapid connection to ongoing supports.

Position Summary

The Mobile Crisis Response Therapist (Level I or II) serves as a core clinical member of the Mobile Crisis Response Team. This role provides on‑scene crisis assessment, de‑escalation, safety planning, and care coordination for individuals experiencing mental health, substance use, or co‑occurring crises.

Hiring levels depend on candidate qualifications:

• Therapist I: Licensure‑candidate clinician (SWLC or PCLC), practicing under supervision.

• Therapist II: Fully licensed clinician (LCSW, LCPC, or eligible mental health professional per MCA 53‑21‑102).

Both roles provide in‑person crisis services as part of an interdisciplinary team and support the mission of stabilizing individuals in the least restrictive setting possible.

Key Responsibilities (Both Levels)

• Respond immediately to crisis dispatches using a hospital‑provided vehicle.

• Conduct mental status and risk assessments using standardized tools.

• Provide trauma‑informed crisis intervention, de‑escalation, and brief therapeutic support.

• Collaborate with allied responders (peer support, CHW, EMT, master's‑level trainee, etc.).

• Determine disposition and level of care, including safety planning and care coordination.

• Coordinate transportation when clinically indicated, emphasizing non‑law‑enforcement options.

• Communicate effectively with law enforcement, first responders, and community partners.

• Complete timely clinical documentation, reports, and required Medicaid‑compliant billing workflows.

• Provide follow‑up outreach for up to 14 days post‑crisis to ensure referrals and continued support.

• Participate in required training, supervision, and administrative meetings.

• Conduct community outreach during low call volume to support prevention and engagement.

Additional Responsibilities

• Exercise clinical decision-making authority as the licensed clinician on scene.

• Evaluate and authorize hospitalization or involuntary treatment based on legal criteria.

• Testify in court for civil commitment proceedings as needed.

• Provide advanced clinical consultation to families, providers, and community partners.

Minimum Qualifications

Therapist I Requirements

• Master’s degree in Social Work or Counseling.

• Active Montana SWLC or PCLC licensure.

• 1–3 years related clinical experience (crisis experience preferred).

Therapist II Requirements

• Master’s degree in Social Work or Counseling.

• Active Montana LCSW or LCPC (or eligible mental health professional per MCA criteria).

• 2–3+ years of clinical experience required.

Requirements for Both Levels

• Valid Montana driver’s license with clean record.

• Current American Heart Association BLS certification.

• Strong skills in assessment, crisis intervention, documentation, communication, and conflict resolution.

• Ability to function in high‑stress environments with professionalism and empathy.