Mobile Crisis Response Therapist - Nights, 0.9 FTE

Job Description

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.