Spanish Fluent Virtual Licensed Therapist - Foster Care (Virginia)

Virtual Licensed Therapist – Foster-Impacted Youth and Families (Medicaid- Virginia )

Reports To: Clinical Supervisor, Here Now Health
Employment Type: Part-Time (Minimum 15 hours per week; potential to expand to full-time)

About Here Now Health

Here Now Health is the first virtual behavioral health company built exclusively for children and families impacted by the child welfare system. We serve Medicaid members eligible due to their foster status, often including children in foster care, adopted youth, young adults aging out, and those in family preservation or juvenile justice.

Our care model delivers trauma-informed, high-touch mental health services that prioritize consistency, trust, and accessibility in systems where those qualities are too often missing.

Our mission is to make consistent, early, and preventative care the standard for youth and young adults currently or formerly involved in child welfare—reducing crisis escalations, improving family stability, and creating measurable value for states and Medicaid partners. You will have the opportunity to collaborate with a passionate team founded on both lived and professional expertise.

Role Summary

As a Virtual Licensed Therapist with Here Now Health, you will provide compassionate, trauma-informed mental health care to Medicaid-covered youth and families impacted by foster care and related systems. You will support clients navigating instability, system involvement, and complex trauma, often across multiple placements.

Our care model centers relational continuity, caregiver support, and evidence-informed clinical practice. You will join a collaborative, mission-driven team focused on transforming how care is delivered to system-impacted youth.

Key Responsibilities

• Provide virtual one-on-one therapy to youth and caregivers using evidence-informed, trauma-focused modalities
  
  
• Conduct clinical assessments and create collaborative, measurement-based care plans
  
  
• Build relational continuity across transitions, serving clients through placement or life changes
  
  
• Collaborate with non-clinical care advocates to ensure clients can access needed services
  
  
• Offer caregiver support sessions to improve family stability and outcomes
  
  
• Maintain thorough and timely clinical documentation aligned with Medicaid and telehealth standards
  
  
• Attend weekly supervision, team meetings, and ongoing training sessions
  
  
• Provide support during moments of escalation or crisis in alignment with trauma-informed care practices
  
  
• Engage in peer consultation and cross-functional collaboration with other clinicians and care team members

What Sets This Role Apart

• Manage a low caseload designed to prioritize depth, trust, and engagement
  
  
• Serve youth often excluded from traditional care models, including those without consistent caregivers or stable placements
  
  
• Work in an environment where lived experience in foster care, kinship care, or system involvement is valued and welcomed
  
  
• Contribute to an integrated care model that connects behavioral health with care coordination, healthcare navigation, and advocacy

What You Need

• Master’s degree in social work, counseling, psychology, or marriage and family therapy
  
  
• Active, unrestricted clinical license (LCSW, LMFT, LPC, or equivalent) in your state of residence and in VA or MO ; multi-state licensure is a plus
  
  
• Minimum of two years of experience providing mental health care to children, adolescents, or families
  
  
• Experience with or strong interest in foster care, adoption, or juvenile justice systems
  
  
• Familiarity with trauma-informed and culturally responsive care
  
  
• Comfort working virtually and using telehealth platforms
  
  
• Ability to build trust and consistency with youth navigating instability or mistrust
  
  
• Must successfully complete background checks required by Medicaid and/or child welfare systems
• Approval to provide Medicaid-covered services or prior experience billing Medicaid is strongly preferred
  
  
• Bilingual in Spanish and English is required for immediate hire

Licenses

Willingness to obtain additional state licenses within Here Now Health’s service areas is an important part of this role. Here Now Health covers all associated licensing costs to support your professional growth and expand your impact across the families we serve.

Work Environment, Hours, and Compensation

This role is fully remote and offers flexible scheduling, with required availability during after-school hours (after 3 PM Monday through Friday). Saturday availability is a plus. You must have access to a private, quiet workspace with reliable high-speed internet.

The position may start as either a part-time W-2 employee or a 1099 independent contractor, based on therapist preference and licensure considerations. There is strong potential to grow into a full-time role as Here Now Health scales.

Minimum Availability

• Minimum of 15 hours per week, with required afternoon, evening/weekend availability
  
  

Compensation Options

W-2 Hourly Employee

• $40 to $55 per hour based on years fully licensed and relevant expertise
  
  
• Guaranteed same rate of pay for all hours worked, including administrative, training, and clinical time
  
  
• Eligible for future benefits as the role expands
• ** Bonus compensation for Spanish fluency**

OR

1099 Contractor

• $65 to $85 per clinical hour based on years fully licensed and relevant expertise
  
  
• $30 per hour for administrative work, meetings, and no-show appointments
  
  
• Pay based on documented clinical hours and approved administrative time
  
  

Language Incentive
Additional pay consideration is provided for Spanish-speaking or multilingual clinicians.

We’d Especially Love to Hear From You If

• You have lived experience in the foster system or as a system-impacted parent or caregiver
  
  
• You thrive in a mission-driven, startup-style environment
  
  
• You are passionate about building equitable systems of care for children and families who have been overlooked