Licensed Therapist, Full Time (Missouri and Virginia)

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

Reports To: Director of Clinical Care, Here Now Health
Employment Type: Full-Time (with the possibility to start part-time for the right candidate)

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 Missouri or Virginia; 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

• Ability to 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 strongly preferred; other languages are a plus

Licensure Growth

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. Some hours are needed after 3 PM Monday through Friday, and Saturday availability is a plus. You must have access to a private, quiet workspace with reliable high-speed internet.

While this is a full-time role, there is flexibility for the position to begin part-time for the right candidate and transition to full-time as caseload builds.

Compensation (Full-Time, W-2):

• Salary range: $70,000 to $85,000 , based on years fully licensed and relevant expertise

• Benefits include PTO and healthcare costs through an ICHRA

• CEU and license costs covered

• Additional pay consideration 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